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  • 1. WEEK 4: Evidence Informed Practice in a Technology Enhanced Workplace Week
  • 2. Date: Monday September 30 th A Nursing Diary: Initial Reactions Just from Looking at the Title: Evidence Informed Practice in a Technology Enhanced Workplace NOTICING: context, background and relationships I have to the topic
  • 3. DATE: MONDAY SEPTEMBER 30TH INITIAL REACTIONS JUST FROM LOOKING @ TITLE: The title of the Week 4 Class--Evidence Informed Practice in a Technology Enhanced Workplace—stirred a reaction in me. It brought me back to a time in first year during a guest lecture by Dr. Cheryl Forchuk. Cheryl was talking about Peplau’s interpersonal theory. I loved the idea about nursing being a healing art and many other of the aspects of Peplau’s theory I couldn’t shake the thought in my head that “Although I respect Peplaus ideas and other ideas from Nursing thoerists, I can’t help but wonder how this applies to the real world of nursing. I just feel that although the ideas in these theories are good ones, it just isn’t the hegemony of the business type model of the hospital business”
  • 4. DATE: MONDAY SEPTEMBER 30TH INITIAL REACTIONS JUST FROM LOOKING @ TITLE: I just felt that these ideas were very out of my grasp at this moment, and couldn’t stop thinking that we are learning these ideas now because its n our curriculum but once we get to our nursing practice were not going to be in circumstances where practicing nursing theories is supported. I recognized that these ideals were not hegemonic of most nurses. When I talked to Dr. Forchuk about this she brought up a term I was familiar of it but I had not quite appreciated the importance of. This term was:
  • 5. DATE: MONDAY SEPTEMBER 30TH INITIAL REACTIONS JUST FROM LOOKING @ TITLE: Dr. Cheryl counteracted my question by talking about objectifying the caring portion of nursing. If we continue to research and are able to provide proof that the caring portion of nursing produces results then we can incorporate these ideas to the meso level. This revolutionized my ideas about evidence-based practice. I felt that often in the first year of nursing, many students (including me sometimes) just wanted to focus on the practical aspects of nursing. Alas, from this point on I realized how important have a theoretical based nursing practice was. I embraced and appreciated the attainment of more theoretical knowledge from this point on. In conclusion, my initial reaction to the class on Evidence Informed Practice in a Technology Enhanced Workplace is one of excitement because of the aforementioned background and relationship I have to the topic. As I find this whole grey issue of social media overwhelming at times, I am looking forward to learning about being more evidence based in this field as it will enhance my competency in this area!
  • 6. Date: Thursday October 3rd Journal Title: Interpreting/Responding to Different Ideas and Perspectives from Class
  • 7. DATE: THURSDAY OCTOBER 3RD: INTERPRETING/RESPONDING TO DIFFERENT IDEAS AND PERSPECTIVES FROM CLASS I came into the class hoping to make social media ethical issues black or white, (or be able to see the right or wrong). I left the class with awareness that when issues arise, we as nurses to continuously educate ourselves and have evidence informed opinions so that we are better able to navigate our way through these ethical issues. In order to become better nurses we need to be continuously thirsting for knowledge. Throughout the class I cultivated an understanding that although many of these social media related issues are in a grey area, we must have evidence informed opinions. This realization came during the class activity where two groups debated whether or not it was ethical to Google a patient’s name. I strongly felt that it was not okay to Google a patient’s name. I was shocked as the majority thought that it was okay to research the client. I felt that by researching the patient it would interfere with providing them the care that they deserve, and that every person —regardless of their past—deserves to have unbiased care.
  • 8. DATE: THURSDAY OCTOBER 3RD: INTERPRETING/RESPONDING TO DIFFERENT IDEAS AND PERSPECTIVES FROM CLASS Evidence Informed Opinion By googling a patients name I felt that it would taint the nurses perception of the client and this would result in undesired patient outcomes. The viewpoint that nurses perception of a client will be altered upon learning about the clients passed is made evident by Rash and Winton as they state that sex offenders are often marginalized and stigmatized by nurses (2006). When nurses marginalize and stigmatize clients it results in negative patient outcomes. Corey and Gorlen (1998) classify this as the “Dark Side of Nursing”. The dark side of nursing occurs when nurses negatively stereotype patient behavior, attitudes, and characteristics in a stigmatizing way. “Dark Side of Nursing” behaviors are described as when nurses are “…hostile, angry, or interpersonally distancing responses to patients, minimizing or voiding patient contact, and failing to provide care the patient needs…” (Corey & Gorlen, 1998, para. 3). These behaviors do not contribute to the well being of patients, and thus it fails to reflect the moral obligation of a nurse to provide care (Corey and Gorlen, 1998). This was the viewpoint that I had during class. I felt that by googling the patients name we are more likely to stigmatize, marginalize, stereotype and label the patient, and as a result it would affect the patients care. A client who has sexually abused others deserves to be treated with respect, dignity and is entitled to receive the same kind of care as everybody else, and by googling them we are infringing on their rights to be cared for in an unbiased manner.
  • 9. REFERENCES TO MY EVIDENCE BASED OPINION Mary C Corley, & Suzanne Goren. (1998). The dark side of nursing: Impact of stigmatizing responses on patients. Scholarly Inquiry for Nursing Practice, 12(2), 99. Rash, E., & Winton, M. A. (2007). Advanced practice nurse attitudes toward sex offender patients. Journal of the American Academy of Nurse Practitioners, 19(6), 328-331. doi:10.1111/j.1745-7599.2007.00233.x
  • 10. th 12 Date: Saturday October Journal Title: New Perspectives
  • 11. DATE: FRIDAY OCTOBER 12TH INTERPRETING/RESPONDING TO DIFFERENT IDEAS AND PERSPECTIVES FROM CLASS Saturday October 12 th New Perspectives on the Ethical Issue: Is it Okay to Google a Patients Name? I brought up the discussion we had during the Evidence Informed Practice in a Technology Enhanced Workplace class today at lunch as I was interested in what other perspectives were. Upon conversation with Mary—a social worker whom specializes in the reintegration of people who have offended sexually into society—I gained a new perspective on the idea of googling a patient. By talking out this scenario and through further reflection and insight I have a new viewpoint. I now feel that if this situation were to arise it would be okay to Google the patient. On the next slide is an audio recording of an interview I did with Mary.
  • 12. Note: Audio recording should occur on this slide IS IT OKAY TO GOOGLE A PATIENT?
  • 13. What I have gained through my learning experiences this week: • • • • • Keep an open mind Continuously be open to attaining new knowledge Importance of interprofessional collaboration (hearing a social workers perspective on an issue) Social Media and ethics is a grey are, so therefore when formulating opinions it is important to have an evidence informed perspective We are constantly learning!