#WeNurses - Thursday 5th December 2019 8pm (GMT Standard Time) Working well together

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Hosted by WeNurses using #WeNurses

It has been great to see the advent of a new Twitter community hashtag #TeamPatient:

   

 

It's been fantastic to watch from afar the beginning of this community but at the same time it is clear that there is much work to be done around the nurse- patient relationship both in real life on on social media.  There was recently a Twitter thread that highlighted some concerns:

   

  

  

  

   

  

With this in mind this #WeNurses tweetchat aims to explore the nurse - patient relationship and how we can work well together, some of the questions we will be asking are:

  • What does nurses and patients working together currently look like ? Both in real life and social media
  • What does "good" look like in terms of working together  with the people we care for? 
  • How can we best support/facilitate frontline staff and patients to work together to find common solutions to common problems?
  •  Once solution worked out how do we support them both to change policy?
  • Does social media have a role to play in patients and nurses working together? 
  • What one thing would you change that would make nurses and patients working together a positive and productive experience?

Everyone is welcome to this tweetchat - nurses, patients, family members, other healthcare professionals ... everyone adds value.  





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Here are some of the stand out tweets of this discussion:

QUESTION 1










QUESTION 2









QUESTION 3











QUESTION 4








QUESTION 5










QUESTION 6














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 #WeNurses transcript

 
@WeNurses
05 December 2019 20:01
Good evening everyone and welcome to tonights #WeNurses .. which is all about patients and nurses working together If you are joining us this evening please say "hello" and share your first thoughts on this topic https://t.co/fUlTD6GUEx
@TransformNurse
05 December 2019 20:02
RT @WeNurses: Good evening everyone and welcome to tonights #WeNurses .. which is all about patients and nurses working together If you a…
@AgencyNurse
05 December 2019 20:02
Hello - Teresa here in a chilly Bristol First thoughts on working together ... easily said but not so easily done ... takes hard work and dedication and a willingness to change #WeNurses
@AgencyNurse
05 December 2019 20:03
RT @WeNurses: Good evening everyone and welcome to tonights #WeNurses .. which is all about patients and nurses working together If you a…
@knitknitqueen
05 December 2019 20:04
First thoughts, to work together we must get to know each other. #WeNurses
@WeNurses
05 December 2019 20:04
#WeNurses ... now here's a sentence to finish ... https://twitter.com/ericasmart/status/1202680069967269889
@WeNurses
05 December 2019 20:04
excellent first thought #WeNurses https://twitter.com/knitknitqueen/status/1202680191388147717
@WeNurses
05 December 2019 20:05
QUESTION 1 What does nurses and patients working together currently look like ? (Both in real life and social media) #WeNurses https://t.co/njbzYYMQjA
@mikeythenurse
05 December 2019 20:05
@WeNurses Oh yeah, forgot the tag #WeNurses I'll get there!
@CharlotteNHSRN
05 December 2019 20:05
@WeNurses Evening, currently I am both the patient and the nurse looking after myself. ?? Excited for a great topic discussion this evening! #WeNurses https://t.co/Q1rDosfXBW
@alimully
05 December 2019 20:05
@WeNurses Hello, this sounds easy but quite tricky in practice as you have different agendas and priorities especially in service provision. Its finding a middle way that works for both #wenurses
@WeNurses
05 December 2019 20:05
Sounds fab #WeNurses https://twitter.com/mikeythenurse/status/1202680259700617216
@WeNurses
05 December 2019 20:06
Oh no we hope you feel better soon #WeNurses https://twitter.com/CharlotteNHSRN/status/1202680348343177216
@knitknitqueen
05 December 2019 20:06
@WeNurses When you can have a conversation that works for both parties. Or learn something from each other and not always to do with their health #wenurses
@AgencyNurse
05 December 2019 20:07
@alimully @WeNurses yes i think you have a point ... sounds easy ... but the reality is that it takes a lot of hard work..... however the rewards are great #WeNurses
@mikeythenurse
05 December 2019 20:07
@WeNurses In real life it takes many forms depending on the setting. Within the community it involves population groups working alongside health professionals/nurses to identify community health needs and design appropriate approaches to address them #WeNurses
@WeNurses
05 December 2019 20:08
So how can we change this #WeNurses https://twitter.com/simonmarkdaley/status/1202680900615626755
@h2cm
05 December 2019 20:09
@ericasmart @WeNurses Hello from Wigan #WeNurses Patients and Nurses working together ... yes Much written about coproduction collaboration engagement participation involvement... Does the language reflect reality or excuse/fool ppl re the true situation #Safestaffing in #nursing #Socialcare #debate
@WeNurses
05 December 2019 20:09
#WeNurses https://twitter.com/katblossom/status/1202681054278168579
@WeNurses
05 December 2019 20:09
RT @h2cm: @ericasmart @WeNurses Hello from Wigan #WeNurses Patients and Nurses working together ... yes Much written about coproduction col…
@mikeythenurse
05 December 2019 20:09
@WeNurses In clinical settings it means a partnership of shared power. We work with the patients to identify their needs, the barriers to addressing them, provide possible solutions and interventions which we can support around, and support when patients make their decisions #WeNurses
@knitknitqueen
05 December 2019 20:09
@alimully @WeNurses Too many services and lack of communication can make it challenging. #wenurses I was talking to a patient about their appointments, so many bits of paper. A centralised system with one letter makes sense
@WeNurses
05 December 2019 20:09
#WeNurses - all good points https://twitter.com/Queensi21/status/1202681403206520832
@CharlotteNHSRN
05 December 2019 20:10
@WeNurses I think an good example is nurses REALLY stopping and listening to what it is the patient is saying, asking, and not simply responding. But understanding what it is the patient is seeking...sadly a lack of time in most cases is a current resistance to this process. #WeNurses
@JadeTaylor8
05 December 2019 20:10
@WeNurses Who knows if @NHSImprovement allow these NDA’s to continue unchecked ? :( #wenurses https://twitter.com/alexander_minh/status/1202526317289385984?s=21
@knitknitqueen
05 December 2019 20:10
Healthcare workers are now having to wear so many hats #WeNurses
@mikeythenurse
05 December 2019 20:10
@WeNurses In social media it is about nurses working to highlight the voices of patients describing their experiences, amplifying patient perspectives to ensure that all health professionals step outside of their health care bubble to hear directly from patient experience #WeNurses
@AgencyNurse
05 December 2019 20:10
yes indeed time can be a huge factor ... but isn't it time well invested ? #WeNurses https://twitter.com/CharlotteNHSRN/status/1202681588724772866
@MedicineGovSte
05 December 2019 20:11
@WeNurses In real life it looks like this for us. Patient led clinicaleducation https://medicinegovorgmedlearn-innovation-event-nhs.blog/patient-education-support-sessions-helping-you-manage-your-own-care/ #wenurses
@RhiannaPunc19
05 December 2019 20:11
@WeNurses Student nurse here :) I’m guessing nurses and patients working together would refer to the therapeutic relationship that is built over a period of time where the patient feels comfortable around the nurse and trusts them. #WeNurses
@TurnerNurse
05 December 2019 20:11
@WeNurses #Wenurses We could be talking about nurses working together, MDTs, wider services, or something that's been on my mind recently physical and mental health pathways working together
@AgencyNurse
05 December 2019 20:12
@mikeythenurse @WeNurses It's also about just conversing with patients and families ... being open and welcomming #WeNurses
@theresahorne748
05 December 2019 20:12
@WeNurses True effective communication. Understanding that each can know about the conditions/symptoms etc and neither is superior. #wenurses
@WeNurses
05 December 2019 20:12
Interesting .... perhaps many of the tweets already sent can apply across the board ? #WeNurses https://twitter.com/TurnerNurse/status/1202682022487101442
@CharlotteNHSRN
05 December 2019 20:13
@WeNurses In terms of SM- I don’t think we have moved forward as much as we could currently be capable of. Someone even told me on here I shouldnt express my emotions of a bad shift- because potential patients reading it may not seek healthcare in fear of upsetting me- ?? #WeNurses
@knitknitqueen
05 December 2019 20:13
@CharlotteNHSRN @WeNurses Yes picking up on those emotional cues. Challenging when we do not have a chance to sort our own emotions and expected to pick up on others #wenurses
@mikeythenurse
05 December 2019 20:14
@AgencyNurse @WeNurses 100%. I'm well connected with aspects of our services population groups in part because of my social media presence. Showing openness and welcoming is vital when representing our profession online. #WeNurses
@lilian_wittman
05 December 2019 20:14
#wenurses hi everyone, Lilian from IOW. The pt/nurse collaboration is vital for the way forward in healthcare. It gives them the chance to have an input in the care and services we provide.
@WeNurses
05 December 2019 20:15
QUESTION 2 What does "good" look like in terms of working together with the people we care for? #WeNurses https://t.co/OEHIPhTncO
@mikeythenurse
05 December 2019 20:15
@AgencyNurse @WeNurses Which is why many posts that go viral from health professionals, like that recent video where a health pro was claiming to know when patients are 'faking'. Those types of social media presences are very harmful. #WeNurses
@AgencyNurse
05 December 2019 20:15
Yes it is somewhat chicken and egg #WeNurses https://twitter.com/CharlotteNHSRN/status/1202682718477312000
@knitknitqueen
05 December 2019 20:15
@Natalie_StN @WeStudentNurse Where did the accusations come from? Was it malicious? All the angles need to be explored. If someone is accused what are the reasons, we cannot just take the first one #wenurses
@AgencyNurse
05 December 2019 20:16
RT @WeNurses: QUESTION 2 What does "good" look like in terms of working together with the people we care for? #WeNurses https://t.co/OE…
@MedicineGovSte
05 December 2019 20:16
@WeNurses In teaching it looks like this for us. Bottom line us recognising that #patients are experts in their own care. As clinicians we support this and only take the lead when we have to. https://www.youtube.com/playlist?list=PLPtuApYs79-40V_3p30e4VIpPyh1keYQE #wenurses
@jomwlever
05 December 2019 20:16
@WeNurses Hi everyone, my only experience is connections on social media. It has been a big eye opener to see the contribution that those with more patient or parent experience make to healthcare, even at national level #WeNurses
@mikeythenurse
05 December 2019 20:16
@TurnerNurse @WeNurses Those gaps between physical and mental health pathways often feel insurmountable, and always very separated. That's definitely an area that needs more focus and work. #WeNurses
@AgencyNurse
05 December 2019 20:17
@mikeythenurse @WeNurses yes posts like that are disrespectful and really don't do anyone any good at all #WeNurses
@knitknitqueen
05 December 2019 20:17
@WeNurses Being heard and listened to when you have a concern and not for it to be dismissed #wenurses
@WeNurses
05 December 2019 20:17
#WeNurses https://twitter.com/simonmarkdaley/status/1202682051809480706
@WeNurses
05 December 2019 20:17
#WeNurses https://twitter.com/theresahorne748/status/1202682121334202370
@theresahorne748
05 December 2019 20:17
@CharlotteNHSRN @WeNurses We are told that we are not allowed to identify where we work or write about work on private sm accounts incase service users see it. There are ways and means of expressing your thoughts about a bad shift without identifying your workplace however #wenurses
@WeNurses
05 December 2019 20:17
#WeNurses https://twitter.com/sammyjb75/status/1202682146248445952
@mikeythenurse
05 December 2019 20:17
@WeNurses Good working together means power sharing. The patient is the expert in their lives, and that context is vitally more important that our expert health knowledge. We are there to guide, support, and provide the best information we have, not to demand #WeNurses
@WeNurses
05 December 2019 20:18
#WeNurses
@KellyTattersall
05 December 2019 20:18
RT @WeNurses: QUESTION 2 What does "good" look like in terms of working together with the people we care for? #WeNurses https://t.co/OE…
@RhiannaPunc19
05 December 2019 20:18
@WeNurses Being comfortable around one another and knowing that any concerns your raise will be taken seriously. #weNurses
@TurnerNurse
05 December 2019 20:18
@WeNurses making sure that the right hand knows what the left hand is doing. Meaning good data sharing and collaboration, evidence based practice and appropriate communication to patients and their families #wenurses
@MedicineGovSte
05 December 2019 20:18
RT @WeNurses: #WeNurses https://twitter.com/katblossom/status/1202681054278168579
@WeNurses
05 December 2019 20:18
#WeNurses
@lilian_wittman
05 December 2019 20:19
#wenurses the smooth process of sharing information with other members of the team, everyone involved is able to give an opinion about the best way to move forward.
@mikeythenurse
05 December 2019 20:19
@sammyjb75 @AgencyNurse @WeNurses To me that non-hierarchical aspect is absolutely key to this whole discussion. If it's not grasped than working together isn't happening. #WeNurses
@MedicineGovSte
05 December 2019 20:20
@mikeythenurse @WeNurses Yes the power balance is key. Good practitioners give power to patients. #TeamPatient #wenurses
@NursingMPFT
05 December 2019 20:21
@WeNurses services co designed with patients voice heard throughout process #WeNurses
@AgencyNurse
05 December 2019 20:21
It's all very utopian ... but in reality I do firmly believe that it all starts with some listening and some respect ... both of these things can be given freely within very little time #WeNurses
@theresahorne748
05 December 2019 20:22
@WeNurses Reasonable expectation within the care, that all parties understand (advocated by family in terms of dementia/disability etc) Continued communication to ensure those involved are comfortable. #wenurses
@WeNurses
05 December 2019 20:22
#WeNurses
@LeanneHPatrick
05 December 2019 20:23
@WeNurses Power with, not power over. People have a lot of experience of being themselves, living their own lives & managing their own conditions and experiences. Anything you do should be collaborative and with this in mind #WeNurses
@MedicineGovSte
05 December 2019 20:23
@AgencyNurse I've learned far more from my #patients than they have learned from me. #wenurses
@AgencyNurse
05 December 2019 20:24
@CharlotteNHSRN @theresahorne748 @WeNurses I agree Charlotte - and in fact it would seem to me that by being "human" you are actually fostering a greater understanding of nurses and nursing ... we arent superheroes or angels ... we are human beings #WeNurses
@Shaun_LDNurse
05 December 2019 20:24
@WeNurses #LearningDisabilityNursing. ??#WeNurses
@WeNurses
05 December 2019 20:24
RT @MedicineGovSte: @AgencyNurse I've learned far more from my #patients than they have learned from me. #wenurses
@WeNurses
05 December 2019 20:24
#WeNurses
@jomwlever
05 December 2019 20:24
@TurnerNurse @WeNurses Brilliant example of this is @amirhannan #PartnershipofTrust #WeNurses
@WeNurses
05 December 2019 20:24
#WeNurses https://twitter.com/CharlotteNHSRN/status/1202684871338008577
@WeNurses
05 December 2019 20:25
QUESTION 3 How can we best support/facilitate frontline staff and patients to work together to find common solutions to common problems? #WeNurses https://t.co/0hDPWyHshO
@mikeythenurse
05 December 2019 20:25
@WeNurses I know it's been mentioned before, but letting patients write in their own charts/notes about their experiences, needs, what's working etc should be a no-brainer way to achieve good working together. #WeNurses
@WeNurses
05 December 2019 20:25
#WeNurses
@sammyjb75
05 December 2019 20:25
@mikeythenurse @AgencyNurse @WeNurses Absolutely #wenurses
@WeNurses
05 December 2019 20:25
#WeNurses
@receivingconsnt
05 December 2019 20:25
@MedicineGovSte @mikeythenurse @WeNurses Really good point but I would ask: is the power ours to give??? #WeNurses
@WeNurses
05 December 2019 20:26
Anyone have experience of doing this ?? #WeNurses https://twitter.com/mikeythenurse/status/1202685373773561856
@WeNurses
05 December 2019 20:26
#WeNurses https://twitter.com/CharlotteNHSRN/status/1202685447262130177
@Queensi21
05 December 2019 20:26
@WeNurses Including the patients, communicate with each other, expertise and decision making responsibilities to optimise patient #WeNurses
@knitknitqueen
05 December 2019 20:26
@WeNurses In an ideal world. Space and time for staff and patient focused groups. #wenurses
@WeNurses
05 December 2019 20:27
RT @knitknitqueen: @WeNurses In an ideal world. Space and time for staff and patient focused groups. #wenurses
@MedicineGovSte
05 December 2019 20:27
@WeNurses #wenurses #sharedlearnning Openess Transparency #TeamPatient This approach can move mountains https://t.co/v8amUDaQtN
@mikeythenurse
05 December 2019 20:27
@WeNurses To be honest I think understaffing and underfunding are major barriers. Stressed work-forces mean little spare time and energy. Even though it takes just a tiny bit longer it's often out of reach for someone near breaking point already #WeNurses
@Shaun_LDNurse
05 December 2019 20:27
@LeanneHPatrick @WeNurses Hence the terms like treatment and patient should consigned to wheelie bin of history in favour of terms like support and people. ?? #WeNurses
@sammyjb75
05 December 2019 20:27
@CharlotteNHSRN @WeNurses Love the patient stories - the history - how someone lets you in on their personal world #privilege #wenurses
@WeNurses
05 December 2019 20:27
#WeNurses https://twitter.com/Shaun_LDNurse/status/1202685875760619520
@LeanneHPatrick
05 December 2019 20:27
@WeNurses I think this is something of a wicked problem in some services. In substance use, for example, being flexible in the way people need often leads to rapid staff burnout. But being less flexible leads to reduced engagement at a time when people are at significant risk. #WeNurses
@CharlotteNHSRN
05 December 2019 20:27
@WeNurses I don’t think we can say FEEDBACK enough honestly. Patients and relatives often seem surprised when I encourage them to report things they weren’t happy about or provided less than perfect feedback- that’s how we can develop our services. #wenurses
@WeNurses
05 December 2019 20:28
Leanne raises an interesting point here #WeNurses https://twitter.com/LeanneHPatrick/status/1202686008959127559
@Lerounxi
05 December 2019 20:28
@WeNurses Use the tools and gifts we have - our eyes and ears. Look and listen - sometimes the most common complaints are communication related - something we all can improve on. Just listen, absorb the info and respond appropriately. Will work both ways for patients & staff #WeNurses
@WeNurses
05 December 2019 20:28
Is this something we should do more of ? #WeNurses https://twitter.com/CharlotteNHSRN/status/1202686070019805191
@WeNurses
05 December 2019 20:29
Excellent points #WeNurses https://twitter.com/Lerounxi/status/1202686298835824640
@mikeythenurse
05 December 2019 20:29
@receivingconsnt @MedicineGovSte @WeNurses It's difficult, because we mostly see people in OUR spaces. This is MY office, I have the comfiest chair in the room. Or it's our ward, we know all the ins and outs, and routines. Space alone disempowers, and we need to actively counter that. #WeNurses
@LeanneHPatrick
05 December 2019 20:29
@WeNurses For the most part, however, service design is key. But getting that right depends upon prioritising feedback so that services are designed around what people actually say works or doesn't work. #WeNurses
@RhiannaPunc19
05 December 2019 20:29
@WeNurses Listen to the patients wants and needs. If you don’t know much about their condition, revise it and attend PPG groups to gain a better understanding. #WeNurses
@CharlotteNHSRN
05 December 2019 20:30
Agreed- you wouldn’t want a robot to nurses you! You want a human, who feels empathy and emotions to support you through some of life’s hardest events. Please we need to support each other- when we say this is hard, others nurses feel less isolated! #wenurses https://twitter.com/meloncarrier/status/1202685844802457618
@mikeythenurse
05 December 2019 20:30
@receivingconsnt @MedicineGovSte @WeNurses So perhaps it's not that the power is ours to give, but the disempowering aspects of the setting and relationship are our responsibility to minimise and counter? #WeNurses
@AgencyNurse
05 December 2019 20:30
@CharlotteNHSRN we still have a long way to go as regards social media and where we feel comfortable within it as a profession ... but I think you use social media very well so don't be disheartened and keep going #WeNurses
@MedicineGovSte
05 December 2019 20:31
@knitknitqueen @WeNurses Involve #patients all the time. Not just in time limited ' listening exercises' & promote patient involvement in all projects & on Boards. #TeamPatient #wenurses https://t.co/CqdsDn0aCr
@WeNurses
05 December 2019 20:31
Now here is something worth thinking on #WeNurses https://twitter.com/mikeythenurse/status/1202686689849667585
@Lerounxi
05 December 2019 20:31
@WeNurses Absolutely - we can only improve the service with feedback. We want to achieve and do better and we can only do that if we take on board the views from all via feedback etc. Awesome point @CharlotteNHSRN ?? #WeNurses
@WeNurses
05 December 2019 20:31
Absolutely #WeNurses (and a nice plug too #TeamPatient) https://twitter.com/MedicineGovSte/status/1202686902907940865
@Shaun_LDNurse
05 December 2019 20:32
@WeNurses It’s very complex. Even things which appear at face value to be “good examples” can be misleading as they’re often fulfilling a tick-box criteria. It’s has to be predicated on the human and genuinely meaningful to have value. #WeNurses
@ericasmart
05 December 2019 20:32
@WeNurses Listen to listen Listen to understand Confirm what you heard Involve pt and family Then advocate to hell and back for them #WeNurses
@CharlotteNHSRN
05 December 2019 20:32
Thanks- I’ve got lots of inspirational nurses on here to follow in the tweet steps of! ?? #WeNurses https://twitter.com/agencynurse/status/1202686754295336970
@TurnerNurse
05 December 2019 20:32
@WeNurses Yep, same principle as having support teams and families write Behaviour Support Plans and input into MDT meetings. Parent notes are brilliant for detecting changes from the "norm" #WeNurses
@WeNurses
05 December 2019 20:33
Wise words indeed #wenurses https://twitter.com/charlie_psych/status/1202687126833451010
@CharlotteNHSRN
05 December 2019 20:33
RT @knitknitqueen: @WeNurses In an ideal world. Space and time for staff and patient focused groups. #wenurses
@WeNurses
05 December 2019 20:33
#WeNurses https://twitter.com/mikeythenurse/status/1202687354407804928
@theresahorne748
05 December 2019 20:34
@CharlotteNHSRN @WeNurses we should be able to vent and be human but we have to be professional and fully understand that it could be traced back to where you work. Imagine being the family member of a resident in LTC reading the vent of a staff member who's fed up. You may worry about them?! #wenurses
@MedicineGovSte
05 December 2019 20:34
@ericasmart @WeNurses On a practical note. Copy all letters & notes to #patients. Ask them to check for accuracy. Use the #patient's own words wherever possible. #TeamPatient #wenurses
@WeNurses
05 December 2019 20:34
A good idea ?? #WeNurses https://twitter.com/sammyjb75/status/1202687541469745152
@mikeythenurse
05 December 2019 20:34
@WeNurses Every initial appointment I have with a new person I highlight the fact that the best way for us to get better as a service and as health pros is through feedback from those accessing our services, complaints, concerns, compliments are all equally important. #WeNurses
@WeNurses
05 December 2019 20:35
QUESTION 4 Following on from Question 3 ....Once a solution is worked out how do we support both patients and nurses to change policy? #WeNurses https://t.co/vCWsI3eHGM
@jomwlever
05 December 2019 20:35
@WeNurses Q3. I think there needs to be space & time. Maybe there is scope for improving documentation templates to allow for any queries or concerns to be recorded in a specific section so it's easier to be responded to swiftly and followed up. Speaking and Listening #WeNurses
@Lerounxi
05 December 2019 20:36
@theresahorne748 @CharlotteNHSRN @WeNurses Wouldn’t this then come down too the individual potentially needing more support - the word ‘vent’ doesn’t sit well with me & would hope it doesn’t get too the ‘venting me stage to either raise concerns or ‘speak out’. #WeNurses
@AgencyNurse
05 December 2019 20:36
Not health related but education related ... recently have had to raise some very serious concerns to our school ... what bothers me the most is the unwillingness to change, to listen and to work with us a parents ... really made me reflect on what happens in healthcare #WeNurses
@nursingnoodle
05 December 2019 20:37
I whole heartedly agree with this #WeNurses #StudentNurse https://twitter.com/medicinegovste/status/1202685045095444487
@MedicineGovSte
05 December 2019 20:37
@mikeythenurse @WeNurses I like the channel 4 ads on 'Complaints welcome' we should try this approach & #NHS back this. #TeamPatient #wenurses https://t.co/BZD1ow7GTT
@MedicineGovSte
05 December 2019 20:37
@nursingnoodle Thank you #wenurses #TeamPatient
@CharlotteNHSRN
05 December 2019 20:38
@WeNurses So, I fortunately sit on my organisations joint staff side. What I have noted during my time engaging and shaping policy. Is that not enough nurses even know this is something they can do, and absolutely could be instrumental in! #wenurses
@Shaun_LDNurse
05 December 2019 20:38
@mikeythenurse @LeanneHPatrick @WeNurses 2. sense. It makes me wonder about the type of descriptors which are appropriate when working with people and supporting health promotion (< which is more of what we should be doing). #WeNurses
@TurnerNurse
05 December 2019 20:38
@WeNurses Are the nursing job descriptions that we have too generic then? Should job descriptions celebrate the member of staff that's good with data, and the one that's a good planner, or the one that listens to their colleague with they're low? #WeNurses
@AgencyNurse
05 December 2019 20:38
when faced with an immovable and unfamiliar system you can feel powerless and lost ... and you can be at odds with the custodians of that system ... however what baffles me the most is that by working together so much could be achieved to reach the common goal you have #WeNurses
@Lerounxi
05 December 2019 20:39
@WeNurses Explore the solution, test it out for a period of time. Is it working? Does it need to be tweaked? By doing this gather the evidence to support the need for change in the policy. Then present finding people able to change the policy. Hopefully improve patients outcomes! #WeNurses
@WeNurses
05 December 2019 20:39
ooooh we like this #WeNurses https://twitter.com/MedicineGovSte/status/1202688457262485504
@NursingMPFT
05 December 2019 20:39
@WeNurses coaching cultures and learning sets challenging thinking and problem solving, along side embedding quality improvement #WeNurses
@mikeythenurse
05 December 2019 20:40
@WeNurses I think the first thing to understand is that policy is enacted on the front-lines. It's up to us how those policies are actually applied, and that allows power sharing even when a policy is designed in a specifically one-sided way. #WeNurses
@MedicineGovSte
05 December 2019 20:40
@AgencyNurse I teach on sensitive subjects. Hard to state with but once people realise it's about #patientsafety the feedback is amazing #wenurses #oliverscampaign #robbieslaw #victimsofgodport #TeamPatient https://t.co/lQ68Mzmj9P
@WeNurses
05 December 2019 20:40
Really great points ... but how flexible are we regarding policy changes ?? #WeNurses https://twitter.com/Lerounxi/status/1202688977813278720
@Shaun_LDNurse
05 December 2019 20:40
@WeNurses It’s all about co-production and designing/re-designing services to be more responsive to the people that use them. There’s literature details modelling etc... it’s there for the implementing. #WeNurses
@sammyjb75
05 December 2019 20:40
@LeanneHPatrick @WeNurses This is where I find politics and successive government changes mess things right up - the mandatory white papers, the questionable investment of money in new shiny projects and sometimes unnecessary change ( & not always for the better) over the years is staggering #wenurses
@WeNurses
05 December 2019 20:40
Well said #WeNurses https://twitter.com/NursingMPFT/status/1202689073682534405
@CharlotteNHSRN
05 December 2019 20:40
@WeNurses Also- moving forward into thinking a patient has a real place in the MDT dicussions. Moving away from us and them process. #wenurses
@mikeythenurse
05 December 2019 20:41
@WeNurses But also, often policy is put in place by roles without clinical contact, and that makes creating patient-centred policy creation and influencing very difficult, even when nurses and patients combine together to influence policy #WeNurses
@Lerounxi
05 December 2019 20:41
@WeNurses I mean if you provide evidence of where you prove a need for change it would be difficult to battle against a ‘no’ answer... after all you don’t want to hear the dreaded “we’ve always done it this way” saying. Be open to new ideas/change #WeNurses
@MedicineGovSte
05 December 2019 20:41
@mikeythenurse @WeNurses And we must challenge policies that don't work in practice #wenurses #TeamPatient https://t.co/Z1FU0KiK41
@NursingMPFT
05 December 2019 20:42
RT @WeNurses: Well said #WeNurses https://twitter.com/NursingMPFT/status/1202689073682534405
@AgencyNurse
05 December 2019 20:42
Interesting stuff #WeNurses https://twitter.com/MedicineGovSte/status/1202689218667040768
@mikeythenurse
05 December 2019 20:43
@WeNurses But this might just be my own frustration coming through here #WeNurses https://t.co/85kSeKflbm
@mikeythenurse
05 December 2019 20:43
RT @MedicineGovSte: @AgencyNurse I've learned far more from my #patients than they have learned from me. #wenurses
@MedicineGovSte
05 December 2019 20:44
@CharlotteNHSRN @WeNurses Absolutely We also need to involve more patients like Sam. Teaching together on an equal basis. http://www.patientled.education #TeamPatient #wenurses https://t.co/WAFCzVvT7c
@Shaun_LDNurse
05 December 2019 20:44
@WeNurses It takes commitment #WeNurses. More action, less waffle frankly. [we talk a good game in #Healthcare but implementation is often muddled].
@WeNurses
05 December 2019 20:44
Really excellent points #WeNurses https://twitter.com/mikeythenurse/status/1202689211599425537
@MedicineGovSte
05 December 2019 20:45
RT @Shaun_LDNurse: @WeNurses It takes commitment #WeNurses. More action, less waffle frankly. [we talk a good game in #Healthcare but impl…
@WeNurses
05 December 2019 20:45
QUESTION 5 Does social media have a role to play in patients and nurses working together? And if so how? #WeNurses https://t.co/p2xqV7EyQq
@AgencyNurse
05 December 2019 20:45
RT @WeNurses: QUESTION 5 Does social media have a role to play in patients and nurses working together? And if so how? #WeNurses https:/…
@MedicineGovSte
05 December 2019 20:46
@Shaun_LDNurse @WeNurses Often projects are set up and implemented without ongoing #patienr involvement & with no facility to re evaluate if things don't work out. Sadly it's 'box ticked-job done' sometimes. When this trap is avoided amazing things happen. #TeamPatient #wenurses
@MedicineGovSte
05 December 2019 20:47
RT @WeNurses: QUESTION 5 Does social media have a role to play in patients and nurses working together? And if so how? #WeNurses https:/…
@AgencyNurse
05 December 2019 20:47
@MedicineGovSte @Shaun_LDNurse @WeNurses ahh and herein lies the problem ... the tick box !!! #WeNurses
@TurnerNurse
05 December 2019 20:47
@WeNurses Not sure on that one, I always avoided any social media interaction with patients- there has to be a professional limit #WeNurses
@WeNurses
05 December 2019 20:47
#WeNurses
@CharlotteNHSRN
05 December 2019 20:48
@WeNurses I think social media will grow and grow in connecting patients and nurses- we are seeing more people using things like Skype for appropriate appointments etc. I would love to see more use of technology to enhance patient experience, and create more timely services. #Wenurses
@MedicineGovSte
05 December 2019 20:48
@WeNurses Yes very much so. I've learned much from #SoMe , developed my approach & met some amazing clinicians & #patients here ?? #TeamPatient #wenurses
@Shaun_LDNurse
05 December 2019 20:49
@WeNurses I’m not sure about other fields, but in #LearningDisabilityNursing #SoMe is a valuable tool to connect with advocacy and self-advocates, and find out what matters to people. We shouldn’t be far removed from the people we support. #WeNurses
@mikeythenurse
05 December 2019 20:49
@WeNurses Social media is very important on a macro level I think. It allows for the equalisation of voices in a way that isn't achievable often in a policy or MDT meeting. #WeNurses
@AgencyNurse
05 December 2019 20:49
@TurnerNurse @WeNurses I do tweet alongside many "patients" they aren't specifically my patients but they do exist in this space and I do think that so much good can come from tweeting with one another #WeNurses
@theresahorne748
05 December 2019 20:50
@WeNurses Social media is now in every aspect of life now. Its encouraging people to take more responsibility for their health. Hopefully this will continue and the nurse/patient relationship will be more balanced #wenurses
@WeNurses
05 December 2019 20:50
It can indeed #WeNurses https://twitter.com/ericasmart/status/1202691200609898498
@AgencyNurse
05 December 2019 20:51
I love this tweet ... this is how i feel ... engaging as people #WeNurses https://twitter.com/charlie_psych/status/1202691383666065408
@MedicineGovSte
05 December 2019 20:51
@Shaun_LDNurse @WeNurses I've shared and learned some really important clinical infoemstion on #SoMe Theres a lot of noise sometimes ?? Underneath it a brilliant #TeamPatient #TeamNHS community???? #wenurses
@jomwlever
05 December 2019 20:51
@Mike_Thorpe_ @4AdsthePoet @ingridbrindle @louisebrady17 @amirhannan @DrAmirKhanGP just wondered if you would like to answer this for our #wenurses chat ? https://twitter.com/WeNurses/status/1202690381978185728
@Katy_OT87
05 December 2019 20:51
RT @WeNurses: QUESTION 5 Does social media have a role to play in patients and nurses working together? And if so how? #WeNurses https:/…
@KellyTattersall
05 December 2019 20:51
RT @AgencyNurse: I love this tweet ... this is how i feel ... engaging as people #WeNurses https://twitter.com/charlie_psych/status/1202691383666065408
@ericasmart
05 December 2019 20:52
RT @WeNurses: It can indeed #WeNurses https://twitter.com/ericasmart/status/1202691200609898498
@AgencyNurse
05 December 2019 20:52
Most welcome ... as nurses we know the health system so well ... i think we often forget what it's like to be lost .... respect and understanding is key #WeNurses https://twitter.com/sammyjb75/status/1202691783781732369
@AgencyNurse
05 December 2019 20:53
No one at all ... a tick box exercise is a waste of everyone time #WeNurses https://twitter.com/Shaun_LDNurse/status/1202691908851687425
@receivingconsnt
05 December 2019 20:54
@WeNurses I’ve met some amazing patients and nurses on #SoMe and it’s definitely enriched my practice. Not patients I directly make clinical decisions about, but ones who help me (sometimes critically) reflect on my own thoughts and ideas. We are so lucky to be able to do this #WeNurses
@Shaun_LDNurse
05 December 2019 20:54
@TurnerNurse @WeNurses What about advocacy groups and self-advocates though (when appropriate)? I understand the difference of approach, but don’t think interacting with the wider community impacts on one assuming that professional role (when appropriate). #WeNurses
@CharlotteNHSRN
05 December 2019 20:55
Me too! I learn so much from all my nursing colleagues and patients from across the globe! #wenurses https://twitter.com/medicinegovste/status/1202691337923022865
@WeNurses
05 December 2019 20:55
QUESTION 6 What one thing would you change that would make nurses and patients working together a positive and productive experience? #WeNurses https://t.co/NidSGWGnMZ
@AgencyNurse
05 December 2019 20:55
RT @CharlotteNHSRN: Me too! I learn so much from all my nursing colleagues and patients from across the globe! #wenurses https://t.co/yPSrC…
@jomwlever
05 December 2019 20:55
@charlie_psych @WeNurses Hi Charlie , Yes, my twitter account is personal but use it for professional networking too. I think it allows for good conversation being mindful of boundaries. There are grey areas and I would like more guidance from employers and other Orgs on navigating them #WeNurses
@MedicineGovSte
05 December 2019 20:55
@WeNurses For me #SoMe has shown how to break through the inappropriate hierarchical world of health care. It clearly shows that inter-disciplinary working is vital. Patients are leading the way. They are the real experts here. #TeamPatient #wenurses https://t.co/6ABjCTpOhd
@AgencyNurse
05 December 2019 20:56
@TurnerNurse @WeNurses yes i guess that each person is an individual and must be treated as such .... even in this space #WeNurses
@GemmaRN_
05 December 2019 20:56
Note to self to use the word ‘feedback’ instead of complaint—some staff may put the walls up when hearing the word ‘complain’ which means they’re on defensive mode, instead of having an objective view to turn it into a learning experience. #WeNurses https://twitter.com/charlottenhsrn/status/1202686070019805191
@MedicineGovSte
05 December 2019 20:57
@WeNurses Patients on a trust Boards. Mandatory across the #NHS #wenurses #TeamPatient
@WeNurses
05 December 2019 20:57
RT @MedicineGovSte: @WeNurses Patients on a trust Boards. Mandatory across the #NHS #wenurses #TeamPatient
@theresahorne748
05 December 2019 20:58
@WeNurses The scary stigma. Yes people have fought to have our diploma/degree recognised but it often takes away the caring nurse aspect of us. Now trying to work with people is tough as we are seen as medical and not real people. Be nice for people to be comfortable #wenurses
@WeNurses
05 December 2019 20:59
#WeNurses https://twitter.com/TurnerNurse/status/1202693833580064768
@CharlotteNHSRN
05 December 2019 20:59
@WeNurses Try to remove this constant fear that people seem to have of being blamed. Working together with patients in any format that will enhance how we deliver care is surely a benefit. Let’s utilise instead of catastrophising everything #SoMe #wenurses
@mikeythenurse
05 December 2019 20:59
@WeNurses Is it too hopeful to say we need to change the underlying culture that permeates through a lot of nursing practice that reinforces hierarchies? #WeNurses




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