Nursing is the most trusted profession, and here is an example of why.

 

An article in the Business Insider Australia has announced that for the 23rd year in a row nursing is seen by the Australian public as the most trusted profession! Australian healthcare enlarge takes out the top three spots with doctors being ranked as number two while pharmacists bring up third. However, the Australian public is not alone feeling in good hands with nurses around.

Roy-Morgan-image-survey-2017

Roy Morgan Research- Source: https://www.businessinsider.com.au/healthcare-remains-australias-most-trusted-profession-and-union-leaders-now-rank-higher-than-politicians-2017-6?r=US&IR=T

In 2016 Nurses and doctors ranked number one and two respectively in Brittan. A yearly Gallup poll conducted in the United States has had nurses ranked as the most respected in honesty and ethics since being added to the list since 1999, barring one year. In light of the September 11th attacks in New York that year firefighters took out the top spot. However, nurses were back in the number one position in 2002. According to GFK Vertrauen in 2013 both Japan and South Korea also ranked nurses as the most trusted profession.

But why is that? Look at a wonderful example of selfless commitment to society- Kristy Boden. An Australian who graduated from Flinders University nursing program and was working in London as a theatre nurse. She was killed not running away from the carnage that was happening during the attack, but towards it to try and help others. What she was trained to do, without fear for her safety. As nurses we know that we are trained to put others first in order to maintain health and well-being.

All of us in the healthcare profession: nurses, doctors, care assistants (AINs), radiologists etc. work tirelessly to maintain and promote optimal health in our society. We take those run-down and broken and mend them as best we can. I have always said that true nursing is not just a profession, it is a calling. And once you heed that call you are always a nurse or a doctor or a physio. And no matter where we may be in our daily lives should someone need our help we will be there to assist, whether we are in uniform or not. I have rendered assistance in a few cases in my career, however no where near the bravery that Kristy showed.

It makes me proud to know that my fellow nurses and I have gained the trust of the Australian people, and many others around the world. I am proud to say that I am a registered nurse.

References

Business Insider Australia: Healthcare remains Australia’s most trusted profession – and union leaders now rank higher than politicians- https://www.businessinsider.com.au/healthcare-remains-australias-most-trusted-profession-and-union-leaders-now-rank-higher-than-politicians-2017-6#Jduov1jC4UHu1Utb.99

Quartz Cannes Daily Brief: Nurses are some of the most trusted workers across the world, while politicians still languish at the bottom- https://qz.com/853048/nurses-are-the-most-trusted-profession-across-the-world-and-politicians-are-the-least/

Gallup poll: Americans faith honesty and ethics for police rebounds- http://www.gallup.com/poll/187874/americans-faith-honesty-ethics-police-rebounds.aspx?g_source=Social%20Issues&g_medium=newsfeed&g_campaign=tiles

GFK Verein: Trust in Professions- http://www.gfk-verein.org/sites/default/files/medien/1/dokumente/1403_vertrauen_in_berufe_downloadcharts_english_2.pdf

The Advertiser: South Australian woman Kirsty Boden killed in London Bridge terror attack-  http://www.adelaidenow.com.au/news/south-australia/south-australian-woman-kirsty-boden-feared-killed-in-london-bridge-terror-attack/news-story/07c8f1fbe255ee056aa7f36dab7f3fec

Advertisements

Coroner asks NSW health privacy rules be relaxed to fight terrorism

A report by SKY news has indicated that the Coroner Michael Burns in investigating the Lindt Cafe siege has found the Personal Information Protection Act and the Health Records Information act were too stringent and did not allow ASIO investigators to have information needed. Coroner Burns has asked the NSW government to review the privacy legislation through his findings. The Sydney Morning Herald, reporting on the findings stated that “Mr Barnes says the government should consider whether NSW Health should more readily share information so that “fixated lone actors”  can be identified and monitored earlier.

However, reviewing the coroner’s report the findings aren’t so clear. Monis did visit several General Practitioners (GPs) who referred him to psychiatrists. Monis did, on one occasion, see a psychiatrist (through a private practice) who diagnosed him with mild depression. He was also seen by the Cantebury mental health team over a period of 16 months. However, according to the coroner’s report Monis was felt to have a personality condtion and not a psychiatric disorder. Additionally, Monis was felt to have manipulated the system to present him as a person with mental instability for some reason.

While the report is obviously a summary of the information gained at the inquest I wonder what good the health information would be in assisting ASIO or any other agency in identifying and removing Monis from the streets prior to the Lindt cafe siege? He appeared to be using the system for his own gains. Monis saw at least 10 GPs within the community, all who I would presume to be in private practice; and therefore not within the confines of the NSW Health system regarding privacy and information sharing. I am wondering how ASIO would be able to know that Monis had seen so many private practitioners and that he failed to follow-up on psychiatric referrals?

I, like many of my countrymen and women, do not want to see terrorist attacks in Australia as occurred in the Lindt cafe siege and in other horrific attacks around the world. And I would be prepared to assist authorities if it was needed. But unless there could be a reasonable explanation as to what benefit would be gained from relaxing the two privacy legislative bills in regards to apprehending potential ‘lone actors’ and preventing terrorist attacks then I fail to see how this would provide benefit over cost to the general public?

NSW Health takes privacy very seriously, and that is a welcome position in my book as a healthcare practitioner and patient. While I am not completely opposed to relaxing privacy legislation I do think we owe it to the general public to have an open discussion regarding what we as that public would be prepared to give up in terms of our privacy for the safety of others. By relaxing privacy legislation, particularly in mental health situations, you risk potential patients staying away from treatment in order to protect their privacy.

Yes, it is a slippery slope. But I am willing to take that slide if there would be real benefit and recognized limits on who the information is shared with and how it will be used. The public has a right to be involved in any discussion.

Your thoughts?

References

Coroner’s report into the Lindt Cafe siege

Sky news report on the findings

Sydney Morning Herald: Lindt inquest: Mistakes cannot be papered over, coroner Michael Barnes finds

 

 

Professional appearance, do Tatts affect quality of care?

A few Facebook sites I follow have recently talked about inked nurses and whether that should be seen as acceptable within the nursing profession. I guess along with tattoos could be hair colour, hair styles, piercings and even facial hair.

Long gone are the days of Florence Nightingale and the rigid nurse’s uniform. Really the question being asked would be what could be considered professional? Within the hospitals I have worked with in Sydney, Australia I have encountered many different examples of full-sleeve tattoos, vibrant hair colours and various piercings. But does appearance solely constitute professionalism?

I don’t think so. I cannot think of one practitioner who has donned their personal bodily flair who has not been a skilled and caring practitioner. Conversely I have known a few practitioners with no adornments who have been clinically weak.

Within other ‘helping’ professions I have also seen exposed tattoos and other personal expressions: police, firefighters and paramedics. Why should they be judged merely for their performance?

What do you think?

Should Healthcare Groups support social causes?

In looking through my Twitter account, @NSalutis, I found an article re-tweeted

by AMA from 9 news discussing the AMA’s support for same-sex marriage and it got me thinking. Should a professional body such as the AMA throw their considerable reputation and support behind a social cause?

At the outset I would like to state I support same-sex marriage, and homosexuality in general. The cause supported is irrelevant. What is important is the support being given. Is there a healthcare-component to same-sex marriage? Does same-sex marriage promote physical health? I am not so sure.

In a position paper released by the AMA president Dr. Michael Gannon he states that not allowing same-sex marriage could lead to poor outcomes. As part of his statement Dr. Gannon talks about high-risk behaviours as a result of stress relating to discrimination, but this does not directly link to same-sex marriage.

Another point made in the statement was the lack of official recognition of marriage by same-sex partners could lead to poorer health outcomes due to a lack of decision-making powers by said partners. But is this not also true of the numerous heterosexual ‘partners’ living together in this country? Some even having children together? In my own experience within the public health system allows for any adult to nominate their next-of-kin, which would allow a homosexual patient nominate their partner.

Therefore, I do not think this issue is one of public health, and therefore not in the perview of a healthcare body. It is political. And by making a statement it is assumed every member of the AMA backs this stance. I am not sure I would want the same from my professional body.

I am interested in what others think?

Dr. Gannon’ statement on the AMA website Article

Nine news article Article