What are my nursing pet peeves…

Well, today is the day where I am going to sound extremely critical of our profession, but it is what the question entails. And we are encouraged to be critical thinkers to improve services. However, I am aware that I am still studying and only at the very beginning of my career with lots to learn. So, I in no way think that I have all the answers. Anyway, here goes. I have addressed several of my nursing pet peeves in previous blog posts:

  • Poor patient care due to understaffing or poor communication and interpersonal skills.
  • Patient choice being neglected in favour of ease for healthcare practitioners – particularly concerning end-of-life care.
  • Insufficient understanding and delivery of palliative care.
  • Lack of emotional and psychological support for nursing students and nurses.
  • The failure of the government to secure bespoke funding for nursing students. In Scotland, the bursary is not enough. Elsewhere in the country, the student loan system, where students are getting in massive amounts of debt to become nurses, certainly isn’t working.
  • Incorrectly measured and documented observations endangering patient safety and health outcomes.
  • Lack of respect for nursing as a degree educated profession, which applies to both fellow nurses and society in general.
  • A nursing workforce that is not representative of the communities we serve.
  • Nurses being resistant to or unwilling to adapt and change.
  • The varied roles of the modern nursing not being understood.
  • Nurses who are not politically active or using their voices to affect real change and champion the profession – you can’t complain if you aren’t doing anything about it.
  • Nursing history being viewed with rose-tinted glasses. It is time to look forward.
  • The lack of education around nursing history at universities. How can we improve the future without understanding and improving upon the past

However, there are a couple of nursing pet peeves that I haven’t previously discussed.

Firstly, the reticence of certain individuals and institutions to encourage and support younger, newly qualified and student nurses in leadership roles. Sometimes the best leaders are not those with the most experience. In fact, having a fresh pair of eyes, different perspective or new vision – whatever you call it – and being on the shop floor, working directly with patients day-in-day-out, can be what makes them the best people to advocate for patients and nurses and to champion the profession.

Lastly, as a student nurse, one of my biggest pet peeves is being called “the student”. Luckily, this doesn’t happen very often, and when it does, I jokingly say: “my name is Craig”. But it is just rude. Don’t do it. Respect is a two-way street, and students are people too. We are the future of the profession after all.

Sorry about the rant – I promise that tomorrow I’ll be back to my usual chipper self. Would love to hear if you agree or disagree with my nursing pet peeves and any additional ones you have.

Craig

@CraigDavidson85

Which nurses inspire me…

Well, it goes without saying as I have mentioned her considerably throughout this 30-day challenge; my biggest nursing inspiration is my mum, Staff Nurse Carole Davidson. She inspires me, not only because she is an incredibly compassionate, dedicated nurse, who goes above and beyond for her patients and their families – you should see the gorgeous things she has crocheted for all the babies on the ward at Christmas and Easter. No, what inspires me most is that she has done all this while being the emotional, selfless lynchpin of our family; always putting others before herself.

A newly qualified Staff Nurse Davidson, aged 21, 1979.
Working in Ward 7B, Yorkhill Sick Children’s Hospital, 1983.
Princess Diana visiting Ward 7B, 1984. Can you spot mum in the background?

Other than my mum, there are some other inspiring nurses I have also discovered.

While I have nothing but respect for nursing legends like Florence Nightingale and Mary Seacole, during “Men into Nursing” debates, I often discussed the lack of nursing role models who were men. I think it could help attract men into the profession if they had someone to relate to directly and aspire to be – to show nursing is a wonderfully diverse career for all.

Professor June Girvin, who I have mentioned in a previous blog post, and Dr Elaine Maxwell kindly directed towards a plethora of hugely inspiring men. Here are my top three: two for their significant achievements in oncology, my field of interest, and one for his political activism with the RCN. If I could emulate even a small fraction of their work throughout my nursing career, I would feel immensely proud.

Cheeky, I know, and never do this for an essay, but as I am currently on holiday, I am going to copy-and-paste their biographies from Wikipedia.

Robert “Bob” Tiffany:

Robert Tiffany OBE, Fellow of the Royal College of Nursing (30 December 1942 – February 1993), was a British nurse and Fellow of the Royal College of Nursing. He was a founding member of the International Society of Nurses in Cancer Care (ISNCC) and initiated the Biannual International Cancer Nursing Conference. He was also a founding member of the European Oncology Nursing Society and first President of the Society from 1985 to 1987. An oncology nurse at the Royal Marsden Hospital in London, later promoted to Director of Nursing, Tiffany worked to identify misconceptions regarding cancer, as well as cancer prevention, early detection, and improving the lives of those stricken with the disease. The Tiffany Lectureship was founded to inform and inspire oncology nurses worldwide.

Richard J. Wells:

Malcolm William James Richard Wells, CBE FRCN (19 June 1941 – 6 January 1993), commonly known as Richard J. Wells, was a British nurse, nursing adviser and health care administrator.

Wells was born in South Africa during the Second World War. His career in nursing was largely based at the Royal Marsden Hospital, where he held various positions, including Director of the Marie Curie Rehabilitation Centre.

He served as a consultant to a host of organisations, including the World Health Organization, the International Union Against Cancer, the International Council of Nurses and the European Oncology Society.

As Oncology Nursing Adviser at the Royal College of Nursing, Wells helped shape the nursing response to HIV infection and AIDS in the UK.

Wells died in London in 1993. The Richard Wells Research Centre at West London University is named in his honour.

Trevor Clay:

Trevor Clay, CBE, FRCN (10 May 1936 in Nuneaton, Warwickshire, England – 23 April 1994 in Harefield, Middlesex, England) was a British nurse and former General Secretary of the Royal College of Nursing.

Clay began his nursing career in 1957, but it was as General Secretary of the RCN, beginning in 1982, that he became a public trade union official and negotiator. He had been Deputy Secretary since 1979 but was not a public figure.

In 1982, almost at the outset of his tenure, he began negotiations with the UK government over a labour disagreement concerning nurses’ salaries, then at yearly levels of no more than £5,833. As a result, a “Pay Review Body” characterised by autonomous operation was created; the compensation of the nurses he represented was also increased.

Clay was diagnosed with severe emphysema at the age of 37. With a membership in excess of 285,000 at the time of Clay’s pensioning off due to illness in September 1989, no labour organisation unaffiliated with the Trades Union Congress surpassed the RCN in size, and none had a greater rate of expansion. Clay’s respiratory disease claimed his life, aged 57, in 1994.

I am sure you will agree, some pretty inspirational nurses. I urge any man in nursing, who, like myself, have complained that there is a lack of male role models in nursing – do your research. Though I would like to see more nursing history taught at universities – we know Florence and Mary were great, but so were many others. And some of them even happened to be men.

For next year’s International Nurses Day, I would love to see inspirational nurses of all genders, ethnic and cultural backgrounds celebrated. That way we can showcase the wonderful inclusivity of our profession.

Craig

@CraigDavidson85

What’s my favourite nursing topic…

I know this is becoming somewhat of a recurring theme, but again I am finding it so hard to pick a favourite nursing topic as I genuinely enjoy them all.

At Glasgow Caledonian University, where I am currently a student nurse, our academic year is built around five modules, on top of our placements, which develop each year as we progress through our studies. These are values-based nursing practice, evidence-based practice, interprofessional practice, professional skills for practice (which includes physiology, pathophysiology and pharmacology), and our specific nursing module that relates to our field, which in my case is adult nursing.

My favourite subject this year was our adult nursing module, Anticipatory and Alternative Approaches to Adult Nursing. This module was built around case studies of patients living with the chronic conditions of COPD, heart failure and diabetes. We discussed the role of the nurse when caring for a patient throughout their illness trajectory, which included exploring strategies to support them in their homes, early interventions, and better access to safe and effective alternatives to avoid unnecessary hospital admission. We also identified appropriate responses to crises, deterioration in condition, and end-of-life care.

The reason I enjoyed this module so much was it encompassed elements of all our other modules, bringing them together in a such a way that we could utilise our critical thinking skills. It required us to fully understand the pathophysiology of each condition in addition to the pharmacology behind its treatment. We also had to identify the best, most up-to-date evidence, the role of the rest of the interprofessional team, and how we could use our values-based nursing skills to educate patients and navigate difficult conversations. I am looking forward to the next stage of our nursing module in my third year, Adult Nursing to Empower, Enhance and Enable Person Centred Care.

Palliative & End-of-Life Care

Throughout my studies, I have developed a keen interest in palliative and end-of-life care, which this year’s nursing module, alongside my experiences on placement, has only served to intensify. From my experience, not enough is known about effective palliative care, and some nurses often refer to specialists for fear of not understanding how to manage long-term conditions best. I believe it is vital that nurses can distinguish between palliative and end-of-life care, as often the two are confused. End-of-life care is an element of palliative care, but it is not all palliative care encompasses.

The Palliative Care (Scotland) Bill (2010) defines palliative care as “treatment which controls and relieves pain, discomfort or other symptoms caused by or related to a life-limiting condition with the intention of improving quality of life”. The Scottish Government (2015) adds that “palliative care is not just about care in the last days and hour of life, but about ensuring the quality of life for both the person and their family at every stage of the life-limiting disease process from diagnosis onwards”. No one should have to live in pain or symptomatic discomfort, and as nurses, we should always strive to improve or at least maintain the quality of life, which is why quality palliative care is so critical and is an area I have become interested in.

Dignified, respectful end-of-life care, which respects the wishes of the person and their loved ones is also essential. Death is an eventuality for all of us, and we should all be able to live out our last days and hours as we choose. Wherever possible we should be respecting the patient’s preferred location to receive end-of-life care and should have an anticipatory care plan put in place for when deterioration occurs.

So that’s been my favourite nursing subject this year, and my developing professional interest. I look forward to reading about your favourite nursing topics.

Craig

@CraigDavidson85