Objectives
0 Define nursing, image, and media
0 Apply a nursing theory and non-nursing theory
0 Identify policies, resources, quality and safety
issues, and assumptions
0 Review a root cause analysis
0 State Inferences, implications, and consequences
0 Discuss recommendations for quality and safety
improvements
Media and You
One:
Two:
Three:
Four:
Five:
So, what’s the issue?
Relevancy to Nursing
0 TV Depiction
http://www.youtube.com/watch?v=BVzgaQbP2i4
0 Social Media Problem
http://www.youtube.com/watch?v=lhhJab2LMRs
Definitions
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Nursing
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Media
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Image
Stereotype
Image of Nurses
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In the media
Doctor’s handmaiden
Ministering angel
Battleaxe
“Naughty” nurse/Whore
Predominantly female
Incompetent
Bossy and stern
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Real life
Trustworthy
Patient Advocates
Strong
Intelligent
Dedicated
Caring
Compassionate
Professional
Supporting Research
0 Angels and swingers, matrons and sinners: nursing
stereotypes.
0 The image of you: constructing nursing identities in
YouTube.
0 Impact of the perceived public image of nursing on
nurses’ work behavior.
0 Combatting negative images of nursing.
Theory Base
Environmental Theory
Florence Nightingale
0 5 components of Environment
0 External influences
0 4 overall concepts
0 Person
0 Environment
0 Health
0 Nursing
Social Learning Theory
Albert Bandura
0 Idea that learning occurs in a social environment.
0 By observing others, people acquire knowledge of rules, skills,
strategies, beliefs, and attitudes.
Assessment of the
Healthcare Environment
Policies & Resources
0 Health Insurance Portability and Accountability Act (HIPAA)
0 White Paper: A Nurse’s Guide for Use of Social Media
(https://www.ncsbn.org/Social_Media.pdf)
0 ANA website: www.nursingworld.org
Policies & Resources
Quality and Safety Issues
0 Staffing Shortages
0 Lack of trust
0 Disrespect
0 Frustration
0 Poor nurse-patient relationship
Assumptions
0 The nurse can not fix medias image
0 Media’s image of nursing doesn’t affect real nurses
0 TV shows are good at portraying nursing
Root Cause Analysis
Nancy, a 24 year old nurse was hired 6 months ago on a
pediatric critical care floor. Today, a 3 month old was
admitted at 4pm with a diagnosis of shaken baby
syndrome and Nancy was assigned as her nurse. This
was Nancy’s first time caring for a patient with this type
of injury.
When Nancy received report on the 3 month old, she was
told that the father had been watching the child all day
and he put her down for a nap, then when tried to wake
her, she didn’t move. The injuries the patient has are
consistent with having been shaken so the father is still
being questioned.
Nancy was instructed to be a one-to-one with the 3
month old and to monitor who visits the child.
At 5pm, Nancy gets a call from the physician that he has put in a
new order for a surgical procedure and transport is on their way
to get the patient now.
Once the patient has left the room, Nancy cant help but is sit and
wonder what would ever make a parent due such a horrific thing
to their child. Nancy takes out her phone and takes a picture of
the empty bed and many monitoring devices. She uploads the
picture to Instagram and adds the caption, “Some things a nurse
can’t even explain. How can a parent hurt their child? #baby
#nurse #Critical Care.”
Nancy’s shift ends before the patient returns. The following day
when Nancy comes to work, her manager pulls her aside and says
she was sent Nancy’s Instagram picture. The manager explains
that even though she may have not noticed, on white board
behind one of the monitors, the patient’s first name was visible.
The manager terminated her employment.
RCA Analysis
Why did it
occur?
What happened?
What went
wrong?
What would you
do to prevent it
in the future?
Inferences/ Implications
& Consequences
Inferences/Implications/
Consequences
0 Portrayal of nursing is more negative than positive
0 Decreases the nurses job performance
0 Nurse dissatisfaction (turnover)
0 Lessen recruitment new nurse
0 Low nurse self-image
0 Compromised patient-nurse relationship
Recommendations for
Quality and Safety
Improvements
Recommendations
0 Promote positive image
0 Actively educate others nursing roles
0 Join professional nursing organizations
0 American Nurses Association (ANA)
0 National Student Nurses Association (NSNA)
0 Sigma Theta Tau (STT)
0 Establish a groups and committee in communities
ANA Standards
Standard 11: Communication
Standard 12: Leadership
Standard 13: Collaboration
Standard 14: Professional Practice Evaluation
QSEN Competencies
0 Patient-centered Care
0 Teamwork and Collaboration
0 Evidenced-based practice
0 Quality improvement
0 Informatics
0 Safety
Now, it’s our time to
promote..
http://www.youtube.com/watch?v=D4G3DXY_VKI
QUESTIONS
References
0 American Nurses Association. (2010). Nursing scope and standards of
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practice. Silver Spring, MD.
American Nurses Association. (2011). Principles for social networking and
the nurse. Silver Spring, MD: Author.
American Nurses Association. (2014). What is nursing? Retrieved from
http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing
Current Nursing. (2011). Nursing theorists. Retrieved from
http://currentnursing.com/nursing_theory/nursing_theorists.html
Ferns, T., & Chojnacka, I. (2005). Angels and swingers, matrons and sinners:
nursing stereotypes. British Journal of Nursing. 14(19), 1028-1032.
Isom, M. (1998). The social learning theory. Retrieved from
http://www.criminology.fsu.edu/crimtheory/bandura.htm
Kelly, J., Fealy, G., & Watson, R. (2012). The image of you: constructing
nursing identities in YouTube. Journal of Advanced Nursing. 68(8), 18041816.
References Cont.
0 McNally, G. (2009). Combatting negative images of nursing. Kai Tiaki
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Nursing in New Zealand. 15(10), 19-21.
Oxford University Press. (2014). Oxford Dictionary. Oxford University
Press, Oxford.
QSEN. (2014). Pre-licensure ksa’s. Retrieved from
http://qsen.org/competencies/pre-licensure-ksas/
Schaefer, S., & Miller, M. (2013). MTV to alter O.C nursing reality show
‘scrubbing in’ protests. Retrieved from:
http://articles.latimes.com/2013/nov/20/local/la-me-ln-mtv-oc-nursingreality-show-20131120
Takase, M., Maude, P., & Manias E. (2006). Impact of the perceived public
image of nursing on nurses’ work behavior. Journal of Advanced Nursing.
53(3), 333-343.