Don't know how to save the world? Learn here. (Page 76)

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Scholarships are available for Rutgers University’s Global Women’s Health Leadership classes.

Nurses often take their skills beyond the bedside.  They travel the world showing compassion for the world’s sick and suffering, spreading a single-standard of care for all people, and ensuring a just distribution of life’s basic necessities.  However, saving the world can mean starting with the questions, “where do I go?” and “what can I do that will actually make a difference?”

Nurses can answer those questions in classes offered through the Institute for Women’s Leadership at Rutgers University.  The Global Women’s Health Leadership certificate program was developed with National Nurses United, and enrollment is open for classes in the fall of 2013.

The instruction is all on-line, and no attendance at Rutgers is necessary.  Future classes will include:

Impacts of Economic Inequality on Women’s Health

Domestic and global economic inequality place significant numbers of people at high risk for health crises even as they are denied access to care. This course investigates the “pathogenic” aspects of economic inequality. It examines how systems of unequal resource distribution contribute to wide disparities of health risk, access to healthcare, and clinical outcomes.

Debt, Crisis, and Women’s Health

Growing national debt has become a feature of increasing numbers of nations over the past 60 years, heightening dependence on international financial institutions and restricting the sphere of freedom of national policy makers. Healthcare provision has been subjected to severe cuts as nations struggle to meet their debt obligations and stabilize their economies.

Gendered Health Impacts of Structural Adjustment Programs

Since the 1980s, the World Bank and the International Monetary Fund have conditioned loans to poor countries on implementation of economic policy requirements known collectively as structural adjustment. This course considers the gendered health effects of structural adjustment. It investigates why women are over-represented among those most negatively affected by cuts in public services, how their caretaking burdens increase and their paid employment decreases disproportionately with privatization.

Health Consequences of Global Trade in Food Commodities

Close to one billion people suffer from malnutrition and many more from food deprivation in the twenty-first century.  This course investigates shifting modes of food production as local practices of subsistence agriculture have been replaced by export agriculture and global commodities markets. The course compares the consequences of these changes for women as consumers in the global North as well as for women as producers of subsistence in the global South. Examining impacts of global commodities markets on food distribution, diet, and health, the course also analyzes the health effects of the creation of consumer markets for processed foods.

Health Consequences of Global Trade in Pharmaceuticals

Multinational pharmaceutical companies remain the primary developers of new drug regimens. The health effects of drug research and development, however, vary markedly from one region of the world to another. This course explores the political economy of the global pharmaceutical industry, analyzing the distribution of burdens and benefits. It examines ethical issues, such as clinical trials on populations in the Global South; continuing sales of drugs across the Global South after they have been banned in the global North.

Gendered Professions and the Transnational Care Economy

Nursing lies at the heart of the “care economy.” Involving work that requires intensive physical labor, person-to-person communication, and spatial proximity, the intimate nature of care work resists mechanization. In contrast to the production of commodities, the highly personalized labor of care is driven by human need rather than profit maximization.

Tuition for courses is currently $2,304. NNU is in the process of negotiating tuition rates with Rutgers. NNU’s disaster and community relief program, the RN Response Network (RNRN) will offer a limited number of scholarships each term to RNRN members who are interested in taking courses. The scholarship will provide the opportunity for RNRN members to enhance their fundamental understanding of global health conditions, as well as the connection between disaster relief, the core mission of RNRN, and the global conditions that contribute to the ability or inability of health systems to properly respond when disasters occur.

Nurses must be RNRN members to qualify for scholarship opportunities. To apply for a scholarship or for information on how to join the RN Response Network, contact Alice Grubb.

Current and upcoming courses will be continually updated on this website. If you are interested in taking a course offered during the fall semester, please contact Janelle Fine before August 15th, 2013, and if you are interested in taking a course offered during the spring semester, please contact Janelle before December 15th, 2013. Please check back for a schedule of current and future course offerings.

Nurses often take their skills beyond the bedside.  They travel the world showing compassion for the world’s sick and suffering, spreading a single-standard of care for all people, and ensuring a just distribution of life’s basic necessities.  However, saving the world can mean starting with the questions, “where do I go?” and “what can I do that will actually make a difference?”

Nurses can answer those questions in classes offered through the Institute for Women’s Leadership at Rutgers University.  The Global Women’s Health Leadership certificate program was developed with National Nurses United, and enrollment is open for classes in the fall of 2013.
… Read more about: Don’t know how to save the world? Learn here.  »

Recently, US News & World Report released its “Best Hospitals” list.  What’s interesting is what criteria a national news magazine uses to judge what’s “best.”  Link here.  

The criteria seems to favor reputation versus results.  Note that patient safety only counts five percent toward the total score and ranking.  Of course, many hospitals rank themselves based on patient satisfaction scores.  The patient survey affect hospital quality ranks, which have many variables including when did the patient fill out the survey or what patients filled out the survey.   New parents, for example, are prime targets for a patient survey score.

Kaiser Health News noted the patient satisfaction scores drive hospitals in the story they did about hospital food going gourmet. 
… Read more about: What makes a good hospital? Really.  »

Minnesota’s HMOs continue to bank huge surpluses.  According to health care analyst Allan Baumgarten’s report, which was cited here by the Twin Cities Business Journal, health plans in the state collectively socked away $241 million in 2012.  That’s up from 2011 profits of $230 million.

HMOs will disagree with the word profits, as they’re non-profits, but their revenues combined mean they’re now sitting on $1.9 billion in savings.  State law require them to save money to remain solvent, but the latest figures show the state’s health plans are now banking $1.3 billion more than regulations require.

HealthPartners alone generated nearly $128 million in operating income over the past two years, which earns it the title of most profitable HMO in the state. 
… Read more about: HMOs’ piggy banks get bigger  »

When the Robert Wood Johnson Foundation and the National Institute on Nursing Research released a study on the effects of nurse staffing in NICUs, it was a unique look into how nurse workloads affect non-adult patient outcomes.  The study was conducted by researchers from the University of Pennsylvania, University of Medicine and Dentistry of New Jersey, Ohio State University, Dartmouth College, and the University of Vermont.  Data was collected at 67 Vermont-Oxford Network hospitals on very-low-birthweight (VLBW) babies hospitalized between 2008 and 2009.  Surveys on nurse staffing levels and patient acuity levels were tracked daily.

The result was not surprising.  The researchers say that staffing below national guidelines by just .1 nurse-per-infant led to a shocking 40% increased risk of infection. 
… Read more about: Nurses not the only ones paying attention to staffing problems  »

Minnesota lawmakers met at the Capitol on Tuesday to discuss ways to combat the spread of synthetic drug abuse that his hit Duluth, Hibbing, and other places spread wide across the state.  The newly-formed “Select Committee on Controlled Substances and Synthetic Drugs” created by House Speaker Paul Thissen and headed by Duluth State Representative Erik Simonson is charged with holding hearings across the state and reporting back to the legislature by February 25th with recommendations.

Unlike traditionally banned drugs, manufacturers of synthetic drugs, often referred to as “bath salts,” are continually creating different drug formulas in a response to the banning of chemicals used to make the synthetic substances, which effectively replaces banned chemicals with new ones. 
… Read more about: Synthetic Drug Committee Meets Again  »

HEALTH CARE NEWS

How the American Health Care System Killed My Father    Nor is he dead because of indifferent nursing—without exception, his nurses were dedicated and compassionate.

Hospital Exposes Patients to Needless Radiation For The Money   Cardiologists and the Infirmary Health System in Mobile, Ala., are accused of needlessly exposing patients to radiation in a nine-year-running kickback scheme tainting an estimated $522 million in Medicare, Medicaid and Tricare reimbursements since 2004.

2013 a Banner Year for Minnesota Children’s Mental Health    In-reach services were added so that care could be provided when a child leaves the hospital or emergency room to help reduce readmissions and ensure a smooth transition.
… Read more about: MNA NewsScan, July 10, 2013: Hospital scam puts patients at risk; ACA intensifies debate on patient safety standards  »

HEALTH CARE NEWS

How Consistent Hospital Error is Having a Deadly Effect on the Health Care System    “Medical harm is probably one of the three leading causes of death in the U.S., but the government doesn’t adequately track it as it does deaths from automobiles, plane crashes, and cancer. It’s appalling,” he told the magazine.

The 9 Things You MUST Check Before Choosing a Hospital    7. Check the Nurse-to-Patient Ratio – Ideally, a nurse should have only four to six patients under his or her care at a time (and less if it’s critical or intensive care).
… Read more about: MNA NewsScan, July 8, 2013: Hospital error rate “appalling;” Is 68 the new 65?  »

Minnesota’s own UnitedHealth just made headlines by announcing that it is dropping out of the pool of private companies that would offer individual policies in California.  Aetna has also dropped out of the California market.  Source: http://www.latimes.com/business/la-fi-unitedhealth-insure-calif-20130702,0,4370321.story

It’s not a tragedy for Californians.  Both of those companies only had a combined 58,000 customers who can now seek new coverage in one of 13 Covered California providers.  What’s apparent, however, is that private companies are dropping out of even lucrative markets such as California where they can’t create policies that keep their costs down and rates up.  It’s the equivalent of taking their ball and going home, which in UnitedHealth’s case is employer-offered plans.
… Read more about: If big insurers drop out, who steps in?  »

NOTES ON NURSING

More Cancer Specialist Nurses Improve Hospital Care   Patients of better staffed trusts were more likely to report that people treating and caring for them worked well together and they received enough emotional support during outpatient treatment.

HEALTH CARE NEWS

Obamacare Postpones Employer Mandate for a Year    Employers who don’t provide health insurance will be spared penalties of up to $3,000 per worker until 2015, a one-year delay of a major component of President Barack Obama’s health care reform law.

Kickstart Your Medical Bills   The Kennett family of Alexandria is one of thousands turning to the Internet to raise money for medical bills.
… Read more about: MNA NewsScan, July 3, 2013: Nurses, staffing, special skills combine to improve care for cancer patients  »

NOTES ON NURSING

sisters-of-mercy-painting_420Union Army’s Top Nurses Were Nuns   This insight honors the 150th anniversary of the Battle of Gettysburg.    The Daughters of Charity at their provincial house in Emmitsburg, Md., could hear the cannons of Pickett’s Charge 10 miles off. They helped their chaplain pack a wagon with medical supplies and, when the cannons were silenced, a dozen sisters rode with him to tend to the wounded.

HEALTH CARE NEWS

Hospitals Reward CEOs for Profit Over Quality    Across the nation, boards at nonprofit hospitals such as Valley are often paying bosses much more for boosting volume rather than delivering value, according to interviews with compensation consultants and an examination of CEOs’ employment contracts and bonus packages.
… Read more about: MNA NewsScan, July 1, 2013: Nuns as nurses in Civil War; How bogus are patient satisfaction scores  »