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Posts Tagged ‘nurses’

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Photo: Thomas Jefferson University Photo Services
Medical professionals develop their empathetic side at a 2017 Netter Symposium in Philadelphia.

I’m back to writing the usual posts that link to interesting articles. This one is especially appropriate, given my recent experience as a hospital visitor. The article is about techniques for “teaching” empathy to medical people, but I have to say I think every worker in that hospital was born empathetic. From the security personnel and cleaners to the brain surgeon and night nurses, it was amazing to experience how kind everyone was, and I wonder if it’s just the culture of that hospital.

Be that as it may, there are initiatives everywhere to help medical professionals develop their empathy “gene.” An article at a “platform for theatremakers” called HowlRound is about using drama for that purpose.

“As theatre folk know well, sometimes the most meaningful creations are borne out of the fruit of circumstance. To wit, the Lantern Theater Company in Center City, Philadelphia, happens to be located around the corner from the Sidney Kimmel Medical College (SKMC) of Thomas Jefferson University. In 2012, Charles McMahon, artistic director of the Lantern, and Dr. Salvatore Mangione, pulmonologist and director of physical diagnosis and history of medicine at SKMC, started discussing a way to make the most of that physical proximity — and potentially change the course of modern medicine while they were at it.

“Together, along with artistic colleagues Craig Getting and Kittson O’Neill, they developed a curriculum for what became the Empathy Project. [Mangione] and the team believed that ‘in addition to preventing burnout, and giving [students] more comfort with empathy and ambiguity, it might give them a different brain and help them become a better physician.’ …

“Part of the program focuses on playwriting. This section asks students to not only learn the technical tools of dramatic storytelling, but also to make a personal investment in the work they are creating. It helps break students out of their comfort zones by encouraging them to write about a truth that goes unsaid in their community. …

“Many of the project’s exercises have roots in Meisner work, including improv technique to facilitate open listening and taking stock of one’s ‘baseline self.’ This combination of listening and self-awareness supplies the building blocks of empathy, asking students to consider themselves and each other with perhaps more generosity and less competitiveness. …

“Plays written by students for the Empathy Project have dealt with wide-ranging topics such as immigrant experience, class issues, what it feels like to be a Muslim in America, the recent death of a parent, ethics of patient privacy, and doctors confronting cadavers. O’Neill avows she has learned more about the Muslim American experience in her class at Jefferson than she has anywhere else in her life.

“Getting believes some of the most fundamental questions playwrights ask during their writing process can easily be applied to doctors working with patients. These include: What are the given circumstances of this person? Who is supporting them or not supporting them? How do you get your audience to feel the emotions you want them to feel? How do you structure the telling of information that is at the right pace and is clear? As a result, students taking part in the Empathy Project reported seeing their patients in the hospital the way a playwright would see them.”

More here.

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Photo: Caiaimage/Robert Daly
Canadian doctors who want less pay think the money would be better spent elsewhere.

At first blush, it seems counterintuitive that doctors would reject more money, but like the Oklahoma teachers who went on strike after getting a raise, they were concerned about the priorities of the whole system.

Catherine Clifford reports at CNBC, “In Canada, more than 500 doctors and residents, as well as over 150 medical students, have signed a public letter protesting their own pay raises.

” ‘We, Quebec doctors who believe in a strong public system, oppose the recent salary increases negotiated by our medical federations,’ the letter says.

“The group say they are offended that they would receive raises when nurses and patients are struggling.

” ‘These increases are all the more shocking because our nurses, clerks and other professionals face very difficult working conditions, while our patients live with the lack of access to required services because of the drastic cuts in recent years and the centralization of power in the Ministry of Health,’ reads the letter, which was published February 25. …

“Canada has a public health system which provides ‘universal coverage for medically necessary health care services provided on the basis of need, rather than the ability to pay,’ the government’s website says.

“The 213 general practitioners, 184 specialists, 149 resident medical doctors and 162 medical students … ‘believe that there is a way to redistribute the resources of the Quebec health system to promote the health of the population and meet the needs of patients without pushing workers to the end,’ the letter says.

” ‘We, Quebec doctors, are asking that the salary increases granted to physicians be canceled and that the resources of the system be better distributed for the good of the health care workers and to provide health services worthy to the people of Quebec.’ …

“On February 1, the [Médecins Québécois pour le Régime Public] published a letter denouncing working conditions of nurses. ‘The nurses are exhausted by a heavy workload. They argue that the chronic lack of staff and the fatigue caused by repeated overtime, sometimes mandatory, for lack of replacement of the team, have an impact on the safety of patient care,.’ ”

More here, at CNBC. I’m impressed by how well these doctors appreciate that overworking nurses and staff can interfere with their own jobs — and with patient outcomes.

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Photo: Josh Reynolds for The Boston Globe
IV Safe T developers Melinda Watman (left) and Maggie McLaughlin have spent about $5,000 to make a prototype to keep IVs from slipping out of newborns.

Nurses have been a largely overlooked source of innovative ideas although they are constantly jury-rigging improvements to keep patients comfortable. Fortunately, people in the medical-device field are beginning to recognize the possibilities.

Andy Rosen writes at the Boston Globe, “Maggie McLaughlin’s path from nurse to entrepreneur started last year when an IV tube became unhooked from an infant in the neonatal intensive care unit at Tufts Medical Center, where she works, causing the child to begin bleeding unexpectedly.

“A specialist in IV procedures, McLaughlin was asked to study ways of preventing such an incident from happening again, and she learned there is no universally accepted tool to safely lock the line onto an infant’s tiny body. …

“Since then McLaughlin has been working to develop an IV connection that lies flatter on an infant’s skin and holds more securely to the needle than the alternatives on the market today. She has teamed up with a former nurse she met at a Northeastern University event to form a company called IV Safe T to make and market the device.

“McLaughlin is among a number of nurses — with the help of programs from nursing schools and their own hospitals — who are using their bedside experience to develop new products and innovations in the medical industry.

“Rebecca Love, director of the year-old Nurse Innovation and Entrepreneurship program at NU, said research has shown that nurses spend a significant portion of each shift using workarounds and making impromptu fixes to ineffective processes or equipment. …

“The NU program, which connects nurses to resources and guidance to help them carry out their ideas, said it has attracted 1,600 people to events it has held, and it has connected at least 20 nurses to business mentors. …

“These programs strive to put nurses on equal footing with other professions, including doctors. … Some who follow innovation in health care say nurses represent a relatively untapped reservoir of expertise about improving patient care. …

“McLaughlin calls her device ‘Lang lock,’ after her maiden name. The rounded device connects tubing to an IV catheter with a single twist, and it has one flat side to make the needle approach the skin at a lower angle so it sits more securely.

“She has teamed up with Melinda J. Watman, a former nurse who later got an MBA and went into business. … NU has been helping them to protect their intellectual property and study the market.”

More at the Boston Globe, here.

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