Every year thousands of foreign-born Filipino and Indian nurses immigrate to the United States. Despite being well trained and desperately needed, they enter the country at a time, not unlike the ...past, when the American social and political climate is once again increasingly unwelcoming to them as immigrants. Drawing on rich ethnographic and survey data, collected over a four-year period, this study explores the role Catholicism plays in shaping the professional and community lives of foreign-born Filipino and Indian American nurses in the face of these challenges, while working at a Veterans hospital. Their stories provide unique insights into the often-unseen roles race, religion and gender play in the daily lives of new immigrants employed in American healthcare. In many ways, these nurses find themselves foreign in more ways than just their nativity. Seeing nursing as a religious calling, they care for their patients, both at the hospital and in the wider community, with a sense of divine purpose but must also confront the cultural tensions and disconnects between how they were raised and trained in another country and the legal separation of church and state. How they cope with and engage these tensions and disconnects plays an important role in not only shaping how they see themselves as Catholic nurses but their place in the new American story.
It was once common for pharmaceutical companies and medical device makers to treat doctors to lavish vacations or give them new cars; companies would do virtually anything to buy influence so that ...their medications or devices would be used in a doctor’s office or hospital. But with growing public scrutiny of kickbacks to doctors, the huge giveaways have disappeared. In Infiltrating Healthcare , Quinn Grundy shows that sales representatives are working instead behind the scenes. It is to nurses that these companies now market. Nurses, Grundy argues, are the perfect target for sales reps: their work is largely invisible and frequently undervalued, yet they wield a great deal of influence over treatment and purchasing decisions. Furthermore, there are no legal restrictions on marketing to most nurses. Grundy describes how, under the guise of education or product support, and through gifts and free samples, sales representatives influence nurses in the course of day-to-day clinical practice. Grundy argues that the very presence of sales reps in operating rooms, purchasing committee meetings, and patient care units blurs the boundaries between patient care and medical sales. Helpfully, she also describes ways that nurses can be aware of (and resistant to) their influence. Infiltrating Healthcare is a call to action to protect the clinical spaces where we are at our most vulnerable—and the decisions that take place there—from the pursuit of profit at any cost. This is a timely book that shines a light on a practice that often goes unseen, and which has tangible implications for healthcare policy and practice.
Frontline nurses are exiting the workforce, fueling a crisis in health care. Years of chronic staffing shortages, trauma experienced during the COVID-19 pandemic, and faculty shortages resulting in ...lessened ability to produce new nurses are complicating the ability of hospitals and health systems to provide high-quality care at a time when hundreds of thousands of nurses are predicted to leave the profession. A solution to this problem, which may produce internal “churn,” can also create the opportunity for an internal pipeline of transition to specialty practice—recovering nurses who otherwise might be lost. An influx of experienced nurses to the perioperative setting from medical/surgical, telemetry, emergency departments, and intensive care units provides a unique opportunity to fill critical vacancies for a department that traditionally hires less experienced nurses and has expected vacancies due to nurses of retirement age leaving. Key components of a transition to practice arising from the desire to leave stressful, traumatic bedside roles and seek “safer” and perceived less stressful clinical positions involve assessing and promoting resilience and demonstrating self-efficacy. Creating the right environment and offering an evidence-based training opportunity for experienced nurses in a specialty transition to practice can leverage years of experience and skill, support new skill acquisition, stem outward migration of nurses, and potentially salvage the careers of nurses who have contributed to the profession.
Why you should read this article:• To enhance your understanding of the role, location, distribution, homeostasis and transport of water in the body• To increase your awareness of the challenges of ...identifying patients who are dehydrated or at risk of dehydration• To improve your knowledge of the different solutions used for fluid therapyThis article examines the role of water in the body, the balance of fluids in the body and the provision of intravenous (IV) fluids to patients who are dehydrated, providing a comprehensive overview of these topics for nurses. The author details various aspects of practice in IV fluid therapy, including the types of fluids used, their indications, administration and potential side effects. The article also discusses dehydration and how nurses can identify and treat this complication, which can occur as a result of many different conditions. Drawing on the relevant research, this article aims to advance nurses’ knowledge of the care of patients who are dehydrated and require IV fluid therapy.
Nurses as leaders Rosa, William
2016., 2016, 20160101, 2016-06-13
eBook
Encompassing the wisdom of both established and emerging nurse leaders, this expansive book demonstrates proof of theory in action and the influence of ourgreat nursing legacy on today luminaries as ...they carve out new terrain to benefit current and future health care needs. With a far-reaching, ambitiousperspective, it is the first text to link the ideas of nurse leaders from very diverse specialty areas including holism, advanced practice, education,policy, global health, journalism, and spiritual communities. The book examines the professional and scholarly accomplishments of these nurse leaderswithin an historical context, and facilitates succession planning for the next generation through of combination of outcomes-based writing, storytellingand personal reflection.
