About RN

有关“RN”

马圣念

上海儿童医学中心

世界健康基金会

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, what’s your goal?

• Head nurse

• Nursing educator

• Director of nursing department

Different Types of Nurses

If you are a nurse, what’s 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

• 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

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, what’s 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

黃成輝 先生• 香港瑪麗醫院以及東區七家醫院護理總監

• 香港醫院管理局會員

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 – 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.

Thomas Jefferson University Hospital Nursing Home

http://www.jeffersonnursing.org/

Recommended Websites

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