Beyond Nurses Notes

"Beyond Nurses Notes - A Journey to Choose Life" by Mary M. Hale (RNC, MSN, SRN, SCM), intertwines her stories from Pediatrics and Obstetrics over a period of 27 years of her service at Albert Einstein Medical Center in Philadelphia, PA. She includes several anecdotes from her 10-year career working in Uganda under the rule of the villainous leader Idi Amin, serving five of them as a nursing supervisor. Hale believes these experiences with her patients in the United States and abroad taught her about humanity and made her the person she is, allowing her to "choose life" for herself. Hale also shares her journey through her surgical experience as a patient. In 2008, she chose life and survived a six-week hospitalization for quadruple cardiac bypass surgery and a hysterectomy to eliminate cancer which was successful. This is her second book about nursing. About the Author Mary M. Hale, RNC, MSN, SRN, SCM, has been a Nurse-Midwife for 35 years. Ten of those years she served under the Ministry of Health in Uganda, East Africa where she set up the first post-graduate pediatric nursing program. Hale has written about these experiences in her first book "On Uganda's Terms" telling the obstacles to saving lives under the worst of circumstances while working tirelessly against the odds of Idi Amin. She retired after 27 years in Pediatrics and Obstetrics at Albert Einstein Medical Center, in Philadelphia, Pennsylvania in 2006. Her first year of retirement was spent writing her autobiography "On Uganda's Terms." In her second year she finished "Beyond Nurses Notes - A Journey to Choose Life."

The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Provides eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. Chambliss shows how patients-- many weak and helpless--too often become objects of the bureaucratic machinery of the health care system, and how ethics decisions--once the dilemmas of troubled individuals--become the setting for political turf battles between occupational interest groups. The result is a combination of realism with a theoretical argument about moral life in large organizations. --From publisher description.

The U.S. healthcare system is now spending many millions of dollars to improve "patient safety" and "inter-professional practice." Nevertheless, an estimated 100,000 patients still succumb to preventable medical errors or infections every year. How can health care providers reduce the terrible financial and human toll of medical errors and injuries that harm rather than heal? Beyond the Checklist argues that lives could be saved and patient care enhanced by adapting the relevant lessons of aviation safety and teamwork. In response to a series of human-error caused crashes, the airline industry developed the system of job training and information sharing known as Crew Resource Management (CRM). Under the new industry-wide system of CRM, pilots, flight attendants, and ground crews now communicate and cooperate in ways that have greatly reduced the hazards of commercial air travel. The coauthors of this book sought out the aviation professionals who made this transformation possible. Beyond the Checklist gives us an inside look at CRM training and shows how airline staff interaction that once suffered from the same dysfunction that too often undermines real teamwork in health care today has dramatically improved. Drawing on the experience of doctors, nurses, medical educators, and administrators, this book demonstrates how CRM can be adapted, more widely and effectively, to health care delivery. The authors provide case studies of three institutions that have successfully incorporated CRM-like principles into the fabric of their clinical culture by embracing practices that promote common patient safety knowledge and skills.They infuse this study with their own diverse experience and collaborative spirit: Patrick Mendenhall is a commercial airline pilot who teaches CRM; Suzanne Gordon is a nationally known health care journalist, training consultant, and speaker on issues related to nursing; and Bonnie Blair O'Connor is an ethnographer and medical educator who has spent more than two decades observing medical training and teamwork from the inside.

This new book written by Jean Watson, a highly regarded visionary of nursing theory reestablishes the critical balance between caring and curing. It blends the technical aspects of modern medicine with the holistic focus traditionally associated with nursing, and serves as a model for nursing practice into the 21st century.

“This book came at the perfect time… The information is very helpful, and it’s just nice to know so many others have similar challenges.” Trenda Ray, PhD, RN, NEA-BC Chief Nursing Officer Associate Vice Chancellor for Patient Care Services Clinical Assistant Professor, UAMS College of Nursing “Another edition of renewable energy reminding us to be our best! This book takes us on a journey through stress, burnout, and post-traumatic stress and sparks innovative solutions.” Kristin Christophersen, DNP, MBA, RN, NEA-BC, CENP, CPHQ, CLSSGB, FACHE Healthcare Executive and Owner, VitalNow LLC “Beyond Burnout is timely, relevant, and critical to understanding the stressors that plague healthcare today.” Cindi M. Warburton, DNP, FNP Executive Director, Northwest Organization of Nurse Leaders Healthcare professions typically attract those who give deeply of themselves to make a positive difference in others’ lives. But that giving can come at a significant price: burnout. While the healthcare vocation offers myriad options in work settings and career paths, it can also involve tremendous amounts of stress because of long shifts, mental and physical exhaustion, patient challenges, and regulatory changes. When stress and fatigue overtake a healthcare provider’s ability to adequately cope with physically and emotionally taxing circumstances, burnout is often the result, potentially leading to compromises in quality and patient safety. Since the publication of the first edition of this book, the COVID-19 pandemic has only added dramatically to nurses’ and other healthcare providers’ stress, exacerbating existing problems with strained resources and labor shortages. In Beyond Burnout, Second Edition, author Suzanne Waddill-Goad adds new strategies and up-to-date, data-driven information for building hardiness and resilience so that nurses and other healthcare workers can successfully navigate their increasingly challenging environment while reducing stress and preventing burnout. TABLE OF CONTENTS Chapter 1: The Effects of Inherent Stress Chapter 2: A Slice of Reality Chapter 3: Nursing and Healthcare Professions: Art vs. Science Chapter 4: The Impact of Leadership in Nursing and Healthcare Chapter 5: Professional Integrity Chapter 6: The Internal Strain of Silos Chapter 7: The Social Milieu (Culture) Chapter 8: The Clout of Allies Chapter 9: Planning Intentional Quality and Safety Chapter 10: Beyond Burnout: Promoting Optimal Health and Well-Being Chapter 11: Burnout and the Nursing or Healthcare Student Chapter 12: Looking Toward the Future

"Nursing, everyone believes, is the caring profession. Texts on caring line the walls of nursing schools and student shelves. Indeed, the discipline of nursing is often known as the 'caring science.' Because of their caring reputation, nurses top the polls as the most-trustworthy professionals. Yet, in spite of what seems to be an endless outpouring of public support, in almost every country in the world nursing is under threat, in the practice setting and in the academic sector. Indeed, its standing as a regulated profession is constantly challenged. In our view, this paradox is neither accidental nor natural but, in great part, the logical consequence of the fact that nurses and their organizations place such a heavy emphasis on nursing's and nurses' virtues rather than on their knowledge and concrete contributions."—from the Introduction In a series of provocative essays, The Complexities of Care rejects the assumption that nursing work is primarily emotional and relational. The contributors-international experts on nursing- all argue that caring discourse in nursing is a dangerous oversimplification that has in fact created many dilemmas within the profession and in the health care system. This book offers a long-overdue exploration of care at a pivotal moment in the history of health care. The ideas presented here will foster a critical debate that will assist nurses to better understand the nature and meaning of the nurse-patient relationship, confront challenges to their work and their profession, and deliver the services patients need now and into the future.

Vividly documenting the real world of the contemporary hospital, its nurses, and their moral and ethical crises, Dan Chambliss offers a sobering revelation of the forces shaping moral decisions in our hospitals. Based on more than ten years' field research, Beyond Caring is filled with eyewitness accounts and personal stories demonstrating how nurses turn the awesome into the routine. It shows how patients, many weak and helpless, too often become objects of the bureaucratic machinery of the health care system and how ethics decisions, once the dilemmas of troubled individuals, become the setting for political turf battles between occupational interest groups. The result is a compelling combination of realism and a powerful theoretical argument about moral life in large organizations.