Discover and read the best of Twitter Threads about #Moralinjury
Most recents (15)
Triggerwarnung: Sterben
Wir müssen über den Tod und die Gestaltung des Lebensendes reden...
Ich bin auf dem Land aufgewachsen. Jeder kennt jeden. Konservativ. Man geht in die Kirche und trifft sich viel auf dem Friedhof. Der Tod war für mich als Kind ein normaler Begleiter.
Wir müssen über den Tod und die Gestaltung des Lebensendes reden...
Ich bin auf dem Land aufgewachsen. Jeder kennt jeden. Konservativ. Man geht in die Kirche und trifft sich viel auf dem Friedhof. Der Tod war für mich als Kind ein normaler Begleiter.
Er gehörte zum Leben dazu. Dadurch, dass man die Großeltern der anderen z.B. kannte, hat man auch mitbekommen, dass jemand gestorben war und was das bedeutete.
Hinzu kommt, dass meine Eltern uns auch immer zu den Toten in unserer Familie gelassen haben, damit wir uns
Hinzu kommt, dass meine Eltern uns auch immer zu den Toten in unserer Familie gelassen haben, damit wir uns
verabschieden können. Das hat sehr geholfen muss ich retrospektiv sagen. Für mich war auch als Kind immer klar: Der Tod ist endgültig.
Mein Opa hat sich nach dem Krieg in unserem Dorf niedergelassen und viel Sterbebegleitung gemacht, als das Konzept noch nicht bekannt war.
Mein Opa hat sich nach dem Krieg in unserem Dorf niedergelassen und viel Sterbebegleitung gemacht, als das Konzept noch nicht bekannt war.
We’ve said it before, and we’ll say it again: There is no shortage of nurses. The so-called “#NursingShortage” is a crisis of the health care industry’s own making.
Here’s how we got here. 👇🧵
Here’s how we got here. 👇🧵
You might be asking, “Why would the health care industry intentionally short staff hospitals?” To make money!
To cut labor costs, and increase profits, the hospital industry deliberately refuses to staff our nation’s hospitals with enough nurses to care for patients.
To cut labor costs, and increase profits, the hospital industry deliberately refuses to staff our nation’s hospitals with enough nurses to care for patients.
This isn’t new either. For decades, the hospital industry has driven nurses away by intentionally understaffing and closing units across the hospital.
Hospitals also fail to protect nurses from infectious diseases, workplace violence, and #MoralInjury.
Hospitals also fail to protect nurses from infectious diseases, workplace violence, and #MoralInjury.
As of 9/22/2022 update kingcounty.gov/depts/health/c…
The vaccine I was administered & assured on site prior to injection “has no adverse reactions, not even anaphylaxis because there is no PEG” has been pulled from distribution & no longer offered. I am still disabled 18+ mths. 🧵
The vaccine I was administered & assured on site prior to injection “has no adverse reactions, not even anaphylaxis because there is no PEG” has been pulled from distribution & no longer offered. I am still disabled 18+ mths. 🧵
2/ I called the # from above, hoping by now, someone knows who I can contact to report adverse health event in Washington State
apps.leg.wa.gov/RCW/default.as…
But no one knows who is responsible for mass vaccination sites. It’s not publicly available info, not even lead nurses know.
apps.leg.wa.gov/RCW/default.as…
But no one knows who is responsible for mass vaccination sites. It’s not publicly available info, not even lead nurses know.
3/ we know contamination existed & doses were released. When manufacturers are allowed to disconnect all information from lot numbers and no one knows who oversees mass vaccination sites or how to report adverse health events, there’s a massive problem in tracking safety signals
Take Medicine Back has sent a coalition letter to @NCAGO @JoshStein_, pres-elect of the @NatlAssnAttysGn requesting investigation into widespread violations of the prohibitions on the corporate practice of medicine in North Carolina and across states.
takemedicineback.org/letter-to-ag-j…
takemedicineback.org/letter-to-ag-j…
#PrivateEquity firms are rapidly consolidating physician staffing groups resulting in both monopolies and labor monopsonies harming both patients and physicians - placing profits above patients.
@RealBankReform @econliberties
@RealBankReform @econliberties
The Corporate Practice of Medicine "occurs whenever a non-physician individual or corporation exerts control over the medical decision-making or collects reimbursement for the medical services of physicians." The majority of states prohibit it @aaeminfo @AAEMRSA @AmerMedicalAssn
This is happening in U.S. & U.K. Once I got to the management & C-suite, especially in #NYC, I was unwilling to send #HCW into unsafe spaces to be injured or die.
@drbreenheroes this is the crux of the issue. “#Mentalhealth” is really #moralinjury from #ethics violated.
@drbreenheroes this is the crux of the issue. “#Mentalhealth” is really #moralinjury from #ethics violated.
The frontline is disproportionately POC, women. Those making guidelines or in C-suite are able to protect themselves. Leadership manipulates data/definitions, then shames, gaslights. Non-clinicians hired to override #HCW with “opinion.” Those at frontline who speak up: fired.
Who is among these flags (& whose loved ones)? It is not those pushing out pre-prints or on TV nor those safely behind a screen from a second home. It is those at the frontline, working without support, protection, or even without pay (some hospitals asking docs to volunteer).
He spent his life as a first responder when others needed him. When he had a heart attack on the job, system overwhelm meant no resources available for him.
This is betrayal.
We’ve been asking, pleading, negotiating, screaming for this not to happen.
This is betrayal.
We’ve been asking, pleading, negotiating, screaming for this not to happen.
Maybe listen to the ones who care enough to speak up on REAL #safety issues rather then fire them.
The current #HCW correct dismissals over refusal of #VaccineMandate claim administrators are “bullies” because that HAS been true in past.
npr.org/2021/10/24/104…
The current #HCW correct dismissals over refusal of #VaccineMandate claim administrators are “bullies” because that HAS been true in past.
npr.org/2021/10/24/104…
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills
Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system
Follow #BlackTwitter
Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system
Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:
https://t.co/VZ26WWNxRP
https://t.co/VZ26WWNxRP
Lange habe ich mich bedeckt gehalten und nur „Kluges retweetet“.
Ein Thread/ Rant
1/x
Ein Thread/ Rant
1/x
Warum hab ich bisher nicht dazu getwittert?
- Viele Kolegïnnen aus Intensivmedizin und Wissenschaft können bessere Antworten geben ( Evidenz schneller Aufzählen)
-Erstere sind berufsethisch - im Konflikt mit jeder einzelnen Entscheidung- häufiger betroffen ( mehr betroffen)
2/
- Viele Kolegïnnen aus Intensivmedizin und Wissenschaft können bessere Antworten geben ( Evidenz schneller Aufzählen)
-Erstere sind berufsethisch - im Konflikt mit jeder einzelnen Entscheidung- häufiger betroffen ( mehr betroffen)
2/
Aber es reicht mir!
Wir Ärztïnnen werden jeden Tag gezwungen „zu triagieren“. Das war schon immer so und ist Kern des Berufes.
Auch in der Urologie.
Gehe ich erst zu dem fiebernden Patienten auf meine Station oder zu der SteinkolikPatientin in die Notaufnahme?
2/
Wir Ärztïnnen werden jeden Tag gezwungen „zu triagieren“. Das war schon immer so und ist Kern des Berufes.
Auch in der Urologie.
Gehe ich erst zu dem fiebernden Patienten auf meine Station oder zu der SteinkolikPatientin in die Notaufnahme?
2/
1/9. The last 18-hrs have seen headlines appearing in print & online leading on the first paramedic on scene at the Manchester bombing not treating anyone. Many from the pre-hospital & amb world have rightly challenged these headlines, this is exactly what is supposed to happen
2/9. Journalists & their editors seek to grab attention to gain readership but it is important that in doing so they do not, as in this case, mislead & misrepresent the truth of the matter.
3/9. Even if not covered at the inquiry, a call to any number of authoritative bodies (ie. @ParamedicsUK, @BASICS_HQ, @AACE_org , @NARU_Education) wld provide context & understanding to assist in delivering an accurate & contextualised story w accurate headline.
A thread by BRD for your consideration:
Today is #ArmedForcesDay- too often a day where politicians offer platitudes about sacrifice and gratitude while they continue to send our troops to kill and die in endless wars for profit and power- not justice or freedom. #NoMoreWar /1
Today is #ArmedForcesDay- too often a day where politicians offer platitudes about sacrifice and gratitude while they continue to send our troops to kill and die in endless wars for profit and power- not justice or freedom. #NoMoreWar /1
They praise us at their events while they gut our healthcare and sidestep accountability for the rampant sexual assault, pollution and abuses on and around our bases. #ArmedForcesDay2021 #MilitaryMeToo #EnvironmentalJustice #AuditThePentagon 2/
They pat us on the back while they line their pockets with corporate "Defense" industry campaign donations and ignore the the hunger, houselessness, and avoidable traumas our families are grappling with. #ArmedForcesDay #22aDay #MoralInjury #HousingFirst #HousingIsAHumanRight 3/
Announcement from @fordnation sank my heart today. As an ER doctor, person of color and #Scarborough native, I feel defeated 😢. The measures are not going to get wave 3 under control. #BIPOC #ERdoc @SHNcares @torontolife @JustinTrudeau @SCMirror 1/
When I landed as an #immigrant in #Canada, my life started in #Scarborough. My parents (#heros) struggled to find jobs that matched their education. That didn't stop them from working hard / hustling even if it meant 2 jobs at times to keep bills paid and food on the table. 2/
My family lived in an apt building that had mostly racialized/middle-low income families (#affordability). Not much social distancing when large crowds wait for elevators (#EssentialWorkers) or use the shared laundry facilities. This pandemic brings back those vivid memories 3/
What if the money 💰💰💰 spent by #academia & #hospitals on hiring people to spy on #SoMe, to police & shame nurses & doctors (even getting some fired for speaking up on #PPE shortage), this policing disproportionately affecting BIPOC, instead spent on hiring BIPOC & on pay gap
This is pay gap I am talking about. What kind of “#professionalism” accepts that Black women must work 7 extra months for same pay?
Professionalism on “you wore..” is used in sinister ways against Black women in particular
#blackintheivory #MedTwitter
aauw.org/resources/arti…
Professionalism on “you wore..” is used in sinister ways against Black women in particular
#blackintheivory #MedTwitter
aauw.org/resources/arti…
Puritanism in #medicine, being taught to med students who are given middle author status on a publication conceived and supported by senior faculty and junior editors, is part of this harm. Many Black girls are criminalized & punished for natural hair.
npr.org/sections/ed/20…
npr.org/sections/ed/20…
I was feeling overwhelmed by all the laypress articles about #moralinjury and #burnout in frontline health care workers during #Covid_19 so I decided to do a deep dive into the literature on the mental health of workers during pandemics.
Here's what I found. #thread
1/
Here's what I found. #thread
1/
Seriously, so many laypress articles.
What evidence do we have on this, and further, what evidence do we have on strategies that mitigate these mental health issues in health care workers?
I presented these data the @UChicagoMed @UCCancerCenter grand rounds last week.
2/
What evidence do we have on this, and further, what evidence do we have on strategies that mitigate these mental health issues in health care workers?
I presented these data the @UChicagoMed @UCCancerCenter grand rounds last week.
2/
@UChicagoMed @UCCancerCenter But first, some definitions to set the stage:
Burnout, initially described by Dr. Maslach as the prolonged physical and psychological exhaustion related to a person's work. Not specific to medicine, although the definition has been honed for medicine (see slide). #burnout
3/x
Burnout, initially described by Dr. Maslach as the prolonged physical and psychological exhaustion related to a person's work. Not specific to medicine, although the definition has been honed for medicine (see slide). #burnout
3/x
Time to resume elective surgery cases? A thread summarizing new guidance out today from the @AmCollSurgeons #COVID19
This document intro states that peak COVID rates have already been reached, or will be within a few weeks, depending on region...
[link at end of thread]
This document intro states that peak COVID rates have already been reached, or will be within a few weeks, depending on region...
[link at end of thread]
They offer four categories, each with specific issues that must be addressed locally before elective surgery may be safely resumed.
Categories:
1. COVID-19 Awareness
2. Preparedness
3. Patient Issues
4. Delivery of Safe High-Quality Care
Categories:
1. COVID-19 Awareness
2. Preparedness
3. Patient Issues
4. Delivery of Safe High-Quality Care
For the 'awareness' category, the specific issues are:
✅Knowing your local COVID-19 numbers, including prevalence and incidence
✅Knowing local isolation mandates
✅Knowing your diagnostic testing availability
✅Knowing testing policies for pts and HCWs
✅Knowing your local COVID-19 numbers, including prevalence and incidence
✅Knowing local isolation mandates
✅Knowing your diagnostic testing availability
✅Knowing testing policies for pts and HCWs
1/ #medtwitter #twitternists #proudtobeGIM
I've been sitting on a @SocietyGIM #sgim19 debrief #medthread since the meeting, and thought I might finally take a swing at it - here goes ..
I am considering whether I can do more division/systems leadership in coming years .. ->
I've been sitting on a @SocietyGIM #sgim19 debrief #medthread since the meeting, and thought I might finally take a swing at it - here goes ..
I am considering whether I can do more division/systems leadership in coming years .. ->
2/ Theme of the conference was 'Courage to Lead', and single best workshop for me was :
Leading Change: Tools/Tips for Change Management
Crediting Alfred Burger, Emily Fondahn, Brent Petty, Nathan Spell, Dan Steinberg - can't find them on Twitter, so giving proper 🗣🗣.
Leading Change: Tools/Tips for Change Management
Crediting Alfred Burger, Emily Fondahn, Brent Petty, Nathan Spell, Dan Steinberg - can't find them on Twitter, so giving proper 🗣🗣.
3/ would like to share key concepts for all of us trying to lead in academic medicine or in #advocacy spaces.
First key Slide/thoughts:
The hard stuff - barriers to change .. ->
First key Slide/thoughts:
The hard stuff - barriers to change .. ->
