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Objective 7: Participate in processes that influence the healthcare delivery system.

At PLU SoN we have been taught that we are to be proactive and involved in change wherever we are. An organization that is not continually examining the way it does things and implementing continuous quality improvements will not thrive. We have also learned that America’s healthcare system is in deep trouble and will not be able to continue in its present form. The outcomes are deficient, too much money is being spent and far too many people do not have access. Truth be told, I do not plan on being very active in any big change concerning healthcare at the national level or even the state level. I will discuss healthcare with those I come into contact with and probably will contact my elected representatives when necessary but I have no desire to become politically astute.

However, I recognize that change needs to occur in small steps and I will actively be involved in projects that will change the system for the better. I will look for committees to serve on that will allow my voice to be heard in areas that interest me. I will continue to read about and research issues that are near and dear to my heart. I will volunteer for opportunities that will influence change that I perceive as worthwhile. These opportunities will be carefully chosen because I know myself well enough to know that some things energize me and some things drain me.

I do have a secret desire to change end-of-life care. I came to Nursing School with that passion and am leaving with it still there. I am a little surprised that I do not feel compelled to go directly into Hospice or palliative care but I know that I will be involved in changing our approach to dying. We have re-humanized pregnancy and childbirth and now provide a wide range of choices and decisions for parents-to-be to consider. However, end-of-life is still an awkward subject, lacking the benefit of a thoughtful, constructive national conversation. PLU has given me the confidence and assurance that I can be a part of that conversation.


R E L E V A N T   W O R K   S A M P L E S

1) Sepsis Brochure: This is a brochure my Leadership group researched and designed as a Change Project for use in MultiCare’s ICUs. They were looking for information to give family members that would help educate them about severe sepsis. Last we heard it is at the printers (April 2007). I am especially proud of this brochure because it will benefit both the healthcare providers and the families experiencing severe sepsis.

View a PDF of the brochure [1.6 mb]

2) GI Bleed Class: Kathy Lopas and I developed this PowerPoint to teach our class about GI bleeds. Education is a mighty tool in the hands of a gifted teacher and nurses are by definition teachers.

View the slideshow

3) Euthanasia: Con: This is a piece of a group presentation prepared by the PF Flyers from Nursing 260. I wrote this part of the paper. It wasn’t hard because I have spent a lot of time studying and thinking about the ethics and implications of euthanasia. I am currently planning on focusing on End-of-Life Care and hope to make a significant contribution to this area of nursing.

View a PDF of my paper

4) Euthanasia Cartoon: This is a t-shirt I designed for our group presentation. We found that on the surface there may not be any “unpleasant side effects” but the deeper you look, the more unpleasant it becomes--especially as nurses. There are many ways to begin a conversation….

View a PDF of my cartoon

5) Website Critique: The internet is changing the healthcare delivery system. Nurses need to be able to critique websites and teach healthcare consumers how to be discerning in their use of the worldwide web.

View a PDF of my paper

6) Letter to the Honorable Dave Upthegrove: Political letter written in support of HB 1809, the Patient Safety Act. Politicians are my voice in government and I need to let them know how I feel.

View a PDF of my letter