men in nursing

Male Nurses Becoming More Commonplace, Census Bureau Reports

The nursing profession remains overwhelmingly female, but the representation of men has increased as the demand for nurses has grown over the last several decades, according to a U.S. Census Bureau study released today.

The new study shows the proportion of male registered nurses has more than tripled since 1970, from 2.7 percent to 9.6 percent, and the proportion of male licensed practical and licensed vocational nurses has more than doubled from 3.9 percent to 8.1 percent.1

The study, Men in Nursing Occupations, presents data from the 2011 American Community Survey to analyze the percentage of men in each of the detailed nursing occupations: registered nurse, nurse anesthetist, nurse practitioner, and licensed practical and licensed vocational nurse. The study, and accompanying detailed tables, also provide estimates on a wide range of characteristics of men and women in nursing occupations. These include employment status, age, race, Hispanic origin, citizenship, educational attainment, work hours, time of departure to work, median earnings, industry and class of worker.


"The aging of our population has fueled an increasing demand for long-term care and end-of-life services," said the report's author, Liana Christin Landivar, a sociologist in the Census Bureau's Industry and Occupation Statistics Branch. "A predicted shortage has led to recruiting and retraining efforts to increase the pool of nurses. These efforts have included recruiting men into nursing."

Men typically outearn women in nursing fields but not by as much as they do across all occupations. For example, women working as nurses full time, year-round earned 91 cents for every dollar male nurses earned; in contrast, women earned 77 cents to the dollar men earned across all occupations.

Because the demand for skilled nursing care is so high, nurses have very low unemployment rates. Unemployment was lowest among nurse practitioners and nurse anesthetists (about 0.8 percent for both). For registered nurses and licensed practical and licensed vocational nurses, these rates were a bit higher, but still very low, at 1.8 percent and 4.3 percent, respectively.
Other highlights:

• There were 3.5 million employed nurses in 2011, about 3.2 million of whom were female and 330,000 male.
• Of the employed nurses (both sexes), 78 percent were registered nurses, 19 percent were licensed practical and licensed vocational nurses, 3 percent were nurse practitioners, and 1 percent were nurse anesthetists.
• While most registered nurses (both sexes) left home for work between 5 a.m. and 11:59 a.m. (72 percent), a sizable minority (19 percent) worked the evening or night shifts.
• The majority of registered nurses (both sexes) worked in hospitals (64 percent). The majority of licensed practical and licensed vocational nurses worked in nursing care facilities or hospitals (about 30 percent each). The percentages for hospitals and nursing care facilities are not significantly different from each other.
• In 2011, 9 percent of all nurses were men while 91 percent were women. Men earned, on average, $60,700 per year, while women earned $51,100 per year.
• Men's representation was highest among nurse anesthetists at 41 percent.
• Male nurse anesthetists earned more than twice as much as the male average for all nursing occupations: $162,900 versus $60,700.

The American Community Survey provides a wide range of important statistics about people and housing for every community across the nation. The results are used by everyone from town and city planners to retailers and homebuilders. The survey is the only source of local estimates for most of the 40 topics it covers, such as education, occupation, language, ancestry and housing costs for even the smallest communities. Ever since Thomas Jefferson directed the first census in 1790, the census has collected detailed characteristics about our nation's people. Questions about jobs and the economy were added 20 years later under James Madison, who said such information would allow Congress to "adapt the public measures to the particular circumstances of the community," and over the decades allow America "an opportunity of marking the progress of the society."

1The difference between the 2011 estimate and the 2000 and 2006 estimates for percentage of licensed practical and licensed vocational nurses who are men is not statistically significant.

Source:
http://www.census.gov/newsroom/relea...s/cb13-32.html

Related WSJ Article: http://blogs.wsj.com/economics/2013/...ke-more-money/

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CNA JOB LAYTON

We are currently hiring for four (4) CNA positions and are in need of qualified applicants.  Applicant's need not be currently certified as a CNA, but must be actively pursuing their certification.  They may download an application and apply online at the following URL:

http://pheasantviewassistedliving.com/#/jobs/4545503971

They may also apply in person at:

Pheasant View Assisted Living

1242 E. Pheasant View Drive

Layton, UT  84041

We are available M-F from 9am - 5pm by phone to answer any questions.  

Thank you,

Eric Martz                        OR         Shannah Springer

Director                                          Administrator

(801) 866-5009 begin_of_the_skype_highlighting (801) 866-5009 FREE  end_of_the_skype_highlighting mobile                     (801) 546-4100 begin_of_the_skype_highlighting (801) 546-4100 FREE  end_of_the_skype_highlighting office

 

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Resident Choice Made Easier

A new tool enables better care planning, delivery, and quality management for older adults.

 FEBRUARY 2013

 Kimberly Van Haitsma, PhD

Now that person-centered care is becoming the new standard in post-acute and long term care settings, providers are increasingly shifting away from the traditional medical model toward a new focus on improving consumers’ quality of life. However, making this cultural shift—to meet individualized psychosocial and physical needs—can be challenging. Providers need practical, efficient tools to translate the vision of person-centered care into on-the-ground reality.

 

A team of researchers and clinicians at a senior care provider in Philadelphia developed a new assessment tool that captures the psychosocial preferences of older adults and speeds the adoption of more person-centered care practices.

 

Known as the Preferences for Everyday Living Inventory (PELI), this useful rubric yields vital data about older adults’ individual preferences for social contact, personal development, leisure, living environment, and daily routine.

 

It can also be used to assess health care access and family involvement in care and to help providers refine and customize care plans and service delivery.

 

Nursing homes may find PELI helpful as they shift from an institutional model of clinical efficiency toward a culture of greater responsiveness to residents’ wishes, interests, and desire for a sense of purpose and control.

 

It provides a useful level of specificity that can be deployed to guide staff training; measure quality improvement; and align services more closely with expectations of consumers, families, and regulatory agencies.

How PELI Works

PELI consists of 55 questions in five domains of daily life: social relationships, growth and diversionary activities, self-dominion, and enlisting others in care. Fourteen of the questions are consistent with the minimum data set (MDS) 3.0 for nursing homes but delve more deeply into residents’ preferences for everyday living.

 

Phrased in clear, conversational language, the questions elicit basic and in-depth insights about daily preferences, such as what time individuals like to wake up, take a shower, and get dressed, and what kinds of recreational activities they enjoy.

 

Professional and paraprofessional staff can administer PELI in one sitting, or over a series of conversations. Optimally, the questions are asked annually or at more frequent intervals, as well as when a person begins receiving service and experiences a significant change in status.

 

PELI is the first tool of its kind to pass rigorous scientific testing. In 2005, it was piloted with more than 500 home health clients enrolled in the Visiting Nurse Service of New York. The tool proved to be a reliable and valid measure of preferences and was well accepted by a wide range of older adults.

 

An advisory panel of long term care experts concurred that it covered the key aspects of daily life. While PELI has been tested in home health and nursing home settings, it is also designed for use in subacute, rehabilitation, and assisted living facilities. 

Residents’ Perspective On Sharing Preferences

In the pilot study, as well as at a 324-bed nursing facility, staff found that residents enjoy reflecting on what is important in their lives and appreciate the opportunity to voice their preferences to an interested listener. These kinds of focused, thorough discussions aren’t the norm in service settings. Yet they are deeply meaningful to consumers and form the foundation for comfortable, trusting relationships with staff.

 

Emerging research indicates that integrating preferences into care delivery for older adults is beneficial. When activities are appealing, or services are provided in a familiar way, seniors are more apt to be receptive, enjoy the experience, and feel validated. These positive feelings have a measurable effect on physical and mental well-being among people of all ages.

 

Data and insights elicited by PELI ensure that the consumer’s voice is heard and help the whole team—client, family, and staff—work together toward the same goals. At the nursing home, matching preferences to activities tripled resident participation in recreational activities.

 

PELI has also been used to assess broad-ranging outcomes. So far, its use has resulted in greater congruence between preferences and activities, leading to fewer behavior issues among residents, as well as reduced levels of depression and fewer falls.

 

Data are being compiled for a more comprehensive study of this dynamic.

Advantages For Providers

Direct care staff members use PELI to get to know consumers, build relationships, and devise more successful care plans. The questionnaire provides a consistent protocol to discover each client’s unique interests, passions, and priorities.

 

“PELI is a great tool for becoming better acquainted with new residents,” says Sarah Humes, a recreation therapy supervisor.

 

“It’s especially helpful for paraprofessional staff who may not have clinical training because it provides a way for them to learn more about the residents in their care and organize the information.”

 

The nursing home team divides up responsibility for different sections of the PELI questionnaire. Recreation therapists talk to residents about their activity preferences, and certified nurse assistants handle questions about activities of daily living. Staff implement what they learn immediately and share findings at team meetings where they collaborate to customize care plans.

A Positive Response

Humes says the process also improves job satisfaction. Findings inspire staff to stretch professionally to find ways to honor customer preferences. The tool asks seniors to talk about activities that they enjoy even if they feel that they can no longer do them. When the team understands what interests and motivates residents, they are eager to work collaboratively to prevent them from giving up treasured skills and activities prematurely.

 

PELI findings have also been used to assess individual practice, such as “Am I meeting Mrs. Jones’ preferences this week?” at the unit level. Recreational therapists now aggregate residents’ preferences on each 27-person unit household to plan program offerings that meet the group’s top shared priorities.

The resulting household activity board reflects residents’ authentic interests.

 

The nationally recognized Green House Project now uses PELI in its train-the-trainers curriculum for Green House adopters nationwide. Those selected to be educators, including nurses, social workers, and activity directors, practice using PELI with an older adult and create an engagement activity based on interview findings.

 

The exercise gives educators firsthand experience with deep listening and linking preference assessment to care.

 

“PELI provides specificity for a paradigm shift that’s key to forming deep, knowing relationships with elders,” says Susan Frazier, Green House Project chief operating officer. “It helps sensitize direct care staff so they can offer life-enriching experiences that are significant to each elder. For example, residents love being asked not just if they like to read, but what they like to read and how important reading is to them.”

 

A Philadelphia nursing home began using PELI this year to measure delivery of person-

centered care. Without a structured system to gauge resident preferences, activity programming reflects the recreational therapist’s best guess as to what a resident wants. Recreational options may be biased or limited by the therapists’ own interests.

 

PELI’s impact is being measured by examining progress on one or more areas of person-centered care in both PELI and the MDS 3.0. Although quantitative data aren’t yet available, anecdotal feedback indicates that preference-based care yields better satisfaction for families, staff members, and especially residents.

When a trusted, understanding caregiver presents activities or services in a palatable way, a resident is less likely to become frustrated, confused, or agitated and more likely to become meaningfully engaged.

Studies show that staying active and connected socially are closely linked with preventing or mitigating symptoms of depression in nursing home residents.

Looking To The Future

The Abramson Center research team continues to refine the PELI tool by testing it with diverse populations of older adults. They are also conducting studies on the impact of preference-based care on nursing home residents’ quality of life, as indicated by the presence of depression or behavioral symptoms.

 

The Advancing Excellence in America’s Nursing Homes campaign recently has announced new goals that focus in part on person-centered care.

 

According to Mary Jane Koren, MD, immediate past chair of the campaign, the initiative will include PELI as one of the resources offered to nursing homes as part of its evidence-based toolkit of interventions and educational materials. “It’s an intuitively straightforward tool that’s useful not just for the long-stay population but for the short-stay population as well, because it allows you to frame rehabilitation programs around patient preferences,” says Koren.

 

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Oral Health Basics, Part 1

Dental hygienists train staff to administer daily dental care for residents who need assistance.

 MARCH 2013

 Loretta J. Seidl, RDH, MHS

It has been more than 150 years since the great pioneers journeyed to Kansas in search of unknown territory and new lives for their families. Kansans have always been strong and hard-working folks wanting to do the right thing for their neighbors, for the right reason.

 

So it’s not surprising that the folks from Kansas have been some of the first pioneers to initiate oral health programs into their long term care facilities.

 

Some Kansas nursing homes have had great success with the BLISS Oral Health Training Program (OHTP) that has been in use over the past 14 years (BLISS, 2007). The program has been copyrighted, and a patent is pending for the software version.

Program Boosts Quality Care

The OHTP provides and monitors training for nursing home staff by a registered dental hygienist (RDH) who assists them in providing oral care for their residents. At each facility, an RDH trains a team of staff, known as the oral health team. The team is responsible for providing oral health assessments and referrals as needed. The OHTP includes: initial and quarterly oral health assessments; referrals to dentists as needed; identification of dentures; staff oral health in-service presentations; and, most important of all, maintenance of daily oral care for residents who find it difficult or impossible to provide it for themselves.

 

Fourteen years ago, Teresa Achilles, administrator at the Cheney Golden Age Home, was one of the first pioneers to take the challenge of providing a comprehensive oral health program to residents.

The oral health team at Cheney assesses each new resident upon admission using the OHTP protocol. This determines the level of assistance a resident will need to maintain optimal daily oral care. The staff then provide the required support specific to each resident, dependent on the functional or cognitive restrictions of the individual.

 

When there is a change in the functional or cognitive condition of the resident, the level of assistance will also change accordingly.

Prevention Improves Outcomes

There are numerous benefits to daily oral health for residents, including freedom from discomfort and pain and the ability to enjoy eating and socializing without embarrassment, all of which serve to improve residents’ self-esteem.

 

Maintenance of daily oral health involves removal of dental plaque, which is a natural bacterial biofilm composed of various micro-organisms tenaciously attached to teeth and other oral surfaces (Harris, Garcia-Godoy, & Nathe, 2009). Plaque-related oral diseases are dental caries (tooth decay) and periodontal disease (gum disease). These diseases are not caused by a single pathogenic microorganism. The accumulation of numerous bacterial species makes up dental plaque (Harris et al., 2009).

 

Oral problems experienced by older adults are preventable and can often be detected early. They are not the direct result of aging. Dental caries and periodontal disease are plaque-related, preventable oral diseases. Although these diseases are generally not life-threatening or seriously impairing for most older adults, they can have an effect on the management of medical conditions, general health, nutrition, and quality of life (Blanco-Johnson, 2012).

 

It is important to remember that infections in the gum tissue create an open route to the body’s bloodstream. Oral infection can also lead to aspirated bacteria into the respiratory system. These routes of infection can clearly compromise a resident’s overall health.

 

There are other conditions and diseases that can affect residents’ ability to maintain their own oral health. These include: arthritis, dementia, diabetes, hypertension, stroke, visual changes, and xerostomia (dry mouth). For example, xerostomia is a common side effect of more than 400 medications—many of which are often prescribed for nursing home residents. With dry mouth, there is less saliva, which is necessary to lubricate the soft tissues and aid in chewing, swallowing, and speaking.

 

Saliva also neutralizes the acids produced by bacterial plaque. Without adequate saliva buffering, decay can become rampant. Therefore, if there is inadequate saliva, plaque readily sticks to the teeth, dentures, and partials, making it easier for decay to occur and compromising normal oral function.

Individual Needs Should Be Met

In addition to providing assessments and referrals, staff at Cheney Golden Age Home are taught to be aware of the individual needs of each resident, which helps in maintaining optimum oral health. For example, many residents will exhibit gum recession, which exposes the dentin, a portion of the tooth root. The dentin is much softer than the enamel, which is the hard, mineralized outer covering of the tooth. Due to the dentin’s porous nature, it decays much faster than the enamel.

 

In the presence of xerostomia, root decay can rapidly spread, causing pain, abscess, and even tooth loss. Additionally, dentin is sensitive to hot and cold drinks. Many residents are likely to drink more water if it is served to them at room temperature instead of ice cold. In addition, it’s more comfortable to rinse the mouth, after brushing, with room temperature or warm water.

 

Residents who are suffering from dehydration will respond to drinking more water if this simple formula is used: Provide room-temperature water for their use.

 

Maintaining good oral health for residents has provided an amazing array of successes for nursing home residents. Some OHTP testimonies include the following: fewer hospital admittances due to respiratory problems, less-frequent behavioral problems, improvement in overall self-esteem, and enhanced quality of life, especially when oral cancer is detected early.

 

Kansans will continue to be pioneers in the field of oral health. They are well aware that the baby boomers are a population who value maintaining optimum oral health. Once they enter a nursing home, they will expect, and appreciate, the dedicated staff who assist their neighbor with maintaining oral health.

 

“As a result of the OHTP, Cheney has less expense with the purchase of supplements, and since the oral health problems are found in the early stages, less cost once a resident goes to the dentist,” says Achilles. “In addition, it is a great marketing tool for the facility because we are able to say that we offer an excellent oral health program for our residents.”

 

And as many Kansans are fond of saying, “It’s the right thing to do!”

 

 

Loretta J. Seidl, RDH, MHS, is president of BLISS & Associates and an oral health consultant for the Kansas Health Care Association and Oral Health Kansas.

 

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Nurses in drive for 'compassionate care'

COMMENTS (648)

More emphasis should be placed on nurses providing compassionate care in hospitals, industry leaders have said.

In a new campaign aimed at reassuring the public, chief nursing officer for England Jane Cummings said action must be taken to ensure the values nurses stand for are not betrayed.

The call comes amid concern over reported neglect and abuse in hospitals and care homes.

The Patients Association said the plans must be translated into action.

Following an eight-week consultation involving more than 9,000 nurses, midwives, care staff and patients, Ms Cummings will tell a conference in Manchester how she plans to embed values such as compassion, communication, and commitment in public health care.

'Poor care a betrayal'

It is more than three years since the scandal triggered by unusually high death rates at Stafford hospital provoked deep unease over the culture of care in the health service.

Since then a succession of inquiries and reports into the NHS and other care settings has reinforced these concerns, which have become an urgent political priority.

With the launch of Compassion in Practice - a three year strategy for nursing - Ms Cummings will call for new ways of measuring patient feedback, getting trusts to review their culture of care and their staffing levels and explaining in public how they impact on standards.

Ms Cummings is expected to say: "The context for health care and support is changing. Most significantly, with people living longer, we have a greater number of older patients and people to support, many with multiple and complex needs.

"And while the health, care and support system provides a good - often excellent - service, this is not universal. There is poor care, sometimes very poor. Such poor care is a betrayal of what we all stand for."

'Difficult to implement'

Speaking to BBC Radio 4's Today programme, Peter Crome, emeritus professor of geriatric medicine at Keele University, explained what the drive was aiming at.

He said: "I believe what they mean is that nurses and other care staff - whether they're in hospitals, hospices or in the community - should take a more caring and compassionate role when it comes to looking after vulnerable groups, rather than what is often seen as a very task-oriented approach."

Prof Crome said it was possible to focus on technical aspects of nursing at the same time as basic care, adding it was crucial to have care values "reinforced in the the training environment and the working environment".

In particular, he said it was important to observe, monitor, instruct and if necessary correct those training in care.

"But without adequate numbers of trained staff, this agenda - which must be welcomed - will be difficult to implement," he said.

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Why'd you call 911

http://www.youtube.com/watch?v=bekWx73JSvk&feature=youtu.be