Image of Nursing in the Media Kelli Howland. Objectives 0 Define nursing, image, and media 0 Apply a...

Image of Nursing in the MediaKelli Howland

Objectives

0Define nursing, image, and media0Apply a nursing theory and non-nursing theory 0Identify policies, resources, quality and safety

issues, and assumptions0Review a root cause analysis0State Inferences, implications, and consequences0Discuss recommendations for quality and safety

improvements

Media and You

One:

Two:

Three:

Four:

Five:

So, what’s the issue?

Relevancy to Nursing

0TV Depictionhttp://www.youtube.com/watch?v=BVzgaQbP2i4

0Social Media Problemhttp://www.youtube.com/watch?v=lhhJab2LMRs

Definitions• Nursing • Image

• Media • Stereotype

Image of Nurses

In the media• Doctor’s handmaiden• Ministering angel• Battleaxe• “Naughty” nurse/Whore• Predominantly female• Incompetent • Bossy and stern

Real life• Trustworthy• Patient Advocates• Strong• Intelligent• Dedicated• Caring• Compassionate• Professional

Supporting Research

0Angels and swingers, matrons and sinners: nursing stereotypes.

0The image of you: constructing nursing identities in YouTube.

0Impact of the perceived public image of nursing on nurses’ work behavior.

0Combatting negative images of nursing.

Theory Base

Environmental Theory

Florence Nightingale

05 components of Environment0External influences04 overall concepts

0 Person0 Environment0 Health0 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

0Health Insurance Portability and Accountability Act (HIPAA)

0White Paper: A Nurse’s Guide for Use of Social Media (https://www.ncsbn.org/Social_Media.pdf)

0ANA website: www.nursingworld.org

Policies & Resources

Quality and Safety Issues

0Staffing Shortages0Lack of trust0Disrespect 0Frustration 0Poor nurse-patient relationship

Assumptions0The nurse can not fix medias image

0Media’s image of nursing doesn’t affect real nurses

0TV 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

What happened? What went

wrong?

Why did it occur?

What would you do to prevent it in the future?

Inferences/ Implications & Consequences

Inferences/Implications/ Consequences

0Portrayal of nursing is more negative than positive0Decreases the nurses job performance0Nurse dissatisfaction (turnover)0Lessen recruitment new nurse 0Low nurse self-image0Compromised patient-nurse relationship

Recommendations for Quality and Safety

Improvements

Recommendations0Promote positive image

0Actively educate others nursing roles

0Join professional nursing organizations0American Nurses Association (ANA)0National Student Nurses Association (NSNA)0Sigma Theta Tau (STT)

0Establish a groups and committee in communities

ANA Standards

Standard 14: Professional Practice Evaluation

Standard 11: Communication

Standard 12: Leadership

Standard 13: Collaboration

QSEN Competencies

0Patient-centered Care0Teamwork and Collaboration0Evidenced-based practice0Quality improvement0 Informatics0Safety

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 practice. Silver Spring, MD.

0 American Nurses Association. (2011). Principles for social networking and the nurse. Silver Spring, MD: Author.

0 American Nurses Association. (2014). What is nursing? Retrieved from http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing

0 Current Nursing. (2011). Nursing theorists. Retrieved from http://currentnursing.com/nursing_theory/nursing_theorists.html

0 Ferns, T., & Chojnacka, I. (2005). Angels and swingers, matrons and sinners: nursing stereotypes. British Journal of Nursing. 14(19), 1028-1032.

0 Isom, M. (1998). The social learning theory. Retrieved from http://www.criminology.fsu.edu/crimtheory/bandura.htm

0 Kelly, J., Fealy, G., & Watson, R. (2012). The image of you: constructing nursing identities in YouTube. Journal of Advanced Nursing. 68(8), 1804-1816.

References Cont.

0 McNally, G. (2009). Combatting negative images of nursing. Kai Tiaki Nursing in New Zealand. 15(10), 19-21.

0 Oxford University Press. (2014). Oxford Dictionary. Oxford University Press, Oxford.

0 QSEN. (2014). Pre-licensure ksa’s. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

0 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-nursing-reality-show-20131120

0 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.