How Are You Helping Us to Socially Advance?
It’s easy to point to the various problems of the world, but have you put much thought into what role you could play in helping society to advance in a positive direction?What does it mean to advance society? That’s a value judgment of course, but it’s one you’re free to make. You’ve surely picked up many of your own values from your interactions with the world. Have you thought about teaching more of the world what you value in a deliberate and conscious way? Have you thought about sculpting the world to become a more aligned place for you to live?It’s easy to under-estimate the impact ...
Source: Steve Pavlina's Personal Development Blog - March 8, 2019 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Creating Reality Values Source Type: blogs

Unanimous Supreme Court Upholds Right to Be Free of Excessive Fines
It ’s gratifying that the Supreme Court unanimously agreed that the Eighth Amendment’s Excessive Fines Clause applies to the states, meaning that states can ’t fine you in a way that’s wholly disproportionate to the offense you commit. As one of the long-established natural rights in the Anglo-American legal tradition, there’s no reason it wouldn’t be and the debates over the Fourteenth Amendment’s ratification support this conclusion. (Here’ s Cato’s brief in Timbs v. Indiana.)At the same time, it ’s disappointing that Justices Neil Gorsuch and Clarence Thomas were the only ones who explained, in se...
Source: Cato-at-liberty - February 20, 2019 Category: American Health Authors: Ilya Shapiro Source Type: blogs

Metacognition: Thinking About Your Thinking About Your Nursing Career
In the world of nursing and non-nursing education, metacognition is a common pedagogical concept for nurse educators to consider when working with students on the path to becoming licensed healthcare professionals. Metacognition is at its most basic the act of thinking about your thinking. Aside from its commonplace setting of education, metacognition can be also considered in terms of how we approach our nursing careers and professional lives. So let ' s stop and think about our thinking, shall we?Photo by Ricards Zalmezs on UnsplashMetacognition and the Earnest NurseWhen you think about your nursing career...
Source: Digital Doorway - February 18, 2019 Category: Nursing Tags: career career development careers healthcare careers nurse nursing nursing careers Source Type: blogs

Six Steps to Being a Better Nurse Communicator
One of the most important non-clinical skills for a nurse to develop is strong powers of communication. Nursing care is built on the foundation of communication -- both patients and colleagues figure largely in a nurse ' s world, and being able to listen well and speak your truth clearly is absolutely essential both on the job and in your daily life. Photo by Jason Rosewell on UnsplashConversations AboundThe work of a nurse in the clinical space -- whether in home care, dialysis, entrepreneurship, ambulatory nursing, or the assisted living facility -- is informed by communication and conversation. Nursi...
Source: Digital Doorway - January 28, 2019 Category: Nursing Tags: career career development career management careers healthcare healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

10 Strategies for Feeding the Nurse's Inner Life
In managing their careers and busy lives, nurses can be very focused on the " outer " aspects of life and work: family, chores, shopping, resumes, job-hunting, pursuing education, social media, etc. But how do we keep the nurse ' s inner life fed and watered? Let ' s explore 10 strategies for cultivating that inner life and nurturing happiness, wellness, and personal/professional balance as 21st-century nurses with very full lives and careers to grow.(Note: please see this blog post ' s companion podcast,episode 186 of The Nurse Keith Show, for further exploration of this topic.)Photo by Atolu Bamwo on Nappy.coFinding Your...
Source: Digital Doorway - December 24, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

Nurse Specialist or Nurse Generalist?
Nurse specialists and nurse generalists are both common within the nursing profession and  21st-century healthcare, and both serve important purposes in patient care as well as non-clinical settings. What does it mean to choose to be a specialist or generalist? What are the repercussions for your nursing career? And how can one accomplish both?Note: pleaseclick here to listen to this blog post ' s companion podcast episode.Photo by wang dongxu on Unsplash.comNurse Specialists MatterIn both medicine and nursing, generalists and specialists both serve many important purposes. Choosing which one to be can be difficult bu...
Source: Digital Doorway - December 10, 2018 Category: Nursing Tags: careers healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

5 Actions for Overcoming Nursing Career Attention Deficit Disorder
In the midst of a fast-paced, 21st-century life, it ' s possible for a hard-working nurse to experience what I call Nursing Career Attention Deficit Disorder (NCADD). In this context, the nurse in question loses sight of her goals and dreams, instead becoming scattered and distracted by life ' s myriad responsibilities and demands; she ' s pulled in multiple directions and feels like she ' s running around like a chicken with her head cut off. Can NCADD be turned around? Can our distracted minds be tamed in the interest of developing a more satisfying nursing career?Photo by chuttersnap on UnsplashAn Underst...
Source: Digital Doorway - November 26, 2018 Category: Nursing Tags: career career development career management careers healthcare careers nurse nurse careers nurses nursing nursing careers Source Type: blogs

When Your Relationships Don ’t Resemble a Hallmark Holiday Movie
For most of us the holidays don’t exactly resemble a Hallmark movie with easily resolved conflict, fairy tale festivities and everything falling into place. Which can be very upsetting, and lead us to feel like complete and utter failures. Why can’t we have a beautiful, stress-free holiday? Why does something always have to go wrong? One of the biggest challenges about the holidays is that it’s a “pressure cooker of expectations,” said Stephanie Dobbin, LMFT, CGP, a relationship and group psychotherapist who specializes in helping busy healthcare professionals have happier relationships and less stress in Roches...
Source: World of Psychology - November 8, 2018 Category: Psychiatry & Psychology Authors: Margarita Tartakovsky, M.S. Tags: General Holiday Coping Relationships Self-Help Stress Boundaries Disappointment Expectations Family Holiday Stress Holiday Tradition Perfectionism Source Type: blogs

Decommissioning Legacy EHRs
This article will discuss some of the challenges and options that will influence your cost, legal compliance, and stakeholder satisfaction. Three common mistakes to avoid when moving to a new EHR Hanging on to the legacy EHR Some say: “we will worry about shutting down the old system later after the new EHR is up and going.” Taking that path is risky and expensive. Consider the cost. Until you get all your historical data off the legacy system, you need to pay vendors licensing and support fees. You may infrequently be using the old system, which makes these fees particularly unwarranted.  In addition, you continue...
Source: EMR and HIPAA - November 5, 2018 Category: Information Technology Authors: Guest Blogger Tags: EHR Electronic Health Record EMR HealthCare IT EHR Archiving Legacy EHR Legacy Healthcare IT Systems Sudhakar Mohanraj Triyam Source Type: blogs

2018 Midterms: The Year of the Female Physician
By NIRAN AL-AGBA MD  While women make up more than half of the U.S. population, an imbalance remains between who we are as a nation and who represents us in Congress. The gender disparity is no different for physicians: more than one third of doctors in the U.S. are women, yet 100 percent of physicians in Congress are men. To date, there have only been two female physicians elected to Congress. However, in the coming midterm election, there are six races with a chance at making history. It’s these battles which could make 2018 “The Year of the Female Physician.” I remember being a first-time voter in 199...
Source: The Health Care Blog - November 5, 2018 Category: Consumer Health News Authors: matthew holt Tags: Physicians Politics Midterm Elections Niran Al-Agba Women Source Type: blogs

10 Steps to Nurse Entrepreneurship
I recently attended the 2018 annual conference of theNational Nurses in Business Association(NNBA) and I was reminded that many nursing professionals would like to be business owners but aren ' t sure how to get started. That lack of business acumen is both prevalent and understandable.While I ' m not specifically a business coach for nurses, my career coaching practice and experience as a nurse entrepreneur has taught me a thing or two about getting a business up and running.Photo by rawpixel on UnsplashWhat Does A Business Do? Before we get to my top tips for launching your nurse-run business, let ' s...
Source: Digital Doorway - October 22, 2018 Category: Nursing Tags: entrepreneurship National Nurses in Business Association NNBA nurse entrepreneurs nurse entrepreneurship nursing Source Type: blogs

Are You Going To Wake Up From Cryosleep?
More than 300 people let their bodies have cooled down to -200 Celsius and preserved in liquid nitrogen in the hope that someday in the future, science will be able to cheat death and make them wake up from their Sleeping Beauty state. As of today, no one knows whether they will ever have the chance for a second life. Here’s our overview of cryonics, cryosleep, and cryotherapy. Relax, David, open your eyes! That’s the last line from Vanilla Sky, the movie remake about a wealthy playboy in cryosleep waking up after 150 years from his lucid dream (starring Tom Cruise as David). The audience doesn’t know what happens ne...
Source: The Medical Futurist - October 17, 2018 Category: Information Technology Authors: nora Tags: Bioethics Cyborgization Medical Science Fiction Patients Researchers Space Medicine cryogenics cryonics cryosleep cryotherapy death future Innovation life longevity mars NASA scifi space travel Source Type: blogs

Part 2: Bypassing Prior Authorizations
By NIRAN AL-AGBA, MD A few weeks ago, I saw a young patient who was suffering from an ear infection. It was his fourth visit in eight weeks, as the infection had proven resistant to an escalating series of antibiotics prescribed so far. It was time to bring out a heavier hitter. I prescribed Ciprofloxacin, an antibiotic rarely used in pediatrics, yet effective for some drug-resistant pediatric infections. The patient was on the state Medicaid insurance and required a so-called prior authorization, or PA, for Ciprofloxacin. Consisting of additional paperwork that physicians are required to fill out before pharmacists can f...
Source: The Health Care Blog - October 4, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicaid Patients Pharmaceuticals Physicians Aetna andameds CVS health insurance companies Pharmaceutical companies Pharmacy Benefit Manager Washington state Source Type: blogs

Nursing Jobs, Cost of Living, & Where to Hang Your Hat
In my work as a career coach for nurses and healthcare professionals, I frequently witness those who work in nursing struggling with decisions related to finding work and the relative cost of living in terms of where they live or where they might move.Making decisions about your workstyle and lifestyle can be fraught with anxiety and concern about the future -- let ' s unpack that conundrum.Photo by Joey Csunyo on UnsplashWorkstyle and LifestyleFiguring out where to live and work can be a difficult choice. On the one hand, you want to earn up to your potential and receive the highest possible wage according ...
Source: Digital Doorway - October 1, 2018 Category: Nursing Tags: advanced practice nurses career career development career management careers healthcare careers job search nurse careers nurse practitioners nursing nursing careers Source Type: blogs

Day Shift vs. Night Shift: A Consistent Nursing Dilemma
As a career coach for nurses, I receive a lot of questions and complaints about nursing careers, and one of the most contentious and confusing issues for many nurses is whether to work days or nights. Perhaps you, dear Reader, have experienced such confusion yourself.Days vs. nights is an old nursing puzzle that so many nurses face:Do I work nights and get the differential while ruining my social life, or do I work days and run my tail off when the residents, surgeons, NPs, and doctors are on hand all day to send me running with new orders and admissions?When I was decided to go to nursing school, my wife was very supporti...
Source: Digital Doorway - September 24, 2018 Category: Nursing Tags: career career development career management healthcare careers nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs