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       Manaen, BSN.RN
Shanghai Children Medical Center
          Project HOPE

         August 26, 2010
         Shanghai, China
Four-Question Survey




? How many people here know RN?
? How many people here will do health-related work?
? How many people here will do nursing-related work or carry
  on further study?
? How many people here will be a nurse ?
To be an RN, ready?




? The environment ready?
  - The hospital (small environment) ready?
  - The society (big environment) ready?
? And you ready?
This is my hospital, looks beautiful huh.. but...
The hospital (small environment)

? Chinese National Rules in charge of hospitals by grade (link)
? Joint Commission International (JCI) Accreditation
  Standards for Hospitals, 4th Edition. Provides the basis for
  accreditation of hospitals throughout the world. (link)
? Magnet Hospital attracting and retaining nursing staff is a
  key issue for hospitals. Nursing shortages create a vicious
  cycle as staff become over-worked and dissatisfied, and
  patient care can suffer accordingly.
? Nurses are more and more important in the hospital.
Brain Storming 1

What items can be put into the Nurses Satisfaction Questionnaire?
? Income
? Decision power
? Professional status
? Work enjoyment
? Relationship between nurses
? Relationship between doctors
? Supportive nursing management
? Professional development
? Autonomy
Brain Storming 2

If you are a nurse, whats your goal?
? Head nurse
? Nursing educator
? Director of nursing department
Different Types of Nurses

If you are a nurse, whats your goal?
? Clinical nurse specialist (CNS)
1. Direct clinical practice
2. Expert coaching (new evidence into practice). It also means
   providing education or teaching skills to patients and family.
3. Collaboration focuses on multidisciplinary team building.
4. Consultation involves reviewing alternative approaches and
   implementing planned change.
5. Research
6. Clinical and professional leadership
7. Ethical decision-making
Different Types of Nurses

? Certified Case Manager (CCM)
1. Referral of new patients
2. Planning & delivery of care
3. Evaluation of results for each patient & adjustment of the care
   plan
4. Evaluation of overall program effectiveness & adjustment of
   the program
Different Types of Nurses

? Public Health Nurse (PHN)
  Public health nurses are RNs with specialized training in community
  health.
? Nurse Midwife
  A nurse midwife is an RN who has completed additional specialized
  education in nurse midwifery.
? Certified Registered Nurse Anesthetist (CRNA)
  A certified registered nurse anesthetist is an RN with specialized training
  in anesthetics.
? Home Health Nurse (HHN)
  Home health nurses are RNs who provide periodic services to patients at
  home.
Brain Storming 3

If you are a nurse, whats your goal?

Also you can be a leader or political figure:
? A President of Hospital
? An Official of Ministry of Health
? A Congressman of Government
? A Official of WHO

  Sx 
? ۬tԺԼ|^߼tԺoO
? tԺ֕T
The society (big environment)

                        Image 1:
                        ? Big eyes
                        ? Always smiling
                        ? Perfect figure
                        ? Always compared with
                          flight attendants and
                          waitresses
The society (big environment)




 Image 2: Their work is easy, dirty, duplicated and
 replaceable.
The society (big environment)
Change the way of thinking
Change the way of thinking
Your Capacity




  (AACN, 1998)
Your Capacity




  (AACN, 1998)
Critical Thinking (innovational power)
Critical Thinking (innovational power)
Critical Thinking (volunteer work)
Communication Capacity (Med-X)
Communication Capacity (Med-X)
Communication Capacity (lobbying ability)
Communication Capacity (lobbying ability)
Communication Capacity (lobbying ability)
Series of Letters (non-public before)
Recommended TV Series


                   Nurse Jackie
                   Plot: A drug-addicted nurse
                   struggles to find a balance
                   between the demands of her
                   frenetic job at a New York
                   City hospital and an array
                   of personal dramas.
Recommended TV Series


                   MERCY
                   Plot: Three nurses deal with
                   patients and personal issues
                   at Mercy Hospital.
Recommended TV Series
Recommended Books


                    I Am a Flower in Wild
                    Florence Nightingale, 12
                    May 1820 C 13 August 1910)
                    was a celebrated English
                    nurse, writer and statistician.
                    A Christian universalist,
                    Nightingale believed that
                    God had called her to be a
                    nurse.
Recommended Books


                In Search of Excellence
                    The "Greatest Business Book
                    of All Time" (Bloomsbury
                    UK), In Search of Excellence
                    has long been a must-have
                    for the boardroom, business
                    school, and bedside table.
Recommended Websites




Thomas Jefferson University Hospital Nursing Home
http://www.jeffersonnursing.org/
Recommended Websites




Scrubs: The Nurses Guide to Good Living
http://scrubsmag.com/
Recommended Websites




Hong Kong Hospital Authority
http://www.ha.org.hk/visitor/ha_index.asp?Lang=CHIB5
My Resume Recommended


                        ? Resume 1
                        ? Resume 2
Question Time




                    Cell Phone: 13816836977
                E-mail: manaen_119@yahoo.com.cn
                 MSN: manaen_119@hotmail.com

More Related Content

About RN

  • 1. йء鱷 ʥ Ϻͯҽѧ 罡 Manaen, BSN.RN Shanghai Children Medical Center Project HOPE August 26, 2010 Shanghai, China
  • 2. Four-Question Survey ? How many people here know RN? ? How many people here will do health-related work? ? How many people here will do nursing-related work or carry on further study? ? How many people here will be a nurse ?
  • 3. To be an RN, ready? ? The environment ready? - The hospital (small environment) ready? - The society (big environment) ready? ? And you ready?
  • 4. This is my hospital, looks beautiful huh.. but...
  • 5. The hospital (small environment) ? Chinese National Rules in charge of hospitals by grade (link) ? Joint Commission International (JCI) Accreditation Standards for Hospitals, 4th Edition. Provides the basis for accreditation of hospitals throughout the world. (link) ? Magnet Hospital attracting and retaining nursing staff is a key issue for hospitals. Nursing shortages create a vicious cycle as staff become over-worked and dissatisfied, and patient care can suffer accordingly. ? Nurses are more and more important in the hospital.
  • 6. Brain Storming 1 What items can be put into the Nurses Satisfaction Questionnaire? ? Income ? Decision power ? Professional status ? Work enjoyment ? Relationship between nurses ? Relationship between doctors ? Supportive nursing management ? Professional development ? Autonomy
  • 7. Brain Storming 2 If you are a nurse, whats your goal? ? Head nurse ? Nursing educator ? Director of nursing department
  • 8. Different Types of Nurses If you are a nurse, whats your goal? ? Clinical nurse specialist (CNS) 1. Direct clinical practice 2. Expert coaching (new evidence into practice). It also means providing education or teaching skills to patients and family. 3. Collaboration focuses on multidisciplinary team building. 4. Consultation involves reviewing alternative approaches and implementing planned change. 5. Research 6. Clinical and professional leadership 7. Ethical decision-making
  • 9. Different Types of Nurses ? Certified Case Manager (CCM) 1. Referral of new patients 2. Planning & delivery of care 3. Evaluation of results for each patient & adjustment of the care plan 4. Evaluation of overall program effectiveness & adjustment of the program
  • 10. Different Types of Nurses ? Public Health Nurse (PHN) Public health nurses are RNs with specialized training in community health. ? Nurse Midwife A nurse midwife is an RN who has completed additional specialized education in nurse midwifery. ? Certified Registered Nurse Anesthetist (CRNA) A certified registered nurse anesthetist is an RN with specialized training in anesthetics. ? Home Health Nurse (HHN) Home health nurses are RNs who provide periodic services to patients at home.
  • 11. Brain Storming 3 If you are a nurse, whats your goal? Also you can be a leader or political figure: ? A President of Hospital ? An Official of Ministry of Health ? A Congressman of Government ? A Official of WHO Sx ? ۬tԺԼ|^߼tԺoO ? tԺ֕T
  • 12. The society (big environment) Image 1: ? Big eyes ? Always smiling ? Perfect figure ? Always compared with flight attendants and waitresses
  • 13. The society (big environment) Image 2: Their work is easy, dirty, duplicated and replaceable.
  • 14. The society (big environment)
  • 15. Change the way of thinking
  • 16. Change the way of thinking
  • 17. Your Capacity (AACN, 1998)
  • 18. Your Capacity (AACN, 1998)
  • 27. Series of Letters (non-public before)
  • 28. Recommended TV Series Nurse Jackie Plot: A drug-addicted nurse struggles to find a balance between the demands of her frenetic job at a New York City hospital and an array of personal dramas.
  • 29. Recommended TV Series MERCY Plot: Three nurses deal with patients and personal issues at Mercy Hospital.
  • 31. Recommended Books I Am a Flower in Wild Florence Nightingale, 12 May 1820 C 13 August 1910) was a celebrated English nurse, writer and statistician. A Christian universalist, Nightingale believed that God had called her to be a nurse.
  • 32. Recommended Books In Search of Excellence The "Greatest Business Book of All Time" (Bloomsbury UK), In Search of Excellence has long been a must-have for the boardroom, business school, and bedside table.
  • 33. Recommended Websites Thomas Jefferson University Hospital Nursing Home http://www.jeffersonnursing.org/
  • 34. Recommended Websites Scrubs: The Nurses Guide to Good Living http://scrubsmag.com/
  • 35. Recommended Websites Hong Kong Hospital Authority http://www.ha.org.hk/visitor/ha_index.asp?Lang=CHIB5
  • 36. My Resume Recommended ? Resume 1 ? Resume 2
  • 37. Question Time Cell Phone: 13816836977 E-mail: manaen_119@yahoo.com.cn MSN: manaen_119@hotmail.com