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Would you consider returning?

"Femi management of school nursing called to see if there is a nurse who lives in Imanuel who can be the local nurse here. Would you consider returning?" - Secretary of health clinic in Imanuel. I did not know whether to laugh or to cry. I sent a letter regarding the importance of building trust, cultural congruence, and paternalism to a doctorate level nurse in Israel, here is her response: " I am sorry to hear this story. I suggest you report it to Dr. ... at the ministry of health. Good luck " To refer this story to the ministry of health seems a bit thorny, does this department not know how school nurses are being managed? Is it not their job to know? Or would I be preparing her before the story leaks to an investigative journalist so she can think of how to defend the ministry of health's position?    Live in a small place, make a big difference. 
  אם פגשת אחות ששמה את הצרכים שלך במקום הראשון, שמקשיבה באופן פעיל, עם בסיס ידע רחב, זה לא מובן מאליו. שאל את השאלות הבאות: האם מקצוע סיעוד תומך במטופל, שם את המטופל במקום הראשון, שמקשיב באופן פעיל, אות בניגוד, כטכנאי המוחלף בקלות? הנה מאמר שדן בדיון המתמשך הזה. If you have had a good experience with a nurse, start asking the following questions: is the system in which she is working supporting her in patient advocacy, in spending time in active listening to patients' concerns, in looking at the whole picture and providing patient education with the patient as focus? The work that nurses do is shaped by are what they are taught in nursing programs, how the public views them, the management style that they are working under, and their own personal convictions. Or, in contrast, is the management style above her pressuring her to conform with parroted monologues, and even pressure patients into interventions that they do not want and may not even need? If you have met a nurse who care...
  Vaccines in Israel's schools: with most parents not attending vaccine administration when delivered in schools, how have parents granted permission for vaccines? 1 - From about 2002 until about 2007, the school nurse would send a notice to the parents of the upcoming vaccine day. Parents had to send the vaccine record ("pinkas chisunim") and the health declaration ("hatsharat briut") to the school to show their agreement to the vaccine. 2 - then, parents could either send the vaccine record, or the health declaration and a verbal agreement, or give a verbal agreement that included a health history that the nurse noted in the child's record. 3 - now, the health declaration is filled in by the parents on the computer and automatically enters the child's record. It includes a description of the vaccines given each year. Say the parents fill this out in August before the school year. Then, say in December, they get a notice of the upcoming vaccine. In the...
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  Is nursing an autonomous profession? An autonomous profession is one run by the members of that profession. If nurses manage other nurses at the topmost levels of management, that would be an example of autonomy. But if nurses are being managed, ultimately, by lawyers and business models, then it is not autonomous. Imagine nurses working in the field. They see an issue with a policy or procedure that was imposed upon them by management. These nurses give feedback that this policy or procedure is incongruent with patient needs and safe care. An autonomous organization would welcome and value feedback. But if nurses are ultimately beholden to "the bottom line", that is, the profits of the company for which they work, then their feedback is not likely to be welcomed, their job satisfaction is likely to suffer, and patient care is likely to decline. Feminist theory can be used to empower any disenfranchised group. Traditionalists and conservatives need not write off feminist th...
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  Those who hold by authentic feminism, in which the voice and agency of woman is valued, would do well to pay attention to what is happening in the nursing profession, which tends to downgrade its history and proclaim its "new" professional aims. Drawing from our history can only strengthen the contribution of nursing, and of Womankind. sciencedirect.com The rhetoric of rupture: Nursing as a practice with a history? In this paper we argue that nursing is consistently presented as a practice without a history, constantly reinventing itself within new professional a…

Who is listening to the school nurse?

  School nurses used to perform height and weight measurements in the following grades: 1,3,5,7. Since about 2005, height and weight is only performed in grades 1 and 7. By the time the child is in the 7th grade, if there is a growth problem, it can be too late to fix. In I srael there is often a six month wait to see an endocrinologist. --- In Japan, management meets with the workers, hears their feedback, and makes adjustments accordingly. That boosts productivity and morale. Where is the feedback mechanism for the community nurse in Israel?   We are learning about communication and building trust with patients in my "al basisi" course. This means ensuring that patients fully understand instructions, and feel a sense of autonomy and partnership with clinicians. Gone are the days when patients expect to follow orders and not bother doctors and nurses with questions. This comes from the fruition of generations X, Y, and Z, who held by the concept of what they have rights to...
  In nursing school, we learned about "nursing judgement". In the field, if a nurse is told by her boss, "follow the policies and procedures and no one can sue you and you should not care if people yell at you" it feels like a real contradiction.