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Medical, nursing schools need to work together | Healthcare Finance News
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No shit. Ya think?
And it'd be nice to have Nursing's voice taken seriously. Tell the truth- when's the last time (and I love my docs, love love love them) the doctor spent 8 hours at your bedside in ICU, put in your IV in ER, or wiped up your vomit on the med/surg floor? [And if your nurse/nurse's aid DIDN'T, that's not a criticism of nursing. It's a criticism of how thinly stretched nursing is.]
I'm inviting responses, dialogue, criticism, commentary, and your stories. I've got something brewing that can't quite come to a boil, yet, about all this and the health-care/health insurance/public health/personal health debacle/debate that's going on nationally, but I need more points of view, more facets, to properly focus the light so I can see what I'm really looking at.
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Yesterday, in the States, was Veteran's Day. I remember it being Armistice Day when I was very young...
Anyway, one US-centric article and one US-centric memoir-essay about war, and the wish for peace.
The Anguish of War for Today’s Soldiers, Explored by Sophocles.
By PATRICK HEALY
Published: November 12, 2009
A project uses ancient theater as a vehicle for sharing pain, learning and healing. (NYT)
( Full text in case link will not work )
Sgt. First Class Tony Gonzalez, an Iraq combat veteran from Brooklyn who was on the panel, recalled that post-traumatic stress disorder was rarely discussed when he first joined the Army. He described his own pain after his platoon captain was killed and he went to pay respects to the man’s wife, also a friend and member of the military.
And he praised the use of theater to help put a spotlight on trauma.
“I’ve been Ajax,” he said. “I’ve spoken to Ajax.”
~~
One Grizzled Veteran's Dream
Huffington Post
William Astore
Writer, Professor, Retired Lt. Colonel, Air Force
Posted: November 11, 2009 08:05 AM
( full text in case the link won't work )
On this Veteran's Day, what if we began to measure our national success and power, not by our military arsenal or by the number of new recruits in the ranks, but rather by the gradual shrinking of our military ranks, the decline of our spending on defense, perhaps even by the growing quiet of our legion posts and VFW halls?
Wouldn't that be a truer measure of national success: fewer American combat veterans?
Wouldn't that give us something to celebrate this Veteran's Day?
I know one old grizzled veteran who would quietly nod his agreement.
Professor Astore currently teaches History at the Pennsylvania College of Technology in Williamsport, PA. He writes regularly for TomDispatch.com and can be reached at wastore at pct.edu.
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Starting on Thursday, November 5 at Boston University, Howard Zinn and producers and cast from THE PEOPLE SPEAK are embarking on a national college tour for Howard's forthcoming documentary feature film THE PEOPLE SPEAK.
All events are FREE!
To reserve a seat in advance (highly recommended) and for more info visit:
http://www.history.com/thepeoplespeakcollegetour
http://www.facebook.com/HowardZinn
( Coming soon to a campus near you! )
And check out The People Speak -- airing on History on December 13, 2009 -- the documentary inspired by Voices of a People's History of the United States and produced by Matt Damon, Josh Brolin, Chris Moore, Anthony Arnove and Howard Zinn, and featuring Damon, Brolin, Rosario Dawson, Bob Dylan, Morgan Freeman, John Legend, Viggo Mortensen, Bruce Springsteen, Marisa Tomei, and Kerry Washington.
See a sneak peek preview at http://www.thepeoplespeak.com
( Read more... )
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ok, nursing/medical shows? get your shit together. it doesn't take that much longer to do things right- trust me, i've been an RN for thirty years. it really doesn't take any time at all to do it right.
what brought this on? decided to check out Three Rivers tonight.
oh, god, the amount of money spent on fancy monitors and yet you can't get the mask on the respiratory patient correctly? you can't wipe off the connections before giving IV meds? you can't put the rails up on people's beds? but you can have fbi escorts through bomb scares, and people go off to surgery without a signed consent or any kind of checklist even a nameband, and the transplant surgeon comes into OR with her hair hanging out of her cap? yes, it's great that you've got a female transplant surgeon- so why does she have to be sloppy? why aren't the nurses on top of their patients' vitals- oh, i know because nurses don't actually do anything, except steal drugs (nurse jackie) or sleep with the docs (mercy).
it'd be SO EASY to do these little things correctly. so easy. and give people just that much more of a fighting chance of understanding how things work when they go to the hospital. which would be nice, yanno? because we have enough to do, doing things right, without cleaning up misconceptions people get from your sloppy misleading television.
just sayin.
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I found out about this movie because my son's involved with getting the distribution going, but now that I've seen the trailer, I just want to share the movie! http://omgmovie.com/ (I have a special fondness for Mr. Jackman, for lots of reasons. This just adds to them.)
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Went to the Mill Valley Film Festival tonight.
There is so much to say, and there are so few words to say it with.
Director John Hillcoat was there and spoke briefly before the showing. What a lovely man. So respectful of Cormac McCarthy's story, and the way it came to him. Courteous to the actors in the way he spoke of them. Grateful for being able to work in this medium of film, of storytelling. Appreciative that MVVF found a way to have the film as part of its opening night films. Thankful that we were all there for a 9:40pm screening.
His voice, when he spoke about Kodi- genuine respect, genuine care, genuine love.
The film: I'll talk more about it after its gone into as wide a release as it's going to. This, I'll say: I have never seen a more honest love story between parent and child. I've never seen a better filmic telling of a written tale. I've never seen so grim and sad a background bring to life the small things and large which make us humane, make us human. I've not felt this kind of hope in years.
It's technically perfect, from what I can tell. The acting is - it's remarkable. Everything I knew about them from the book, is in the film. The directing, the editing, the cinematography, costuming, set design and decoration, location scouting- to the last detail, perfect.
I don't expect it to win awards. It's --- people are scared of this world, this post-something world where it's down to who you brought with you inside yourself from before, and who you let yourself become, after, and what you leave of yourself with others. It is frightening to look at- but for me, it's more frightening not to look.
I want to be one of the good guys. I want to die carrying the fire.
I'm so very, very glad I saw this movie. I'll never see anything in my life the same way again.
It will always, always look better now, than it did before this evening.
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I'll credit Peter Shankman at HARO [Help a Reporter Out] with turning me on to Mothers Emerge Worldwide, an educational and experience-sharing website and fund-raising through micro-business venture. I admire what the founder's done and what the website offers. If you've given birth, are considering pregnancy, or know someone who is, I recommend this new, growing site.
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Security Spending Primer:Getting Smart About The Pentagon Budget
How do people influence federal spending decisions and stop fighting over smaller and smaller “slices of the budgetary pie”? What will make our nation more secure? National Priorities Project is proud to release the Security Spending Primer: Getting Smart About The Pentagon Budget. (PDF Document) This Primer is a is a “one-stop-shopping” resource and has two main goals: ~ to provide comprehensive, easy-to-understand information on the complexity of the federal budget process; and ~ to help build the capacity of people across the United States who want their voices and their priorities to be heard in the debate over federal spending in general and military spending in particular. Even though federal spending and policy priorities have an enormous impact on individual lives, the budgeting and policy-making process remains mysterious to most Americans. NPP believes that good, concrete information strengthens social change work. In order to make our federal government more accountable, people – especially those most affected by social inequities – must play a central role in identifying the changes essential to creating better lives for themselves and future generations. They must have access to accurate information that supports effective strategies. The Primer answers the most frequently asked questions about, and supplies the most commonly requested information on, the Pentagon budget and U.S. military spending and is based on decades of experience in military budget analysis. It contains 16 two-page fact sheets on topics ranging from nuclear weapons to the employment impact of U.S. military and domestic spending choices to the military cost of securing energy. We designed these fact sheets to be read separately or as a group. We have also included a host of resources: organizational contact lists, sample NPP tools, resources lists, a glossary and more. Key findings in the primer include: ~ Total spending on the wars in Iraq and Afghanistan will exceed $1 trillion February/March 2010. From FY 2001 to FY 2008, federal grants to state and local governments increased 0.57% for every 1% increase in total federal budget authority. Yet, during the same period, federal military expenditures increased 1.47% for every 1% in total federal budget authority. In other words, as the “budgetary pie” increased, the defense slice got bigger and fatter and the “grants to the states” slice of the pie got smaller. ~ Even without including current war allocations, U.S. military spending is at its highest level since World War II. This takes into account the war-time budgets of Vietnam and Korea. Despite rhetoric to the contrary, the Obama Administration is not cutting defense. In fact, the Pentagon budget is projected to grow25% over the next decade. ~ This is an unprecedented period in our nation’s history. Two wars, staggering national debt, the economic crisis and an impending climate crisis make these extremely challenging times. At the same time, President Obama endeavors to respond to the sweeping mandate for change. NPP is indebted to our collaborators in this project: Frida Berrigan, Senior Program Associate of the Arms and Security Initiative at the New America Foundation Ruth Flower, Associate Executive Secretary for Legislative Programs at Friends Committee on National Legislation ( FCNL) Miriam Pemberton, Peace and Security Editor of Foreign Policy in Focus at the Institute for Policy Studies ( IPS) Heidi Garrett-Peltier, Research Assistant at the Political Economy Research Institute ( PERI) at the University of Massachusetts, Amherst Robert Pollin, Professor of Economics and founding Co-Director of the Political Economy Research Institute ( PERI) at the University of Massachusetts, Amherst Susan Shaer, Executive Director of Women’s Action for New Directions ( WAND) For more information: Jo Comerford, Executive Director (jo@nationalpriorities.org, 413.559.1649) Chris Hellman, Director of Research (chris@nationalpriorities.org) National Priorities Project www.nationalpriorities.org
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From their facebook Cause page:(it's a cause I support, IRL)
Help Us Wish John Well & Thank Him For His Service
In today's message:
1. John Abodeely is moving on, let's send him off with a big Thank You!
2. John has a request before he goes.
3. Share your wins with us!
1. John Abodeely has served Americans for the Arts as the Arts Education Manager and is moving on to the Kennedy Center in DC. We support the move and are sad for the loss. He is a consummate professional who has helped the Cause and the arena of Arts Education tremendously. Please feel free to wish him well at jabodeely@artsusa.org by September 25th.
"I've learned a lot. There are amazing people at Americans for the Arts. My colleagues are brilliant, wonderful, smart and have taught me so much That's been awesome. It's an amazing organization." - John Abodeely
Working together, he's helped us accomplish a lot!
2. John has a request before he goes - BLOG-A-THON GOING ON NOW!
This week, all week, 30 arts education experts from around the country will blog daily on Americans for the Arts’ new arts education blog and webpage: www.AmericansForTheArts.org/ArtsEdu cation.
Our esteemed bloggers will be talking about steps each reader can take to ensure the children in their family, schools or community have access to a great arts education.
Our bloggers will include members of the Arts Education Council of Americans for the Arts; Lucia Brawley, activist, actress, and writer for the Huffington Post; emerging leaders Jenna Lee and Kim Willey, both of Washington, DC; Mike Blakeslee from MENC; state advocacy leaders; state department of education staff; teaching artists; local program experts; and, other folks from all over the country.
But they’re just the start. You—and specifically your responses to their posts—are what this online event is truly about. That’s where you can weigh in, offer your own opinions and present yourself as an expert for readers around the country. Solutions do not come from the top down—they come from peers, colleagues, friends, and fellows well-met.
Read, respond, do.
http://bit.ly/nRYTX
3. Share your wins with us!
Based on the amazing feedback we got at the end of last school year, Americans for the Arts has created a portal for members like you to share what is working so that other people can benefit from your success.
Please share that here. http://bit.ly/WOYzB
This year, I am volunteering to help Americans for the Arts create a Toolkit for building an effective arts program in your school. I could use your help. Initially we'll be creating a guide for outlining and managing the project, establishing buy-in from all the parents, educators and students, and following up with agreed actions toward common results. Your involvement could include many forms of activity and support and suggestions are appreciated!
Early next week we'll be floating a petition your way that is sanctioned by the President of Americans for the Arts. With that said, I highly caution you to read the petition before signing it. It asks President Obama to release funds in a very proactive and thus, non-traditional way. I only ask you to support it if you truly believe in it. So, please read through it. Again, I'll send that out early next week.
Thank you for your effort, energy, attention and time.
I am grateful to you for all that you contribute to make this Cause so powerful.
Sincerely,
M******* P*********
Cause Admin
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Roy Rogers' Horse Saves Health Care
Wednesday, 16 September 2009
The Senate cannot pass a health care bill with a public option. The House cannot pass a bill without one. The public wants a public option. The insurance industry wants a private mandate. The White House is in trouble on this and is calling upon the Senate to find a way out of this dark passage.
So, Boys and Girls, return with us now as the Senators will take a page from out of the old West. They are going to do what cowboy hero Roy Rogers did when he got in a jam: Call for Trigger, the Golden Palomino. Trigger, the trusty steed who rode to glory against those phantom cattle rustlers who sold insurance against physical harm, provided however that the small town marks bought the stolen beef.
In this scene Trigger will come off his mount of glory at the Roy Rogers and Dale Evans Museum in Branson, Missouri and gallop to the mount of glory on Capitol Hill, rear up a dazzling 24ft, and by his sheer electrifying presence rescue the US Senate and the Administration from today's rustlers.
It is Washington, DC, so they promptly slap on a confused Trigger a corporate blanket with corporate logos from insurance companies: Pre-Existing Trigger. Lower Cost Trigger. Patient Access Trigger. The Senators will jump on this horse and ride straight for the sunset. Giddy-up Trigger, past that broken down Public Option dray horse. Gallop into the conference committee with full force. Charge!
I am carried away by prospect of rescue by the one horse I can believe in. Sadly, Trigger will never save us from the rustlers. He'll just stand there, mounted, in all of his spectacular equine power ever poised to spring into action, ever ready to hustle out the rustlers, or something like that.
Thank you.
Dennis
http://kucinich.us/index.php
Sept 16, 2009
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Rob Brezsny's Astrology Newsletter
September 16, 2009
http://FreeWillAstrology.com
"Everything on earth is beautiful, everything -- except what we ourselves
think and do when we forget the higher purposes of life and our own
human dignity."
- Anton Chekhov( this way to Jason Mraz pronoia )
What does it say about the current state of reality when an intelligent optimist like Mraz has such mainstream popularity? Here's what I suspect: The media may relentlessly wallow in news about what's wrong and bad and rotting, but a lot of people are resisting that hypnotic hum as they wake up to the glorious other side of the story.
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(reposted in its entirety from ![[info]](http://s.dreamwidth.org/img/silk/identity/user.png) deadlychameleon who is the "I" referenced below)
In regards to surveyfail: http://www.fanhistory.com/wiki/SurveyFail
I called the Boston University IRB office. The direct approach works.
They've gotten a lot of emails regarding Dr. Ogas. He is no longer in any way affiliated with Boston University, except as a recent graduate. They have asked him to stop using his official Boston University email address in connection with this project, or his website. He is officially on his own, and this project is NOT IRB APPROVED.
That is the official status as stated by the Boston University IRB office.
The problem with this is threefold:
1. The researcher has no expertise in the area he is researching, nor has he recruited anyone to give him guidance.
2. The researcher has substantial profit motivation to produce work in this area (book contract with Penguin) which may lead to unethical conduct/a tendency to misrepresent his results.
3. The research is in no way overseen by any external body which can examine it for potential unethical conduct.
In addition to all of these, the researchers have now alienated their participant population, who are now very likely to become unreliable participants.
The only way to salvage the study at this point, I believe, would be for them to change it to an observational one.
ETA: if you want to share, please repost with attribution, that way people don't have to click through to get the information. If people need to contact me, they're certainly free to do so, but I'd like the discussion to spread out.
Also, all comments here are based on the information I had at the time of posting - if it turns out to be inaccurate, my deepest apologies. My statements regarding the problems with this research are based on my personal opinions, and should be taken as such.
ETA 2: I need to do other things for awhile, so I apologize if comments go unanswered. I should add that the IRB stated they contacted Dr. Ogas, and confirmed that this was indeed his project (they also gave him some basic methodological suggestions, despite the fact that he's no longer affiliated). They claim he's been very receptive to their suggestions. I say this just to confirm that YES THIS IS HIS PROJECT, and probably not a case of stolen identity.
ETA 3: Oh look who just f-locked his entries. Anyone with screencaps? Anyone? Anyone? Bueller?
ETA 4: Hopefully the last ETA I'm going to need to make.
I don't even know offhand where the line between unethical and illegal begins here, because they're so far past anything I'd ever do.
To start with:
1. Lack of proper anonymity/privacy protections for participants potentially admitting to illegal activity.
2. Lack of proper anonymity/privacy protections for participants potentially admitting to things that could negatively impact them at work and in their communities were they to become known.
3. Lack of any kind of age statement - this is methods 101 people, you always ask if a person is over 18, otherwise you need parental consent for any research study.
4. Lack of ANY kind of informed consent. No statement that you may withdraw from the research at any time. No statement saying what the research will be used for. No statement of risk vs. benefit. No statement regarding deception. No statement giving the affiliations of the researchers.
This is BAD RESEARCH, not to belabor the point. As one commenter pointed out, it's one thing when it's a survey about ice cream flavors. But the risk level here is fairly high. It's possible for someone to lose their job were this information to become public and identified with a given person.
ETA: Wearing the Juice: A Case Study in Research Implosion, wonderful entry from a research-end person.
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Find out more about National Invisible Chronic Illness Awareness Week and the 5-day free virtual conference with 20 speakers Sept 14-18, 2009 at www.invisibleillness.com.
If you have an invisible chronic illness and are interested in blogging a post please go to:
http://ow.ly/nhgv
thanks, imafarmgirl for the info, and the insight.
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| 2009-08-31 04:42 |
| So, yanno? I'm a nurse. It's my job: sometimes (often) I worry about our (communal) health... |
| Public |
| despair work, economics, environment, ethics, health, hope, native american issues, nurse-intuitive, nursing, political science |
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What I watched on TV tonight at work:
Water's Edge: Profits and Policy: Behind the Rising Catastrophe of Floods
Mountain Top Removal ( Wiki article ) ( series on youtube )
I have some thoughts about it all, but cannot avoid sinking into horrid and vicious cynicism- and while that might feel good for a moment, it's not an appropriate response for someone with my education and background. I'm trained to look at this from a community health perspective: as an RN, I have an obligation to do just that. Risk management, genetics, environmental safety- those are all within my purview as a nurse. So it behooves me to stop, just a moment longer, marshall my thoughts, and organize them so that I can pursue this with some clarity.
Because right now? I'm just pissed.
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Can-do, or the attitude that the quality of your day (and your life) is, to large extent, in your own hands.
This land: Living in tents, and by the rules, under a bridge. And in how you interact with others. How well you understand the culture, the government, you live in, live under.
I dunno. We're all struggling, no? some have new babies, new houses. Others have new losses, new despairs. Some are grinding away against the same-old, same-old. Some have brand-spanking-new opportunities that are exhilarating and terrifying in near-equal portions.
But is it about the new comix and clothes, the Broadway shows, the cable channels, the bad days and the frustrations? Or is it about how we meet them?
Afterlife or no: in this life, all you have is your attitude in this moment. The rest is completely, utterly, and totally out of your control.
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Come, join my Cause, and get invitation credit (not to mention thanks!) when you invite your friends.
Yeah, ok, it's Facebook. It's the school-yard, the soda fountain, the village well, the back fence, the water cooler, the bar, it's where people gather and shoot the breeze and come together to work and party down afterwards, and it's where I'm trying to raise a little money to support making Nuclear Guardianship something we just do, like buckling seat belts and picking up trash and not hitting kids and taking care of the elders. I'm supporting the International Campaign to Abolish Nuclear Weapons because I believe these weapons to be the single largest, most weighty, least acknowledged threat to the public health, and I have a life-long dream of reducing, removing, this threat to my community.
So, if you're in Facebook, or your kids are, wander on by. Join, donate, invite. I promise it's not a RickRoll.
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