Rachel Walker PhD RN Profile picture
Nurse inventor & introvert who extroverts for a living. My kids say I am “kind, cute...& big” AAAS Invention Ambassador #StayHome #NMA2020 Tweets own They/Them
1 Aug
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.
Read 39 tweets
19 Jun
Are you a college prof who wants to address institutionalized racism, transmisia, colonialism & other -isms but don't have authority to hire or a budget?

You can still work on:
a. Your Syllabus
b. Your Evaluation Strategies
c. Student Handbooks
d. Any document labeled "Policy"
2/ Thx to those who’ve already added their suggestions- here are some links to other Tweets with just a few of the many many MANY resources #onhere (in no particular order):

Read 33 tweets
13 Jun
It might be tempting to write "Put questions about #structuralracism, #whitebodysupremacy & #antiracist praxis on the #NLCEX!" but then you'd have to grapple with the reality that the exam & whole testing industry that surrounds it is a profound example of #whiteness at work.
I mean, if you've ever worked anywhere in prelicensure nursing education, what drives the curriculum?

NCLEX. PASS. RATES.

Why? It's not just rankings. It's also:

BOARDS. OF. NURSING.

Who'll shut you down if you don't keep them high enough. So programs are forever striving-
3/x ...to keep those NCLEX pass rates high. Which means what?

A. Bending the curriculum around NCLEX content areas
B. Purchasing & integrating the products & services of Test Prep Companies like Kaplan & ATI

Which leads to -
Read 12 tweets
25 May
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
Read 4 tweets
22 Feb
How much #nursing & #med ed curricula would need to change, today, if we all agreed that shaming folx in our care (“patients”) is never, ever ever OK?
And I include, in this, so-called #motivationalinterviewing.

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
Read 5 tweets
2 Feb
1/So there was lots of talk at @AACNursing #AACNdoc20 re: #Nursing #PhD pipeline, getting folx esp prelicensure students ‘excited’ about #nursingscience & the #BStoPhD

I totally revamped our #nursingresearch & #innovation course @UMassAmherst last fall to do just that

Thread ⬇️
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....
Read 61 tweets
27 Jan
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.
Read 7 tweets
25 Oct 19
#Academy2019 @AAN_Nursing Keynote on #belonging: Dr. @LisaColemanPhD explains #Diversity (in the room), #Inclusion (being asked to dance), & #Equity (intentional reflection on history & power), & #Belonging: you can disagree about something & you’re still in the group
Dr. @LisaColemanPhD: You can’t have excellence in #innovation *without* #diversity, #inclusion, #equity *AND* #Belonging

#Academy2019
Dr. Lin Zhan to Dr. @LisaColemanPhD: How do #nurseleaders acknowledge #implicitbias? Dr. Coleman explains we all have implicit bias. On #microaggressions: Even well-intended words can do harm. #Leaders must assess their own biases AND how they’re operationalized in their orgs.
Read 17 tweets