Non-Traditional Nursing Careers: Where There Is No Box
Ask just about anyone what a nurse does and where a nurse works, and the general response is, "Oh, she works in a hospital. " Apropos of that statement, when I tell someone I ' m a nurse, they generally say, "So, do you work at the hospital? " I have nothing against hospital nursing, but there ' s more to our profession than meets the eye, and many of us are waking up to the multiplicity of non-traditional opportunities just waiting to be grasped by the savvy nurse.Non-traditional nursing careers are multifaceted, and in this new century many nurses are realizing that they can leverage their skills in myriad ways. Whether ...
Source: Digital Doorway - June 11, 2018 Category: Nursing Tags: business nursing career nurse nurse entrepreneurs nurse entrepreneurship nurse identity nurse professionalism nurses Source Type: blogs

Physicians have become devalued in modern health care
I’m writing this piece because I’m finally at the point that I am truly angry. I am angry at how physicians have become devalued in modern health care. I’m angry at how systems of care have participated in this by replacing physicians with lesser trained mid-level practitioners. I’m angry at how our title “doctor” has been hijacked to allow patients to be misled or, in many cases, deceived. It wasn’t that long ago that when someone introduced them to you as “doctor” in the clinical setting that you most certainly knew you were seeing a physician. I have a different perspective than many physicians because...
Source: Kevin, M.D. - Medical Weblog - June 2, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Policy Public Health & Washington Watch Source Type: blogs

New Grad Nurse Confidence: Stoking the Flame
Graduating from nursing school and becoming a new nurse is a remarkable accomplishment that can generate excitement, fear and loathing, anxiety, joy, and all manner of both positive and negative emotions.With new nurses abandoning their nursing careers within the first 1-3 years at alarming rates, the nursing profession itself needs to wake up and smell the coffee regarding how crucial it is to support, nurture, and grow our new nurses into seasoned and confident professionals.New grads need to pass the NCLEX, of course, and when that hurdle is accomplished, landing and starting a first nursing job is the order of the day....
Source: Digital Doorway - May 28, 2018 Category: Nursing Tags: career career development healthcare nurse nurse career nurse careers nurses nursing nursing careers Source Type: blogs

Change, Personal Agency, and Wellness -- Celebrating Nurses Week 2018
As Nurses Week begins, what does the idea of nurses and nursing conjure for the majority of people when they think about nurses? Obviously, the public trusts us immensely (the Gallup Poll confirms that every year), so there ' s a lot behind who we nurses are and why we ' re so special.Photo by Aditya Romansa on UnsplashThe Heroism of NursingClinical nursing may be largely task-based, but I ' ll add that it ' s very much touch-based. From the care of premature newborns to the midwifery of the dying in hospice, nurses ' ability to physically touch their patients is central to both nursing identity, nursing pra...
Source: Digital Doorway - May 7, 2018 Category: Nursing Tags: career healthcare National Nurses Week nursing nursing careers Source Type: blogs

How to Be Mindful (Even if You ’ re Anxious or Impatient)
The world really wants us to count our blessings. News articles and blog posts tout the many benefits of gratitude, from improved health to better sleep and happier moods. Entrepreneurs and business behemoths like Oprah Winfrey swear by gratitude journals as a solution to stress and the secret to their success. But practicing gratitude doesn’t come naturally to everyone — myself included. For one thing, the thought of keeping a gratitude journal can sound like a chore, another to-do item in my already Type A lifestyle. Even worse is the feeling of being bad at gratitude, when we’re too grumpy or anxious or ...
Source: World of Psychology - April 8, 2018 Category: Psychiatry & Psychology Authors: Melody Wilding, LMSW Tags: Anxiety and Panic Celebrities Habits Happiness Health-related Industrial and Workplace Mental Health and Wellness Mindfulness Perfectionism Personal Professional Psychology Self-Esteem Self-Help Stress Success & Achievement Source Type: blogs

M édecins sans Hôpitaux (Doctors without Hospitals)
This study and others seem to show that “small is beautiful” with independent physician led ACOs apparently out performing ACOs on average. (https://catalyst.nejm.org/do-independent-physician-led-acos-have-a-future/ ) Physician Outsourcers such as Team Health, MedNax, AMN are for profit health service companies. They are not traditional healthcare providers and yet they organize tens of thousands of physicians. Team Health has 20,000 affiliated physicians and provides physicians for hospitals and health systems in several specialties especially emergency medicine, anesthesiology and hospital medicine. MedNax is a physi...
Source: The Health Care Blog - April 5, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Spring Renewal: 5 Ways to Reawaken Your Spirit and Get a Fresh Start
Spring is truly a natural time to reawaken your spirit and get a fresh start inside and out. Perhaps there is a change you have been considering for months or even years. Maybe a new and invigorating idea has swept in with the new Spring air. You may have specific ideas in mind for changes you would like to make in your life, or just a vague sense of restlessness that’s nipping at your consciousness in the quiet moments. Regardless, Spring’s unique energy offers us the opportunity to renew or even reinvent parts of ourselves that are hungry for growth. Here are five ways to make the most of this season’s call for rej...
Source: World of Psychology - April 4, 2018 Category: Psychiatry & Psychology Authors: Julie K. Jones, Ph.D., LPC Tags: Creativity General Habits Happiness Self-Esteem Self-Help declutter Life Changes Mindfulness Personal Growth Rejuvenation renewal Self Care Spring Spring Cleaning support Source Type: blogs

​Preparing Youth for a Smooth Transition into Adulthood
Leaving the nest is an emotional rollercoaster where young adults oscillate between massive excitement and crippling anxiety. On one hand, there’ll be no one around to tell them what to do, but on the other, they’ll have to face challenges on their own without help from mom and dad. It’s a major life change and a difficult transition for many young adults. To make this transition as smooth as possible, parents can work with their teens during adolescence to get them ready to adult. After all, every parent’s goal is to raise independent, responsible, well-adjusted adults who can make a positive contribution to socie...
Source: World of Psychology - March 24, 2018 Category: Psychiatry & Psychology Authors: Tyler Jacobson Tags: Children and Teens General Happiness Motivation and Inspiration Parenting Self-Help Adulthood Autonomy Coping Skills Financial Independence Interpersonal Skills Millennials Resilience Responsibility Unrealistic Expectations Y Source Type: blogs

“ I Don ’ t Want to Be Portal ’ d ” – The Need for Untethered Patient Portals
Always great when people who work in healthcare IT bumped into it in their own personal lives. That’s what makes this tweet from Steven Posnak so interesting: "I don't want to be portal'd"(#burn from my mom last night) An unknowingly piercing critique of her current healthcare experience in six words. — Steven Posnack (@HealthIT_Policy) March 23, 2018 For those not familiar with Steven Posnak, he’s the Director of the Office of Standards and Technology at ONC. He’s very familiar with these challenges on a policy level and now he’s gotten a first hand look on a personal leve...
Source: EMR and HIPAA - March 23, 2018 Category: Information Technology Authors: John Lynn Tags: EHR Electronic Health Record EMR Healthcare HealthCare IT Patient Portal EHR API Healthcare API Tethered Patient Portal Untethered Patient Portal Source Type: blogs

YES, I Gave My Power Away
You're reading YES, I Gave My Power Away, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. “Until you make the unconscious conscious it will direct your life and you will call it fate.” – C.G. Jung When I was younger I was all about romantic love. You know like in the movies. Where the girl is finally seen and fulfilled by the guy. I’ve watched Dirty Dancing countless times and knew it all by heart (also because of the dancing, but that’s another story). I just dreamed of finding that kind of love and my happy ev...
Source: PickTheBrain | Motivation and Self Improvement - January 31, 2018 Category: Consumer Health News Authors: Luise Tags: confidence featured happiness psychology relationships self improvement give your power away pickthebrain success Source Type: blogs

This physician bailed on the stock market in 2008. What now?
Q. Should I get back into the stock market? I am 11 years out of residency and have made many of the mistakes you have listed on the site. The primary one was getting OUT of stocks entirely with the 2008 crash. Oi. Now I have all this cash and some bonds, and I want to reinvest, slowly, and think the market is overvalued.  I hate the thought of getting back into the market, then losing 20+% in the next correction. But also the market is going up up up! I’ve maxed all retirement accounts, including my SEP, most years–all the past 10 or so I think, but I’ve lost a lot of it. I’m in solo practice. But most of my cash...
Source: Kevin, M.D. - Medical Weblog - January 28, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/james-m-dahle" rel="tag" > James M. Dahle, MD < /a > Tags: Finance Practice Management Source Type: blogs

It ’s Not the Death, It’s the Dying: Moral Distress in Palliative Care
by Vickie LeffEvery day, we get involved in unbelievable and incredible situations. Tragedy, sadness, horrific trauma, despair, and hopelessness all wrap themselves around the cases we drop into. We step onto the stage and become part of the story.Moral distress – the discomfort, angst, and frustration related to situations in which we think we know the “right thing” to do, but cannot due to the situation – is endemic to palliative care and hospice work. Some examples are:Aggressive chemotherapy for a dying cancer patient with days to live.Dumping the truth on a patient overwhelmed and alone.Following the trea...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 19, 2018 Category: Palliative Care Tags: leff moral distress social work social worker Source Type: blogs

In Depth Review of CMS MACRA QPP Regulations
As we continue our coverage of the MACRA Quality Payment Program (QPP) rule, the following article provides a more in-depth look at the regulations promulgated by CMS. We drafted an initial summary when the rule was released in early November. Biggest surprise: cost category of MIPS In its proposed rule in July 2017, CMS proposed completely removing the cost domain from MIPS for 2018, despite the underlying statute requiring that cost account for 30% of the overall MIPS score by 2019. However, in the final rule, CMS shocked many when it reversed its position and finalized a cost domain weight of 10 percent for the 2018 p...
Source: Policy and Medicine - December 28, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Can technology and the art of medicine coexist?
While on the way to a national meeting on health and public policy, I ponder on what the practice of medicine has become and whether this meeting will provide any hope for improvement. It hasn’t been clear to me that those most responsible for public health policy are listening to doctors. Politicians have been leading this charge, sometimes solo, sometimes in a group but rarely in a collaborative fashion — and mostly without the requisite experience or knowledge that appropriate collaboration can provide. I think back to one of the seemingly endless coding and quality meetings in modern medicine as I talk with my pati...
Source: Kevin, M.D. - Medical Weblog - December 22, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/lianne-marks" rel="tag" > Lianne Marks, MD < /a > Tags: Policy Primary Care Public Health & Source Type: blogs