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Currently Skimming:

Marla E. Salmon, Sc.D., R.N., FAAN
Pages 13-23

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From page 13...
... Nurses are basically white, middle-class women. The overall representation of minorities in nursing in the United States is about 10 percent, which is significantly less than the overall composition of 13
From page 14...
... For example, older nurses experience age-related changes that necessitate workplace changes ranging from mechanical patient lifts to large-print monitor displays. There are two particular things that I want to draw to your attention to bring the aging issues into sharper focus.
From page 15...
... One of them is that they serve as the gasket of the health care system. Nurses do what needs to be done to fill the gaps, which is critical to keeping things going despite what is often significant system dysfunction.
From page 16...
... , an exciting example in the set of initiatives sponsored by the Robert Wood Johnson Foundation, that relates to creating supportive care environments. When you involve nurses in redesigning care, you can actually achieve success in terms of both outcomes for patients and the capturing of time that is so often wasted.
From page 17...
... . Having had an elderly father who looked for every possible gimmick to keep himself in his own home, I have seen that there is a great need for truly assistive and supportive technology that is of real value to elderly people.
From page 18...
... Currently it is not funded, and the outcome of that is very apparent. Earlier I talked about the role of nurses as being somewhat fungible, expanding and contracting to fill gaps in our health care system.
From page 19...
... We owe ourselves and the rest of the world our best efforts to find real solutions to the future of caring. The second thought is that real solutions will require significant investment, but perhaps more importantly, they will also require letting go and walking away from a lot of traditions that are embedded in the health professions and in nursing.
From page 20...
... DR. SALMON:  I am going to defer to my colleague, Fitz Mullan, but I think that my biggest issue with this is that we are the largest consumer of human resources for health around the world, and we are probably the most stingy in terms of any reciprocity or any kind of capacity building for human resources in the countries that we import from.
From page 21...
... There is a real lack of understanding that health care needs to invest in human resources in the way that any other enterprise invests. We have a lot to learn from the long history of investment in human resources in other sectors.
From page 22...
... In our own setting we are actually reclaiming our close connections with practice and commitment to clinical education. What we have said is that clinical education is extremely important, and there are ways that we can develop clinical partnerships in which practicing nurses can serve in mentoring and educational roles.
From page 23...
... What is interesting is that Fitz simultaneously serves at the Upper Cardozo Community Health Center here in Washington. He was commissioner in the Public Health Service in 1972 and was among the first to serve in the U.S.


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