Most ED patients willing to wait longer to avoid nondoctor care :: Aug. 30, 2010 ... American Medical News

Nurse practitioners and physician assistants account for at least 10% of outpatient visits and increasingly are being used to handle patient care in emergency departments, according to previous research.

But a new survey said 80% of patients expect to see a physician when they come to the ED. Fewer than half would be willing to see an NP or PA for an ankle injury -- they would rather wait two more hours to be cared for by a physician.

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The survey of 507 ED patients at three teaching hospitals in Pittsburgh and Dallas found that, even for a minor complaint such as a cold symptom, only 57% would agree to see a nurse practitioner and 53% would see a physician assistant, according to the study in the August American Journal of Bioethics. Patients also preferred to see a fully trained physician compared with a medical resident, but not by as wide a margin as their desire to avoid nonphysicians.

Given their strong preferences for care from physicians, patients deserve greater disclosure about who is providing care and what the level of training is, said study lead author Gregory L. Larkin, MD, professor of emergency medicine at Yale University School of Medicine in Connecticut.

via ama-assn.org

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Most Americans Take Doctor's Advice Without Second Opinion

Despite the advent of health websites and other widely available sources providing medical research and information, 70% of Americans feel confident in the accuracy of their doctor's advice, and don't feel the need to check for a second opinion or do additional research. Americans' confidence in their doctor is up slightly from eight years ago.

The latest results are from Gallup's annual Health and Healthcare Survey, conducted Nov. 4-7, 2010.

Older Americans are the most likely to be confident in their doctor's advice, with 85% of those 65 and older expressing confidence. This compares with 67% among those 50 to 64 and 65% among those under 50.

While one might expect that interest in a second opinion and doing additional research would be higher among Americans with college degrees or postgraduate education, that is not the case. There is little difference in confidence in one's doctor across the educational spectrum.

via gallup.com

Follow the Gallup.com link for the full article.
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Gender Stereotypes In Nursing?

image: Phil Boorman/Cultura Collection/Getty Images

Yes. It can and does happen. Contrary to popular belief and myth, there really are male nurses out there!

And yes, we do encounter discrimination every so often – some greater than others, and some more severe.

I can remember when I first made the decision to be a nurse…

“You want to be a Murse?”
“I guess you didn’t want to be a doctor?”
“Are you gay?”

I have seen and heard it all from all walks of life. You would be surprised at some of the reaction and interaction I have experienced being a ‘male’ nurse.

Even after I made it through nursing school and started working, the stereotyping continued in some small way. This time it was from my co-workers…

“Oh, I’m so glad you’re here. Now we have some muscle on the floor.”
“You’re so great to work with, lifting my patients is so much easier when you’re around.”
“The doctors like you better – it’s a guy thing.”

So my gender as a nurse has been a blessing and a curse. And there really is no rhyme or reason, no prediction, and no preparation. Some patients/families out there simply do not like nor want a male nurse, while some prefer them. Same goes for the doctors, some will unconsciously treat me ‘better’ or ‘differently’, while others will make my life difficult. Is it simply because I’m a guy? And some co-workers will also unconsciously ‘like’ me simply because I have muscles. God-forbid I bring skill and knowledge to the table?!

All of these ‘challenges’ still are manageable. All of these so-called difficulties can be ‘worked around’ in most cases. Even at its most severe, I’ve only had to change patient assignments due to a patient/family/physician nursing gender preference. But, I’ve never had to worry about not practicing as a nurse.

I have balked at some things I’ve experienced. I’ve moaned and groaned at past interactions. But mostly I just let it roll off my shoulders and simply move on – because in all instances I still get to practice as a nurse in this wonderful field of nursing. I still get to do the job I love in the setting I prefer and love.

Others are not so lucky.

It seems in India – for a particular diploma nursing program – they will not accept male candidates for their program!? In fact this discrimination was petitioned – and lost! It seems that males are being prohibited to enter because the diploma program’s course work involves mid-wifery as well as pre and post-natal care?!

(insert facial expression of shock and disbelief??!!)

To make matters worse, the higher court ruled that there is a sufficient number of male nurses already working in the areas they are needed – like jail, ortho department, mental health hospitals and operation theatres??!!

Wow.

As a nurse, male or female, we are taught to be culturally diverse – including transcultural nursing. We are encouraged and trained to be culturally competent practitioners, but this – in my humble opinion – is astonishing.

How can you judge or even pre-judge, and ‘genderize’ the practices of a profession that works side by side with the field of medicine?

Correct me if I’m wrong, but do they discriminate female candidates who have an interest in being an orthopedic physician? Or a male candidate wanting to pursue obstetrics?

Original story from ‘The Times of India’ here.

As well as the original commentary from ‘The Truth About Nursing’ here.

Things that make you go hmm.

Tags: Career Myths, discrimination, gender stereotype, Male Nurse, Murse

via scrubsmag.com

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Andrew Lopez, RN
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