February Post
February 28, 2019 Mike McLeland

February Post

Posted in Blog

Hello fellow Rehab Nurses.  I am obviously barely squeaking in under the February deadline.   An update on board decisions and events.  We agreed to schedule CRRN reviews based on whether or not facility reviews were being held that year (ie BSW) we are planning for a one day educational event on October 31, 2019, but the topic has not yet been decided.  If you are seeing a particular need in your facility, or with the rehab nurses you work with, please speak with a board member.

We are planning a joint chapter meeting for March 21, 2019 3:00 PM at Brain Injury Network of Dallas, in Plano, with the Association of Neuroscience Nurses (AANN), Dallas Chapter.  They have a small but active chapter.  Hopefully, they will be able to co-sponsor an event next year.   I also know some of you attended their recent event on neurogenic bowel.  This is an opportunity for us to network with other nurses who value membership in professional organizations.

I wanted to comment on a publication co-authored by one of the Dallas AANN members DuWai M. Olson.  The title is “Of Zombies and Evidence” and it is published in the February 2019 edition of Journal of Neuroscience Nursing.  It is a simple outline of the power of evidence in the things that we hear, read, and are taught every day in nursing and in our understanding of the world around us.  It is a challenge too, when looking at the science that guides our nursing practice to avoid antidotal evidence on television, movies (and by extension) certainly on the internet.  The article describes the hierarchy of evidence types which can help us to rely, heavily or with less certainty on the science we read.  Think of the evidence pyramid. (look it up if you can’t visualize it)  The least rigorous of these is expert opinion.  The source cites this is “often simply the person who happens to have the stage or the pen or to be a bully pulpit”.  It is sad to see that so much “evidence” and “facts” are published today at this level, and are accepted as fact by reasonable, well-educated nurses, as well as the general public.

“When evidence is used to define best practices rather than to support existing practices, nursing care keeps pace with the latest technological advances and takes advantage of new knowledge developments.”  Don’t we have that responsibility to our patients?  (Youngblut, et al, November 2001 AACN) Earlier this month I read an article about nurse practitioners having to spend up to half of each visit “unteaching” the supposed facts their patients read on the internet.  So much of what rehab nursing is entails teaching our patients about how to manage their chronic diseases or effects of their surgery or injuries.  Shouldn’t we be using the highest levels of evidence, the best science has to offer, when teaching our patients?  I worry so when I hear “false medical facts” repeated by often otherwise well informed members of the public.  It can be very dangerous.  I encourage you to read, research and speak up regarding health information.  Fake news can hurt us.

I thought I would remind the group that the ARN national conference is November 5-9, and the location has been changed from Memphis to Columbus, Ohio.

Please respond to a brief survey you will receive from our chapter.  The purpose is to improve our value to you.

Regards,

Cyndi Murphy