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Nursing Salon on Jan 17, 2008 January 21, 2008

Posted by mariemanthey in Nursing Salons, Values.
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The group at this Salon was another interesting mixture of different ages: from a couple of student nurses, to several new as well as senior Staff Nurses, Nurse Managers, an Educator, a retired Physician and a couple of Clinical Nurse Specialists.

The discussion eventually focused on pressures created by the health care system and the relationship issues present in current practice settings. Systems and Relationships.

As usual, the electronic medical/health record was front and center, but not only the usual age-related differences in use and perception. This discussion also focused on how electronic records are changing the thought processes nurses use.  A very experienced NICU staff nurse mentioned the reality that critical thinking also refers to decisions about what not to do, which is equally as important as the decisions about what to do. However, the structure of the EMR  requires those decisions to be revisited in order to complete documentation.

That comment just opened the door to more discussion about the control over practice thinking that is mandated by the EMR.  An experienced Delivery Room nurse commented about the problem of trying to put in q2min. vitals during a critical episode (not having learned typing), while another commented on the ease of her system that automatically inputs physiological data from another computer system. Both realities impact the nurses’ thinking.

And of course, this whole discussion was framed around the issue of relationships: nurse/patient, physician/nurse and nurse/nurse.  We talked about how important is is for students to learn, while in school, to manage  themselves in these highly stressful situations. It also became clear  that if that skill is not learned in school, it must be learned in the workplace.  The key to healthy relationships is the ability to manage oneself.

At the end of the evening,  comments reflected the belief that the human contact between patient and nurse is the eternal and important truth about nursing and that there is hope it will always remain at the core of our practice.

Here are a couple of follow-up emails I received.

Marie,Thank you for allowing me to attend your last Salon with my preceptor, Michael P! I had a wonderful time. You are an excellent cook and an engaging conversationalist!

I am in the process of writing a paper about the CNS impacting organizational culture. While researching, I came across a paper written by Lorraine Hardingham, a nurse clinical ethicist, who defends her position that “as human beings, we are essentially interrelated, and therefore, both personal and professional integrity, rightly understood, is relational in nature.” It seemed to fit with that night’s themes of Systems and Relationships. I attached the article if you are interested.

You mentioned that you’d be willing to send files on how to start a Salon. I hope to finish the CNS program in May and pass the certification exams. Then, I would love to start a group here in the Fargo-Moorhead area. Please send your information when it is convenient for you.

Again, thank you for a memorable time of connecting at your home.

With deep regard, Patrick S.

And from Deb M:

Again, another stimulating evening Marie. I come home all revved up and unable to sleep with thoughts racing through my brain. Thank you so much for these incredible forums! I am able to feed my body and my soul and I thank you

Comments»

1. Filomena Tung - April 3, 2008

Dear Dr Manthey, Thank you for visiting our hospital (Wong Tai Sin)during your last trip in Hong Kong. I’ve a 1/2 hour sharing Primary Nursing with our sibling hospital few weeks after your visit. They were pretty amazed with the documentations, of course. But, the HA has a lot of e documentation, too. We are getting used to it. And I have she with them your comments as well, do not hold back by documentations, ….do it your way. Hope we can do better and we will be in touch.

2. Judy Gerrand - March 25, 2009

Dear Dr Manthey,

Canada is celebrating National Nurses Week May 11th – 17th. Our Director of Nursing Dr Deanna Mulvihill (Riverview Hospital, Coquitlam, BC) shared her excitement about Nursing Salons and we plan to have a few during Nurses Week. We would appreciatre any tips or suggestions you might have to ensure a successful start.

Thank-you….Judy

mariemanthey - April 22, 2009

I will send you some guidelines I wrote….and encourage you to continue meeting after Nurses Week if at all possible. I think it is really important that they be held off-site….preferably in someone’s home….and that it be seen as a very informal event. Here people wear casual comfortable clothes….and there are very few requirements or rules. So, it is not a pot luck since that could be another burden for very busy folks. Other tips are in the guidelines and I wish you all the success as you start using the Salon concept.


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