I can’t stop thinking about how companies like Johnson & Johnson have nurses & words like “caring” plastered all over their media, while simultaneously & deliberately having made billions off the opioid epidemic...
cnn.com/2019/08/26/hea… (please note this headline is from last year, before the judge cut the amount significantly & before JNJ settled a swath of other lawsuits with a 4B+ settlement offer)
I know companies like JNJ are big & incentivized to exploit in the name of profit. That is white imperial capitalism in a nutshell.
I know some nurses, nursing organizations & communities they serve also benefit from investment by these companies.
I’m not gonna replay that #LakeoftheOzarks tape, but let me say this: I grew up w/summers in the Ozarks & b4 #nursingschool I interned w/ my uncle, a #CRNA there. CRNAs=critical for #COVIDcare. So few, he served 4 rural hospitals at once
My 💜 to the RNs & those who’ll need them
2/Its very likely the many of the folx in this footage aren’t exactly “local” to the immediate region. But the essential staff/security probably are. Rural health ctrs all over U.S. are struggling/closing. Lower pop. density has provided some COVID19 protection, but no guarantee
3/Most of my family live in Arkansas, Missouri, West Virginia & Texas. To a person, we disagree about philosophy, politics, religion, you name it. Family reunions=awkward. But folx take care of each other. So I’m fairly confident,if one comes down w/ COVID, others will get it too
Tho perhaps not its original intent, many approaches to #MI as it is currently taught assume (a) a person needs to change something about their behavior; (b) the clinician knows what type of change is best;
The way I've most often seen education on #MI operationalized represents a paternalistic approach to care that frames behavior as "choice", places culpability for health outcomes on the individual, and divorces individual behavior from structural & social forces that shape health
2/ I told the Asst Dean when I took it on that regardless of the learning objectives for the course I had only 1 GOAL:
That by the end of the semester, these students would be EXCITED!-or at very least, just a little bit CURIOUS-about a career in #nursingscience & #innovation
3/ A note about context: This was a course of ~85 Accel BS students, taught in an urban campus that is geographically ~40mins drive from main @UMassAmherst campus, in the . The classroom assigned had no windows. Class ran 8am-1030am Weds, before more courses. I say this b/c....
Broke down tonight as I reflected on all the new smart passionate colleagues with big ideas who’ve been chased out of academic nursing by folx so deeply threatened by them & so invested in maintaining the status quo & their power in the system that they will defend it at any cost
Sometimes it’s overt (physical aggression, shouting, threats), sometimes institutional (denial of disability accommodations, childcare, etc)but often it’s subtler: passive aggression,shaming, subterfuge,whisper campaigns, undermining,belittling, berating...death by 1000 papercuts
And to be clear, these observations are institutionally agnostic. Academic nursing is a pretty small world.
And there are many bright spots: fabulous mentors, community-builders,advocates & accomplices.
But it takes a toll.
It doesn’t have to be this way. These are choices.