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Susie2310's Latest Activity

  1. As discussed on another recent thread: "Prepare Nurses to Pass NCLEX, or Prepare Nurses for Real World?" these consequences came about as a result of decisions and actions that were deliberately taken by multiple parties, over a period of decades. These conditions didn't magically appear one day. Both industry and some of the nursing schools had a part in this. I agree with the previous poster that Florence Nightingale would be turning in her grave.
  2. It seems it would be rather unusual for someone to go to the trouble and expense (assuming they involved a lawyer in drawing up their Advance Directives) of appointing a person they presumably trust and have confidence in, to be their Agent under their DPOA for Health Care, and, then, when hospitalized, tell the health care staff that they don't want to receive a visit from this person. I can more easily see a person who is using a DPOA for Health Care form they purchased online or in a store, who has named as their Agent someone who they are not particularly close to, doing this, but even then I would be surprised if this happens very often. Of course, there is always the possibility that the patient was pressured by someone into preparing this document. While it is necessary to safeguard the patient’s rights, I have some thoughts about this situation. On the subject of a patient refusing visitation from the person that they have selected and designated as their Agent under their DPOA for Health Care; besides the possibility that this is what the patient genuinely wants; the possibility that the patient has become unable to give informed consent; and the possibility that the patient has been coerced into preparing the document and designating an Agent; there are also other possibilities: It is possible that some kind of interaction has taken place between the patient and the staff that has influenced or prejudiced the patient towards the person whom they have designated as their Agent. It is also possible that the staff have said to the patient something like: “You seem to be doing fine without your wife,” or: “You don’t appear to need your wife to be with you,” and the patient wants to please the health care staff and goes along with this, or the patient can’t find a way at that moment (patients are usually very sick when they are hospitalized) when that comment is made to them, to disagree. This may have then been interpreted by staff as the patient actually not wanting their wife/Agent to visit them. Also, given that patients usually have to be very sick to be admitted to hospital, it is quite possible that when the patient said or indicated that they didn’t want their Agent to visit them, they were severely stressed both mentally and physically during an acute illness, or were just showing improvement from an acute illnesss, or were under the influence of a medication, or had had a reaction to a medication, or were experiencing toxicity from a medication, or polypharmacy, and it is also possible that they have experienced a stroke, intracranial hemorrhage, acute renal failure, delirium, dehydration, hypoxia, or another condition that could affect their mental status or result in an altered mental status, or that they had undergone a medical procedure that could result in a changed mental status. These conditions may result in an altered mental status, or in the patient's state of mind being different to the way it normally is, and thus affect the patient's behavior. These condition/s and others may not be considered or identified by staff.
  3. I appreciate your explaining your family situation. I wish you the best. I wish I could say that I have found surefire answers that make it possible for one to be effective in the moment in advocating for one's family member's rights as a patient. As the OP said on this thread, if it is this difficult for nurses to do this, how hard must it be for lay people. You used the term bureaucracy and I think that is apt.
  4. I have inserted my thoughts in bold underneath your comments. I do not have any special expertise or knowledge on this subject. I mainly am speaking from what I have learned from my own experience, and from doing basic research. You are a very good critical thinker and ask very intelligent questions and make very good points. I don't think I have much more to offer on this topic, but I have found this a very productive discussion, for which I thank you.
  5. I added more information to my post above and made a few other changes (in italics).
  6. I was thinking the same. Alcoholism is an enormous societal problem that often ruins the lives of family members of alcoholics just as it does the lives of alcoholics. Add to that drink-driving and alcohol related violence. Secondhand smoke has been shown to cause heart disease, lung cancer, severe respiratory problems, asthma, bronchitis, and more.
  7. I have read of some nurses in positions of influence expressing comments that suggest to me that they are concerned that those who currently have jobs may be replaced by volunteer recruits. I think this may be part of what you are seeing.
  8. Susie2310

    How to Land a Job in Nursing Informatics

    I found your article interesting, upbeat, and encouraging, but from everything I read, nursing informatics jobs are not easy to come by for the great majority of people, even with an MSN in nursing informatics. It appears that for many nursing informatics positions, a background in IT and/or HIM education/training/experience (especially experience) is highly sought after; everything I read gives me reason to believe that only a tiny minority of people who are trained as nurses and go on to obtain a MSN in NI actually have the background that is sought for the majority of these positions. Additionally, these positions appear to be very competitive to obtain. I think this should be emphasized, as education, let alone advanced education, is expensive, time consuming, and makes a lot of demands on one's family. Realistically, spending a lot of money and time for an advanced nursing degree (after already having trained to become a nurse) that will still require further education and training, and then scrambling after all that to try to find some kind of volunteer/entry level position in order to try to gain experience so that one may one day have a chance at being a desirable candidate for a well paid, competitive position, is, in my view, not a practical or desirable option for the vast majority of people.
  9. Susie2310

    Burnout, the Literature, and Understanding

    PamtheNurse, For the study idea I put forth, the data collected would be qualitative, not quantitative, as it has to do with human responses and is not numeric data. I'm not qualified to advise you on study design or statistical procedures, but if you are serious about doing a study and are seeking qualified input, if you have not already done so, I would respectfully suggest considering seeking the advice of a statistician in order to obtain information about the choice of statistical procedures and study designs that are appropriate for the goal of your study/question you want to answer and type/s of data you want to collect. Best wishes to you.
  10. Susie2310

    Burnout, the Literature, and Understanding

    PamtheNurse, I will reply as soon as I have the chance to consider the above.
  11. Susie2310

    HIS - Shortness of Breath in an unresponsive patient

    What is GIP?
  12. Susie2310

    Burnout, the Literature, and Understanding

    My idea is the following: The goal of the study would be to determine whether burnout is present in higher degrees in nurses who became nurses PRIMARILY for the monetary reward; social status; job security; family pressure; etc., versus those who became nurses PRIMARILY because they wanted to take care of sick people. The population would be licensed nurses. One could, of course, make student nurses the population. For example, it would be possible to take a Simple Random Sample of nurses using an appropriate sample size, and ask the nurses to complete a questionnaire that describes the purpose of the study, including the definition of burnout in nurses, and ask the nurses to indicate whether their PRIMARY motivation for becoming a nurse was the monetary reward/social status/job security/family pressure, etc. (indicate which), or taking care of sick people, and also ask the nurses to indicate their degree of burnout and the number of years they have been practicing. This data would then be analyzed. The anonymity of the nurses taking part would of course be preserved.
  13. Susie2310

    Burnout, the Literature, and Understanding

    Thank you for your reply PamtheNurse. I will post back with my thoughts as soon as possible.
  14. Susie2310

    Burnout, the Literature, and Understanding

    While your work is focused on the existence of burnout in nursing faculty members, you did refer to burnout affecting other nurses besides faculty members in your article, hence my question to you above. Unfortunately, I don't currently have the time to read Maslach et al., but if you are able to answer my earlier question to you below I would be grateful to you.
  15. Susie2310

    Covid 19 visitor restrictions

    I agree completely with appropriate screening measures for the patient's family member/significant other, e.g. temperature checks; ask if the person has had recent exposure to a person known to have Covid 19; ask if the person has had symptoms of Covid 19 recently; ensure they are wearing a mask and require that they continue to wear it inside the facility; require social distancing.
  16. Susie2310

    Covid 19 visitor restrictions

    Thank you very much for participating, and please feel free to continue to comment as much as you wish.

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