Healthcare Leader – Denise Brown

During Nurses Week, we will be featuring a few of our friends who have demonstrated leadership in Healthcare!

Today’s Healthcare Leader is Denise M. Brown, Owner and Operator of Caregiving.com

Denise M. Brown operates Tad Publishing Co., based in Park Ridge, Ill. Through her organization, Denise helps persons who care for an aging relative. Denise gives presentations and seminars about the caregiving experience; created and maintains the Caregiving.com web site; and coaches family caregivers and professionals interested in working with family caregivers.

Denise is a certified caregiving coach, working with family members, professionals and organizations. As a coach, Denise helps individuals and organizations achieve goals, gain insights and plan for the future. [Read more...]

Professional Growth and Development: Posters

I’m writing today from the 2012 Horizons Northeast Regional Critical Care Nursing Conference. The planning committee, of which I am a member, puts on this 3-day conference every other year in various areas of New England. Past locations have included Burlington, VT; Hartford, CT; Manchester, NY; and Boston.  This year’s conference is taking place in Springfield, MA. The president of the American Association of Critical Care Nurses (AACN) attends and is the keynote speaker at each conference, which includes dozens of breakout sessions, a large exhibit hall with multiple national vendors, and a poster hall.  In addition to being a member of the research subcommittee, I am also a poster presenter at this year’s conference. [Read more...]

Paying it Forward

While in graduate school, I often sought the advice (or commiseration) of others who had gone before me. I would have my intermittent “meltdowns” regarding the amount of work, balancing school with work and family, concerns about my ability to not just get it done but getting it done well, etc. I was very lucky to have an exceptional mentor for my capstone project and final 12 credits. Suzanne runs my school’s RN – to BSN program on my institution’s campus, and also teaches on campus at the college itself. She finished her PhD while I was in graduate school, and had stories of her own accomplishments frustrations along the way. She was such an inspiration both personally and professionally, and I have often said that her name belongs with mine on my diploma. [Read more...]

Block-hard? Or Soft-serve?

I remember when I was a kid that I liked my ice cream very frozen, chiseled away from the half-gallon block. I would pry off a bite from my precious chunk, and CHEWit. Melty ice-cream just wasn’t as good.

Now, the ice cream has to sit out on the counter for at least 10 minutes before I attempt to eat it, and I will even mix the deliciousness around in the bowl to make it all evenly soft.

I used to favor the fruity ice creams. Now, it’s all about chocolate and caramel!

Why did my preferences change? I have no fantastic explanations (PMS doesn’t count), so I’ve concluded that’s just how life goes.

When I was a new nurse, I loved trauma, blood, gore, IVs, and yanking patients back from the brink of death. I was scared, but exhilarated! I cared nothing for who a patient was inside her head…I only wanted to place the IV, draw the labs, slap a perfectly executed 12-lead in front of the doc, and solve all the outward problems by pumping stomachs out and pumping meds in. [Read more...]

Bullies Go Home!

Bullying is a much talked about subject but most of us still relate it to the schoolyard bully. The typical poking fun or name-calling that occurs as we grow into adulthood.

Workplace bullying can be much more inclusive. It can take on a wide range of definitions and of course as we get smarter, the more creative the bully becomes.

“Unlike the typical forms of school bullying, workplace bullies often operate within the established rules and policies of their organization and their society. Bullying in the workplace is in the majority of cases reported as having been perpetrated by management and takes a wide variety of forms. Bullying can be covert or overt.” [Read more...]

Butterball in the Facilities

I just loved Butterball…he made me laugh and taught me so much. A student nurse at the time working at a retirement home, one of the gentlemen under my care was ‘Butterball’ – coined by me after the Butterball turkey.

With glasses that filled a large portion of his face, a perfectly round belly full of ascites and a shiny, bald head, Butterball also had a killer sense of humor. He always had a smile on his face and loved to tease anyone within reach.

I carried a pager that was connected to patient call bells and every 30 mins, Butterball would ring for the facilities. Three months of this and not one trickle…he wore an adult diaper but I thought he may still be feeling the urge. I dug into all of my nursing textbooks researching urinary conditions and what might be plaguing poor Mr. Butterball. With hundreds of potential diseases at my fingertips, [Read more...]

Being a Lifelong Learner: Don’t Forget to Care

Today I picked up my weekly magazine (that arrived last week…yes, I’m behind), and settled down with some confiscated Halloween candy to peruse the pundits’ views of last week’s news and give myself both a news and chocolate high.  When I hit the small section of compiled quotations in this edition, I smiled.  There, in beautiful black and white, was a quotation concerning one of my favorite topics:  LEARNING and continuing nursing education.

You see, I have this thing with learning.  Love affair, obsession, there’s-a-squirrel-head-jerk reaction…call it what you may, I’m interested in all things interesting.  (And some things not so interesting to others, apparently.  My friends tell me my volunteering to read and do multiple book reports on War and Peace in high school was/is pathogenic.)  Anyway, here’s the quotation: [Read more...]

Nursing Transition

I was unaware of the reputation nurses have of “eating our young” as a Graduate Nurse in 1985.

As a new graduate, I did not have the benefit of a long orientation or internship to facilitate the transition from student to registered nurse.

Upon graduation, graduates went en masse to Macon, Georgia to be locked in the Macon Coliseum as we took the 2 day NCLEX exam. 2 number 2 pencils were required. We received a temporary license and worked as a graduate nurse pending NCLEX results (typically 6 months).

As a graduate nurse, even the call light struck fear in my heart. What if someone said, “Help! I am dying!” I was not sure I would know what to do or remember what to do correctly. I was also the nurse in charge due to staffing shortfalls on the staff med/surg floor where I worked.

It was common at the time for new grads to work a year on med/surg before going to a specialty unit. Patricia Benner’s research on first-year nursing students by suggest it may be better for graduates to start on a specialty unit with more homogenous patients such as labor and delivery or pediatrics. Benner states, “If you take a position on a general medical/surgical unit, the range of patients is quite broad. If you work on intensive-care or coronary-care units, you will have more of a controlled patient population.”

My expereince had the potential to affect my entire nursing career. I remember feeling as if my family had to pry my fingers off the door jam and force me to go to work each night. I remember after one disastrous shift realizing I could lose my license which I had not even received yet. Burn out was a new concept, but fortunately I knew this was a problem.

I had received a scholarship from this facility and was required to work one yeard for each $1,000 they supplied for my nursing education. I dropped a check in the mail and quit. This is a problem in nursing as it is easier to quit and go elsewhere rather than stay and be an agent of change.

With my new job, I also gained a mentor. (Barker 2009) found having a mentor is invaluable to a young nurse to gain confidence and sharpen skills. I am certain that I am a much better nurse because Carol K. Cobb took the time to nurture me.

This workplace environment was influential to my long-term professional values and character and will continue to build until I retire. I desire to treat all patients (indigent and private) with the same respect. My unit was chronically understaffed as it was the indigent floor. Our patients were extremely high accuity. I also strive to help new graduates or those at novice level feel welcome without being overwhelmed or stretched to the limit

Beth Ulrich applied Morris Massey’s three stages of value (development-imprinting, modeling and socialization) during a child’s formative years to the growth of a nurse.

Imprinting occurs as students’ values shift toward those of their faculty even when the faculty members are not intentionally trying to change the students’ values. I can still hear the voices of my instructors in my head. This has tremendous impact as I complete my nursing education degree.

Modeling begins when the students move heavily into the clinical area and intensifies as the new nurses compare what they have been taught with what they in practice. Experienced nurses serve as role models. Not surprisingly as a twenty year old new graduate, I found the nurses who had been a nurse my entire life resented my being in charge. Fortunately one seasoned LPN, Wanda Shipman, would gently guide me, saying, “The RN usually………..”

Socialization in nursing occurs as the new nurses gain sufficient experience to ask meaningful questions about the profession and test their beliefs with other nurses. For me joining my state nursing association and specialty associations provided a safe environment to receive valuable responses to such questions.

I was younger than my oldest son is now when I entered nursing. I could give narcotics but not drink legally. The system placed new graduates full of new knowledge, hope and excitement and placed them and their patients into almost impossible situations.

As a preceptor, I strive to model behaviors that will serve novices well throughout their careers. Novices possess useful talents and ideas. I strive to provide clear expectations and feedback, citing their strengths and weaknesses.

As they ask questions and test newly developed values and beliefs, I will listen attentively and respond in a thoughtful manner. I will encourage them to further their education and join their professional organizations.

Barker, A. M. (2009). Advanced practice nursing: essential knowledge for the profession. Sudbury, Mass.: Jones and Bartlett Publishers.

Six Tips to Survive Your First Year as a Hospital RN | Monster. (n.d.). Career advice, interview questions, salary comparisons, and resume tips from Monster. Retrieved from http://career-advice.monster.com/in-the-office/workplace-issues/six-tips-to-survive-your-first-year-rn/article.aspx

Ulrich, B. (2001, May 14). Fertile ground Healthy mentoring begets a stronger generation of new nurses. Nurse Week. Retrieved from www.nurseweek.com/ednote/01/051401.html