Thursday, April 16, 2015

The Best Way to Support Nursing Students

Yesterday an article popped up in my news feed on Facebook. It was a good one on how an elementary school teacher struggles to understand student’s lives and how best to support them. It sure did tug at my heartstrings, I know there are kiddos out there that really don’t have support at home or parents that are also struggling to survive and those kids in turn struggle in school. Anyway, it got me thinking about how I can best support my nursing students, and the bottom line is that it isn’t going to tug at your heart strings.
It is true that on any given week we have students who are struggling to keep their heads above water in the nursing program and their lives are not easy. I learned very early in my career that a box of Kleenex is a staple for a nursing instructor’s office. Those things get used, often. Every semester I have students in my office confiding their life struggles to me and using those struggles to make excuses for why they didn’t come to class, turn in their work, or show up for clinical without following policies for notifying the instructor. Some common ones are, “my grandma/grandpa died,” “my Mom/Dad/sibling/spouse has an illness,” “I had to work,” “My husband/wife/girlfriend/boyfriend are splitting.” And I am empathetic to their problems, I want to know what is going on with them. But
you know what, who reading this has not been through any or all of these in their lives?
So here is the part where I “support” my students and it may seem cold and heartless, but none of these are excuses for not showing up and not doing the work, and not following policies and guidelines. I don’t cut them any slack or let them get by with less than satisfactory work. I want future nurses that are going show up and do the best they can. These excuses don’t fly in the real world, if you don’t show up, you lose your job. If you don’t do your charting, you see a lawyer. If you don’t follow policies and give good care, patients die. Patients die!
All my nurse friends out there know these nurses and cringe at the dread they feel when they have to work with them. Nurses, you know them, come just on time, sleep at the desk, do minimal assessments, and dump on the next shift. I have been in this profession long enough that I have friends and former students (now colleagues) in almost every hospital and healthcare facility in our surrounding communities. They call and ask the nursing instructors about our students that apply for jobs and they want to know if the student came to class, if they were professional, and if they were a team player. They assume they have basic nursing skills, that is not what they are concerned about. They want hard working professional nurses that are willing to do more than the minimum. Sooner or later (and it has happened) one of those students that made it through the program is going to walk into the hospital room of mine or one of my loved ones, and I want to be one hundred percent positive that they are competent nurses, not that they liked me, but that I trust that they will give good care. Here is to hoping the next nurse you have is a great one.

H. Farley

Friday, March 20, 2015

Springing Forward



Often we think of the New Year as a new beginning. We set resolutions and there is a general feeling that everything is new. In the land of nursing school, I feel like this time of year is a new beginning. The days get longer, spring break is over, midterm has come and gone and if the students are passing (or near passing) there is a light at the end of the tunnel.
For the second level or senior nursing students, that light at the end of their tunnel brings a new career and a new life. It hopefully brings a new job and some free time. If you have never been a nursing student, you truly cannot understand the time and effort that goes into completing a program. Nursing student life is filled with endless studying for tests, writing careplans, stress, and worry. One week you may be passing and the next you are not. It is hard!
I have to admit that everyone is a bit grumpy around here right now, and we are all counting down the days until finals are over. One of my students is counting them and eagerly lets us know anytime we ask, there are 54, if you are curious. However, there is still a lot of learning going on here and so many positive experiences still taking place. So you all can have a taste of what it is like to be a nursing student, I am going to share a video (click on link) that our Alpha Delta Nu nursing honor society group made. It makes me smile and if you are a nurse you will “get it.”
H. Farley

Saturday, March 7, 2015

Not So Evidence-Based Nursing : What Would Florence Do?

Not So Evidence-Based Nursing : What Would Florence Do?: As nurses, we all know Florence Nightingale, the pioneer in nursing, the founder of nursing as a scientific profession that we value to...

Not So Evidence-Based Nursing : So You Want to Become a Nurse?

Not So Evidence-Based Nursing : So You Want to Become a Nurse?: Students come into our program every year seeking a nursing degree. These students come for so many different reasons. Early on in the ...

Not So Evidence-Based Nursing : Alphabet Soup

Not So Evidence-Based Nursing : Alphabet Soup: I feel like nursing is the only profession that doesn’t have a one-way road to becoming a nurse. I mean a teacher is a teacher, right? ...

Thursday, March 5, 2015

Alphabet Soup



I feel like nursing is the only profession that doesn’t have a one-way road to becoming a nurse. I mean a teacher is a teacher, right? How about a lawyer or a diesel mechanic? They all have a specific education necessary to practice. Not only are there licensed practical nurses (LPN), registered nurses (RN), Masters prepared nurses (MS or MSN), and advanced practices nurses (APN), but there are also many different educational paths to get there. How does anyone know who is who and what skill each can perform? And who can decipher what all that alphabet soup is in the credentials after their names?
I personally feel like this creates a lot of animosity among all nurses. I have often times heard, “well so and so is only an LPN.” That must not mean she or he is a real nurse, right? And I am guilty. When I graduated as a new nurse with a Bachelor’s Degree in Nursing, I admit to feeling just a bit superior over those Associate Degree nurses or Licensed Practical nurses. However, when I took my first job I received 10 cents an hour more than a nurse with a two year degree. Yes folks, 10 measly cents. That is what my extra two years and thousands of dollars got me. And then in my second job I was told I couldn’t have “BSN” after my name on my badge because the hospital didn’t want to distinguish the difference for patients and it might make the other nurses that didn’t have a Bachelor’s Degree “feel bad.” Where is the celebration of education in nursing? Or did they have it right?
The last several years have brought much discussion about the entry level for a nurse to practice, with the “BSN in ‘10” initiative to try to make the Bachelor’s Degree the entry level for nurses. Yes, it is 2015 and nothing has changed and they are now discussing the same initiative for this new entry level to happen in 2020. I personally see every education level and every nurse needed every day.
 In the world of nursing academia you have to have a degree higher than what you are teaching. I often teach Licensed Practical Nurses coming back to finish an Associate’s Degree and become an RN. Currently I have an LPN that has 25 years of nursing experience (more than me), does that make them any less of a nurse because they are only an LPN? Sometimes I wonder who is teaching who. Now believe me, my almost 19 years of nursing has been a journey and when I recently had to get a new badge, they did not put my credentials after my name, only that I was a “nursing instructor.” Oh you know that secretly I was a little bummed, I worked hard for those letters and I am pretty dang proud of them, but really does it matter what letters are after a nurse’s name if they are competent and caring? Is a Bachelor’s Degree necessary for an entry level nurse? Although I am not against it, we seem to be doing just fine.
Recently, I was away at a residency for my doctoral studies and in the closing conference one of the professors shared a quote that I felt fitting for all nurses to remember, “It doesn’t matter how many letters are behind your name. Remember where you came from, and don’t take anything away from others.” It is about respect for others people, and I think nursing could use just a little more of it, no matter what your degree.
H. Farley MSN, RN

Wednesday, February 11, 2015

So You Want to Become a Nurse?



Students come into our program every year seeking a nursing degree. These students come for so many different reasons. Early on in the program I like to do an activity with the new students to get to know them and to get an idea if they have a passion for nursing. One of the questions I like to ask them is, “When did you decide to become a nurse?”
Now before I give you some of their answers, let me share mine. I actually always wanted to be a teacher, always, as long as I can remember. In high school the idea of nursing was brought up to me, and I really can’t say that I had ever considered that before. I liked to help people and blood didn’t bother me, but I only knew one nurse growing up and that was my friend Amanda’s mom. I knew she worked at a hospital but that was my only exposure to nursing (she has since become my role model and mentor). After graduation I went to Lake Land College where I took some general courses for education but actually had decided that I wanted to pursue hospital administration. Then one of my best friend’s sister was in a life-threatening accident and I spent time with my friend visiting her in the ICU, I was hooked. One evening while watching a nurse empty the catheter I knew I needed to be a nurse. Urine thrilled me! I then transferred into a nursing program where I knew that nursing education was in my future. Hmmm, it is funny how things come full circle.
Anyway, do you know what one of the most popular answers are? “I know I can get a good job if I am a nurse.” And the second most popular answer?, “My Mom, Dad, Grandma (fill in the blank) wants me to become a nurse.” Let me tell you from experience, these students usually aren’t successful, and if they are, they are miserable. I also often hear “Well I only want to be an OB nurse because no one dies, or I can’t be a Psychiatric nurse because I can’t deal with those people.” Guess what? People die in OB, sometimes babies, and Psychiatric patients are in every kind of nursing possible. Let me be the first to say that Nursing isn’t for everyone!  Please do some serious sole searching about this one before you waste time and money. Find your passion, whatever that may be and do it for yourself, not someone else.
Last week I was reminded of the passion nurses can have for this amazing profession. I went to a visitation of a nurse that had been in the profession 30ish years and do you know what was at the table next to the guestbook? Her nursing school uniform and pin, cap, graduation picture, and her hospital badge adorned with several pins that held meaning to her like her school pin, her certifications and other nursing symbols. What an example to our profession.
She was so proud of her chosen field and passionate about nursing. Are you? Is it just a “job” or is it your “love.” Thoughts? Please share.
H. Farley