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Nurse Manager vs. Head Nurse January 4, 2011

Posted by mariemanthey in Leadership.
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I’ve been thinking about the title change and its significance. I was active in promoting the change to NM and now wonder about it. In particular, are Nurse Managers still in charge of nursing? Or are they in charge of management? What do you think?   When the title was Head Nurse was the role clearer?  Your  comments, please.

Happy New Year January 2, 2011

Posted by mariemanthey in Professional Practice, Values.
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One of my New Year’s Resolutions is to post on the blog more often and use it for the kind of conversations that promote healthy interactions and pride in our profession.

One way I want to do that is to encourage nurses to reflect deeply on the meaning of our work, as the connection to our deepest values helps energize our work. It is rewarding to an individual nurse to appreciate deeply the privilege we have in alleviating pain and increasing comfort at any and all levels of our patient’s vulnerabilities. Experiencing this intrinsic reward is important for each nurse’s self-care.

Another  goal I have is to keep bringing up certain realities about staffing I call these “hidden truths”  that need to be acknowledged and understood by nurses and by the system.

  • nursing work is never done
  • nursing work is unpredictable
  • nursing work is uncontrollable (it is based on pt. acuity and  MD orders, neither of which nurses will ever legitimately control
  • there is always more work to do than time available.
  • prioritizing involves deciding what NOT TO DO when there is more work to do than time available.  The truth is there has always been and will always be more work to do than time available.

More of my thinking on this topic is in Creative Nursing Journal, Vol 15, Number 2, 2009.  The article is entitled, A Brief Compendium of Curious and Peculiar Aspects of Nursing Resource Management.  It is time for staff nurses to quit driving to work fearing they will be short-staffed and driving home at the end of their shift angry because there wasn’t enough help.

Finally, I encourage you to view this short video. It is meaningful for nurses and people at many different levels of being.

Happy New Year!