Here’s his intercostal muscles. I don’t know the answer, like I was saying. In contrast to the idea of cultural competence, cultural humility is never mastered-it's an ongoing process, shaped by every encounter we have with every person, as long as we maintain an open mind and heart. I also want to be making sure that the nursing students that we’re targeting are getting what they need from the content that we put out, so that’s going to be my base-job. I didn’t think I was ever going to be able to work in the ER for at least a few years, but I just started off in the ER. Informed consent prior to nursing care procedures. Having happy patients is pretty key, I think, to life in general. Now let the show begin, my fellow nurses. Absolutely. Well, that’s a very good question. Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. Make sure you head over to nrsng.com/freebies. I think I probably annoy people that I precept; I know I annoyed some of them because they’ve been visibly irate with me sometimes, but I would say “Why, why, why, why. They’re like “I could never do that.” What I generally tell them is “No one in their right mind would put you in that room alone today.”. Right. I’m just thinking of some of the physicians that I enjoy working with the most, and I was talking with Katy in the most recent podcast as well, that that whole sense of vulnerability, humility, and confidence; to accept our weaknesses is very hard to do, but you think about those physicians that you like working with the most, and they’re not the ones that come in, slam things down, and tell you how it’s going to be. My official title is going to be Content Editor; I will be making sure that all of the content that we are putting out is 100% accurate, both medically and grammatically, as well as brainstorming what kind of content to put out. Yeah. That’s how my preceptor was, too. So remember: even if you’re a nursing students, you can still stand up for you patients; you can still do what’s right for them. Don’t quite because there are nurses or healthcare professionals out there that don’t always choose the right thing, and you can choose the right thing. I failed the NCLEX once, maybe I should quit,” or, “I haven’t gotten into nursing school, maybe I should give up.” What would you tell those nurses, based on your experience with that? Humility and its Practice in Nursing Show all authors. I do not think humility can be so easily defined. With these individuals, we are going to be able to provide you with so many tools, confidence, and everything you need to succeed in nursing school, the NCLEX, and in life as a nurse. It’s just not a factor at all. Assault is the threat of harm (includes perceived threats) and battery is actual physical contact. So what do you do in that situation? 2019 Oct;27(5):e45. You’re probably right, let’s try that.” It can be hard; you have a couple years of experience and this new nurse comes on, something is fresh in their mind, and they do remember the right way to do it. Yes. When I took anatomy and physiology, I took the course on accident; I ended up enrolled in it somehow and I just fell in love with it. It let me sign up and I got really discouraged at that point, but I decided that until I was told that I had not passed, I was going to take a vacation for myself. I want some excitement for the nurses because nursing is exciting and it’s so rewarding. Oh, yeah. nstruct in nursing. I am glad Jesus didn’t look to His own interests because He prayed three times in the Garden to have the cup removed from Him, so Paul admonishes us to “Have this min… Is there a story from your experiences as a nurse that really sticks out that you haven’t shared before? That’s what I was going to ask you; do you feel like there’s any correlation between you passing on the second try and your capacity as a nurse? Deliktas A, Korukcu O, Aydin R, Kabukcuoglu K. J Nurs Res. In all of our courses, everything that we provide such as the podcasts, we take you to Step 1 and we make sure you understand how this works, because once you understand how something works, it will never leave you. That’s definitely the message I received. Hopefully, we’re playing a role in that changing culture; I hope we are. For example, an infectious disease doctor and nurse practitioner that I worked with shared the case of a patient at the clinic who diligently sought medical case management and care for her HIV. I was one of those guys. Cultural humility is a process of inquisitiveness, self-reflection, critiquing, and lifelong learning. I took a refresher course through Kaplan, then took it again in May and got almost exactly the same amount of questions, 90 something questions, and then it shut off. The people that are listening to the podcast or read the blogs have probably seen your name around; you’ve been working with us and with NRSNG for a couple of months writing some blog posts, but tell us what you’re going to be doing at NRSNG and why you chose to join forces with us. When I found out I didn’t pass it, I refocused my studying into instead of studying the types of questions, I studied more content-based because I felt like I had the how to answer the types of questions down, but the questions that I had gotten wrong or was pretty sure I had gotten wrong were questions that I just didn’t know the answer to at all. So it wasn’t like I was just thrown into that and I knew what to do right away; it took some time to learn. This quote is the perfect example of what it means to lead with humility. So take us there, did you feel like you had prepared enough for the first time? doi: 10.1097/jnr.0000000000000311. Nurs Ethics. Well, I graduated in December of 2013 and took it, for the first time, February of 2014. The Apostle Paul writes of Christ in Philippians that we should “Do nothing from selfish ambition or conceit, but in humility count others more significant than yourselves. I did feel like it was an accomplishment that I wanted to have and I was bummed out that I didn’t have that; that I couldn’t say “I passed it on the first try.” Everybody else in my nursing group passed it on the first try but me, so I was super bummed out about it. No doubt. Let’s talk about the bigger picture; how do you create a generation of nursing students who have the confidence to suggest something even if they may be wrong? You and I were talking about albumen before this; once you understand albumen, you understand liver disease, osmotic pressures, analytics, and understand that it’s one piece in the puzzle instead of just trying to answer a question about osmotic pressure. I wish i could say that I did some heroic thing, but I cried; I just started crying and feeling horrible about the entire thing, but I refused. Within the context of clinical humility, Norman Cousins, the well-known author of Anatomy of an Illness and a professor of medical humanities, says that nurses harness their talents for influencing, stimulating, and inspiring patients to move along their healing path. This is the best minds in nursing right now. Seven postregistration student nurses participated in the study by washing the feet of as many patients as they could over a defined period of time. I love getting the e-mails and posts from social media from you guys; I love getting everything where you guys share your story and you share how our mission has helped you. Simply using a mnemonic or something that’s going to leave your mind isn’t the best way to learn it; really, deep-diving and understanding is the way to learn it. That nurse that does walk around the unit bragging about passing the first time with 75 questions, they’re kind of like that has-been that was varsity football player in high school and, ten years later, they’re talking about it, you know? Humility Comes in Many Forms. The Foley itself was bloody, crusty, puss was everywhere … it needed to be taken out, and so I said “We need to take this Foley out.” The nursing instructor said to me “No, we’ll just push it back in.” I said “Absolutely not. True humility is believing that you are not better than anyone else. That’s awesome. Oh, I got a job, that’s a stone I turned over.” I feel like it just started becoming little check-offs that I did. We’re running out of time here, but another thing I’ll say, kind of along those same lines, is that I work in a large hospital; not super large, but 600 beds or so, and even in a hospital that large, it’s still a small place. That’s the point, that’s the key; that’s how we should be learning because once you get it, you’re not memorizing something, you’re not going to accidentally forget it. It’s exciting and then you kind of just freeze sometimes. She didn’t like that I challenged her and she told me that I would never make it as a nurse and that I should just quite right now. Cultural competency is a tool for leveling imbalanced patient-provider power dynamics. Before I even started that, I fell in love with anatomy and physiology as a course. That was kind of what happened, but I probably didn’t handle it as well as I would have liked to. So I guess the reason I asked if you felt you were prepared is because, knowing you, I assumed you had prepared quite a bit; I didn’t think it was because you took a huge vacation and you just went in and failed. Work smarter, not harder” because it saves you a lot of time. Even from the beginning with NRSNG, I was very clear to put our e-mail and contact information everywhere so if people found an issue with what we did, it was very easy for them to bring it up; we could all grow together and continue to make resources people need. How do we create a culture of educators who will listen to students even if they’re wrong as the educator? Nursing, religiosity, and end-of-life care: interconnections and implications. So thank you so much, I’m glad that we’ve been able to introduce you to Heather, Katy, and now I’m going to introduce you to Susan, who’s also working with us. Susan had a stressful journey into nursing. One example is the friend who complains that he failed a test but later you find out that he got a 100%. Yeah. A survey of ethical issues experienced by nurses caring for terminally ill elderly people. There was so much going on with this patient; it was so intense, but it was a super great learning experience. So what else would you like to tell nurses? Susan, I’m excited to have you onboard, I’m excited to introduce you to everybody, and you guys will be seeing Susan a lot more around here. This happens a lot; we get e-mails like this all of the time, “Maybe I should just stop; maybe I should quit. Exactly. Prevention and treatment information (HHS). Thank you for spending some time with me today. This was just a mom providing her youngest 10-year-old son a weekend with a friend at the beach. If you read the blog, you’ve probably heard of her; she’s been writing for us here at NRSNG sharing some of her experiences and stories from the emergency room. It is important to know the differences between cultural humility and closely related concepts like cultural competency and reflexivity. I have worked beside her and she’s an amazing nurse. Absolutely. 2012;17(2):269-278.. Kay de Vries. Humility can be a good or bad thing, depending upon your point of view and your goals in life. Nobody asks me that whatsoever, it’s not a big issue. I think it can be hard. When you were working as an EMT and a patient care tech and stuff, what was it that lit that fire, like “I want to be a nurse”? Even when I had started originally, they obviously had me with a preceptor, but every single time Priority 1 was called or a trauma was called, we were going to that. However, she chose to give up her life in that convent in order to live with the poorest of the poor on the streets of Calcutta, taking care of the very sick and dying. The example of what would you do if a new nurse (or an old nurse) asked for help inserting a catheter at the end of the shift. It’s empowering this group of nurses, rather than all of us feeling beat down and terrible all of the time. I was just petrified, but it wouldn’t let me do that little trick again. What I would love to tell not just someone who has that doubt, but all nursing students, is that you are a patient’s advocate, and if you wouldn’t do that to yourself or to your loved one, don’t do that to your patient; you know what’s right in your heart. This study explores nurses' perspectives regarding self‐awareness in nursing, the importance of self‐awareness for nurses, and its influence on patient care. I took a lot of the ATI questions and just felt really prepared for it. If they could answer the question, good. The seven characteristics of servant leadership affect nursing culture impacts patient care. Do something, do whatever it is you can do to start getting involved in those situations. One of the first things I would do at the beginning of every shift is I would go into the stock room and load up every pocket I had with every supply I could think I would need for the shift. That really helps to grow a unit, a nursing school, or cohort. In this world of social media, where people focus on self-promotion, it seems odd to address the issue of humility. I went straight to my nursing dean that day and I said “Oh my god, I hope I’m not an unsafe nurse”, and they actually agreed with me, which was good. This site needs JavaScript to work properly. Yeah, absolutely. I guess we’ve been focusing, kind of, on confidence and stuff here; what piece of advice would you give to new nurses or nursing students? We can all agree that there is an element of pride in the culture surrounding nursing education. I don’t know that I have the answer to that, but I would like to get the answer to that because that is the culture of nursing education and nurses in general; I think we should be building. You can’t get a nursing job without it, so it’s a very important thing; it seems like the biggest thing, but once you pass it, it ends up becoming another stone that you’ve turned over. One thing I wanted to talk with you about was that you didn’t pass the NCLEX on your first try. European Institute of Health and Medical Sciences, 5th Floor, Duke of Kent Building, University of Surrey, Stag Hill, Guildford, Surrey GU2 7TE, UK, [email protected] See all articles by this author. I believe, to my very core, about the mission of this company. After being kicked off the floor by her clinical instructor and told that she would never make it as a nurse, Susan rose to the challenge to become an Emergency Room nurse and preceptor. All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. It is a little bit different because most of the questions, I felt, were based on “Okay, you have all the time in the world to do whatever it is that you need to do” and in the emergency room, you don’t have all the time in the world. NIH I actually tell my son, Taz that; you met Taz. You know more than I know, right?” She basically cut me off at the knees and I was in shock. Absolutely. He had actually not just been shot in the chest, but he had fallen down and hit his head on the cement afterwards and had an inter-cranial bleed. That was the rest of it. So the one thing I could do is take an EMT course and see what this patient care thing was all about. I was like “Oh my goodness” and he goes “You were precepted by Bell, you got this.” I was like “Yeah, I do. They found that in many frequently used competency measures, whiteness was understood and represented as the norm. Nursing Students' Perceptions of Nursing Metaparadigms: A Phenomenological Study. In an emergency or a major crisis, for example, a command and control leader may be exactly what’s necessary. I precepted a nurse just the other day and we had a patient with very high potassium. One of the nursing clinical instructors that I had wanted me to do something that I really didn’t feel was right for the patient, and I challenged her and told her that I didn’t think that was what we should do. I’m very excited to be working with NRSNG and I’m excited to meet the audience and give you guys what you need as nursing students. Kay de Vries. 2004 Mar;11(2):150-64. doi: 10.1191/0969733004ne680oa. A Lesson in Humility June 29, 2017 April 8, 2019 Jessica Dzubak 8 Comments addict , humility , JessicaDzubak , nurse If you ever want to put your life in perspective, become a nurse. So I went back to my content-based, which I know is against what most people say to do. I want to ask two questions about this; first question is take us to that moment when she told you that and how did you get through that? Absolutely not. COVID-19 is an emerging, rapidly evolving situation. I’ve seen some nurses freeze in a code and you’re like “You can’t do that. Right. Jon Haws RN began his nursing career at a Level I Trauma ICU in DFW working as a code team nurse, charge nurse, and preceptor. Whenever I give people tips for what to do during your first code, the first two tips are get in and do something.