NURSING AND EDUCATION PLATFORM

Is the nursing shortage falsified claims Williams 2013

So much truth in blogs; (restricted research and publications- we all know it);

There is no shortage of nurses in 2013. Nursing careers have changed over the years requiring less registered nurses. Health Care providers hire less Registered Nurses, but hire more anxillary staffing to complete what was once considered nursing duties. The nurse will usually be the one in charge of the assistants or anxillary staffing. Some states have medications techs, now. Hospitals hire RN's part-time or registry so they can save on paying benefits. Working conditions for registered nurses are difficult because there are no unions in most states and registered nurse job descriptions are not clearly defined. Registered nurses are floated to different areas with little orientation in the hospitals because it saves money and hospitals can do whatever they please. If the nurse protest, the nurse is out of a job and may be unemployable because corporations purchase hospitals, kinda like a Mcdonalds chain, so if your fired in one, good luck finding another job. Add to this, the educational requirement for job entry is a Bachelor of Nursing in some states and sometimes assitional certifications. Lately, I have noticed master degree requirements for some nursing jobs. I have been a nurse 25 years. When I started it was an o.k, job, but now it's really hellish! Healthcare is a business and the nurse is another employee on an assemply line.
 I am completely depressed about this entire nursing situation. I spent my last dime going to school, student loans are kicking in ,220 applications later, 9 months later after graduation and still nothing. My husband lost his job this week, we have a 6 month old baby, what next? Go to school some more? With what money? Go volunteer? Well that doesn't pay the bills. Soon, I will have to start working 2 jobs just to make ends meet, probably in some fast food restaurant or something. Nursing field is a complete let down and waste of time, unless you know someone to get into the field, its worthless. You are going against thousands of applicants, more and more adding to it each graduating semester.

These are USA but so applies to UK and elsewhere. No shortage of jobs - many are frozen (RCN) . Overseas staff are so much cheaper and complain less (Duell in Dimon 2013).The issue is- governments seek a cheaper alternative.

Still the battle goes on with the RCN insisting there are 20000 unfilled vacancies ( Stephenson 2013  ) but these are frozen and unavailable jobs.Evidence jobs specifically advertised abroad from job ads and blogs (Elgot 2013). People may dislike the implications- no need to train nurses here use them "off the peg " from abroad; even if different or no training , and different attitudes (Dimon 2013).

No answer from HEE or DH, or anybody else- apart from accusations. Why do we bother?

Elgot R (2013) (28.1) Romanian Immigrants 'Have pick of thousands of Uk Jobs, Recruiter says. Huffington Post

Stephenson J (2013) RCN issues Warning over nursing shortage in capital Nursingtimes.net

By Lenin Nightingale

In 1950s, governments signed  a contract to introduce the new world order; little spoken of in UK but more so in USA. To put it simply, this refers to al countries being run as if one country by an overuling American business.

This is why we have free movement of individuals between countries, driving down wages for example. Indeed, the EU is actually run by American businesses. Politicians in all countries will be merely managers/puppets - as some may claim they already are.

Some may ask how North Korea or Russia for example, would fit in this structure. This is why they fight . They do not want to be overtaken by America.

What can we do? Very little, which probably explains the apathy amongst so many.

The pilot England, for potential student nurses to work paid, for 1 year on a hospital ward, prior to training, has commenced. It involves 200 "students" in 6 health districts (HEE ). There are still many doubts raised about this, especially by the RCN . It does offer the potential however, to ensure people are prepared for the "real nursing". It may though, influence further developments on nurse education. Many countries seek an alternative to a full nursing degree in order to reduce costs. Yet the degree itself, is indicated as being anadequate (Future Forum 2012).

Anybody who has ever written or produced different ideas (eg Darwin) may be under attack by others.

Ammunition includes- you seek fame/self gain, we do not understand you, rubbish, you are unwell, you are an embarrassment to society.

If you are anon you are accused of hiding .All I have heard said about so many authors and researchers.

Yet some of those same people are prepared to cut and paste whilst blocking you; as illustrated well by  a historian colleague who has dispproved many historical points by sourcing the original documents . This is the norm.

If people continue to block the work of others, there will be no new ideas and less development.

If anybody wishes to write, they are welcome on this site.

Tthe main problem in healthcare, not only UK, is nobody "listens to the voices"; the voices of ordinary patients, relatives, nurses, staff etc.

They listen to the major bodies with utlerior motives to protect the vision of healthcare.

A major theme in the book "the commodity of care" was normalizing devience" (one ref is Prielipp) p48

This process involves failuire to listen to alternative views. In care the norm may well be everybody to have a bath friday, lined up- nobody questions.

It may well be- short staffing,. so we roll our sleeves up and carry on.

Look back through history- one norm was to restrain mentally ill patients- as it still is in some other countries. One important issue but still some fail to realsie the importance of history or culture. We conclude, things will never change/. nobody wil listen. But they may realise some of it in 10 years time.

Our names are of no relevance.

Finally  a full response, still largely NHS.

One issue - HEE to analyse nurse pre- reg education re old people. Also need address private sector and care homes. Do differ. Need case study approach eg what to do if as many dilemmas arise and staff unaware what to do.

Second issue all care assistants to have  a certificate. Depends on course content and who does training. Present skills for care inadequate and no actual specified time see

http://qualityofnursingcare.webs.com/  . This will refer to care homes- but hope somebody realises- different training needed.

Third nurse number levels to be displayed by ward per shift. So what about the rest of the team if there is one? The book commodity of care raises important questions regarding the adequacy of nurse traiing and value of care assistants.

Health Service Journal ‎- 16 hours ago

The government has provided detailed responses   20.11.13

Govt they say, cannot be involved with NMC as NMC is "independent"

http://exposingfakenursingcertificates.webs.com/.

Yet Dh fund NMC for considerable amount  (clusty search engine). Does this not make the govt involved?  same could be said of the private/ charity  sector and other bodies. How odd- govt have made proposals for NMC re Francis report but ignore this issue.

•

The Department of Health has given the cash-strapped NMC 370,000 [pounds sterling] to help finance misconduct hearings. (NMC in brief).(Brief Article)new windowpreviewpreviewshow in clouds

Stimulated by twitter debate, but we so knew it was coming--

Blogs are more valid than research which merely selects what people say to use towards confirming the results. Blogs say so much more; research topics are actually restricted. Hence delay in researching why poor care still exits until now- largely based on Mid Staffs evidence and work of Cure the NHS. What is published at all, is also restricted. Therefore comments that it has not been published in a "reputable journal, written by a renowned author", is no excuse for ignoring any comments. Blogs written by ordinary people with ordinary voices, are so much more valid. Yes you may get the odd saboteur, but so you may certainly do in research. In this way, research is being used as an excuse to ignore additional or new findings . Some may actually consider the use of blogs as  a form or qualitative research. Even classics such as Tom Brown's school days, may be considered by some as ethnographic research; just a means of acceptability and recognition.

Accounts of individuals have been used as excuses for disbelief by higher bodies and individuals, for many years. There is no need to wait for mega research projects and publications.

So to they who wish to blog; continue - you are being heard.

Carol Dimon. Lenin Nightingale.

Huge cover-ups in Nhs (this one FT) continue www.dailymail.co.uk/.../The-damning-dossier-chaos-surgery-shames-NHS.... (ack cure the NHS for posting ref). Cover-ups from top eg Govt level ,down. What of nurses who witnessed such practices, let alone Drs involved? GMC/NMC are supposed to be there "to protect the public"; they seem to do this by shielding them from the true picture of care ie by hiding examples of poor care. There remain major bodies in nursing who still insist on publiciising only examples of "good care". Who does this really protect??

Let us remember also, medical/surgical errors have occured for years in all hospitals and all countries. A fact- not an excuse.

"One nurse kept a ‘black book’ of consultants’ blunders and was threatened: ‘Tread with caution... as whistleblowers walk.’"

Seems to be the usual, case of one word against another plus excuses. One complains and so is counter-complained against. Facts should speak for themselves. urgent need for cameras, we fear.

Lenin Nightingale

Chan (2013) uncle killes nephew age 3 for wetting bed. This says so much. If we cannot get this right in society, what hope is there for nursing? Yes we know there are other factors (not excuses) eg what is acceptable to some and not others, attitude etc. Many today are unable to accept "bed wetting" in care or whatever, from any age. Picture the old refined, lady called "dirty" for being incontinent. Yet these people are educated- they know the cause could be phsyiological or psychological eg epilepsy or anxiety.

The issue seems to be "me, myself and I". "I now have to change the sheets etc"- help somebpdy else but do it with pride. that must be the motto for the whole of society. The issue is the way society is shoved-- get job, make money,promotion, neoliberalism, look after self-- it overrides any form of compassion.

I hope this uncle is never released and the nephew, Daniel,  is never forgotten. I know I will not forget him.

Ref

Chan B (2013) Uncle convicted of murdering, nephew age 3, for wetting bed the Voice 9.11