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Human trafficking
Health problems such as HIV, AIDS, TB as a few examples are associated with trafficking....can go undetected due to the clandestine nature of trafficking (Sabella, 2011). "A majority of known domestic (U.S.) victims are children involved in prostitution. Many are runaways but some are not" (Sabella, p. 31). Reference: Sabella, D., 2011 The role of the nurse in combating human trafficking: Learn how to recognize the signs that someone is being trafficked and how to safely intervene. American Journal of Nursing, 2011, 111 (2), 28-37. Retrieved from:http://traffickingresourcecenter.org/sites/default/files/The_Role_of_the_Nurse_in_Combating_Human%20-%20AJN.pdf
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Human trafficking
I would like to raise awareness of human trafficking by gathering information based on member learning needs. If the forum members want information I could post resource links and share my knowledge from a conference I'll be attending next month. Human trafficking is enormous and complex. Please consider what specifics would be of interest. For example, can you define human trafficking? Could you determine if a client is a victim of trafficking? These are only suggestions. Thank-you for your input on this important problem.
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Should your state board ask about mental illness? Need help with research hypothesis
I really liked my research classes. Struggled but liked the structure of of the many components. Method, design, all the pieces includ. statistics. I still do problems to keep adding to what I learned in classes. Your research hypothesis is full of ways to use stats. From a novice: your seem as if you know what info you are looking for. If this is your first round with an experiment, study, critique see what other researchers in this particular area have already studied or published. (the reason for a thorough literature review). I start with the lit review to see what is known and published, analyze articles, annotated bib. For me these activities helped me take abstractions and form a cohesive statement. It began something like this: This is what I want to know, this is how I am going to get the information I want to know, ......step by step and sometimes circlular. I look back and know I have more to learn. Great start!!!
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Left horrific SNF job; struggling to find another job. HELP!
I liked this article in response to an RN who left a setting unsuitable for her. Advising RN's that leaving a position holds less stigma now than in the past, and re-framing the experience for future interviews was for me brilliant. Thank-you
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I don't know why I'm even surprised by this...
What a mess!! I'd be saying to myself that this will not be the last time management handles an unsafe situation in this manner. The event is a clue to your work life there. I have experienced similar situations where management puts the bottom line first and everything else last. Patients died. The first incident was swept under the rug, the 2nd time they were sued by the deceased's family. The family won the case. The facility downsized shortly after.
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Has anyone else "sensed" when something was wrong with a patient?
Jean Watson University of Colorado Boulder is the nurse theorist I said I'd get back on. Hope you can gather some info from her work! She is amazing!
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Has anyone else "sensed" when something was wrong with a patient?
A nurse theorist a U of Colorado Denver speaks to this. When her name comes to me I'll post it. In nursing I've used it but not when charting. I use to guide my problem solving and support it with facts if possible. If I can't get facts to support my intuition, I don't rely on it in the workplace. I hope that makes sense. I'm sure you are not an idiot!!
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Am I too old to be an RN.... or should I just stay an LPN?
A belated thank-you for pointing me to the article I couldn't find
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"I have an ethical problem"
How out of the box your thinking is. I mean that as a compliment. I'd probably run the idea by Social Services if there were no other community resources to take homeless folks in. I'd have to feel that I had support from other professionals if the going go rough. Many children are homeless along with adults. I certainly would explore the options since they are known to victimized in every way in the first 24 hours they go to the streets.
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Independent nurse with questions
I don't have an answer but I have asked myself that same question. My S.O. is in marketing and I try to pick his brain because in my experience sales and marketing were the furthest subjects from my mind. He is a real extrovert and go getter. He is not afraid of talking about his services to anyone. He is successful with his knowledge and gift of gab. What I don't value is sometimes he stretches the truth to make a sale or gain another's confidence. Not sure how to navigate marketing in healthcare services since there are many regulations not to mention liability issues. I've fantasized putting myself outside of health care facilities when RN's are going to work or home and handing out flyers for a needs assessment survey. Since my interest is developing a specific advocacy service for RN's this seems like a way to catch both positive and negative feedback. As Bob Dylan said "you can be killed with kindness....so I had a perspective on the booing audiences."
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You will all probably hate me for this
Thank-you This is a great post and well written. I agree that we are here to educate each other by sharing our knowledge and prof/ personal experiences. Its a great thing to take away posts, replies, and articles to advance the profession. Could we be dealing with the multi-generational nursing workforce beliefs and values? Thanks!
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Am I too old to be an RN.... or should I just stay an LPN?
Thanks for your post. I'll be reading the articles you suggested. Thanks again for the heartfelt spirit you put forward in you message.
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Am I too old to be an RN.... or should I just stay an LPN?
Age is a number...some people are young even if they are considered "old." I really like the article that I can't find on this site anymore that spoke to: There are many nursing jobs available so why can't I get a job? I felt after reading the article that who ever wrote it had their finger on the nursing workforce's pulse. To paraphrase the article piece that empowered me is as follows: Some organizations must post job openings externally. There are likely candidates who are being hired internally. Any advice on avoiding the time and effort spent applying to these likely dead ends?
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A Valuable Lesson
I am not working with this population currently. After seeing how staff and management coped with this situation, I decided to take work outside of healthcare. I like you and others working in this area, I had great relationships with the individuals and their families. That was very rewarding. I think management was out of touch with the front line staff working conditions. The need to have RN oversight and signatures to get reimbursed was a damned if you do and damned if you don't scenario. The fact that I documented every detail was what led to the investigation. If not for that I believe in retrospect it would have been swept under the rug. There was no team spirit at this facility when the going got tough. Most began the blame game. My focus became how to navigate these situations. I chose diplomacy meaning I attempted to create a dialogue. This did not work no one wanted to look deeper into the situation for learning and improvement. Sexual abuse or suspicion of it scared people. Fear does strange things to peoples behavior as I saw first hand. Sure there was a policy on suspected sexual abuse but it was vague lacked specific verbage and no specific training. I have worked in psych, sat in group therapy with patients and group leaders and heard people talk about their experiences. It wasn't easy to hear and I had to look at my own fears. I read and talked to professionals to learn and provide patients with information and empathy. I was less fearful as a result and able to stay present. "The Courage to Heal" was the first book I read on the subject. I worked with an RN whose sister became pregnant while in a state facility for intellectually disabled persons. I wonder if a proactive set of guidelines would have prevented her victimization. Thanks
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What would you do if....
Written up or constructive debriefing....I think there is a big difference. Taking an ambiguous scenario and trying to resolve it by blame gives no one a chance to learn. Its like saying found a tablet on the med counter equals medication error. It makes no sense for me. There's more to investigate. I am proud that I voted with my feet after trying to understand the irrational.