Tag Archive for 'nursing'

Incentives for Nurses to Teach

Nursing InstructorUnlike many medication dosage formulas, the math about how to fill the gradually growing number of available nursing jobs is simple.  In order to graduate nursing students into the workforce, nursing schools need to be able to accept more students.  And in order to make a dent into those increasingly common nursing school waiting lists, schools need nursing instructors.

The main challenge faced by understaffed nursing schools, is making instructor jobs attractive enough for nurses to leave (or cut back to part time) hospital and clinical jobs with higher salaries.  Some U.S. states are providing financial support for nursing schools by offering additional financial incentives for nurses who choose to teach. In Rhode Island, a legislative commission created to find solutions for that state’s nursing shortage, has proposed a $3,500 tax credit for nursing instructors.

The idea is that with the tax credit, the salary disparities between being a clinical nurse and a nursing instructor would be much less. In Texas, lawmakers have already passed a bill that gives nursing schools financial incentives that would help them hire more instructors.

Although many new nursing school graduates are having trouble finding their dream jobs at the moment, industry forecasts predict a need for significantly more nurses to keep up with health care demands in the coming years. But, in order to translate those waiting lists into actual nurses who can meet this demand, there need to be enough nursing instructors to meet the mandated ten to one student to teacher ratio.

While educators and lawmakers are doing their parts to make this happen, the best thing aspiring nursing students can do is get on the waiting list.  Then, use that time to gain as much health care experience in other positions (such as certified nurse’s aide), so that when your school of choice does have an opening, you are the most qualified applicant to fill it.

The Nurse as a Walking Wikipedia

“You’re a nurse, right?”

Nursing CareerThis is how a recent conversation with a relative who was seeking medical advice started. I’ve always found it amazing how those series of letters after my name (RN BSN) translate into a combination of “webmd,” “ask jeeves,” and “wikipedia” all in one. Of course with the intensive curriculum, covering everything from nutrition and sociology to pathophysiology and microbiology, it is easy to feel like a walking encyclopedia.

I feel proud to have earned the knowledge and nursing experience I have and I am honored to share what I know to help others. The warning I would give to nursing students who are just beginning to realize their perceived role as “ask a nurse” is this: Do not overstep your boundaries, especially from a legal standpoint.

As much as you are eager to share all your new found knowledge with anyone who asks, remember that this is not a casual conversation you have entered into. These are not friends and family members asking for dating advice. Whether they indicate it or not, they are looking to you as a “medical expert” of sorts when it comes to the medication, illness, surgical or any other type of advice that you are so eager to share.

Here is the remedy. Feel free to share what you know.  If you want to really show off, feel free to whip out your nursing school textbooks as visual aids.  But always, always, always strongly advise the advice seeker to check with their doctor (or health care provider) for a definitive answer. It doesn’t matter if you are absolutely confident that the advice you are giving is solid – cover you license, cover your reputation and cover your conscience. Make sure that whenever you give your best medical words of wisdom, it comes with a disclaimer.

Why you need such a diverse, intensive education – because patients and their families (and your family and friends) will ask you EVERYTHING – the nurse as a walking, talking resource – legal liability – being careful to refer to MD or resources.

Nursing Students Check Their Biases

Check Your Biases

Nursing school is an excellent time for self-reflection and awareness of your beliefs, fears, prejudices and any other thoughts or behaviors that you may not be aware of now, but have a good chance of rearing their ugly head later in your career when you least expect it.

I know that all nursing students believe they are fair, just, open-minded, nurturing, unbiased, politically correct beacons of humanity. Yet somewhere between graduation day and years into their career, something happens and, in some nurses (not all), the cynicism switch is turned on.

Whether the cause is career burnout, a cutting sense of humor that helps them survive their shift, or they’re just “going along with the crowd,” the once fresh faced, innocent nurse finds herself saying things that would have horrified her in nursing school.  She finds herself labeling patients as “frequent flyers,” “drug seeking,” or sometimes worse depending on what she (or he) has heard from her colleagues.

One of the most common biases in health care is toward the elderly. An article in the Journal of the American Medical Association (JAMA)* stated that “Some studies have indicated that medical students perceive older people as being dull, disagreeable, inactive, and economically burdensome.” Potentially damaging preconceived notions about elderly patients or patients from any specific age group, ethnicity or other demographic, are not confined to medical schools either.

Nurses and nursing students need to examine their own beliefs and notions for potential warning signs.  This is even more true of nurses, since they spend by far the most amount of time in direct contact with patients and also experience a great deal of stress related to heavy workloads. Times of stress have a way of acting like wine, in the sense that “in wine there is truth.”  It is far better to be honest with yourself now and prevent an embarrassing and potentially career threatening situation later.

* “Ageism in the Preclinical Years”; Catherine Caruthers McCray; University of Kansas School of Medicine; JAMA. 1998