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Love the ICU.

JMP's Latest Activity

  1. JMP

    Ill prepared managers...

    reminds me of the debate "are leaders born or made?" answer: both many of us have born leadership skills....however it is a skill like any other skill and you need educaiton and practice. every single day you need to practice good leadership skills and your leadership will grow. however, some people have not been educated in leadership skills and still think that yelling, intimidating and demanding are acceptable leadership traits. memo: they are not. the nursing shortage is bad enough. we need to foster, encourage and support clinical nurses....nothing else is acceptable.
  2. I can tell you my experience... I am Canadian educated and seriously considered working in Arizona. I flew to Arizona, twice, talked to every person I could about health care. Example: every cab ride I took I asked the cab driver about their health care and how they felt about the system. Without fail ...none of them had insurance.... one was a young diabetic woman who prayed every day that she did not need health care.... this type of thinking and what Fergus referred to as the CUSTOMER (Burger King mentality) VIEWPOINT. patients are CUSTOMERS....BUT not if you are poor or disadvanced, or working poor, etc. in the US So in the end, I could not justify the US health care system. My cousin was living in Florida at the time and she and her husband paid 800 dollars a month in health care insurance....like a second mortage and they both had second jobs to pay for it. I could not justify it....so I stayed here, in Canada and happy I did. When the war broke out...well, I PERSONALLY disagreed (knowing that not every Canadian thinks this way) and was triple glad I stayed home.This is my OWN personal decision......you have to make yours, as does everyone else. We are very very and I mean VERY different countries ...never think we are even close to being the same...values, etc are VERY different. You have to understand the differences and then see if you can live with them.
  3. JMP

    Ill prepared managers...

    I believe what nursing needs is more LEADERS and less MANAGERS. Nurses have been managed to death. Nurses are professionals, who need support and understanding and above all, quality workkplaces to practice in. Having supplies in place is vital to patient care, having a schedule out on time is great, knowing someone is leading you that you can count on to be on your side (nursing), who will stand up when nursing needs someone is LEADERSHIP. I would much rather be called a nurse leader than a nurse manager. QUOTE=mydesygn]I have mixed feelings about the subject. I have worked in several hospitals where those promoted to management did not necessarily display exceptional communication, organzation or leadership abilities. They were clearly "well liked" which does not always translate to effective management. "well - liked" indiviuals do not always have the ability to make and enforce the hard decisions, they do not like confrontation and open communication and usually enable the same bad qualities in their staff, they are not always equipped to think long term and thoughtfully about an issues instead of merely react. They sometimes lack the ability to plan actions in steps and to set up systems that measure results. The qualities that make a great nurse do not make a great administrator. I beleive staff expectations feed bad management. One of the units I worked with was having a meeting regarding qualities they expected in a new manager - comments were she should be supportive, kind, nonjudgemental, "there for me" etc... Not one indivual said organized, competent, efficient etc.. I worked with one manager that I literally saw once a year but the unit was always stocked, my evaluations were timely and payroll was correct, the schedule was out on time. I think in the process of finding someone we like, we forget to look for someone we need Don't get me wrong, I don't think that you can't be liked and respected but personally I will take a manager I respect any day and your best managers understand that and are not afraid to live by that. I beleive the only way to resolve this is to hold managers to measurable criteria: staff turnover, budgetted supplies, patient survey results. Good managers know how to improve those areas and are willing to plan and implement realistic change to improve them. Bad management can destroy a unit and undermine morale. I hear a lot of complaints regarding "nursing eating their young" and rude or lazy co-workers. Your best employees recognize that no unit will be perfect but if it is clear that management is enabling and supporting those qualities, you will lose good staff and will be left with a unit filled with poor attitudes and low morale because management is knowingly and unknowingly enabling these indivuals. I am a manager and speak with the knowledge of how accountable we are to making a unit effective. I strongly beleive that outside candidates should be given strong consideration for management positions when there are clearly no qualified internal candidates. It helps to have someone with a track record as opposed to just the nurse who happens to have worke there the longest.
  4. JMP

    graduate school for nurses

    I am starting a thesis based research masters in nursing this fall AND a new positon as a nurse manager this fall as well. First year classes are two mornings a week... support from hospital to attend (not money but for attending classes). Am I crazy?? Probally. I have always been a high achiever and busy person...so I look at this from a challenge perspective....I always have loved a challenge!
  5. JMP

    Should nurses have MSNs

    It does make a difference where your education is obtained. The MSN program I am in is a administrative domain based Masters....they also have clinically based domains, but my preferance is administrative, mostly do the field I want to work in. I am in Ontario, Canada and BSN as entry to practice is here, started this year. So a Masters is seen a the next logically step, if you want to leave the bedside. Not everyone does, I work at the bedside and work with many RN's who love it and never want to leave. However, I find myself often having to justify the educational process and why I would bother, etc etc. It seems to be part of the nursing culture to "question" people who want to move up or on, enhance their own natural leadership abilities, persue other domains of practice. Unfortunate part of the nursing world.... it really tears down the profession when others constantly want to "question" your motives. Last semester, when I was tired and working full time and doing 4 BSN courses (2 of them clinical placements) a nurse I work with "questioned" me and said" well, I guess you won't be down here with us wiping butts too much longer.... better than that now"....I remained silent at the moment but later, took him aside and told him how disappointed I was in his perspective and how would he like it if I "questioned" him about why after 25 years of nursing he had not taken courses, updated his leadership abilites, etc. He suddenly understood the reverse discrimination faced by many nurses... who just don't want to bother justifying their educational persuits by those who "question" the system constantly wanting to find fault. I did a three year diploma RN program, followed by three years of BSN, and now MSN. I worked through the whole process...still work full time in ICU. I have not reqetted a minute of it and I am over 45. Good luck to all who venture to change the face of nursing. JMP
  6. JMP

    Should nurses have MSNs

    I have just finished my BSN ( took me two years and I worked full time while doing the degree full time) and I am in a MN program. What I can tell you for sure is this..... never, ever, I mean never is education a bad thing. Never think it is not needed or not worth it. It is invaluable, no matter who you are. No one can ever hold you back, take it away and you will always have choices. Not everyone needs or wants an advanced nursing degree....but for those who have the passion, I can tell you it is worth it...every minute and every penny of it. JMP RN BSN CNCC
  7. JMP

    Shared Governance Manual- NEED IT!

    Thank you so much I am downloading and printing right away. UOTE=RNPATL]Perhaps this will help. We are in the process of developing our self governence program and we also have been doing some research. See if this link provides you with some reasonable information. Good luck. http://www.aorn.org/journal/homestudy/sept04b.pdf
  8. JMP

    Shared Governance Manual- NEED IT!

    Can anyone share their experiences with shared governance.....good bad or neutral???? Problems, low points.....rough roads? Good ideas? Information sharing? Anything is welcomed............jmp
  9. I have gone foward in my hospital and made a proposal to introduce shared governance and unit councils. We already have Nursing Pracitce Council, Professional Practice Council, etc. The idea has been approved and now I need info! I am in great need of information and find it hard to come by. # 1. I need the manual for implementation by Tim Porter-O'Grady- published in 1992 by Mosby- but it IS OUT OF PRINT!! If anyone has one... I would be happy to somehow arrange purchase or if someone knows how I can get one........it would be greatly appreciated. #2. The UP of Nursing would like some pre and post testing of the workforce. The implementation would be in an ICU setting with 140 RN's and this is a trial. For funding purposes we need to somehow measure workplace satisfaction...pre and post implementation. Can anyone recommend a tool for such measurement? # 3. I would appreciated any input from those who have experienced this.... how did it work/how did you feel about it/changes it made..good and bad. I have lots of articles....... and I have just finished a paper regarding the shared governance and unit council topics but I need some hard core advice and a copy of that manual. THanks All!! JMP
  10. JMP

    Nurse Mobbing/bullying

    The way I see it...does not matter what happened. The nursing field is ripe with horizontal violence. Nurses treating each other very badly....it has a long tradtion in nursing. Many nurses do not even know about it...which is not to blame the victim...just stating the point that it is not well known. There are websites devoted to wiping out horizontal violence. Horizontal violence stems from oppressed groups....... of which nursing is certainly one. Many nurses are "brought up" in the culture of horizontal violence and see it as a normal way of "being a nurse".... however it is one of the most damaging things in nursing and needs to be resolved. As a gorup- what can help? Refusing to gossip, not blaming someone for not knowing how to do something......that means helping and mentoring others. Professionalism is a good start.......
  11. JMP

    Working hours

    We work a variety. Latest shift is a new rotation: 2- 12 hour days followed by 2-12 hour nights then 5 days off. I love it.
  12. JMP

    sick nurses

    No snow here now- beautiful spring. Sunny, about 65 degrees today. However, our winters are still not as bad as Rochester or some of the other cities in the North East. But our winters can still be brutual- especially compared to the Southern US.
  13. Reading this I can see why nurses would be upset and resent it. It talks about mandating that all RN's obtain their degree within ten years.....they are not doing that here..........BSN only applies to new grads as of 2005. Everyone else is grandfathered in.
  14. I don't know, certainly it is a well respected University. As is UBC (University of British Colombia) both have great nursing programs. I looked at every program in Canada and chose U of Victoria for its program, cost and nursing content. It is certainly accredited in Canada and I have classmates from different US states. Good luck.
  15. I am finishing my degree through the University of Victoria in British Colombia, Canada. I have some American classmates. The courses are ALL NURSING related. I am in Ontario----long way away from BC----but it is a great way to finish the BSN- in my opinion.
  16. Well said. When a resident has a question or not sure how to do something- docs rally round and show-teach-help. It is seen as part of professional responsiblity. Nurses can and should do the same.