Maintaining Friendships Old And New

I moved into halls for the first year of university despite already living in Manchester (well, Greater Manchester). I felt ready to gain some independence by ‘flying the nest’ and wanted to be within walking distance of university. When I lived with my mum before university I was only less than twenty miles away from the main campus so my friends from home who I used to live super close to aren’t incredibly far from my accommodation. The nursing course can get pretty hectic at times; more often than not all you want to do when you get back from placement is have a good kip!

Seeing my friends from home can be tricky to plan, to be honest, especially seeing as they have commitments like work and studying just like I do and it’s not just a ten minute journey involved in meeting up. I probably don’t tell them enough that I miss them, but I really do, and I really look forward to going home to meet up with my friends or having them stay over at my flat. Seeing my friends from home is so good for helping me stay grounded and true to my incredibly Mancunian roots and it reminds me of a big reason why I’m doing this course. I really hope I can make the people I care about and who care about me proud. If you don’t have the opportunity to meet up with your friends from home very often you’ll understand that the time you spend together is golden and you’ll appreciate it all the more. I’m so, so fortunate to have maintained friendships with such a brilliant bunch of people even after all these years.13151090_226356241076122_2131036156_nI enjoy spending time with the friends I’ve made on my course too, as I think we have a good balance between chatting about nursing as well as unrelated things. We’ll talk about what skills we’ve been learning on placement and helping each other stay motivated when writing assignments by offering suggestions of resources to look at and just offering a pep talk sprinkled with the essence of ‘as a fellow student nurse, I really know how you feel’ then five minutes later we’ll be having a conversation about something like make-up or food. I’m so, so fortunate to have made such a brilliant bunch of friends at uni.

My advice to anybody studying on a course that keeps you super busy (ring any bells?) would be to appreciate and make time for your friends from home whilst still being open to making new friendships at uni. Your friends from home will be glad that you’re enjoying yourself and have support for when they can’t physically come to see you. Believe me, you’ll have no idea how you would have made it through uni without your friends – old and new.

 

PTSD and Midwifery- Don’t be ridiculous!

So I arrived home today after a  day of lectures to find the latest edition of the Midwives journal- The Royal College of Midwives (Winter edition 2016) . Having a read through I stumbled across an article regarding PTSD in the workplace.  ‘Facing the truth- PTSD and the profession’ (RCM 2016).

As I read the first paragraph my heart sank- thoughts of nightmares, comments of panic attacks, drinking to stop the thoughts, ascribed so eloquently, this sounded more like a scene from Full Metal Jacket.  As I read further it was revealed that the account was taken from a first year student midwife who had witnessed a horrendous birth at the end of her first year.  My heart sank further- statistics now show that 1 in 20 midwives will experience clinically significant post- traumatic stress disorder in the UK (Sheen et al 2015).

dont-panic-1067044_960_720

PTSD affects anyone who has been exposed to trauma, as student midwives, registered midwives and practitioners we are all aware of the enormity of our profession- the severe lack of funding and TLC our precious NHS needs deserves. The RCM (2016a) report that the pressure on midwives has never been as great, longer working hours, no time for basic human necessities like having a wee! Not getting breaks, teamed with the fact that the birth rate is up almost one quarter in the last decade (Office of National Statistics 2014) ,compounding staff shortages and increasing multiple births, increase in maternal age and expectant mothers with pre-existing conditions means the strain and stress on the midwife has never been so prevalent.

The RCM  has recognised this and has adapted the ‘caring for you’ charter.  The aim is for organisations to acknowledge and sign the charter.  To improve the health, working conditions and quality of care of student midwives and midwives.

What I take from this article and what I think we all need to remember is that we must care for ourselves- A midwife who works in a positive, compassionate and supportive workplace is more likely to deliver positive, compassionate and supportive care!

SOOOOOOOOOOOO TAKE CARE OF YOURSELF AND EACH OTHER!!!!  WE ARE ALL IN THIS TOGETHER

The next chapter: Starting a new academic year

Last week I was going to post a blog about how I was feeling about starting third year but feeling terrified was my overriding feeling, and no one needs that kind of negativity, right?! I decided to wait until my first day back to write my feelings. So, here goes.

Firstly, I am exhausted! Woah, information overload! But not too exhausted to write to you lovely bunch so may be exaggerating a little! Today we were afforded an incredible opportunity to speak to trusts from all over the country and learn what they want from students applying for jobs. I felt anxious entering the room but left university feeling inspired. I feel like I can be anything I want to be! The trouble is, I don’t know exactly what I want to do yet. I know what my key interests are and know that I want to consolidate my learning in my first role as a qualified nurse but there isn’t currently a specialism screaming out at me. That’s okay though, isn’t it? Here I am referring to this as ‘trouble’. Pardon? This is a PRIVILEGE!

I received encouraging feedback today from representatives from different trusts, as well as from my colleagues. We’ve talked through the benefits of keeping a professional profile and throughout that discussion I flicked through some of my written feedback… Wow! I had forgotten about some of these kind and inspiring words.

I’ve complied a little list of pick-me-up reminders influenced by today’s activities and how I was feeling just last week. I thought I would share them and maybe you might take something from them too:

thirdyearbegins

  • Try to recognise whether I’m thinking rationally
  • Read over feedback and realise my potential
  • Focus on the positives. I have another year of study and a future of continued professional development – even my weaknesses can be positives!
  • Pat myself on the back. I have shown myself I can do so well already
  • Remind myself why I wanted to nurse and reignite those drivers
  • Get organised. Taking some time now for good planning will save a lot of time and worry in the long run. Time to get everything in that shiny new diary!
  • Take some time to digest ‘information overload’ – break it into more manageable pieces
  • Remember that it is okay to feel a bit overwhelmed – I’m not the only one feeling this way. I must remember to be good to myself and do something that is not nursing-related from time-to-time… Starting this weekend!

Now I approach this academic year feeling like I can achieve anything if I work hard enough. I’ve got this! And you have too!

Special thanks to today’s speakers, exhibitors and organisers for a motivating and informative day.

How to beat second year blues

keep-calm-and-carry-on-nursing-12

With second year around the corner, I’d be lying if I said I wasn’t a little apprehensive.

I’ve heard of the elusive ‘second year blues’ and worry that they might already be setting in. Despite having a year under our belt, the end goal somehow seems further away than at the beginning. We’re a year wiser, with a better idea of the challenges ahead…and let’s face it, we’re probably all a year poorer too. All things considered, its no wonder we might feel a bit down.

In the blissful ignorance of first year, I ignored second and third years warning us that we’d feel like this – turns out they were right! In a quest to ease my own anxieties, I’ve asked the for their tips for beating second year blues. Here’s what they said…

Get ahead

I know most of us have spend the last few weeks catching up on sleep, earning some pennies or reminding our friends that we still exist, but it’s worth having a look at what’s coming up. By second year, we’re expected to be independent learners, so its up to us to be proactive and find out what is in store for us over the next year. I’ve been putting it off, but it’s time to get organised, dig out the diary and log in to Blackboard…what’s my password again?

Set goals

Somehow I’ve managed to erase all memory of PAD submission day, which seems like ages ago now, but I remember that we were asked to set some goals for the year ahead. I’ve just had a look back at mine and they actually make some sense. Personal development plans can sometimes seem like a bit of a box-ticking exercise, but having a goal in mind for second year will give you something to focus on and makes the time fly by.

Avoid stress

When I started this course, I made a pact with myself not to leave everything to the last minute. In my last degree, I tactically worked out my words/per hour ratio (about 400), convincing myself that it was totally fine to leave a 3,000 word essay to 24 hours before the deadline. Yeah, I always got them in, but I was an absolute wreck. Believe me, its not worth the stress. This degree is full on enough as it is, so help yourself out by starting early.

Oh and this applies to overcommitting too – a lesson I’ve learnt the hard way. Figure out what is really important and realise that it’s ok to say ‘no’ sometimes. I still haven’t mastered it, but it’s a work in progress.

Talk it out

Chances are that most of us will feel down at some point over the year, but if ‘the blues’ hit, don’t bottle it up.  With hundreds of student nurses about, you’re bound to find a kind, listening ear and you might find that others are feeling the same way.

Also, don’t forget the PEFs are there to address any issues you might be having on placement – take a look at this blog to find out more about their role and how they can help.

Remember it’s not all about nursing

Maybe it’s just me, but does nursing have a way of taking over your life? While on placement, it feels like you think, breathe, dream nursing – sometimes you just need to switch off. Step away from the stethoscope and plan some totally non-nurse activities for the weekend. A break will do wonders.

we_can_do_it

Keep calm and carry on nursing

Conquering second year and banishing those blues is about finding the right balance. This course can take over if we let it, but by staying organised and making time for the other things we love, we can actually be better nurses in the long run.

See you next week!

Suicide is everyone’s business

There were 6, 122 registered suicides in the UK in 2014 (ONS, 2016).

Today is National Suicide Prevention Day. This got me thinking about my experiences of suicide attempts in placement and what I have learned, which I wanted to share with you.

I am a student children’s nurse… I know, suicide in children’s nursing?! Yes, children and young people take their own lives. Notice I didn’t say ‘commit suicide’? Well-spotted. This was intentional. Now, it’s not easy to break our language habits, but I’ve found that a good start in communicating with people who have attempted suicide (or any vulnerable person, or, well… people) is to think carefully about what I’m saying. The word ‘commit’ is commonly used in reference to criminal activity, which ties it to negativity, so I prefer not to use that word. I recognise I used the word ‘attempt’ above. Is this word associated with failure? I don’t know. I’m still learning.

During my time on placement, I have observed how well staff respond to these children and young people in a clinical sense, and how they are still learning how to provide emotional and psychological support.

My first experience was with a young person with diabetes who intentionally missed insulin doses and miscalculated insulin doses in an effort to end her life. The nurses were open about their discomfort in communicating with her. I respected their honesty and, from this point, made it my objective to build my knowledge of communicating compassion in these situations. I started by sitting and talking with her. More importantly, I listened.

Processed with MOLDIV

Fast forward a few months and I am with a girl who has taken an overdose on the ward. This was an emergency. The charge nurse raised his voice and forcefully asked what she had taken. She stayed silent. Another student and I took a different approach. She held her hand and I asked people to stand back.

We introduced ourselves, explained she wasn’t in trouble and that we cared about her.

Somehow, we got to a point where we were singing and dancing to Justin Bieber in her bay, with the curtains closed enough to give her some privacy and open enough for staff to monitor. We listened to her and gave her our time. She disclosed to us what she had taken and she was treated. She was referred to CAMHS (Child and Adolescent Mental Health Service). She thanked us sincerely.

Following this incident, I asked staff which they felt was the best approach, given it was an emergency. Opinion was divided. What do you think?

I could write on and on about suicide prevention, but for now I have listed some of my top tips:

  • Refrain from judgement. If you can admit to yourself that you can be a little judgemental, that shows great level of self-awareness and highlights an area of self-development. For now, try to disguise your judgement. Think about how eye-rolling, tutting and slumping your shoulders whilst turning your back (yes, I have observed these in practice) could make somebody feel – Remember the first standard of the Code ‘treat people with kindness, respect and compassion’
  • Actively listen. Show you’re listening; make eye contact, nod with understanding…
  • Sometimes there are no ‘right’ words, but think about how your language could make someone feel.
  • Don’t be afraid to ask. ‘Are you feeling suicidal?’ ‘Would you like to talk?’ ‘Is there anything I might be able to do to help?’…
  • Don’t make promises you cannot keep. If you feel someone is at risk, make it clear you will need to share information confidentially with appropriate colleagues/services.
  • Know who to refer to and what support is available. You are a student, so at this stage it would be your mentor you would raise concerns with, but learn trust safeguarding policies and national and local services. Here are some resources to get you started:

SamaritansMindStamp Out SuicideMaytree, Male-specific: The Calm Zone,

Young People: Papyrus, Children: Childline

  • Be open to learning ways to help vulnerable people who are considering suicide. One small action you make could save somebody’s life. Keep learning. Keep reflecting. As always, I recommend Twitter as a useful starting point:

#WSPD16 #WorldSuicidePreventionDay #ItsOkayToTalk #TalkThroughTheTaboo

Suicide is everyone’s business and you can make a difference.

My day with the Health Visitors

As an adult student nurse, I don’t encounter many babies/children, so I was keen to try something a bit different. So when I found out that the Health Visitors were just down the corridor of my placement’s main office base, I soon popped my head in to organise a spoke! I had an absolutely wonderful day with the team! Not only did it help me understand the workings of the Community Multi-Disciplinary Team, but its exposure to another field of nursing! Plus, my current district nursing placement is largely based around treating patients, so observing some preventative public health care was great. Oh, and I got to play with some adorable children- I love being a student nurse!

Each Health Visitor is a qualified nurse (adult, child, mental health or learning disability!) or midwife, and their role is based around family care. By leading the delivery of the Healthy Child Programme, they ensure that expectant mothers and new babies up to the age of 5 get the best start in life! They visit families in their homes, GP clinics, Nurseries and Sure Start Centres. It’s an incredibly varied job.

pincer grasp

A tiny grasp for baby, a huge step for development!

My day with the Health Visitors started with a visit to a local SureStart centre, where the local ‘Baby Clinic’ is held. This is where one year old’s attend and the health visitors evaluate their progress. Its not as scary as it sounds, I promise!! They look for certain markers in a baby’s development and then, if needed, can give the parents pointers on how to help their child. For example, by the age of one they should be ‘babbling’ (repeating words they’ve learnt, usually nonsense), pulling themselves to stand and using furniture to wobble around on two feet, and using a pincer hand gesture. We had two lovely little babies visit us, both of which showed these developmental markers but at different stages. Each child, of course, is different and they have started to develop their personalities at this point. Our first baby was very outgoing and had his older sister to make him confident enough to play around and show us how well he was doing. The second child was a bit more shy, and preferred the company of her mum. However, after I showed her the wonder of some bells on a stick, she did everything we asked of her.

Alongside looking for the developmental markers, Health Visitors are also looking at the bigger picture. Their aim is to ensure that the family is happy, healthy and safe. How do you do this? Use a good old pyramid of course!

health visitor bible

Who doesn’t like a pyramid?

The Safeguarding and promoting welfare pyramid is designed to help pinpoint the areas which children should have. So, for example, if the Health Visitor detects that the child doesn’t seem like they have enough stimulation for the child to grow and enjoy themselves, that would question the parenting capacity. It’s useful for identifying a variety of factors that may be affecting a child’s development, as it’s never usually just one thing. Anything that is identified as missing can be worked on, via the Health Visitors, Social Workers or Family Support Workers.

If you want to learn more about Health Visitors, NHS England has a load of information about their role and how to become one! Or, if the chance arises, go and spend time with some!

#hellomynameis Kate

hello-my-name-is-logo-web

Kate Granger, the founder of the amazing campaign ‘#hellomynameis’, wonderful doctor and cancer patient, died this week. Throughout her treatment, she spoke up and informed healthcare professionals how they could improve their practice by doing something simple; introducing themselves. A simple introduction, she believed, could go a long way. The patient needs to feel like a person, not just a list of symptoms. This is the exactly what patient-centered care is all about; Kate hit the nail on the head, we need to change our behaviour.

When I first came into contact with this campaign, I thought “gosh how could anybody forget to introduce themselves?” but it happens, and I’ll put my hands up and say there has been a moment when the patient has had to ask me! But it does make all the difference because it is the beginning of a professional-therapeutic relationship, and the patient needs to be able to trust their caregiver. It makes me smile when patients are happy to say “Kate, can I just ask you a question?” Or “Kate can you just do this?”.  It makes the situation a little bit more normal, less formal and that helps people relax.

What we need to learn from Kate’s work is that speaking up is the best way to kickstart change. If you see something, or think that something could work better- do not be afraid to speak up. Even if you just mention it to your mentor, write it in a reflection to show to your academic adviser, maybe even a blog post…. it can do a world of good. It might not turn into a nationwide social media campaign, but the smallest changes can make the biggest difference. For example, Natasha (one of our lovely bloggers) has been using her knowledge, and spreading it amongst the staff in the Sri Lankan hospital where she completed her DILP placement. You can read that blog post here as it’s a good example of what I’m trying to get across.

The #hellomynameis campaign is still going strong, and I don’t think it will be slowing down anytime soon! Kate’s family and supporters are keen to keep her amazing work going, and I for one will happily get more involved. You can get involved on Twitter or just through the website.

Rest in peace Kate, thank-you for inspiring us.