Much of the conversation was given over to the age old debate of bedside nursing versus degree nursing which I am sure makes interesting radio time (especially once the horror stories of "bright nurses" refusing to wipe an arse or a snottynose started to surface) but personally I feel that the presenter and the general public failed to touch upon why nurses are perhaps not viewed as they once was.
Ok alot of people's perceptions and expectations of nurses in this modern day and out dated nhs ,I feel are a little unrealistic at times. Three trained nurses and a couple of health care workers cannot hope to work miracles on a 32 bedded orthopaedic ward on theatre day without looking as though they have been ravaged constantly by an over zealous house officer......but there is an expectation by everyone that they indeed look as though they are a cross between Audrey Hepburn in The Nun's Story and Mary Poppins.
Having said this, I have been witness to some atrocious behaviour from nurses that will inevitably let the side down despite the emphasis of top heavy nursing qualifications nowadays.
Sloppy communication skills, lack of personal grooming, and moreover a kind of modern day informality are just three things that I feel fuck up nursing standards today......In the acute sector nurses are not everyone's mate....and they are not,(in my mind) autonomous professionals that don't have to think about "old fashioned but necessary professionalism.......and what I mean by professionalism is that they need to "look" disciplined
Today many nurses look sloppy...this goes hand in hand with a more liberal and relaxed attitude to everything from shop service to being given your tea and bun in a cafe.........yes we are churning out bright young things that hopefully will question their practice but are we instilling in our nurses a discipline and professionalism required and wanted by the patients?
I would say no to this.......and believe me, my nursing career comes from a rehabilitation perspective where a relaxed and non conforming approach to nursing care was not only encouraged but vital to get our young patients through hospital; yet I still think that we can learn a few lessons from the starch and terror days of pre project 2000 nursing.
Funnily enough I was reading Cro's Blog today. He had written an interesting and amusing piece about his mother who was a red cross nurse. It reminded me of a story I was told by a patient of mine in York who described an incident when he was a child in war torn Singapore.
He told me that when the Japanese pushed forward to surround the city, there was a general call to evacuate the European population. and the civilians and nursing sisters where lined up on the dock sides ready to be placed upon the few ships destined for Australia.
I remember how he described the scene when bombers attacked the city and how the Europeans dived to cover as the planes strafed the harbour. Only the army nurses in their clean white uniforms, starched hats and capes stood their ground in two stiff lines as the planes roared over...and the sight of them (all young girls in their 20s) rallied the panic of the civilians on the dockside.
Now I tell you this story, not that I am expecting nurses in a district general to provide to act with such unblinking (and to some foolhardy) old fashioned military stiffness...no ,of course I am not, but I do think there is a place for a more precise,less relaxed professionalism amongst nurses as a whole.....a little strach in everything wouldn't hurt..........
We need the informed and the bright degree nurses, oh yes of course we do....we need nurses that think outside of the box.....we also need those bedside nurses that can wipe a brow and hold a hand and wipe an arse......can we please have a nursing profession that perhaps will also look as though they could snap to attention (straighten their aprons-just a little please) when matron comes a clip clopping around the ward.................or am I an old fashioned prissy fart?
Russell (centre) with Winnie (left) and Jo (right) |
When I have been outside in the lovely sunshine, I have kept an eye out for newbie Russell the goose. He looks happy enough. slightly battered by his previous bullying gander ( various feathers pulled and broken) but generally he's a handsome chap indeed.........
The girls seemed to have somewhat shyly accepted him.....so far!
So glad Russell has a happy home now. I have to say your heading picture is a hoot....that chicken looks like gonzo,
ReplyDeleteBeing prissy? I think not. As a patient, I want professional compassionate competancy. And I want someone who hits the vein on the first try and isn't calling me sweetie,honey or such.
ReplyDeleteI don't think you're being prissy, John. I think there are many jobs now-a-days that could do with some of the 'starch' of days gone by.
ReplyDeleteJohn
ReplyDeleteWelcome to my world !
You are not old school - I remember as a student nurse having to report to the night matron so she/he could check our uniform, whether we had slept properly and whether we had eaten a meal before commencing duties! I am now a midwifery matron and have never left behind the concept that professionalism comes in many guises including appearance and appropriate behaviour towards those more experienced on the profession whether you think they are a k**b or not!
I have a very important interview next week and will strongly put across my views on maintaining a professional stance in nursing and midwifery whilst encouraging the next generation of out the box thinkers cos the way the NHS is going we are going to need them !
Jane
Well said, as a mother of a male charge nurse I can understand this post only too well.
ReplyDeleteHow often has he spoken of not having time to even grab a cup of tea all day, or wanting to listen to a patient but not having the time, hearing buzzers ringing but not able to go immediately. My son loves his job and would have not other but would agree with every word you have written.
Briony
x
Well said John. I left nursing a few months ago primarily to farm with my husband but also because the profession was going down the tubes. More mistakes being made and less responsibility taken. More call-ins and less willing to work hard. More doctors becoming verbally abusive to the nurse who is onl working their ass off and less MD's willing to recognize the insanity of their over prescribing. I loved being a nurse. I hated what was becoming of a once very respsctable job. And yes, we all need to "starch up" more
ReplyDeleteCouldn't agree more, John, both with your sentiments and with the comments.
ReplyDeleteI think you are an old fashioned prissy fart - and often that is just what is called for. Ive been on the receiving end of some excellent and also some dire nursing. The ones who cared made all the difference at times when it mattered. As for professionalism - don't get me started on the Rotherham DGH nurse who wrote down the temperature of my sick 5 month baby - without even taking it- as her mate was waiting for her to go out for the night. She needed A LOT of starching. Bring back Matron. xx
ReplyDeletebirony
ReplyDeleteI was that charge nurse!
and I dont miss the fire fighting
x
to the rest of you
here here
I think that what makes a great nurse can;t be taught. It's innate.
ReplyDeleteEach year at the hospital I worked at (admin not nursing) the local schools would honour nurses week with goodies for the nurses and the younger kids would draw pictures of nurses with thank you messages on them. In most of the pictures, the nurses had dresses and nursing hats and a cross on their chest. I always thought it was funny that kids who have likely never seen a nurse in an foraml nursing uniform draw pictures like that. None are in flowery scrubs like we see nowadays.
Well said about the nursing profession in the UK, and I totally agree with your views. And your veg plot looks far more organised than mine!
ReplyDeleteWell said JohnG and I completely agree with all you say. I could go on to give further examples of sloppy, unprofessional presentation and behaviour, however, (somewhat sadly) I must add that Nurses are their own worst enemies. They are often bitchy and nit-pick on their own colleagues as they scramble to put themselves in the best position in their care delivery areas - usually positions that minimise patient contact.
ReplyDeleteHigher qualifications often have a direct correlation with remoteness from the bedside, is my experience and looking at patient care from BOTH sides of the bed in a hospital ward. I had one New Grad tell me that they didn't do all that study to muck around with patients and administration was their goal! (God help us all!)
I see that there is room for a two-tier system - the Degree Nurse, who studies hard and in depth at university and then comes out for their'New Graduate' year of full-time ward experience. I also see value, particularly in rural areas, of returning to the intern/apprenticeship style of nursing where nurses combine block learning in a school of nursing with progressive exposure to ward practices over a three year period and conclude with a year full-time at University polishing off their experiential learning with study to a Graduate Diploma in Nursing.
I am constantly howled down for this stance but I note most of the objections come from the University trained Degree nurses. Wonder what it is that they are afraid of?
John totally agree with your wise words - something needs to be done to maintain standards and enough funding to keep it that way - the Nhs should be something we are proud of not a burden for the state.
ReplyDeleteGlad that Russell is acclimating.
ReplyDeleteI think a little starch would go a long way in a lot of professions these days.
ReplyDeleteI would have thought you were no stranger to military stiffness and standing to attention at the bark of an order John, but what do I know, you old animal hoarder?
ReplyDeleteTom
ReplyDeletewe all need a bit of starch in our pants from time to time!
Well, this is timely for me! My dear friend Suzanne just failed to get into nursing school. She is a young 60 and retired from teaching. She went back to school and took all kinds of hard courses for nursing school - microbiology, organic chemistry, etc. She had a 3.85 grade point average, and she didn't get in! This infuriates me. She's cheerful, out-going, hard working, and exactly the type of person I'd want taking care of me. I think the powers that choose nurses missed the boat on this one.
ReplyDeleteTotal change of subject - what with Russell and the girl geese, can we expect gooslings?
I have had both types of nurses, the ones that care and the ones collecting a pay check. My last several visits to the hospital only had the ones checking the clock and waiting on their pay check, I don't want to go back there.
ReplyDeleteGood that Russel is getting in with the girls, I was a little worried they might go after him for being a stranger.
Lovely garden, lovely dirt!
I'm a nurse with a 40 year working history. Things are very changed from the start of my career!! There was a formality and almost rudeness, as it were, between physicians and nurses (they often didn't even know or want to know your name, hollered and called you "nurse!") and there was a huge respect for you as an "angel of mercy" by patients. Now there seems often to be a lack of respect by patients but doctors are much more pleasant, at least the ones I work with. Sooooo many more changes as well, and I agree with Mrs. O' Saughnessy about her take on it. Interesting post.
ReplyDeleteGood to see Russell looking happy in his new home :)
ReplyDeleteAs for modern nursing, I can't really comment, but I do think that there is a lack of professionalism in a lot of jobs now...
Lovely garden there, John. Russell looks like he's acclimating well.
ReplyDeleteI agree with what others have said, professionalism seems on the wane all around, as does common courtesy.
Thank God, i'm healthy--one three-day stay in hospital when i broke my leg during a blizzard.
When i was in the ER waiting for them to untwist my leg, i did have a nurse look at me and complain about all the people who didn't need to be there. I must have looked ready to cry, because she softened immediately and said, 'Oh, not you, dear!'
I was humiliated with having to use a bed pan and profoundly grateful to the nursing staff who took it in stride.
One helper who looked a bit rough around the edges helped me wash the second full day i was there. My spouse had brought my body wash from my hockey bag, which the girl used rather than the hospital soap. We both liked the nice scent, and she commented how it was much easier to use than the hard soap. She had a very gentle touch and wonderful manner. Not chatty, but just oozed with kindness. I could feel the healing in her hands, and made a mental apology that i was so judgemental when i first saw her.
One nurse told me i was a wonderful patient. I did what i needed to and didn't complain. I told her after my humiliation with the bedpan, i knew i couldn't do what she took in stride. I was just grateful that she could.
megan
Well said. IMHO the rot set in when Matron in her blues and starched headgear(God bless her!) morphed into a faceless non-medical paper-shuffling bureaucrat in a suit; and "Sister" became "charge nurse." It's all been downhill from there. Harrumph.
ReplyDeleteNice to hear that Russell is settling in. Also, your garden is shaping up well.
If prospective nurses are required to have elevated university entry exam results, are they not more likely to study medicine rather than nursing?
ReplyDeleteWhile nurses clearly require a certain level of education and professional competence, it does seem to me that we've gone too far and the emphasis on patient care and contact (which is after all what it's all about)has been lessened. Did you watch "Getting On" on with Jo Brand John? I have a feeling you might like it.
ReplyDeleteRussell is magnificent, happy he's settling in!
ReplyDeleteIn the USA the good nurses are few and far between. And there is no more spit and polish...even Operating Room Technicians (in the 1960s) had to wear pressed, starched dresses and hose to work and keep their shoes polished. No discipline now! And major attitude problems! It's enough to drive a patient or a caregiver to distraction. When Don was bedridden we tried 2 weeks of respite care at the local Veteran's Administration Hospital. He had one all over bath while he was there. He had a foley catheter and came home with a UTI. For the rest of his life we never tried respite again. There was no professionalism, no caring, no empathy! The nurses I've known who were excellent...worked in hospitals for a while and eventually went to work for physicians or surgeons because they didn't have to put up with other nurses who were more interested in their days off and coffee breaks.