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National Nurses Day is less than a month away, and I’m not excited about it. I’ve received one too many “Code Brown Queen” cards in the span of my career. More frequently celebrated with cheesy, tongue-in-cheek gifts than genuine recognition of the achievement, skill and accomplishments of its 3.1 million members, this nurse wonders if it isn’t time to change things up on May 6th.

I don’t know about you, but I’ll pass on the joke-y cards, magnets and sweatshirts. I don’t need the swag or even the extra attention; I’m just doing the job I feel called to, after all. But since the holiday exists, I think we should use it as an opportunity to actually further the visibility of the nursing profession in a proactive and intelligent manner.

So, this year, I’m asking for the Nurses Week gift I actually want: Nurses and their supporters to demand a National Nurses Day Google Doodle. 

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Maybe, if the millions of Americans Googling something on May 6th saw a tribute to modern day nursing, we’d be able to start a conversation about our profession that’s long overdue. 

The Google Doodle team calls for suggestions that “celebrate interesting events and anniversaries that reflect Google’s personality and love for innovation.” Nursing was founded on the laurels of individuals who changed the course of medicine, and continues on the backs of nurses who daily care for and protect millions of lives through creative troubleshooting, critical thinking, and fast-paced decisions. Florence Nightingale practically discovered germ theory, most modern-day hospital procedure is based on nursing research, and any nurse who has worked short-staffed, survived the shift by relying on innovation.

So why hasn’t Google celebrated us since they started doodling 14 years ago? (To be fair, they did a small, somewhat belittling doodle for Nightingale’s birthday in 2008). 

I don’t blame Google for neglecting us every year, exactly. The trouble with us nurses, is we don’t talk about what we do. Our creativity and guile and innovative genius lays locked within the halls of our practice. The tiny work-arounds we find and share with each other at the bedside change lives, but are rarely known by anyone but nurses, much less understood publicly. Nursing research, although utilized in almost every existing medical decision and implemented at the Federal level, is often poo-pooed as a soft science. And for some reason, we can’t manage to break into Hollywood as anything but drug abusers or tyrants. We’re largely missing from policy debates, few of us have paced the floors of Congress, and the pages of our newspapers are void of our heroic stories and focused opinions. It’s time we start sharing what we do in a way that those we serve can understand.

With our foundations and our future in mind, I think nurses – all 3.1 million of us – as American innovators, need a shout out from Google, the portal of the universe, this National Nurses Day. Maybe, when we’re showcased on the most innovative website on the internet, our country will realize how much we deserve to be there, and we will start actively telling them why.   

So, here’s my plan: Starting this Sunday, I’ve e-mailed the Google Doodlers a suggestion for a doodle celebrating modern-day, living American nurses, calling attention to our innate innovative spirit. In each e-mail, I’m showcasing a living nurse innovator. Sunday, I wrote about Cathy Papia, a nurse from my hometown of Buffalo, who started the White Wreath Protocol, a simple way to alleviate the suffering that comes along with dying in an ICU when a hospice unit is unavailable. Monday, I told the doodlers about Mary Wakefield, the Obama-appointed administrator of the HRSA. Yesterday, doodlers got a briefing on the profoundly innovative contribution of UCSF’s Living Legend, Patricia Benner, and today, I reminded them of Carol Gino, whose voice has peppered the profession with innovative narrative for decades.

Tune in, and share: I’m posting the e-mails I send to the Google Doodle team on my blog, This Nurse Wonders, and I’ll re-hash here, on the Facebook page, Why Nurses Need A Google Doodle, and via @12HourRN.

Nurses are amazing, multi-faceted clinicians, inventors, policy makers, artists, problem-solvers and care-givers. Long before Google became a verb, “nurse” entered the language of the globe and changed it forever. We’re still here to tell our tales; perhaps Google will give us a boost.

National Nurses Day is less than a

My latest blog post for JAMA News Forum focuses on access to care and scope of practice:  http://wp.me/p13lz7-33R

I wrote it right before NYS passed a budget that removed the written practice agreement requirement for experienced NPs in the state but was able to add mention of this in the blog. The new law still doesn’t remove all scope barriers and a sunseting clause will require continued vigilance. It’s a step forward but more needs to be done.

I welcome your thoughts.

Diana

My latest blog post for JAMA News

Older adults continue to lag in technology adoption compared with younger people, and a digital divide also exists within the senior population according to a new report just released by the Pew Research Center.

Pew not only compared technology use between Americans ages 65 or older and the rest of the population, but also compared it across the senior age spectrum. What they found were two different groups of 65+ Americans: one that was younger, better educated, and wealthier, who had “substantial” technology assets. This group had a positive view about online platforms.

The second group was primarily older, poorer, and often had significant health and/or disability challenges. They are largely disconnected from the digital world, both physically and psychologically, according to the report.

“As the internet plays an increasingly central role in connecting Americans of all ages to news and information, government services, health resources, and opportunities for social support, these divisions are noteworthy—particularly for the many organizations and individual caregivers who serve the older adult population,” wrote senior researcher Aaron Smith.

Six in 10 (59%) seniors 65 and older go online regularly — an increase of 6 percentage points in just one year. Nearly half (47%) have high speed broadband at home and more than three-quarters (77%)have a cell phone. However, four in 10 seniors don’t use the internet at all, more than half (53%) do not have home broadband access, and nearly a quarter (23%) don’t use cell phones.
seniors-computer-laptopInternet use and broadband adoption among seniors each fall off notably starting at approximately age 75. Some 68% of Americans in their early 70s go online, and 55% have broadband at home. In contrast, internet adoption falls to 47% and broadband adoption falls to 34% among 75-79 year olds. Income also impacts use of technology. Among seniors with an annual household income of $75,000 or more, 90% go online and 82% have broadband at home. For seniors earning less than $30,000 annually, 39% go online and 25% have broadband at home.

Many older adults have physical conditions or health issues that make it difficult to use new technologies. Approximately two in five seniors in Pew’s survey indicated a “physical or health condition that makes reading difficult or challenging” or a “disability, handicap, or chronic disease that prevents them from fully participating in many common daily activities”. This group is significantly less likely than seniors who do not face these physical challenges to go online (49% vs. 66%), to have broadband at home (38% vs. 53%), and to own most major digital devices.

Among older internet users, 71% go online daily or almost every day, and an 11% go online three to five times per week. Connected seniors are also avid social media users. Forty-six percent of online seniors (representing 27% of the total older adult population) use social networking sites such as Facebook and these social network adopters have more persistent social connections with the people they care about. Some 81% of older adults who use social networking sites say that they socialize with others (either in person, online, or over the telephone) on a daily or near-daily basis.

As I’ve previously reported , it’s never too late to learn to use a computer or other technology. The health benefits of social engagement — whether in person or through social media and other tools are highly beneficial.

“One of the things that seems crucially important for the elderly is to really have a circle of friends, whether it be family, neighbors, whatever, but don’t become isolated. That’s one of the worst things that I think happens…and that probably would be the most harmful thing they could do,” said Daniel Callahan, the 83-year old leader emeritus of The Hastings Center, an aging and policy think tank. Social isolation in older adults is associated with increased depression, heart disease, increased morbidity and mortality.

AARP senior analyst Chris Baker and I called on policymakers to ensure that affordable high-speed connectivity is available to all citizens and promote it as an aging-in-place solution. As we wrote, Internet and other broadband services “increase the potential for older adults to live independently, safely, and comfortably in their own homes.”

I repeat the call here.

Whether it’s telemedicine or staying in touch with the grandkids via Skype, local programs that give older adults the support and training to become technology users have a broad payoff — helping to foster aging in place, alleviating depression and social isolation, allowing more self-care and disease management and bridging the digital divide that prevents many seniors from fully enjoying the benefits of our high-tech, connected world.

Older adults continue to lag in technology