Showing posts sorted by date for query change must come. Sort by relevance Show all posts
Showing posts sorted by date for query change must come. Sort by relevance Show all posts

Thursday, 22 May 2025

Redefining the narrative



"To do what nobody else will do, a way that nobody else can do, in spite of all we go through; that is to be a nurse." Rawsi Williams

Who Really Understands What Nurses Do?

The truth is, many people don’t.
They see the tasks we perform but not the expertise behind them. They witness us checking vitals, administering medication, or assisting with hygiene, and assume that’s all there is to nursing.

But nursing is not a job defined by routine tasks. It is a profession rooted in critical thinking, compassion, technical skill, and autonomous decision-making. Yet time and again, our role is simplified, shrunk into a sentence, reduced to stereotypes, or misunderstood entirely.

It’s time we change that.

We need to reclaim the conversation and redefine our role, not just for ourselves, but for the future of healthcare. Nursing is leadership. Nursing is advocacy. Nursing is science. It’s coordinating complex care plans, managing emergencies, guiding families through difficult decisions, and championing patient rights when no one else will. 

We must challenge the outdated lens through which nursing is viewed. Because until we do, the public will continue to underestimate the value we bring, and that misunderstanding can cost lives.

So let’s be bold about what we do. Let’s speak up. Let’s show up. Let’s teach the world that nursing isn’t “just” anything
It’s everything when it comes to patient care.


Stop Saying Nursing Is a Calling-It’s a Profession







Let’s be clear: nursing is not a calling. It’s a profession greatly rooted in science, skill, education, and critical decision-making. Calling it a "calling" may sound noble, but in reality, it’s often used to romanticize or justify the challenges many of them man-made that nurses face daily. From understaffing and poor remuneration to unsafe work environments and emotional exhaustion, these issues aren’t part of some divine vocation. They are systemic problems that require practical, policy-driven solutions. As nurses we didn’t sign up to be martyrs. We are trained to be competent, respected healthcare professionals, deserving of fair treatment, proper compensation, and a safe, supportive working environment.



When Blame Becomes a Bandage: Rethinking Negligence in Nursing







One question always lingers in the background of public discourse: “But what about the nurses documented to have been negligent?” It’s a valid concern, one that demands careful, contextual reflection. I can’t speak for every nurse, and I won’t defend wrongdoing but what I can do is ask: from what lens are these cases being viewed? Too often, the scrutiny is one-sided. The public sees the outcome, not the environment that created it. Many nurses operate in toxic systems, hierarchies where dysfunction starts at the top and trickles down to the caregivers. Workplaces where policies contradict practical realities. Where expectations rise, but support doesn't. Where the scope of practice is clearly defined, yet routinely denied in execution. In such systems, errors become more likely, not because of incompetence, but because of burnout, moral distress, and systemic failure and because nurses are the ones constantly present with patients, they become the easiest targets for blame, expected to manage crises they were never equipped to handle alone. It’s not an excuse. It’s a reality. A reality that becomes clearer to those who understand grief, trauma, mental health, and the emotional toll of caregiving because the truth is: while one incident may be manageable, repeated exposure to high-stakes suffering without relief renders even the strongest nurse humanly inept at some point. Negligence should never be ignored, but neither should the system that cultivates it. Until we start evaluating these situations with empathy, understanding, and systemic awareness, we will keep confusing cries for help with acts of harm.



Rude Nurses? Let’s Talk About the Culture Behind the Curtain







We’ve all heard the stories, or lived them. The nurse with the curt tone. The one who snapped instead of soothed. The one whose words felt more like a warning than a welcome, but before we reduce these individuals to one trait or label the entire profession, we need to pause and ask: Why are some nurses rude? The answer isn’t always simple because human behavior is shaped by both nature and nurture—and nursing is no exception. Some people, yes, may simply lack empathy. But for many, it’s a learned behavior often shaped by training environments where kindness wasn’t modeled, or workplaces where survival meant keeping emotions in check. When nursing schools operate on hierarchy and fear rather than mentorship and support, that culture spills into practice. Then there’s frustration the deep, unspoken frustration. Many nurses invested years of effort, late nights, grueling exams, and emotional strain to earn their license, only to step into a system where their worth isn't reflected in pay, respect, or working conditions. Schedules are brutal especially in the private sector and sleep is rare. This often leads to our personal relationships suffering. Poor pay then results to our Finances being stretched and with every sacrifice, the gap between what we hoped for and what we face grows wider. None of this justifies mistreating patients. But it does help us understand where the sharp edges come from. Change won’t come by calling nurses out, it will come by calling systems in. We need to improve how we train, support, and reward our healthcare workers. We need to model kindness, offer mentorship, and ensure that those giving care are cared for too, because sometimes, all it takes is one healthy, empathetic environment to turn a once “rude” nurse into a remarkable one.



Navigating Different Encounters with Nurses: A Practical Guide for the Public







Whether you've had a positive or challenging experience with a nurse, understanding the context and responding with awareness can significantly improve not only your experience but ours too. Behind closed doors, nurses are often reminded to act from a place of awareness and emotional intelligence. However, based on everything we've just unpacked, how realistic is that expectation in every situation? The truth is, we can always try but the chances of success are far greater when awareness and empathy are shared responsibilities, not burdens placed on one side alone. To support that shared effort, here are some practical tips for navigating various encounters with nurses:


1. If You Feel a Nurse Is Being Rude or Cold

Try This:

  • Stay calm. Don’t escalate. A harsh tone may be the result of burnout, not personal animosity.
  • Use respectful curiosity. “You seem a bit rushed, can I ask when might be a better time to talk?” opens the door without sounding accusatory.
  • Offer kindness. Sometimes, a simple “I know it’s been a tough day thank you for being here” softens even the hardest exterior.

Nurses  often carry emotional burdens and deal with back-to-back patients. A little empathy goes a long way in humanizing both sides of the encounter.

2. If You Feel a Nurse Is Negligent

Try This:

  • Speak up calmly but firmly. “I’m concerned about how this was handled—can we go over it together?”
  • Document details. If something feels off, note the time, actions, and outcomes. Be specific.
  • Escalate responsibly. Use proper channels talk to the nurse manager or patient advocate before assuming ill intent.

Systems often fail nurses just as much as they fail patients. Before placing blame, make sure you’re seeing the full picture, and don’t hesitate to involve someone who can help clarify or intervene appropriately.

3. If You’re Confused About What a Nurse Actually Does

Try This:

  • Ask questions. Nurses are educators too. Ask: “Can you explain what your role is in this process?”
  • Avoid assumptions. Don’t refer to them as “just the assistant” or “the helper.” Nurses are autonomous professionals.
  • Respect their judgment. They assess, plan, and make critical decisions not just follow orders. However, if in doubt its within your legal right to seek a second opinion.

Understanding their role builds trust and enhances communication, making your care more collaborative and effective.

4. If You Meet a Nurse Who’s Truly Exceptional

Try This:

  • Say thank you—with specifics. “The way you explained my treatment plan made all the difference.”
  • Leave a review or write a note. Nurses rarely get credit for their wins.
  • Nominate them. Many hospitals have internal awards or recognition programs.

Positive reinforcement strengthens morale and helps shift the culture of nursing toward one of pride and respect.

5. As a Patient or Caregiver: What You Can Do to Support Nurses

  • Practice patience. Nurses may be handling life-or-death situations in other rooms.
  • Be honest and clear. Speak up about your needs, but try not to demand immediate action unless it’s urgent.
  • Be a partner, not a passive recipient. Engage in your care by asking questions and taking notes.
  • Advocate for systemic change. If you notice staff stretched thin or unsafe conditions, talk to hospital leadership. Complaining to the nurse caring for you just reinforces their frustration and in all honesty what do you want them to do. Unless they are the leader themselves. Advocacy isn’t just for insiders.

6. As a Fellow Nurse or Healthcare Worker

  • Model empathy. New nurses especially need kindness, not criticism.
  • De-escalate, don’t humiliate. Support your peers privately and constructively.
  • Speak up for culture change. Push for better training, mentorship, and emotional support structures.


In summary, let’s build a culture where empathy and accountability coexist, where we as nurses feel safe to care, and patients feel safe in our  care. Behind every nurse is a human being, sometimes hurting, sometimes healing but always trying. Understanding our world doesn’t excuse poor behavior, but it can transform how we all respond to it.



Friday, 5 June 2020

AUTSCH!

Self Care | Free Vectors, Stock Photos & PSD“Self-care is never a selfish act - it is simply good stewardship of the only gift I have, the gift I was put on earth to offer others. Anytime we can listen to true self and give the care it requires, we do it not only for ourselves, but for the many others whose lives we touch.”Parker Palmer, Let Your Life Speak: Listening for the Voice of Vocation

Young Worried African-american Woman Calling On Mobile Phone ...Most recently I received a phone call from a friend informing me she had excruciating back pain and had been rushed to the hospital. She further informed me that she would be undergoing an urgent MRI spine. She had received so many analgesics but nothing seemed to help. Upon hearing this my heart skipped a beat. For a moment so many thoughts crossed my mind. "Does she have a spinal disc bulge? Is it a spinal cord compression?  What is going on? Oh! God let there be no spinal injury of whatever kind." I mumbled this prayer so many times as I prepared to go check up on her.  I did check up on her and now she is doing much better. The MRI was done it turned out clear which was a great relief for all of us. The excruciating pain was well managed and in a few days, she was back home. To prevent the recurrence of the problem she was just advised on one simple thing. To always comply with workplace ergonomics.

21 great questions for facilitators - Part 2 - RosemaryShapiroLiu ...Have you heard of it? Do you know what it means? Do you always apply it? Does its application or lack thereof affect your productivity levels? Don't be baffled by these many questions, just keep them in mind and read through. You will have answers by the end of this.

Can you assess your students understanding? Yes or no? - MiladyErgonomics is simply defined as the study of people's efficiency within the work station. The Marriam Webster dictionary defines it as 
1. "An applied science concerned with designing and arranging things people use so that the people and things interact most efficiently and safely."
2. "The design characteristics of an object resulting especially from the application of the science of ergonomics."
 
What are different types of workplace safety? | Creative Safety SupplyThe international network for the authority of scientific publication (INASP) in an editorial on OSH 2013, stated that health care workers (HCWs) encounter many hazards some of them include needle stick injuries, back injuries, latex allergy, violence, and stress. They further elucidated on how HCWs are considered immune to injury or illness due to our job of being caregivers. I'm sure this resonates with all of you especially for those in active clinical practice. When one is unwell you never miss a comment like "Oh I thought a medic never gets unwell."  With the ongoing Covid-19 and Ebola outbreaks, the impact of the shortage of health care personnel has been finally felt globally. This has led to most healthcare staff getting overworked and as stated in a previous blogpost https://lilylovelong.blogspot.com/2020/04/wie-fuhlst-du-dich-heute.html more work-related injuries will soon be witnessed if not yet happening.

Magnitude of a Vector Definition, Formulas and ProblemsAccording to the CDC, "Musculoskeletal disorders account for nearly 70 million physician office visits in the United States annually, and an estimated 130 million total health care encounters including outpatient, hospital, and emergency room visits. In 1999, nearly 1 million people took time away from work to treat and recover from work-related musculoskeletal pain or impairment of function in the low back or upper extremities. The Institute in Medicine estimates the economic burden of work-related musculoskeletal injuries(WMSDs) as measured by compensation costs, lost wages, and lost productivity, range between $45 and $54 billion annually. Furthermore, they concluded that according to Liberty Mutual, the largest workers’ compensation insurance provider in the United States, overexertion injuries cost employers about $13.4 billion every year."

EDN - The eyes have it: Failing amplifier boards no match for ...While reviewing the literature I came across a systematic review done in 2017 in the Boston College. It was primarily looking at studies reporting exposure of health workers in African countries to blood and bodily fluids. It analyzed data from studies in different African countries Kenya included and different professional cadres from the surgeons to we the nurses. The researcher identified that the data available was sparse often I'm learning this is due to limited publishing of the researches we conduct. The second conclusion was that there remains a pressing need for high-quality data on occupational hazards to identify the burden of exposures and inform preventive policies in Sub-Saharan Africa and finally there is a need for additional studies to determine whether differential exposures exist between professions and the associations with knowledge, attitudes, practices, and access factors to create targeted strategies to diminish occupational hazards. To read this article click here https://dx.doi.org/10.5334%2Faogh.2434. My inclination for this study was as a result of two things ;
1. As a result of heavy investment in the HIV field, proper data collection has been conducted on blood and blood-borne exposure risk among health workers. This, therefore, offers an example of ideal practice on how intensive research has been used to direct positive change in practice. There is more to be done but this offers a good example of what can be achieved if duplicated to the other hazards.
2. It was well done and simple enough for any person to comprehend.

Rewind movie | Free IconIn a previous post, I have discussed occupational health and safety(OSH) in relation to workplace violencehttps://lilylovelong.blogspot.com/search?q=change+must+come. Today I shall delve into work-related musculoskeletal injuries. How often do you get home and have unexplained muscular aches? WHO refers to musculoskeletal disorders as "any disorder that denotes to the locomotor apparatus ie. the skeleton, cartilage, ligaments, tendons, muscle, and nerves." Having identified that workplace safety greatly contributes to global health workers shortages though sick leaves and termination of practice on medical grounds the WHO published different volumes on prevention of different workplace-related injuries. Follow this link for one on prevention of musculoskeletal injuries https://www.who.int/occupational_health/publications/muscdisorders/en/.



Some information  from the WHO booklet is briefly summarised below.

Patient Handling : The most common injuries to nurses and other ...Common workplace muscular injuries can be categorized as 
  • Those related to upper extremities
  • Those of major articulations
  • Those of the lower back
They are then further classified using two basic principles;
1.Acute and painful- Usually caused by a short term heavy load that causes sudden failure of structure of the function. eg when you suddenly lift a heavy box of  Hartmans solutions using the wrong lifting techniques then you get a sudden sharp pain in your mid or lower back.
2.Chronic and lingering- Permanent overload leading to increasing pain and structure dysfunction eg Adoption of poor techniques while lifting patients. You may initially feel a dull ache that eases with rest but gradually takes longer to ease after repeatedly doing the same thing to finally getting to a point of continuously having aches that limit your work abilities.

Top 18 Risk Factors Call Centers Must Address | CallCenterHostingCommon risk factors include
  • Mechanical overload- It is as a result of when the applied load is greater than the ultimate strength (tensile, compressive, or shear) of the component.
  • Repetition frequency
  • Exposure time
  • Disadvantageous environment eg small workplace, uneven flooring, slippery falls, poor lighting, etc
  • Underlying medical condition eg arthritis
 Accident Prevention in the Workplace | Environmental Health and Safety
To prevent injuries some of the things to be considered include
  1. The ideal balance- rest episodes between activities
  2. Work performance strategies
  3. Avoiding accidents
 Importance of PPE in Acetylene PlantsRole of employee
  • Lift loads close to the body
  • Lift with both hands symmetrically to the sagittal plane
  • Lift heavy objects with an upright trunk by extending the initially flexed legs.
  • Use devices if available for carrying heavier loads.
  • Carry heavy loads with two people.
  • Report immediately it happens to facilitate the correction of errors.
  • Properly use provided equipment if unsure seek assistance.
  • Exercise your core eg https://youtu.be/XQ2d6aWC1Bk

WHO | Workplace health promotionRecommendations to employers
  • Avoid manual handling tasks where possible introduce ergonomic measures to minimize risk.
  • Implement rest pauses.
  • Avoid implementing frequent handling procedures.
  • Provide aids eg hoists, levers, etc
  • Mark heavy loads, amorphous loads
  • Conduct regular OSH related training.
  • Make data collection on workplace injuries less cumbersome and vindictive to facilitate reporting.
  • Offer adjustable equipment.
  • Provide properly designed work environments. 
In our pursuit to continually provide care lets not compromise ourselves for the sake of another
remember “Just when you feel you have no time to relax, know that this is the moment you most need to make time to relax.”
Matt Haig, Reasons to Stay Alive