Author Archives: Paul McNamara

About Paul McNamara

Nurse, educator & social media enthusiast. Loves AFL (Go Adelaide!), hates cotton wool. More info at meta4RN.com

Dear Australian Student Nurses (a letter of encouragement, with data and a song)

Dear Australian Student Nurses yet to be offered a Graduate Nurse position,‬

‪Take heart. We need you.‬

Here’s the evidence:

In related news, ‪about 8.000ish new nurses graduate in Australia every year [2014 info: source].

3501 of Australia’s nurses and midwives are aged 70+. ‬

17,089 of Australia’s nurses and midwives are aged 65+.

39% of Australia’s nurses/midwives are aged 50+ (not that there’s anything wrong with that).

Source: Nursing and Midwifery Board of Australia Registrant Data, Reporting period: 1 April - 30 June 2016, pg. 8 http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD16%2f21646&dbid=AP&chksum=t4OGdyru9MwpHjKdC5SBeA%3d%3d

Source: Nursing and Midwifery Board of Australia Registrant Data, Reporting period: 1 April – 30 June 2016, pg. 8 http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD16%2f21646&dbid=AP&chksum=t4OGdyru9MwpHjKdC5SBeA%3d%3d

Look, I don’t really know what I’m talking about. I was in your position in 1991, and I remember it feeling daunting then. I have no real idea what it’s like to be a new grad in Australia in 2016/2017, and don’t have any detailed understanding of Graduate RN hiring processes around the country. With that disclaimer out of the way, here’s my 2 cents worth:

1. Nurses graduate in packs, but retire one by one. Today there are about 8000 freshly minted Australian RNs wondering if they’re going to get a gig. I don’t know how many of existing RNs are on the verge of retirement, but the demographic info in the table above would suggest at least 8000 will retire within the next year. Have you read the small print in the ‘Modelling Results’ chart above? The last sentence reads, “The major contributing factor to this result is that workforce exits exceed new entrants from 2016 onwards.” [page 37] Be patient. The jobs will become available.

2. If it’s practical to chase the work (ie: go rural/remote) do so. You’ll pick-up some deadly skills, and will be a better future employment prospect than someone who hasn’t worked as a RN.

3. Have you heard the cliché re not waiting for Mr/s Right, and being comfortable with Mr/s Right-Now? Same with your first few RN jobs: anything will do to get your foot in the door. Don’t knock back an unappealing gig. Quitting is quicker/easier than applying.

4. You know that other cliché “It’s not what you know, it’s who you know”?
It’s not quite accurate.
It’s who you ARE, and who knows it.
If you’re well suited to a particular speciality/hospital/ward make sure that it’s not a secret. Make sure you’re friendly with all staff, but be especially sure that the senior staff (the people with their hands on the levers) know that you’re an asset. If they know you’ll make their workplace better, they’ll be keen to grab you when the funding/positions allow.

5. This one is the important one. It’s REALLY disheartening to spend 3+ years working towards something, and then find out that that something isn’t there where you expected it to be.
The fragile self-confidence of a novice RN isn’t geared-up for a kick in guts like that.
It’s not just a disappointment, it’s an injury to the ego.
Be kind to yourself.
Don’t spend all your money at Dan Murphy’s.
Do fun stuff despite feeling crap.
The data tells us that there are RN gigs in the pipeline. Do whatever it takes to be sure that you’re ready when your opportunity arrives.

6. Expect to experience grief emotions. You probably remember the Kübler-Ross 5 stages thing, as a quick reminder: denial, anger, bargaining, depression and acceptance. Anger and depression are uncomfortable, but very understandable, emotions. Find a safe way to express them (pro-tip: resist the temptation to spray paint swear words on your university or local hospitals).

7. On bad days, have another look at the chart at the top of the page. Australia’s health system needs you!

8. Find things that help you stay optimistic. Music works for me. Just in case it works for you too, here’s a song of determination and defiance. Turn it up!

End

This blog post is yet another example of blatant self plagiarism doing a funky remix of previous work. It started out as a short Facebook post, which turned into a conversation. The original is here: https://www.facebook.com/meta4RN/posts/1353685884664226:0

As always, feedback/corrections/additions are welcome in the comments section below.

Paul McNamara, 4 December 2016

Short URL https://meta4RN.com/letter

Hand Hygiene and Mindful Moments

Nurses and other health professionals are expected to attend to hand hygiene about eleventy seven times a day. The WHO and HHA recommend 5 moments for hand hygiene: before touching a patient, before clean/aseptic procedures, after body fluid exposure/risk, after touching a patient, and after touching patient surroundings. 57.4% of Australia’s nurses/midwives are hospital/ward-based [source], they’re doing A LOT of hand hygiene. 

On top of that, while they’re going about their business and busyness, ward-based nurses are interrupted 10 times an hour [source]. Yep, every 6 minutes there’s something or somebody distracting us from our tasks and thoughts. Dangerously disorderly much? Hopefully that doesn’t happen to neurosurgeons, commercial airline pilots, tattoo artists or Batman.
Especially Batman. 

batman

Pro-Tip: most of us can not do this at work. Only respond to distractions with face-slapping if you are Batman.

So, here’s the idea: if you’re going to do hand hygiene dozens of times a day anyway, don’t just do it for your patients: do it for yourself too. We’re not cold callous reptilian clinicians, we’re educated warm-blooded mammals who do emotional labour. We need to nurture ourselves if we are to safely continue to nurture others.

poster1

5 moments for hand hygiene & head hygiene!

Turn the 5 moments of hand hygiene into mindful moments. Make the 5 moments for hand hygiene 5 moments for head hygiene too. Yes, clean hands save lives – let’s not forget that clear heads save lives too!

Come up with a process/script that works for you, maybe something a bit like this: 

Mindful Moment (The 30-Second Handrub Version) 

  1. Step towards the pump bottle with intent. This is my mindful moment. I’m taking a brief break. 
  2. Squirt enough to squish. 
  3. The rub is slippery at first. Frictionless fingers feel fine.
  4. Feel the product texture and temperature. The rub is cooler than the air. The rub is cooler than my fingers. It feels nice. 
  5. Start with cleaning. The first half of my hand hygiene routine is about rubbing stuff off. Let the stuff I want to get rid of float away. 
  6. Move on to restoration, healing. The second half of my hand hygiene routine is about rubbing in resilience and health. Let the stuff that sustains me seep into my skin. 
  7. Check in on the breathing. The slower and deeper the better. If the breathing or the brain are running too fast, slow down and repeat steps 5 and 6. 
  8. There’s no rush. Slowly scan the surroundings. With any luck someone from infection control is watching. 
  9. Smile.
  10. Breathing slowly, its time let the air rinse off the residue. 
  11. One more slow breath. Its time to get back to work. 

Mindful Minute (The 60-Second Handwash Version)

  1. Step towards the sink with intent. This is my mindful minute. I’m taking a brief break. 
  2. Let the water flow.
  3. Feel the water flowing over both hands. The water’s warmer than the air. The water’s warmer than my fingers. It feels nice. 
  4. Add soap. It’s slippery. Frictionless fingers feel fine.
  5. Start with cleaning. The first half of your hand hygiene routine is about washing stuff away. Let the stuff you need to get rid of flow down the drain. Let it flow away. 
  6. Move on to restoration, healing. The second half of my hand hygiene routine is about rubbing in resilience and health. Let the stuff that sustains me seep into my skin. 
  7. Check in on the breathing. The slower and deeper the better. If the breathing or the brain are running too fast, slow down and repeat steps 5 and 6. 
  8. There’s no rush. Slowly scan the surroundings. With any luck someone from infection control is watching. 
  9. Smile.
  10. Breathing slowly, its time rinse both hands. 
  11. Breathing slowly, its time to thoroughly dry both hands together. 
  12. Throw the towel in the bin.
  13. One more slow breath. Its time to get back to work. 
poster2

Clean hands save lives. Clear heads save lives too!

Acknowledgements & Context

This is not my original idea. I first stumbled across the idea of combining hand hygiene with head hygiene via Ian Miller‘s November 2013 blog post “mindfulness during handwashing”: http://thenursepath.com/2013/11/18/mindfulnurse-day-8/. I’ve been using the idea myself and suggesting it to colleagues and students ever since. When I left the clinical environment for a few months, I found myself really missing intentionally punctuating my day with mindful moments. Since returning to clinical practice I’ve come to appreciate the strategy even more than I did when I first started using it 3 years ago.

So why am I blogging about it too? Why now? Well, on Monday I attended the Australasian College for Infection Prevention and Control 2016 conference to chat about Twitter [link to that presentation here. Also, check-out the #ACIPC16 hashtag here and here]. Luckily I was there for the opening plenary sessions, and was pleasantly surprised at the emotional/psychological literacy that was being displayed and advocated for. The opening presentations by Peter Collignon, Mary Dixon Woods and Didier Pittet all went to some lengths to emphasise the importance of emotional intelligence, constructive communication and building relationships. It was really impressive stuff; giving the hand hygiene and mindful moments idea a remix is my way to give recognition/thanks to the #ACIPC16 conference delegates and organisers.

How to win friends and influence people: https://twitter.com/emrsa15/status/800495292642508801

How to win friends and influence people: https://twitter.com/emrsa15/status/800495292642508801

Just so you know, a quick google search reveals that others have also thought of using hand hygiene as a mindful moment, eg this paper:

Gilmartin, Heather. (2016) Use hand cleaning to prompt mindfulness in clinic: A regular prompt for reflection could reduce distraction. BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i13 (Published 04 January 2016)

and this video:

There are others too. Do you think using hand hygiene as a mindful moment could become mainstream?

5mindfulmoments

End

That’s it. As always your comments are welcome via the space below.

May you hands be clean and your head be clear! :-) 

Paul McNamara, 26 November 2016

Short URL: http://meta4RN.com/hygiene

Twitter is a Vector (my #ACIPC16 presentation)

This post is a companion piece to my oral presentation at the Australasian College for Infection Prevention and Control 5th International Conference, 20 -23 November 2016, Pullman & Mercure Melbourne Albert Park. The conference hashtag is #ACIPC16. The function of the online version is to be a collection point to list references/links.

prezi1The Prezi is intended as an oral presentation, so I do not intend to include a full description of the content here.

Regular visitors to meta4RN.com will recognise some familiar themes. Let’s not call it self-plagiarism (such an ugly term), I would rather think of it as a new, funky remix of a favourite old song. Due to this remixing of old content I’ve included lots of previous meta4RN.com blog posts on the reference list (which, in turn, makes the reference list look stupidly self-referential). Anyway, with that embarrassing disclosure, here is the abstract and list of references  for the Prezi https://prezi.com/fcjda3fh9etr/twitter-is-a-vector

Abstract

Using Twitter in your profession (aka Twitter is a Vector*)

Communication is an inherent part of being a health professional. Over time we have our adapted to the communication technologies available to us: telephones, fax machines, emails and videoconferencing. Yet, for some of us, there seems to be hesitation to use one of the technologies of our time – social media – in a similarly confident manner.

Perhaps you have heard a health professional say something like, “Twitter doesn’t interest me – I don’t care what Justin Bieber had for breakfast.” Those people speak that way because they don’t have a clear understanding of the difference between personal, official and professional use of Twitter.

This presentation is a blatant hard-sell regarding professional use of social media. Examples of professional use of Twitter being used to augment education, conferences, health promotion, academia and the profile of health professionals will be presented.

Please use the conference hashtag – #ACIPC16 – if live-Tweeting during this presentation.

prezi2References

#ACIPC16 hashtag data http://www.symplur.com/healthcare-hashtags/ACIPC16

Australian College of Nursing (n.d.) Social media guidelines for nurses. Retreived from http://www.rcna.org.au/WCM/…for_nurses.pdf

Australian Health Practitioner Regulation Agency. (2014, March 17). Social media policy. Retrieved from http://www.ahpra.gov.au/News/2014-02-13-revised-guidelines-code-and-policy.aspx

Casella, E., Mills, J., & Usher, K. (2014). Social media and nursing practice: Changing the balance between the social and technical aspects of work. Collegian, 21(2), 121–126. doi:10.1016/j.colegn.2014.03.005

Citizen Kane DVD cover. (n.d.). Retrieved from http://www.currentfilm.com/dvdreviews4/citizenkanedvd.html

Facebook. (2015). Facebook logo. Retrieved from https://www.facebookbrand.com/

Ferguson, C., Inglis, S. C., Newton, P. J., Cripps, P. J. S., Macdonald, P. S., & Davidson, P. M. (2014).  Social media: A tool to spread information: A case study analysis of Twitter conversation at the Cardiac Society of Australia & New Zealand 61st Annual Scientific Meeting 2013. Collegian, 21(2), 89–93. doi:10.1016/j.colegn.2014.03.002

Fox, C.S., Bonaca, M.P., Ryan, J.J., Massaro, J.M., Barry, K. & Loscalzo, J. (2015). A randomized trial of social media from Circulation. Circulation. 131(1), pp 28-33

Gallagher, R., Psaroulis, T., Ferguson, C., Neubeck, L. & Gallagher, P. 2016, ‘Social media practices on Twitter: maximising the impact of cardiac associations’, British Journal of Cardiac Nursing, vol. 11, no. 10, pp. 481-487.

#IP2016 hashtag data: http://www.symplur.com/healthcare-hashtags/IP2016/analytics/?hashtag=IP2016&fdate=09%2F24%2F2016&shour=00&smin=00&tdate=10%2F01%2F2016&thour=00&tmin=00

Instagram. (2015). Instagram logo. Retrieved from https://help.instagram.com/304689166306603

Li, C. (2015). Charlene Li photo. Retrieved from http://www.charleneli.com/about-charlene/reviewer-resources/

lifeinthefastlane. (2013). #FOAMed logo. Retrieved from http://lifeinthefastlane.com/foam/

McNamara, P. (2016, October 21) Why on earth would a Mental Health Nurse bother with Twitter? (my #ACMHN2016 presentation). Retrieved from https://meta4RN.com/ACMHN2016

McNamara, P. (2016, October 15) Learn about Obesity (and Twitter) via Nurses Tweeting at a Conference. Retrieved from  https://meta4RN.com/obesity

McNamara, P., & Meijome, X. M. (2015). Twitter Para Enfermeras (Spanish/Español). Retrieved 11 March 2015, from http://www.ausmed.com.au/es/twitter-para-enfermeras/

McNamara, P. (2014). A Nurse’s Guide to Twitter. Retrieved from http://www.ausmed.com.au/twitter-for-nurses/

McNamara, P. (2014, May 3) Luddites I have known. Retrieved from http://meta4RN.com/luddites

McNamara, P. (2013) Behave online as you would in real life (letter to the editor), TQN: The Queensland Nurse, June 2013, Volume 32, Number 3, Page 4.

McNamara, P. (2013, October 25) Professional use of Twitter and healthcare social media. Retrieved from http://meta4RN.com/NPD100

McNamara, P. (2013, October 23) A Twitter workshop in tweets. Retrieved from http://meta4RN.com/tweets

McNamara, P. (2013, October 1) Professional use of Twitter. Retrieved from http://meta4RN.com/poster

McNamara, P. (2013, July 21) Follow Friday and other twitterisms. Retrieved from http://meta4RN.com/FF

McNamara, P. (2013, June 7) Omnipresent and always available: A mental health nurse on Twitter. Retrieved from http://meta4RN.com/twit

McNamara, P. (2013, January 20) Social media for nurses: my ten-step, slightly ranty, version. Retrieved from http://meta4RN.com/rant1

Moorley, C., & Chinn, T. (2014). Using social media for continuous professional development. Journal of Advanced Nursing, 71(4), 713–717. doi:10.1111/jan.12504

Nickson, C. P., & Cadogan, M. D. (2014). Free Open Access Medical education (FOAM) for the emergency physician. Emergency Medicine Australasia, 26(1), 76–83. doi:10.1111/1742-6723.12191

Nursing and Midwifery Board of Australia (2010, September 9) Information sheet on social media. Retrieved from http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD10%2F3224&dbid=AP&chksum=qhog9%2FUCgKdssFmA0XnBlA%3D%3D

Screenshot 1 “Trump: Twitter helped me win but I’ll be ‘restrained’ now” from http://money.cnn.com/2016/11/12/media/donald-trump-twitter-60-minutes/

Screenshot 2: “Melania Trump rebukes her husband “all the time” for Twitter use” from http://www.cbsnews.com/news/donald-trump-melania-trump-60-minutes-interview-rebukes-twitter-use/

Tonia, T., Van Oyen, H., Berger, A., Schindler, C. & Künzli, N. (2016). International Journal of Public Health. 61(4), pp 513-520. doi:10.1007/s00038-016-0831-y

Twitter. (2015). Twitter logo. Retrieved from https://about.twitter.com/press/brand-assets

Wilson, R., Ranse, J., Cashin, A., & McNamara, P. (2014). Nurses and Twitter: The good, the bad, and the reluctant. Collegian, 21(2), 111–119. doi:10.1016/j.colegn.2013.09.003

Wozniak, H., Uys, P., & Mahoney, M. J. (2012). Digital communication in a networked world. In J. Higgs, R. Ajjawi, L. McAllister, F. Trede, & S. Loftus (Eds.), Communication in the health sciences (3rd ed., pp. 150–162). South Melbourne, Australia: Oxford University Press.

End 

Finally, a big thank you to the  Australasian College for Infection Prevention and Control 2016 conference organisers for inviting me to #ACIPC16. Special thanks to the Chair of the Scientific Committee Brett Mitchell (aka @1healthau on Twitter).

prezi3That’s it. As always your comments are welcome.

Paul McNamara, 18th November 2016

Short URL: meta4RN.com/ACIPC16

The Broken Leg/Psychosis Metaphor

Preamble

Below is a metaphor I heard in 1994 via an impressive man called Greg Holland. Greg is retired now, but when I met him he was a CNC with a public community mental health service. Even after all the years that have followed, Greg remains one of the most skilled communicators and mental health nurses I’ve ever worked with.

Greg was talking with a couple of young fellas who had been diagnosed with schizophrenia. Greg was explaining the importance of trying to avoid relapses of psychosis. The key messages for these young blokes was to keep taking the prescribed medications, and stay away from things that make psychosis more likely: things like cannabis, amphetamines or heaps of alcohol. That’s when Greg used this metaphor (his verbal version was shorter than my written version, but the general story is the same):

The Broken Leg/Psychosis Metaphor

If you accidentally broke your leg skateboarding or playing football, you’d have to have your leg in plaster for about 6 weeks. You would have to be really careful with it during that time, and it would probably get really uncomfortable and itchy most days. Then, if there were no complications, after 6 weeks you’d be able to get the plaster cast off, and start building up your strength in that broken leg. A physio might recommend some exercises, but you probably wouldn’t get back to playing football or skateboarding for a few months. Rehabilitation takes a bit of time and effort, but as a young fit man you’ll make a full recovery. No worries.

If you broke the same leg again, it might be more of a big deal. You might need surgery, and they might need to strengthen the bone with steel plates or rods and screws. Sometimes people need to have external fixation: metal devices that are screwed into the bones, but sit outside the body, above the skin to stabilise the fractures. It will be messier, more painful, take longer to get out of hospital, and your leg muscles will get pretty weak. You’ll probably make a full recovery still, but it will just take more time and effort.

If you break your leg a third time, the orthopaedic nurses and doctors are going to think you’re either really unlucky or stupidly reckless. They’ll suggest that you stop skateboarding and playing football altogether. Your leg will get operated on, and the fractures will get stabilised, but the recovery will be really slow. You could end-up with a bit of a limp.

If you keep on breaking the same leg over and over again, say five, six, seven times, you will definitely end up with a limp. Might need a walking stick or something.

If you break the same leg often enough and bad enough you’ll probably end up lame: permanently disabled and unable to walk. You’ll wish you’d listened to the orthopaedic nurses and doctors, and had never gone back to skateboarding or playing football.

It’s kind of the same with psychosis.

If you lose touch with reality once or twice you’ll probably make a full recovery.

But if you keep on having psychotic episodes your brain might develop a bit of a “limp” – it will still work, but not as good as it used to work.

If you have lots of psychotic episodes you might end up disabled and unable enjoy life to the fullest. You’ll wish you’d never gone back to smoking gunja or getting pissed.

That’s why I’m working with you to prevent or cut down on psychotic relapses. Does that make sense to you?

End

I really like the broken leg/psychosis metaphor. I use a shortened version of the above script a fair bit at work, and people usually respond well to it. I’m very grateful to Greg Holland for introducing the analogy to me. It’s a good metaphor that I hope that others will find useful to use/adapt in their clinical practice too.

As always, your feedback is welcome in the comments section below.

Paul McNamara, 17th November 2016

Short URL: meta4RN.com/leg

Why on earth would a Mental Health Nurse bother with Twitter? (my #ACMHN2016 presentation)

This post is a companian piece to my oral presentation at the Australian College of Mental Health Nurses 42nd International Mental Health Nursing Conference, 25 – 27 October 2016, Adelaide Convention Centre (the conference hashtag is #ACMHN2016). The function of the online version is to be a collection point to list references.

The Prezi is intended as an oral presentation, so I do not intend to include a full description of the content here.

Regular visitors to meta4RN.com will recognise some familiar themes. Let’s not call it self-plagarism (such an ugly term), I would rather think of it as a new, funky remix of a favourite old song. Due to this remixing of old content I’ve included previous meta4RN.com blog posts on the reference list (which, in turn, makes the reference list look stupidly self-referential).

abstracts

Anyway, with that embarrassing disclosure, here is the abstract and list of references  for the Prezi “Why on earth would a Mental Health Nurse bother with Twitter?

Abstract

Have you ever heard someone say something like, “Twitter doesn’t interest me – I don’t care what Justin Bieber had for breakfast”? Those people speak that way because they don’t understand the difference between personal, official and professional use of Twitter or social media more generally. Data will be presented about nurses using Twitter in a constructive, professional way, with the aim of allaying the fears of those in the pre-contemplation phase, and encouraging those in the contemplation and action phases. In recognition of nursing being a predominantly female profession, a feminist argument will be introduced that aligns the use of social media with empowerment. It will be argued that Twitter can enable and ennoble mental health nurses to engage with people beyond the “walled gardens” of our work silos, our profession, and our conference. Participants will be encouraged to have their mobile phone/tablet/laptop turned on and in use during the presentation, in the hope that we will have a shared conversation on the subject. Why on earth would a mental health nurse bother with Twitter? Answers and challenges will be available to those who attend this presentation and/or follow the conference hashtag #ACMHN2016.

References

Australian College of Nursing (n.d.) Social media guidelines for nurses. Retreived from http://www.rcna.org.au/WCM/…for_nurses.pdf

Australian Health Practitioner Regulation Agency. (2014, March 17). Social media policy. Retrieved from http://www.ahpra.gov.au/News/2014-02-13-revised-guidelines-code-and-policy.aspx

Casella, E., Mills, J., & Usher, K. (2014). Social media and nursing practice: Changing the balance between the social and technical aspects of work. Collegian, 21(2), 121–126. doi:10.1016/j.colegn.2014.03.005

Citizen Kane DVD cover. (n.d.). Retrieved from http://www.currentfilm.com/dvdreviews4/citizenkanedvd.html

Facebook. (2015). Facebook logo. Retrieved from https://www.facebookbrand.com/

Ferguson, C., Inglis, S. C., Newton, P. J., Cripps, P. J. S., Macdonald, P. S., & Davidson, P. M. (2014).  Social media: A tool to spread information: A case study analysis of Twitter conversation at the Cardiac Society of Australia & New Zealand 61st Annual Scientific Meeting 2013. Collegian, 21(2), 89–93. doi:10.1016/j.colegn.2014.03.002

Fox, C.S., Bonaca, M.P., Ryan, J.J., Massaro, J.M., Barry, K. & Loscalzo, J. (2015). A randomized trial of social media from Circulation. Circulation. 131(1), pp 28-33

Gallagher, R., Psaroulis, T., Ferguson, C., Neubeck, L. & Gallagher, P. 2016, ‘Social media practices on Twitter: maximising the impact of cardiac associations’, British Journal of Cardiac Nursing, vol. 11, no. 10, pp. 481-487.

Instagram. (2015). Instagram logo. Retrieved from https://help.instagram.com/304689166306603

Li, C. (2015). Charlene Li photo. Retrieved from http://www.charleneli.com/about-charlene/reviewer-resources/

lifeinthefastlane. (2013). #FOAMed logo. Retrieved from http://lifeinthefastlane.com/foam/

McNamara, P., & Meijome, X. M. (2015). Twitter Para Enfermeras (Spanish/Español). Retrieved 11 March 2015, from http://www.ausmed.com.au/es/twitter-para-enfermeras/

McNamara, P. (2014). A Nurse’s Guide to Twitter. Retrieved from http://www.ausmed.com.au/twitter-for-nurses/

McNamara, P. (2014, May 3) Luddites I have known. Retrieved from http://meta4RN.com/luddites

McNamara, P. (2013) Behave online as you would in real life (letter to the editor), TQN: The Queensland Nurse, June 2013, Volume 32, Number 3, Page 4.

McNamara, P. (2013, October 25) Professional use of Twitter and healthcare social media. Retrieved from http://meta4RN.com/NPD100

McNamara, P. (2013, October 23) A Twitter workshop in tweets. Retrieved from http://meta4RN.com/tweets

McNamara, P. (2013, October 1) Professional use of Twitter. Retrieved from http://meta4RN.com/poster

McNamara, P. (2013, July 21) Follow Friday and other twitterisms. Retrieved from http://meta4RN.com/FF

McNamara, P. (2013, June 7) Omnipresent and always available: A mental health nurse on Twitter. Retrieved from http://meta4RN.com/twit

McNamara, P. (2013, January 20) Social media for nurses: my ten-step, slightly ranty, version. Retrieved from http://meta4RN.com/rant1

McNamara, P. (2016, October 15) Learn about Obesity (and Twitter) via Nurses Tweeting at a Conference. Retrieved from  https://meta4RN.com/obesity

Moorley, C., & Chinn, T. (2014). Using social media for continuous professional development. Journal of Advanced Nursing, 71(4), 713–717. doi:10.1111/jan.12504

New South Wales Nurses and Midwives Association [nswnma]. (2014, July 30). Women now have unmediated access to public conversation via social media for 1st time in history @JaneCaro #NSWNMAconf14 #destroythejoint [Tweet]. Retrieved from https://twitter.com/nswnma/status/494313737575096321

New South Wales nurses and Midwives’ Association. (2014). NSW Nurses & Midwives Association logo. Retrieved from http://housingstressed.org.au/wp-content/uploads/2011/08/NSWNMA.png

Nickson, C. P., & Cadogan, M. D. (2014). Free Open Access Medical education (FOAM) for the emergency physician. Emergency Medicine Australasia, 26(1), 76–83. doi:10.1111/1742-6723.12191

Nursing and Midwifery Board of Australia (2010, September 9) Information sheet on social media. Retrieved from http://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD10%2F3224&dbid=AP&chksum=qhog9%2FUCgKdssFmA0XnBlA%3D%3D

Tonia, T., Van Oyen, H., Berger, A., Schindler, C. & Künzli, N. (2016). International Journal of Public Health. 61(4), pp 513-520. doi:10.1007/s00038-016-0831-y

Twitter. (2015). Twitter logo. Retrieved from https://about.twitter.com/press/brand-assets

Wall Media. (2015). Jane Caro photo. Retrieved from http://wallmedia.com.au/jane-caro/

Wilson, R., Ranse, J., Cashin, A., & McNamara, P. (2014). Nurses and Twitter: The good, the bad, and the reluctant. Collegian, 21(2), 111–119. doi:10.1016/j.colegn.2013.09.003

WordPress. (2015). WordPress logo. Retrieved from https://wordpress.org/about/logos/

Wozniak, H., Uys, P., & Mahoney, M. J. (2012). Digital communication in a networked world. In J. Higgs, R. Ajjawi, L. McAllister, F. Trede, & S. Loftus (Eds.), Communication in the health sciences (3rd ed., pp. 150–162). South Melbourne, Australia: Oxford University Press.

YouTube. (2015). YouTube logo. Retrieved from https://www.youtube.com/yt/brand/downloads.html

Citations

If there’s anything here of use, you can either cite this web page as:

McNamara, P.  (2016, 21 October) Why on earth would a Mental Health Nurse bother with Twitter? Retrieved from http://meta4RN.com/ACMHN2016

or, if you’re pulling info direct from the abstract, use the more academic-sounding citation that’s in the IJMHN (the ACMHN journal):

McNamara, P. (2014) Why on earth would a Mental Health Nurse bother with Twitter? (presentation, ACMHN’s 42nd International Mental Health Nursing Conference Nurses striving to tackle disparity in health care 25 – 27 October 2016, Adelaide Convention Centre). International Journal of Mental Health Nursing, Vol 25, Issue S1, Pg 34. doi: 10.1111/inm.12771

End 

That’s it. As always your comments are welcome.

Paul McNamara, 21st October 2016

Learn about Obesity (and Twitter) via Nurses Tweeting at a Conference

If you read this I guarantee that you will learn 4 things in 5 minutes:

  1. How obesity works
  2. How Twitter at a healthcare conference works
  3. How an aggregation tool like Storify can add value to Twitter content
  4. How nurses can be simultaneously generous, incisive and funny

 

Small sample of conference Tweets. Click to see the whole story

Small sample of conference Tweets. Click to see the whole story: https://storify.com/meta4RN/obesity-personal-or-social-responsibility

So What?

Sometimes I have trouble explaining to health professionals how Twitter works at conferences. It’s easier to show an example, rather than just chin-wagging and flapping-about like a chook in a cyclone. That’s why I have created this example: https://storify.com/meta4RN/obesity-personal-or-social-responsibility

Haven’t I Seen This Before?

Maybe. Back in 2013 this example was buried about halfway through a long blog post called #ICNAust2013: Looking Back at a Nursing Conference through a Social Media Lens, At time of writing this self plagiarising (yet again!) post, the original post has been read 578 times, and the Storify version has been viewed 595 times. You may be one of the lucky few to have seen it before.🙂

Huh? I Don’t Get It.

Follow this link: https://storify.com/meta4RN/obesity-personal-or-social-responsibility, take 5 minutes to read through the collated Tweets, and then you’ll get it. Promise.

End

As always, you’re very welcome to leave feedback/suggestions/questions in the comments section below.

Paul McNamara, 15 October 2016

Short URL: https://meta4RN.com/obesity

 

What can Mental Health Nurses learn from the Amazing Story of a Catholic Patron Saint? (my #ACMHN2016 conference poster)

Welcome to the online companion to my poster presentation at the Australian College of Mental Health Nurses 42nd International Mental Health Nursing Conference, 25 – 27 October 2016, Adelaide Convention Centre.

If you have 6 minutes to spare, please watch the YouTube version:

“What can mental health nurses learn from the amazing story of a catholic patron saint?” was initially submitted as an #ACMHN2016 oral presentation, but accepted as a conference poster. So, instead of updating and reworking the YouTube presentation (as I had planned), I started again. I’m not sure that the poster meets the brief (well, abstract) as well as an oral presentation would have, but anyway…

Abstract

Mental health nursing has a long tradition of story-telling as a tool for developing relationships, undertaking mental state assessment and informing clinical practice. This presentation aims to add to mental health nursing’s discourse about “how we do business”, and add another layer of cultural diversity to our narrative and identity. A review of the literature regarding a catholic patron saint called Dymphna has been undertaken. This will be summarised and presented in a manner in keeping with philosopher Alain de Botton’s proposal that religious teachings should not be trusted to the religious alone – they can be re-purposed and re-mixed to inform atheists too. The historical and mystical story of a 7th century European teenage martyr and saint will be aligned to 21st century Australian language and values. Dymphna’s tale takes unexpected twists and turns which will raise questions about Australia’s appetite for innovative models of mental health care, and whether more could be done to promote mental health nursing as a profession and an identity. This presentation will appeal to those interested in consumer-focused mental health care, innovative alternatives to mainstream care, celebrating mental health nursing, and amazing stories.

amazingstoryposter2

References

Catholic Online (n.d.) St. Dymphna. Retrieved from www.catholic.org/saints/saint.php?saint_id=222

Catholic Saints Info (2016, 27 July) Saint Dymphna. Retrieved from catholicsaints.info/saint-dymphna

de Botton, A. (2011, July) Alain de Botton: Atheism 2.0 [Video file] Retrieved from www.ted.com/talks/alain_de_botton_atheism_2_0

Franciscan Mission Associates. (n.d.) The Story of St. Dymphna. Retrieved from franciscanmissionassoc.org/prayer-requests/devotional-saints/st-dymphna/story/ 

Goldstein, J.L. & Godemont, M.M.L. (2003) The Legend and Lessons of Geel, Belgium: A 1500-Year-Old Legend, a 21st-Century Model. Community Mental Health Journal. 39: 441. doi: 10.1023/A:1025813003347

Ireland’s Eye (n.d.) Saint Dymphna. Retrieved from www.irelandseye.com/irish/people/saints/dympna.shtm

Jay, M. (2014, 9 January) The Geel question. Retrieved from aeon.co/essays/geel-where-the-mentally-ill-are-welcomed-home

Kirsch, J.P. (1909). St. Dymphna. In The Catholic Encyclopedia. New York: Robert Appleton Company. Retrieved from New Advent: www.newadvent.org/cathen/05221b.htm

McNamara, P. (2013, 14 May) Dymphna: The Amazing Story of a Catholic Patron Saint. Retrieved from meta4RN.com/dymphna

McNamara, P. (2013, 20 May) Should May 15th be International Mental Health Nurse Day? Retrieved from meta4RN.com/may15

Novena (n.d.) Feast of St. Dympna. Retrieved from novena.com/2013/05/15/feast-of-st-dymphna/

Openbaar Psychiatrisch Zorgcentrum (OPZ) – Geel website www.opzgeel.be/en/home/htm/intro.asp

Rabenstein, K.I. (1998) Saint of the day. Retrieved from www.saintpatrickdc.org/ss/0515.shtml

Wikipedia (2016, 21 September) Dymphna. Retrieved from en.wikipedia.org/wiki/Dymphna

Image References

In an effort to engage conference delegates in the story of Dymphna, the poster has been made in a colourful quasi-comic style. At time of writing this (a fortnight before the conference starts),  I feel a bit anxious that someone will misinterpret the effort to visually engage people as trivialising the subject. This is a bit of a worry, because Dymphna’s story includes nasty stuff, not the least of which includes threatened incest, family violence and two people being beheaded. Even Donald Trump would know that these are not topics to be trivialised.

Although I don’t treat Dymphna’s story with the same reverence as The Pope, I do hold the stories I learnt as a catholic schoolboy with a nostalgic affection. My telling of Dymphna’s story is through the prism of a happily-lapsed-catholic, and with the words of Kirsch [see reference list above] ringing in my ears: “This narrative is without any historical foundation, being merely a variation of the story of the king who wanted to marry his own daughter, a motif which appears frequently in popular legends.” Dymphna’s amazing story is a centuries-old remix of a made-up myth. It’s not the news.

Le martyre de sainte Dymphne et de saint Gerbert (Martyrdom of St Dymphna and St Gerebernus), Seghers Gérard (1591-1651) http://www.photo.rmn.fr/archive/09-524783-2C6NU09M4JRG.html

Le martyre de sainte Dymphne et de saint Gerbert (Martyrdom of St Dymphna and St Gerebernus), Seghers Gérard (1591-1651) http://www.photo.rmn.fr/archive/09-524783-2C6NU09M4JRG.html

Openbaar Psychiatrisch Zorgcentrum (OPZ) – Geel http://www.opzgeel.be/en/home/htm/intro.asp

Openbaar Psychiatrisch Zorgcentrum (OPZ) – Geel http://www.opzgeel.be/en/home/htm/intro.asp

The Technical Stuff

The poster was made using Apple Pages running on a 2011 iMac.

The poster was made for non-commercial reasons, and full attribution has been given to the authors/works used to inform/illustrate the poster. I expect the same in return, so “What can mental health nurses learn from the amazing story of a catholic patron saint?” by Paul McNamara is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Creative Commons License

There’s a description of how the video was made here: meta4RN.com/Dymphna 

Citations

You can either cite this web page as:

McNamara, P.  (2016, 11 October) What can mental health nurses learn from the amazing story of a catholic patron saint? Retrieved from http://meta4RN.com/amazing

or, if you’re pulling info direct from the abstract, use the more academic-sounding citation that’s in the IJMHN (the ACMHN journal):

McNamara, P. (2016) What can mental health nurses learn from the amazing story of a catholic patron saint? (poster, ACMHN’s 42nd International Mental Health Nursing Conference Nurses striving to tackle disparity in health care 25 – 27 October 2016, Adelaide Convention Centre). International Journal of Mental Health Nursing, Vol 25, Issue S1, Pg 34. doi: 10.1111/inm.12771

End

I’ll leave a copy of the PDF here (amazingstoryposter2) just in case I need it one day. Things are much easier to find/share when they’re online.

Previous visitors to my website will know that I’ve covered the Dymphna story previously back in 2013. It’s not self-plagiarising if it’s referenced, is it? It’s more like a funky new remix.🙂

If you’re at the conference, please say howdy if you see me skulking about, and/or share this web page or your pics of the poster using the #ACMHN2016 hashtag.

As always, your comments are welcome below.

Paul McNamara, 11th October 2016.