about rn
DESCRIPTION
nursing explosionTRANSCRIPT
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有关“RN”
马圣念
上海儿童医学中心
世界健康基金会
Manaen, BSN.RN
Shanghai Children Medical Center
Project HOPE
August 26, 2010
Shanghai, China
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Four-Question Survey
• How many people here know “RN”?
• How many people here will do health-related work?
• How many people here will do nursing-related work or carry
on further study?
• How many people here will be a nurse ?
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To be an RN, ready?
• The environment ready?
- The hospital (small environment) ready?
- The society (big environment) ready?
• And you ready?
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This is my hospital, looks beautiful huh.. but...
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The hospital (small environment)
• Chinese National Rules in charge of hospitals by grade (link)
• Joint Commission International (JCI) Accreditation
Standards for Hospitals, 4th Edition. Provides the basis for
accreditation of hospitals throughout the world. (link)
• Magnet Hospital attracting and retaining nursing staff is a
key issue for hospitals. Nursing shortages create a vicious
cycle as staff become over-worked and dissatisfied, and
patient care can suffer accordingly.
• Nurses are more and more important in the hospital.
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Brain Storming 1
What items can be put into the Nurses Satisfaction Questionnaire?
• Income
• Decision power
• Professional status
• Work enjoyment
• Relationship between nurses
• Relationship between doctors
• Supportive nursing management
• Professional development
• Autonomy
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Brain Storming 2
If you are a nurse, what’s your goal?
• Head nurse
• Nursing educator
• Director of nursing department
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Different Types of Nurses
If you are a nurse, what’s your goal?
• Clinical nurse specialist (CNS)
1. Direct clinical practice
2. Expert coaching (new evidence into practice). It also means
providing education or teaching skills to patients and family.
3. Collaboration focuses on multidisciplinary team building.
4. Consultation involves reviewing alternative approaches and
implementing planned change.
5. Research
6. Clinical and professional leadership
7. Ethical decision-making
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• Certified Case Manager (CCM)
1. Referral of new patients
2. Planning & delivery of care
3. Evaluation of results for each patient & adjustment of the care
plan
4. Evaluation of overall program effectiveness & adjustment of
the program
Different Types of Nurses
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Different Types of Nurses
• Public Health Nurse (PHN)
Public health nurses are RNs with specialized training in community
health.
• Nurse Midwife
A nurse midwife is an RN who has completed additional specialized
education in nurse midwifery.
• Certified Registered Nurse Anesthetist (CRNA)
A certified registered nurse anesthetist is an RN with specialized training
in anesthetics.
• Home Health Nurse (HHN)
Home health nurses are RNs who provide periodic services to patients at
home.
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Brain Storming 3
If you are a nurse, what’s your goal?
Also you can be a leader or political figure:
• A President of Hospital
• An Official of Ministry of Health
• A Congressman of Government
• A Official of WHO
黃成輝 先生• 香港瑪麗醫院以及東區七家醫院護理總監
• 香港醫院管理局會員
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The society (big environment)
Image 1:
• Big eyes
• Always smiling
• Perfect figure
• Always compared with
flight attendants and
waitresses
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The society (big environment)
Image 2: Their work is easy, dirty, duplicated and
replaceable.
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The society (big environment)
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Change the way of thinking
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Change the way of thinking
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Your Capacity
(AACN, 1998)
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Your Capacity
(AACN, 1998)
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Critical Thinking (innovational power)
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Critical Thinking (innovational power)
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Critical Thinking (volunteer work)
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Communication Capacity (Med-X)
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Communication Capacity (Med-X)
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Communication Capacity (lobbying ability)
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Communication Capacity (lobbying ability)
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Communication Capacity (lobbying ability)
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Recommended TV Series
Nurse Jackie
Plot: A drug-addicted nurse
struggles to find a balance
between the demands of her
frenetic job at a New York
City hospital and an array
of personal dramas.
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Recommended TV Series
MERCY
Plot: Three nurses deal with
patients and personal issues
at Mercy Hospital.
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Recommended TV Series
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Recommended Books
I Am a Flower in Wild
Florence Nightingale, 12
May 1820 – 13 August 1910)
was a celebrated English
nurse, writer and statistician.
A Christian universalist,
Nightingale believed that
God had called her to be a
nurse.
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Recommended Books
In Search of Excellence
The "Greatest Business Book
of All Time" (Bloomsbury
UK), In Search of Excellence
has long been a must-have
for the boardroom, business
school, and bedside table.
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Thomas Jefferson University Hospital Nursing Home
http://www.jeffersonnursing.org/
Recommended Websites
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Recommended Websites
Scrubs: The Nurses’ Guide to Good Living
http://scrubsmag.com/
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Recommended Websites
Hong Kong Hospital Authority
http://www.ha.org.hk/visitor/ha_index.asp?Lang=CHIB5