Friday, July 9, 2010

The end...


Module Six

What did you like or dislike about taking an asynchronous online course?

I liked not having to commute to Salt Lake. I also liked being able to work on the modules when it was convenient for me. On the other hand I did not like not "knowing" my teachers. I think that meeting your professors face-to-face and getting to know their personalities helps when completing assignments. I also like the camaraderie of meeting with classmates, it is nice to hash out assignments with others in the class.

What topic did you learn the most about and what was your favorite topic? What did you like least?

I learned the most from module 4 about Clinical Decision Supports. It was kind of a beastie one, but I learned the most. My favorite topic was information retrieval; this topic will come in handy in the future both in school and work. I don't know if there was a least favorite topic, Module 4 was challenging and took the most time, but I also learned the most!

Do you have any other comments for us?

I appreciated the fast responses to emails and was glad for the further direction I needed with some of the modules. I could tell that you both spent a lot of time organizing this class! I felt all the topics were relevant and will be applicable in the future.

Tuesday, July 6, 2010

Blogging...

Module Five

Why would a patient want to create a blog? What might they gain from this?

Patient’s create blog for a variety of reasons. Often they create blog after they have received a devastating diagnosis or when recovering from a tragic injury. Sometimes, a family blog turns into a blog about a family member’s recovery from illness or injury. For the most part I think blogging about illness is a way patients cope... a way to get the word out about a rare illness... a way to connect with others with the same illness... or a way to get others involved in finding a cure.

Blogs created by patients provide an interesting insight into the patient’s perspective. It is eye-opening to see what a patient thinks is “good” or “bad” care and what really made a difference in their hospital stay.

On that note...

I also think it is important for nonmedical people to realize that patients often have a different perspective on what happened. They sometimes do not have the whole picture and often have limited knowledge into the medical system. If a patient does not think something went exactly right or the way they thought it should have they are going to blog it. They are going to talk about how terrible the hospital, staff, nurses, etc... were. People need to remember this when reading blog posts written from a patient’s point of view and remember that there are two sides to every story.

Why would a health care provider create a blog?

Health care providers create blogs for different reasons. I have read several blogs created by nurses that simply talk about interesting things that happen to them at work. While funny... they provide little but a good laugh. I think blogs can be used for education and patient teaching. They can provide a forum to discuss health care issues through the comments section. Blogs can also help a new facility or provider get the word out about the services they provide. The nice thing about blogs is they are easy to access and free; a nicely designed blog can make a clinic or health care provider seem more personable and human.

What are ethical considerations when blogging on a public website, such as we've used for this class?

Blogging and social networking websites have changed the way people communicate. These outlets gives people a sense of anonymity which leads to a loss of inhibition. Because of this people share personal information they would have never previously talked about or said face-to-face with someone else.

The problem with blogging and social networking is that even if you delete something it is never really gone. If you decide something was inappropriate or malicious and decide to delete it someone could have printed it, taken a screen shot of it, or taken a photograph of it before you had a chance to delete it. Even after you deleted it from your blog or Facebook you still cannot delete it from a person’s memory! People need to be more careful about what they say! We all need to remember the Golden Rule....Do unto others as we would have done unto us!

Friday, July 2, 2010

Wednesday, June 30, 2010

Recipes...



Module 4

How did the readings influence your perception of your own clinical decision-making?

Before this module I had never heard of Computerized Clinical Decision Support (CDS) systems. The concepts were completely new to me as I have never used this type of system in the clinical setting. CDS systems help to prevent mistakes and inconsistencies in care by standardizing interventions based on a patient’s specific data. This helps to eliminate bias in care based on the nurse’s past experiences or gut feelings.

The easiest way for me to think about a CDS system is to relate it to a recipe...

A recipe guides the cook to create a (hopefully) delicious meal-right. Now what happens when the cook decides, based on what they may have done with other recipes, to spice things up a bit and change the recipe...

The dish could turn out delicious! The best meal you ever made! The kids would bow down and praise you culinary genius, and your husband would finally declare that you are indeed a better cook than his mother.

Or...

The recipe could turn out disasterously (which is usually what happens to me). The kids would turn their noses up at it and your husband would decide to order pizza instead of eat your experimental meal.

Now...

Follow the recipe to a tee and you may not have genius, but you probably won’t end up with dog food either.

This analogy could be used to describe a CDS. A nurse can decide to make decisions about their patient based on their past experiences or what they “feel” their patient needs instead of what the evidence says. This type of care may turn out to be genius! They may write a paper about your fabulous nursing care and even name a new procedure after you. Or... the care could turn out to be very detrimental to your patient and you! But if the nurse uses a CDS as a guide more than likely the patient will be receive consistent and appropriate care.

This module has helped me realize how important consistent nursing care is to reducing medical errors. I will be sure to more regularly refer to CPGs and standardized policies and procedures when giving patient care instead of going with my gut instinct or what I have done in the past.

Sunday, June 20, 2010

What the heck...

France can't score against Uruguay and then looses 2-0 to Mexico. USA ties England (and is robbed against Slovenia) Paraguay ties Italy. Portugal, with Ronaldo, can't score against Ivory Coast. Switzerland defeats Spain (the favorite) and Germany looses to Serbia. Blame the vuvuzela?! If you are not watching you might want to tune in. Things are getting interesting.

Saturday, June 12, 2010

Gooooooooooool!!!!

Some of you may be unaware that the biggest sporting event of the year is happening right now.

No, I'm not talking about the NBA finals!

In honor of this blessed event we have rotating flags hanging at our house. Yesterday we had the Mexico flag, today the US flag, Monday will be the Nederlands flag. Still don't know what I am talking about? Maybe this will help...





... my money is on the mighty orange!

p.s think real football is boring try watching it on the spanish channel.

Teacher...

No greater calling!

Module Three

What sort of teaching is done in your nursing role?

I teach on a daily basis in my current role. I am not a formal educator, but I seek out teacher opportunities. There are teaching moments all around us. I love teaching my patients, it is one of my favorite aspects of nursing. I teach patients about labor, fetal heart tones, breastfeeding (which can be so frustrating), their new babies and postpartum care. I use the same corny jokes and cheesy analogies but my patients seem to respond... and learn.

Is there any nursing role that does not involve teaching in some manner?

Teaching is ingrained in nursing. They are inter twined. Siamese twins of sorts. Every aspect of nursing requires teaching. Even if the nurse works behind the scenes (managers, case workers, informatics) they still teach. They teach administrators about what nurses need to do their jobs well, they teach fellow nurses about new technologies, they advocate for nurses by teaching others outside of healthcare about what we do. Teaching is vital to the advancement of the nursing profession! It is a shame that nursing educators are paid so little because their job has far greater value.