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From
Wedding Rings to Nose Rings...Generational Differences
Why can't things stay the way they
were? Why is it so difficult to attract and retain people
who care? Where is the "work ethic" in today's
young healthcare providers? How will we orient/educate the
very people who will be (gasp!) providing care to the rest
of us as we age? What skills will assist leaders/educators
when working with this increasingly diverse workforce?
One thing is for sure, if you don't
plan on changing, don't plan on hiring! Today's generational
differences have caught us all off guard. Generation X,
much to the frustration of everyone else, continues to clash
with Baby Boomers. This presentation will highlight the
hereos, stories, values and traditions of the four generational
groups in the workforce today. Illustrations of education
and management styles that work for each group will be given.
Objectives
- Identify each of the four generational
groups in the U.S. workforce today
- Explore at least one educational style
for each group
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Building a Foundation Together:
Critical Care and Rehabilitation Nursing
During the 1990's, a full 40 percent of
our professional nurses are committed to 10 percent of our
hospital beds...Critical Care. There are two areas of nursing
predicted to have the greatest shortage in the next 10 years:
Critical Care and Rehabilitation. It stands to reason that
almost 100 percent of critical care patients will "graduate"
to a rehabilitation program, whether cardiac, pulmonary,
or physical medicine (neuro-rehab).
This presentation will define for the professional in critical
care what neuro-rehab nursing is and what it isn't. Several
actual case presentations illuminating the importance of
excellence in critical care nursing in promoting a positive
rehab outcome will be cited. The work of difference institutions
toward creating a collaboration between critical care and
rehabilitation nursing units will be highlighted. Emphasis
will be placed on recovery rates, prognosis, and therapy
outcomes in neuro rehab to increase the critical care professional's
knowledge base. The challenges faced by neurotrauma patients
and their families, the dignity that is afforded to them
in ICU, and the victories seen after rehabilitation will
be discussed using actual patient's studies. This presentation
will, for many nurses, offer validation that even in patient
cases deemed hopeless, the ICU nurse plays a pivotal role
in each patient's recovery. It will also offer a glimpse
into the later part of the patient's journey - the world
of rehabilitation.
NOTE: This presentation can be modified to emcompass Medical-Surgical
areas and not just critical care.
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Keeping a Professional Presense
in Times of Change
Today's healthcare environments, whether
rural or urban, have one common thread...CHANGE. That one
word causes shivers down the spine of the most experienced
nurse. Whether the change comes in the form of new technology,
clinical practice models, or even more prevalent, hospital
redesign, it is seen all too often as yet another intrusion
to the delivery of quality patient care. With the unceasing
expectations of the insurance industry for healthcare to
"do more with less," change is inevitable.
This presentation outlines some of the basis for change,
and offers colleagues examples of how other professionals
deal with the constant rapid changes in hospital infrastructures,
technology, and staff nursing expectations. Utilizing the
framework of both a hospital merger and a reengineering
project the speaker was a part of, vignettes are presented
covering the full spectrum of nursing. Emphasis is placed
on taking the two core values in nursing - care and competence
- and carrying them throughout nursing practice. The defining
characteristics of corporate culture are listed and examples
of how cultures affects staff nurses discussed. The ability
of these nurses who dealt with change daily yet still offered
support to their colleagues underscores the concept of true
professionalism. The most common responses to change will
be described with emphasis on both the positive and negative
institutional and personal outcomes that may occur. As a
profession, nurses have dealt with change for over a century,
but as the millennium approaches, our ability to handle
it well is paramount to our survival. Nursing will need
to continue to adjust to change and demonstrate a professional
presence in order to remain a major force to our healthcare
team.
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Spiritual/Sexuality...The
Forgotton Issue
Sexuality and spirituality have, for too
long, been "forgotten issues" in nursing. Nurses
have been encouraged for several years to assist their patients
in the areas of sexuality and spirituality. But, without
proper education in our curriculum and with a dearth of
practical information, these areas have been sadly ignored.
Of tantamount importance to professional nurses in the realization
that sprituality/sexuality are valid and pressing issues
in the healthcare setting.
Definitions, cultural expectations, and research findings
regarding sexuality will be given in this presenation. Common
myths will be discussed along with suggestions on where
to get clear, concise, practical information that will assist
the nurse.
This information also affords the professional nurse the
information needed to appropriately collaborate with members
of the Pastoral Care staff and to confidently discern whether
an issue is spiritual or religious in nature. Confident,
competent nursing care can be delivered when spirituality
is incorportate into each professional's knowledge base.
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Brain Attack...The Aftermath
As the race for cutting edge technology
continues, the professional nurse is expected to be knowledgeable
about MRI, CT, and PET scans. Unfortunately, the latest
technology continues to only give a glimpse into the area
of cognition. In the past seven years more has been learned
about cognitive functioning than ever before.
This presentation highlights the unique difference between
the Right and Left CVA client; in particular the cognitive
deficits that remain following a Brain Attack. As the average
age of Brain Attack patients continues to descend and with
the inclusion of crack cocaine strokes as the largest new
category of CVA, the healthcare picture that emerges is
one of treating a survivor - a patient we will see again.
When this is combined with a decreased mortality it is more
important than ever that professional nurses care for Brain
Attack patient with a solid foundation of knowledge regarding
cognitive deficits.
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The Crab Bucket...The Way We Do The
Things We Do
For too long in nursing, neophytes have
been admonished for their creativity with the statement:
"That's not the way we do it here." This presenation
will explore "The way we do the things we do"
and most importantly, WHY we do the things we do. Using
a northeastern folktale about a crab bucket as an analogy,
the evolutionary process of a nurse from student to practitioner
to leader will be studied.
Management styles that either impede or enhance autonomy
will be contrasted with actual examples used to illustrate
the differences between these two styles. Conflict management
techniques as a means to deal with problems encountered
in practice are reviewed. Research findings on job satisfaction
and employee expectations of supervisors will be presented.
By utilizing clinical situations as a backdrop the concepts
of management/leadership styles, conflict resolutions, job
satisfactions, and employee expectations are brought more
fully to the forefront for closer examination by the professional
nurse.
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to top)
Waiting Room Warriors
"Nurse, do you have a minute?"
The nursing professional is constantly bombarded by the
needs and questions of relatives concerned over their ill
family member. The ability of the nurse to both listen to
and speak with these families is too often thwarted by unrealistic
expectations and a seemingly hidden agenda. As a result,
both nurses and families leave these interactions feeling
uncertain and frustrated.
This presentation explores the needs of a patient's family
as they face the constant challenges and struggles afforded
to them by the hospital experience. The differences between
the families of pediatric and adults patients will be explained
as well as the health care professional's perceptions of
these two groups. The concepts of Family, Crisis, and Coping
will be investigated using as a framework the theory of
loss. Emphasis is placed on this caveat; that the patient
is the cornerstone on which expert nursing practice is built.
Focus will be centered on the ability of this patient's
nurse to look beyond the issues of territory and work together
with the family toward one common goal; the shared compassionate
care of this all important life.
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Critical Thinking...Skills For
The New Millenium
The more complex the critically ill patient,
the more complex the judgements todays nurse is challenged
to make. The average nurse was not educated in an environment
that encouraged critical thinking. Yet, this same nurse
is asked on a daily basis to demonstrate these skills in
clinical practice.
This presentation will define what critical thinking is
and offer several strategies to promote such skills. The
importance of questioning will be emphasized as well as
how to successfully utilize case studies as learning tools.
Several innovative approaches employed by nurse educators
to intergrate critical thinking into their preceptorship/orientation
programs will be explored. In addition a look at common
educational patterns that stifle higher level thinking skills
will be provided.
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It's In Every One Of Us
How can we treat patients well when we
can't even be nice to each other?
Motivating staff to realize the IMPACT that they have on
customer satisfaction is perplexing at best. Patients expect
the care they receive to be excellent and, too often, they
are disappointed. Across the country guest relations programs
continue to proliferate with little or no long-lasting effects
notes by the facilities that purchased them.
This program integrates specific guest relations problems
as identified by the facility with known maxims of customer
satisfication. Utilizing a reality based approach that recognizes
the stress staff feels on a moment to moment basis, solutions
to facility problems will be presented. By combining music
with slides of facility a true memorable experience is given
to employees. A separate program for managers in the facility
emphasizes not only the importance of customer service but
also how to "back up" the message. Too often in
health care the core value of competence is rewarded at
the expense of an equally important value...caring. This
talk will ask the participants to look at themselves as
the patient ambassador and to realize..."it's in every
one of us...to be wise."
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ADDITIONAL SESSION TITLES:
-TRAUMATIC BRAIN INJURY: THE SILENT EPIDEMIC
-NEURO ASSESSMENT...A CHALLENGE MADE SIMPLE
-BOWEL/BLADDER ASSESSMENT & TRAINING
-GUILLAIN BARRE
-WOMEN AND SEXUALITY
For content descriptions for the above presentations, contact
Faith Roberts.
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