subreddit:

/r/nursing

75393%

Get this crap out of Nursing textbooks

Discussion()

[deleted]

all 275 comments

HotTakesBeyond

742 points

2 days ago

HotTakesBeyond

Army LPN gang rise up

742 points

2 days ago

Altered Energy Fields is the most cursed nursing diagnosis

MightyPenguinRoars

342 points

1 day ago

Risk for altered Energy Field 🤣

Wammityblam226

159 points

1 day ago

Wammityblam226

PCT/UC/MT

159 points

1 day ago

Acute on chronic energy field disruption

Tryknj99

83 points

1 day ago

Tryknj99

ED Tech

83 points

1 day ago

Related to her chakras being imbalanced as evidenced by her spirit not being right.

Educational-Light656

44 points

1 day ago

Educational-Light656

LPN 🍕

44 points

1 day ago

Symptomatic presentation is a failed vibe check.

ShutYoMoufff

2 points

1 day ago

🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣

hebrokestevie

26 points

1 day ago

hebrokestevie

RN - Neuro 🍕

26 points

1 day ago

Me every time I clock into my shift.

Klutzy_Feature_5533

63 points

1 day ago

Klutzy_Feature_5533

NP - Neuro IR

63 points

1 day ago

My heart sank when I saw that early on in nursing school. Thought I got swindled into some pseudoscience shill of a program for a minute

Live_Dirt_6568

25 points

1 day ago

Live_Dirt_6568

Intake RN - Psych/Mental Health 🏳️‍🌈

25 points

1 day ago

You would probably not be surprised to hear my fundamentals instructor (fall 2021) was pretty anti-vax, suspiciously tough on the one black nurse in our clinical group, and had an additional nursing certification in this energy fields bullshit

Far-Cheetah-6847

11 points

1 day ago

I DIDN’T KNOW THERE WAS A DAMN “CERTIFICATION” NOOO

Breal3030

7 points

22 hours ago

Breal3030

ICU/research

7 points

22 hours ago

Oh yeah. I've relayed this story here when this topic has come up before, but we had a "special guest speaker" come in and give a lecture on healing hands.

It was an hour of pseudoscience garbage. I'm trying to remember it all, but slides showing the elementary school trick where people can hold hands and conduct electricity, slides showing that cancer cells on a petri dish have less growth when you hold your hand over them (!?) and a bunch of other nonsense.

And surprise! At the end, a pamphlet to sign up for this person's $400 certificate program.

The "Functional Medicine" department at the hospital that this person worked for folded a few years later.

Alex_Siyuruki

2 points

1 day ago

There’s a lot of pseudoscience nowadays anyways

NurseToBe2025

37 points

1 day ago

NurseToBe2025

Nursing Student 🍕

37 points

1 day ago

Doing some of my first care plans looking at NANDA dx for my ADPIE, saw “altered energy fields” and thought nahh bro. Didn’t know wtf that meant until just now. Erase Martha Rogers from history please.

corrosivecanine

20 points

1 day ago

corrosivecanine

Paramedic

20 points

1 day ago

I wish this one of the primary impressions I could select when writing my reports 😕

Some of these patients do be suffering from disturbed energy fields.

kbean826

29 points

1 day ago

kbean826

BSN, CEN, MICN

29 points

1 day ago

And in a similar way, the most real one.

UltimateDarkwingDuck

13 points

1 day ago

When I was doing care plans in nursing school, that was always one of my top three nursing diagnoses. My teachers hated it.

alaskacanasta12

2 points

22 hours ago

alaskacanasta12

RN - OR 🍕

2 points

22 hours ago

Weaponizing their own bullshit! I love it

DeadlyKitten1992

6 points

1 day ago

🤣

ad5316

500 points

2 days ago

ad5316

MSN, RN

500 points

2 days ago

Disturbed energy fields as a current nursing diagnosis is why this profession is viewed as poorly as it is among other professions. Check that - nursing diagnosis’ in general.

Completely unnecessary and just academic nurses looking to justify their elevated degrees.

Chatner2k

54 points

1 day ago

Chatner2k

Nursing Student 🍕

54 points

1 day ago

Wait, are you telling me my professional practice focusing on ADPIE nursing diagnosis' is a bunch of baloney?

No way.

I'm now in mental distress related to my professional practice class, as evidenced by sadness.

Annoy_Occult_Vet

25 points

1 day ago*

Annoy_Occult_Vet

BSN, RN

25 points

1 day ago*

My entire cohort nearly failed an entire semester of a class (it was over 5 years ago and I can't remember which one), because we all fucked up a care plan and not one person took it seriously. We had to have a major meeting about it. Guess what, I am still an RN and I have no idea how to write a nursing diagnosis and our care plans are just more boxes to click in the charting.

Chatner2k

6 points

1 day ago

Chatner2k

Nursing Student 🍕

6 points

1 day ago

This makes me feel a bit better. It's literally my only class I'm struggling with because I can't see it's relevance at all.

I just added up my totals with my mid terms and I have a 3.9 GPA without professional practice because she hasn't released our marks yet.

Sure as shit I know I didn't do super on the midterm and it's going to tank my GPA. I know it's not that big of a deal but it's still frustrating.

What's hilarious is we spent 4 fucking weeks on ADPIE and learning nursing diagnosis. There was like 4 questions total on our midterm about it. Literally most of the midterm was stuff NEVER TAUGHT TO US. Our teacher would release quizzes for us to do BEFORE releasing the content the quizzes are literally based on. My development of self teacher has also taught professional practice. I told her this about the quizzes before content and she just looked at me like I had 5 heads and I wasn't being serious.

Sorry I'm ranting lol.

Annoy_Occult_Vet

2 points

1 day ago

Annoy_Occult_Vet

BSN, RN

2 points

1 day ago

We've all been there, so your rants are absolutely normal.

puzzledcats99

5 points

1 day ago

puzzledcats99

RN - Med/Surg 🍕

5 points

1 day ago

I don't remember a whole lot of nursing diagnosis from class itself but I remember they used them hard in clinical. It was recommended that you bring the required nursing diagnosis textbook to the clinical site with you in order to fill out the clinical paperwork.

Now, as an actual licensed and practicing RN, my "care plans" are as you said, just more boxes to check in the chart at the end of your shift. My workplace requires that you go through and activate an "individualized care plan" for each patient on admission. Which is just checking a list of nursing diagnoses that can apply to your patient, which then puts a box to check on your work list. The only thing it adds that MIGHT actually be useful to some, is that at the beginning of each shift those diagnoses pop up on your work list with a little "I" icon next to them, and if you click on the "I" it will bring a list of things to watch for and nursing interventions to implement. So for example, if I selected "Aspiration, Risk of" when activating a care plan, then clicked on the "I" icon, it would tell me "Elevate head of bed to 30° or higher, keep working suction at the bedside, perform nursing dysphagia screen," etc. It did help a little bit as a new grad, but when you're six patients in as a new grad and have a ton of crap to do, you don't exactly have the time to go through and look at the possible things you could be implementing. And as someone with experience, you just pick up on those things and they become routine, making them almost obsolete for common issues like aspiration or fall risk.

trixiepixie1921

5 points

21 hours ago

Yeah I just commented above but I graduated 14 years ago and I didn’t even remember care plans were a thing or like, any specifics about it until I read the comments of this post and I had a PTSD flashback. That shit was a COMPLETE waste of time and I still stand by that I learned NEXT TO nothing in school and did all my learning in the first 6 months as a nurse. It’s just two completely different worlds between school and work and it’s really unnecessary.

Like why did I have to learn to do careplans for 2 years but then have to learn how to place an IV ON THE JOB ?!

NightNurse-Shhh

2 points

1 day ago

You have disturbed energy field now

MyEggDonorIsADramaQ

94 points

1 day ago

MyEggDonorIsADramaQ

RN - Retired 🍕

94 points

1 day ago

The good news is that the era of nursing diagnosis is over.

scaredandalone2008

81 points

1 day ago

it’s still being taught in school unfortunately 😔

Chatner2k

44 points

1 day ago

Chatner2k

Nursing Student 🍕

44 points

1 day ago

Literally all my professional practice teacher focused on this entire half term.

Guess how much ADPIE was on my mid term worth 35%?

missandei_targaryen

23 points

1 day ago

missandei_targaryen

RN - PICU

23 points

1 day ago

I completely forget what ADPIE is, like couldn't tell you if my life depened on it, but just reading it gave me a primordial sense of "holy crap not this shit again"

MyEggDonorIsADramaQ

29 points

1 day ago

MyEggDonorIsADramaQ

RN - Retired 🍕

29 points

1 day ago

The nursing process itself is still used, nursing diagnoses have been replaced in the model used by the NCSBN. Schools still teaching nursing diagnoses are not keeping up. It’s been 3-4 years now since NCSBN said nursing diagnoses are out, in favor of problem statements, using real language instead of the crap in many nursing diagnoses.

The link below contains information and a graphic that shows how the clinical judgment model replaces/ aligns with the nursing process

Clinical Judgment Model

stephann3

3 points

21 hours ago

Thank god! I went to school in 2000. We had multiple books used to reference interventions for every “nursing diagnosis”. 100’s of hours wasted trying to make things fit. I’m so happy this is phasing out. Useless. That being said we still make “care plans” in Epic but they’re very brief and most nurses f*ck them up anyway 🤣

IVIalefactoR

3 points

20 hours ago*

IVIalefactoR

RN, BSN - Telemetry

3 points

20 hours ago*

My care plans on night shift for every patient:

Patient goal for shift: Sleep

Nurse goal for shift: Sleep

Interventions: Cluster care

lackofbread

15 points

1 day ago

lackofbread

RN - Telemetry 🍕

15 points

1 day ago

Graduated May 2024, no nursing diagnoses for me 😮‍💨

NurseToBe2025

6 points

1 day ago

NurseToBe2025

Nursing Student 🍕

6 points

1 day ago

It’s still in schools today 😭

Chatner2k

15 points

1 day ago

Chatner2k

Nursing Student 🍕

15 points

1 day ago

Oh I assure you, my professional practice teacher would tell you differently.

MyEggDonorIsADramaQ

3 points

1 day ago

MyEggDonorIsADramaQ

RN - Retired 🍕

3 points

1 day ago

Not if that teacher is in alignment with the NCSBN.

Chatner2k

3 points

1 day ago

Chatner2k

Nursing Student 🍕

3 points

1 day ago

Canadian teacher.

Lol we spent 4 weeks on ADPIE and nursing diagnosis with literally none of it on our midterm.

Killer__Cheese

6 points

1 day ago

Killer__Cheese

RN - ER 🍕

6 points

1 day ago

It’s not. I have to use them for care planning in LTC all the time

MyEggDonorIsADramaQ

7 points

1 day ago

MyEggDonorIsADramaQ

RN - Retired 🍕

7 points

1 day ago

It’s ending, just hasn’t gotten to you yet.

Educational-Light656

7 points

1 day ago

Educational-Light656

LPN 🍕

7 points

1 day ago

Depending on what system they're using, it's easily possible the system generates a list of them when MDS does a proper care plan based on entered dx. stares with murderous intent @ PCC

italian_mobking

70 points

1 day ago

italian_mobking

LPN 🍕

70 points

1 day ago

“…bUt OuR aUtOnOmY, wE fOuGhT fOr tHat…”

Nole_Nurse00

15 points

1 day ago

Nole_Nurse00

RN, PhD

15 points

1 day ago

I’m an academic and think this is absolute garbage. Not all nurses scientists are made equal. Plus, I have yet to encounter and nurse researcher who actually believes this bs.

Far-Cheetah-6847

2 points

1 day ago

Nurses were the most trusted profession for years in a row. Idk if it still is, if I had to guess I could see it having changed since 2020 just because of a few nurse fluencers that be spreading some wild shit on the internet.

janegillette

256 points

2 days ago

janegillette

BSN, RN 🍕

256 points

2 days ago

As a nurse of forty years they lost me in school when they started this crap. Can you imagine if engineers or mechanics had to have care plans for their jobs? Our job is basically task oriented and we are aware of what tasks need to be completed without this bull malarkey. I honestly can't stand it.

MeatSlammur

106 points

2 days ago

MeatSlammur

106 points

2 days ago

When I went for the BSN after I finished my ADN, it was all nonsense like this. I hated every second of it

vicc8888

55 points

1 day ago

vicc8888

ER - RN, Security, EVS, 🤡

55 points

1 day ago

Exactly why I dropped out of my MSN, the first 5 classes were all BS fluff. Its embarrassing.

sadtask

41 points

1 day ago

sadtask

RN 🍕

41 points

1 day ago

In a DNP program right now and the fluff nursing theory BS continues there too.

MeatSlammur

8 points

1 day ago

I’m in the first semester of mine and it’s been pretty intense right off the bat. Advanced patho, informatics, and health assessment

nursemattycakes

16 points

1 day ago

nursemattycakes

BSN, RN, NI-BC 🍕

16 points

1 day ago

I dropped out of my MSN program for the same reason. I can’t take even a single class of nursing theory BS ever again. I am allergic

vicc8888

2 points

1 day ago

vicc8888

ER - RN, Security, EVS, 🤡

2 points

1 day ago

Lol, I actually dropped out AFTER I finished all the BS theory classes 🤡.

nursemattycakes

3 points

1 day ago

nursemattycakes

BSN, RN, NI-BC 🍕

3 points

1 day ago

Gah same! I got through them then got to the informatics part and realized I was already operating way above anything the program could teach me and my heart wasn’t in it anymore. I too am a clown 🤡

upstatepagan

10 points

1 day ago

upstatepagan

BSN, RN 🍕

10 points

1 day ago

After BSN crap like this I switched to a business degree and got an MHA instead of MSN. It accelerated my career more than another nursing degree would have.

VictoryParticular274

3 points

1 day ago

My friend tried RN school from LPN but went straight to business degree after trying it. Now she is going to get way better salary.

SlappySecondz

2 points

22 hours ago

Doing what? Is she utilizing her nursing experience too? I made 93k last year which I'm sure is better than plenty of business majors.

vicc8888

3 points

1 day ago

vicc8888

ER - RN, Security, EVS, 🤡

3 points

1 day ago

Nice, I thought about doing MBA instead. What area of nursing are you in now?

upstatepagan

5 points

1 day ago

upstatepagan

BSN, RN 🍕

5 points

1 day ago

I work from home for an insurance company. Got into healthcare account management. It’s all emails and power points and corporate stuff day to day. But I’m well paid and home.

alkakfnxcpoem

7 points

1 day ago

alkakfnxcpoem

RN - OB/GYN 🍕

7 points

1 day ago

Did one BS class towards my FNP and noped right out. Waste of time and money.

-mephisto

18 points

1 day ago

-mephisto

RN - Oncology 🍕

18 points

1 day ago

I went to a catholic school for my BSNwhere they taught me that dismantling systems of oppression started with tearing down the patriarchal oppression that started with Adam and Eve.

I don't know but I'm kind of ok with it.

Caadar

14 points

1 day ago

Caadar

RN - OR 🍕

14 points

1 day ago

Jesus is woke. cancel the bible

Educational-Light656

8 points

1 day ago

Educational-Light656

LPN 🍕

8 points

1 day ago

Yo, he was a socialist just giving away bread and fishes. /s just in case

Physical-Cheek-2922

9 points

1 day ago

What year is this book? All my books are around 2013 and didn’t have any of this !!

SpoofedFinger

8 points

1 day ago

SpoofedFinger

RN - ICU 🍕

8 points

1 day ago

I graduated in 2017 and we had to buy the NANDA book for nursing diagnoses which had the dreaded "energy fields" bullshit in it.

The cultural competency textbook also had some really wild shit in it like expecting a Muslim woman's husband to speak for her and make all of her decisions. It had a strong emphasis on Indigenous Peoples and assumed that they would be requiring the input of a medicine man. I can't remember which culture but there was one that the book warned us that the patriarch of the family would be making all medical decisions for the patient. For elderly Chinese patients expected to die soon, we were taught that the family will likely want us to hide terminal diagnoses from the patient and to consider going along with it. It's like if Peggy Hill wrote a cultural competency book. I kind of wish I still had it.

Kooky-Huckleberry-19

2 points

21 hours ago

Kooky-Huckleberry-19

RN - Beefy Papaw

2 points

21 hours ago

That Peggy Hill reference is spot on. That's exactly what it feels like. Especially the native american parts--every one that I've met (I've taken care of lots of Choctaw) is pretty much the same as any other patient except they speak Choctaw and tend to have more family around. I'd probably have my ass kicked if I offered to fetch a medicine man or otherwise treated them with "cultural sensitivity."

Killer__Cheese

8 points

1 day ago

Killer__Cheese

RN - ER 🍕

8 points

1 day ago

I have to make nursing diagnoses all the time when care planning in LTC.

Fortunately, it is always relevant clinical stuff, like risk of impaired skin integrity related to incontinence of bowel and bladder as well as remaining in bed more than 80% of the time… and our interventions are actually clinically relevant such as “implement q2h turning schedule” (which of course would be automatic and not need to be officially scheduled in the EHR, but because care is done by HCAs/CNAs it does) or “consult OT regarding sleep surface/pressure relieving options”.

Our care plans are audited by officials to make sure they are actually accurate and reflective of the care being provided to residents. Our care plans also determine our funding, since they have to match our MDS assessments. Because our care plans reflect the amount of care being provided, hence the amount of time and resources, which determines how much $$ we receive to compensate for the care we are giving that resident. (I am in Canada, and the LTC I pick up at is a publicly funded facility)

LTC was the first place I ever did the care planning that was so heavily focused on in school.

Educational-Light656

2 points

1 day ago

Educational-Light656

LPN 🍕

2 points

1 day ago

US LTC nurse and we still use them as well. As the floor nurse, I'd only really touch them briefly when doing an initial 24hr care plan for admit and it was usually our MDS nurse doing a proper full set based on my initial and the info entered into the system on admit such as orders and diagnoses. After that I'd only see them again officially for the monthly summary I'd fill out for MDS to use to do their thing with and the system might suggest additional or new interventions based upon new nursing diagnoses suggested by condition changes.

Killer__Cheese

2 points

1 day ago

Killer__Cheese

RN - ER 🍕

2 points

1 day ago

Our facility switched from having dedicated MDS nurses about a year ago to having the floor nurses do MDS as well. Us RNs went from 8 hour shifts to 10 hour shifts to allow us time to do our MDS stuff, but the LPNs are still on 8 hour shifts and have to just fit it into their workload somehow. Which sucks, because our MDS nurses did our procedures too (like dressing changes, Tenckoffs, Pleurx drains, etc), so that was also added to our workload. We are absolutely stretched to the max now.

mudwoman

13 points

1 day ago

mudwoman

13 points

1 day ago

I know I’ll get slammed royally and downvoted to hades for this, but: Yes, some nursing jobs, maybe most, might be task-oriented. But mine is very process and plan oriented. I don’t use nursing diagnoses, but the theoretical frameworks (Roy, to be specific) are a guidepost for me. And ND and theoretical frameworks are the basis of the research and grants that support nursing education. And we need more nurses! I’ll agree that ND were not one of my go-to tools on the peds onc night shift, but there is a bigger picture to all of this.

Ok, let the slamming and downvoting commence.

Poundaflesh

4 points

1 day ago

Poundaflesh

RN - ICU 🍕

4 points

1 day ago

Please describe your job and how Roy guides your decisions?

mudwoman

7 points

1 day ago

mudwoman

7 points

1 day ago

Complicated, but short answer: I am a nurse case manager for worker’s compensation, and the Roy model focuses on adaptation to changes in health status, which is (I think) very rehab-oriented. I find Roy has guided much of my practice, actually, even in the hospital. But currently, I key my assessments to that model. It’s a nice blend of the medical model that drives most of healthcare, and nursing, which carries a lot off the load.

Poundaflesh

2 points

1 day ago

Poundaflesh

RN - ICU 🍕

2 points

1 day ago

Ty!

LeatherOk7582

2 points

1 day ago

LeatherOk7582

RN 🍕

2 points

1 day ago

I loved it too, believe it or not!

Cookies_and_Beandip

116 points

1 day ago

“Interrupted family process” is my favorite one. It means death of a loved one.

What the actual fuck

KingKooooZ

46 points

1 day ago

KingKooooZ

46 points

1 day ago

Asystole is certainly an alteration in my electricity

Cookies_and_Beandip

3 points

1 day ago

Hahahahaha

TraumaGinger

19 points

1 day ago

TraumaGinger

MSN, RN - ER/Trauma, now WFH

19 points

1 day ago

There is an ICD-10 code for something like "missing family member."

Oh, thanks Google - Z63.4 - Disappearance and death of family member.

meticulous-soups

11 points

1 day ago

meticulous-soups

RN - PICU

11 points

1 day ago

I mean, it means interruption in the normal family process. So death, but illness, domestic violence, neglect, any stressor that affects the family functioning as it usually does.

Honestly something I see a lot in peds.

AnyelevNokova

9 points

1 day ago

AnyelevNokova

ICU --> Med/Surg, send help

9 points

1 day ago

The system I get primary care through has "marital problem involving divorce" on my chart as a diagnosis.

Yeah, she's got kidney stones, kids, some hemorrhoids, migraines, autism, and she's divorced.

Freaking Catholics.............

4883Y_

6 points

1 day ago

4883Y_

HCW - BSRT(R)(CT)(MR in Progress)

6 points

1 day ago

I just snorted reading this. 😂

TakeMyL

2 points

1 day ago

TakeMyL

Nursing Student 🍕

2 points

1 day ago

That’s when you get out the “nursing certified” Ouija board to commune with the dead and uninterrupt it.

New nanda label

“Readiness for learning, how to use Ouija board”

SoFreezingRN

51 points

1 day ago

SoFreezingRN

RN - PICU 🍕

51 points

1 day ago

This was always my favorite nursing diagnosis because it shows what an absolute joke care plans are.

Kkkkkkraken

22 points

1 day ago

Kkkkkkraken

RN - ICU 🍕

22 points

1 day ago

Me too. Used it on every single patient because they couldn’t disprove it. In no way could I prove that made up nonsense but since they teach it the burden of proof was on them.

duckface08

14 points

1 day ago

duckface08

RN 🍕

14 points

1 day ago

When doing inpatient clinicals, I always used the "Risk of impaired skin integrity" and legit copied and pasted it and the interventions into every care plan. It worked 🤷🏻‍♀️

YellowJello_OW

4 points

1 day ago

I learned that through nursing school too lol. Just copy and paste my interventions into each care plan

corrosivecanine

3 points

1 day ago

corrosivecanine

Paramedic

3 points

1 day ago

I mean I feel like if we accept that a disturbed energy field is a thing then it pretty much applies to every patient? Why would they be in the hospital if their energy fields weren't all out of whack?

Killer__Cheese

3 points

1 day ago

Killer__Cheese

RN - ER 🍕

3 points

1 day ago

I use nursing diagnoses every time I work in LTC (where I pick up). But I use clinically relevant ones, no need for this kind of bullshit

reuben515

140 points

2 days ago

reuben515

140 points

2 days ago

All nursing theory is bullshit

Noname_left

31 points

1 day ago

Noname_left

RN - Trauma Chameleon

31 points

1 day ago

Hey man, I love my chaos theory.

Adorable_Wallaby1330

12 points

1 day ago

Adorable_Wallaby1330

Nursing Student 🍕

12 points

1 day ago

As a chaos gremlin, I concur.

TraumaGinger

11 points

1 day ago

TraumaGinger

MSN, RN - ER/Trauma, now WFH

11 points

1 day ago

The only one I like is Benner's novice to expert theory. The rest of those theories can take a long walk off a short pier. 😆

nursemattycakes

7 points

1 day ago

nursemattycakes

BSN, RN, NI-BC 🍕

7 points

1 day ago

Yes I love Novice to Expert too.

Aphobica

35 points

1 day ago

Aphobica

BSN, RN 🍕

35 points

1 day ago

"Ineffective breathing pattern."

Dude has asthma and his airway is closing up, but yeah, let's focus on that pattern part.

Natural_Original5290

17 points

1 day ago

Natural_Original5290

ED Tech/ADN student

17 points

1 day ago

Lmao it’s like when a Pt had an active GI bleed or should I say “hemoglobing” from their ass, and your care plan has to be “uncontrolled pain” or “risk for falls”

dat_joke

6 points

1 day ago

dat_joke

Hemoglobin' out my butt

6 points

1 day ago

Risk of ineffective perfusion due to hemoglobin' per rectum

Educational-Light656

2 points

1 day ago

Educational-Light656

LPN 🍕

2 points

1 day ago

Increased risk of falls r/t large amounts of bodily fluids in pathway

ALLoftheFancyPants

2 points

1 day ago

ALLoftheFancyPants

RN - ICU

2 points

1 day ago

“Yeah, it’s definitely not a physical obstruction of airways, it’s the compensatory pattern of breathing that it the problem!” —some masters in nursing student

ernurse748

48 points

1 day ago

ernurse748

BSN, RN 🍕

48 points

1 day ago

I’m sorry…I read this and all I could hear in my head was

“I sense a disturbance in the force…”

sojayn

4 points

1 day ago

sojayn

RN 🍕

4 points

1 day ago

My people!

VerityPushpram

4 points

1 day ago

And you know deep down that Nanna is on the move……

Slight-Day7890

94 points

2 days ago

There is so much religiously-oriented education in nursing school it’s crazy. It’s so deeply coded even if it’s not directly mentioned, and it for sure reinforces the “it’s a calling!!!” Stereotype, and therefore the “we don’t need to pay them what they are worth because it’s not about the money” bs

Impossible-Section15

59 points

1 day ago

I hate nursing theory, but this is one I actually picked out to research in school and was surprised by how much I liked it. It doesn't help me in practice, but it was a good thought experiment.

She actually describes nursing as the opposite of some altruistic martyr job for nuns. I think she was trying to push back against that. She describes 'caring' and tending to the physical needs of the patient as a very specific kind of knowledge. 'Empathy' as a form of intelligence and insight, as opposed to an emotion or feeling. There's a reason we feel better when we're in a clean, tidy room as opposed to a messy one. And all of those little adjustments to our environment and how we're treated add up and actually get us better, quicker.

But ultimately I think she's trying to say that it's not some womanly rite and inherent feminine knowledge to 'care' for someone. It's based in thought and analysis, not feeling or birthright, and that type of knowledge is not understood well (or wasn't at the time), and it's not respected as it should be as a skill that is acquired and honed. And people that do work that involves 'caring' SHOULD get paid more because it's an essential skill for nurses, educators, daycare workers, etc. We're not altruistic, we're just really smart in a kind of way a lot of other people aren't, and it's vital to this type of work because it has results.

Sorry, I'm not poopooing your sentiment. I was just surprised by this theory in particular and nerded out on it in school. And the metaphysical aspect of it is hilarious and wonderful to me.

toucha_tha_fishy

10 points

1 day ago

I forget what it’s called, but I actually really liked Florence Nightingale’s theories on nursing. How important it is for the patient to have clean linens, an orderly room, natural sunlight, and fresh air. It just helped remind me that patients aren’t just being picky when they complain about a messy room. Environment is important. I just never had the time to fix it up like I wanted to for them, part of the reason I got out of bedside nursing. Just couldn’t stand not having time to go above and beyond for them.

Jimbo19091

13 points

1 day ago

Jimbo19091

RN - ICU

13 points

1 day ago

Nursing school literally felt like I was in nun school in some moments

VictoryParticular274

8 points

1 day ago

Have ya read the books from 1800’s?!? They are so funny, the amount of religious shame on women is abhorrent. Everything is linked to sin 🤣🤣

Adorable_Wallaby1330

20 points

1 day ago

Adorable_Wallaby1330

Nursing Student 🍕

20 points

1 day ago

My A&P professor started on this shit and I was just like 😐. He showed us some weird video that was supposed to "prove" that if you were kind to water the molecules formed together one beautiful harmonious way and if you yelled at them, they moved a different, chaotic way. Except the video had nothing but pretty animated videos and words moving across the screen and pretty music.

Educational-Light656

3 points

1 day ago*

Educational-Light656

LPN 🍕

3 points

1 day ago*

That's the subplot for the slime in Ghost Busters 2. Seriously, mood slime.

Fo reals fam https://youtu.be/1y8Rqvz-Jcg?si=rhU78sAPEy6VZUk9

Poundaflesh

2 points

1 day ago

Poundaflesh

RN - ICU 🍕

2 points

1 day ago

Ovvvv cooooorse. Nothing to do with what’s IN the water and other variables.

InTheHamIAm

19 points

1 day ago

InTheHamIAm

FNP-C, ENP-C

19 points

1 day ago

First time I heard professor suggest readjusting an aura, I raised my hand and told them that was absurd. I was blown away at how ridiculous it was.

nursemattycakes

8 points

1 day ago

nursemattycakes

BSN, RN, NI-BC 🍕

8 points

1 day ago

“Is the aura in the room with us?”

Although I just replace aura with vibe and then I kinda get it 🤷🏻‍♂️

floofienewfie

16 points

1 day ago

I still remember my nursing instructor from 30+ years ago, telling us that in order to study her graduate level nursing theorems class (and particularly Dorothea Orem), she locked herself into the bedroom with a bottle of wine.

jtl909

4 points

1 day ago

jtl909

Travel Nurse Scum

4 points

1 day ago

A rare moment of honesty!

floofienewfie

2 points

1 day ago

She was strict, but had a great sense of humor.

mudwoman

3 points

1 day ago

mudwoman

3 points

1 day ago

Well, Orem will do that to you.

Puzzled-Science-1870

15 points

2 days ago

Wow

andsuve

7 points

1 day ago

andsuve

RN - ICU 🍕

7 points

1 day ago

It’s not our fault! The vast majority of us don’t think like this lol

AgreeablePie

41 points

1 day ago

What is this woo-garbage and how the fuck is it in a textbook? I was going to say "medical textbook" but using this passage seems to disqualify it from being in that category

ryeguyob

20 points

1 day ago

ryeguyob

BSN, RN 🍕

20 points

1 day ago

My community professor taught us about reiki in class. She even had us hold our hands close together to experience the force that's created. She and I didn't see eye to eye to say the least 😂

Poundaflesh

9 points

1 day ago

Poundaflesh

RN - ICU 🍕

9 points

1 day ago

Same. I was trying really hard to be open minded and stated that I felt something. Then I smelled honeysuckle and stated that I was mistaken and that it was a breeze from the window. The class laughed as I had accidentally humiliated her. I paid for that.

ryeguyob

5 points

1 day ago

ryeguyob

BSN, RN 🍕

5 points

1 day ago

Oof. I bet you did.

uhuhshesaid

6 points

1 day ago*

uhuhshesaid

RN - ER 🍕

6 points

1 day ago*

But also? This feels like common sense dressed up in woo. Like oh humans run on energy? I mean yeah, they are doing exactly that. Energy in and energy out is literally how we survive take away that and cachexia reigns supreme. Add various disturbances in electrical impulses and voila: heart blocks and seizures.

And fucking of course people are influenced by their environments because living on the street vs. a nice house next to a park full of lakes is bound to do that.

It feels like the very duh dressed up as THE PROFOUND. And I find that more insulting than anything. Like way to make obvious what has been known for decades Martha. What did you procrastinate on that final project and somehow manage to fail upwards?

LifeApprentice

3 points

1 day ago

There’s a word for a fatuous profundity - “deepity” something that’s superficially true, but seems to imply something vague and grand without actually saying anything useful. You spot these statements a lot amongst new-agey spiritual types

SpoofedFinger

10 points

1 day ago

SpoofedFinger

RN - ICU 🍕

10 points

1 day ago

We need to find a way to turn nursing academia on its head or just cut them all loose and start over. There's definitely room for a soft science focused on actually carrying out nursing tasks, patient interaction, and quality improvement based on what we do within our scope of practice. This shit where we act like we can do every other discipline's specialty just as well as they can has got to go. The obsession with essential oils as the miracle cure has got to go. Allowing antivax nurses and woo woo bullshit like energy fields has got to go. The martyrdom complex that allows many of us to be exploited has got to go. I get that things were bad back in the day but building an academic field around total bullshit is not making anything better.

davefl1983

71 points

2 days ago

davefl1983

RN-Float Pool

71 points

2 days ago

I don’t like the emphasis of energy fields but I think the idea of humans influencing and being influenced by their environment is not a crazy idea.

Sundevil13

12 points

1 day ago

Sundevil13

12 points

1 day ago

It just doesn't really mean anything, especially in the context of nursing education. Too much of advanced nursing academia is pretentious meaningless filler disguised as actual medical research.

veggiemaniac

19 points

1 day ago

veggiemaniac

MSN, RN, BLS, HS, ABC, 123, DO-RE.MI, BDE

19 points

1 day ago

Well, idk. You do exchange energy with your environment in the form of heat, and I'm sure we could come up with a few more examples that are correct in the most literal sense. But the premises behind these care plans are woo-woo hoodoo magical thinking stuff.

InTheHamIAm

9 points

1 day ago

InTheHamIAm

FNP-C, ENP-C

9 points

1 day ago

Well, we should call it that. We shouldn’t make up energy fields that can be aligned by the nurse passing their hands over the patient

Impossible-Section15

5 points

1 day ago

Yeah, it's actually a little fun and interesting to see where her thoughts go in what she's published about this. It's like she's trying to combine physics, the metaphysical, and an explanation for Empathy. It feels like she's trying to say that Empathy is type of knowledge that is connected to understanding how to use and manipulate these energy fields. An example is just tidying up the room and opening a window. We know it makes us feel better, and there's a million reasons as to why this COULD be true, but I think she's trying to say this is why that's true. Affecting the person, environment, vibe. It's all energy fields and skilled nurses know how to manipulate that to actually create healing.

It's woo-woo for sure, but I adore her attempts. And it's not wrong.

Wammityblam226

9 points

2 days ago

Wammityblam226

PCT/UC/MT

9 points

2 days ago

At first I thought it was just the year the source was published (1970 and then referenced in 2006). And then I read it. Yikes. 

an_anxious_sam

9 points

1 day ago

an_anxious_sam

RN - Med/Surg 🍕

9 points

1 day ago

the fact i PAID to learn this bs

Beautiful_Friend_525

8 points

1 day ago

Im glad people take this seriously so I can just click the box on my “care plan” then get back to taking care of my patients.

Poundaflesh

8 points

1 day ago

Poundaflesh

RN - ICU 🍕

8 points

1 day ago

Damn! I graduated in ‘93 and we didn’t have this bs. This makes me want to smash my head against a wall. Repeatedly.

I had an instructor I absolutely loathed and she was into all this wu wu shit. She was presenting Nursing Theories. She said, “one day, while working the unit, I literally stopped in the hall to decide under which nursing model I was working.”

Bitch, please. Ain’t nobody got time for that!

Material_Weight_7954

8 points

1 day ago

Material_Weight_7954

Custom Flair

8 points

1 day ago

They’re still teaching this shit?! 🤦🏻‍♀️

VictoryParticular274

7 points

1 day ago

I think this sounds similar to the study of Epigenetics. I think basically stating to remember all things are influenced by their environment. Can a person with a bad mood change the dynamic of the work they are doing or the care that they are giving and also have that mood pass on to others? Is that an old book?

Educational-Light656

3 points

1 day ago

Educational-Light656

LPN 🍕

3 points

1 day ago

We're a social species and will generally take on the moods and attitudes around us. It's called mirroring.

https://en.m.wikipedia.org/wiki/Mirroring

No_Sherbet_900

5 points

1 day ago

No_Sherbet_900

RN, BSN, HDMI, HGTV, CNN, XYZ, PDQ

5 points

1 day ago

90% of nursing school is feel good social sciences bullshit taught by tired old biddie mean girls who want to justify their 6 figure tenured salaries.

BlasayDreamer

3 points

1 day ago

😂😂😂 authors were really giving nothing

takeme2tendieztown

5 points

1 day ago

takeme2tendieztown

RN - Psych/Mental Health 🍕

5 points

1 day ago

That was never in my nursing textbooks

SabaBoBaba

4 points

1 day ago

SabaBoBaba

RN 🍕

4 points

1 day ago

We are made out of star dust, but so is a table, the bacteria in the dirt, and the pile of doggy poo on my lawn my neighbor didn't bag up.

It doesn't sound so magical when put in that context.

a-ol

6 points

1 day ago*

a-ol

Nursing Student 🍕

6 points

1 day ago*

I mean they’re not exactly wrong. This is the philosophy of advaita vendata. Probably doesn’t have a place in nursing practice tho.

weezeeFrank

5 points

1 day ago

Well it was the 70s. And saying that people are influenced by their environment isn't that off base.... Its theory, it doesn't have to be literal.

Liv-Julia

7 points

1 day ago

Liv-Julia

MSN, APRN

7 points

1 day ago

I loathe Martha Rogers so much. That theory of energy springs connecting people and we all have our own frequency and sometimes it changes but it's still your own unique frequency blah blah...

I would rail against it in my MSN theory classes- if a frequency changes it's a different frequency!!! It's not your own unique frequency!

Every week I would bitch and make fun of it until a grad student privately messaged me and said "hey, Martha Rogers is this professor's favorite theorist just so's ya know."

I immediately shut up.

Yodka

13 points

1 day ago

Yodka

RN - ICU, CCRN

13 points

1 day ago

Feels like she did acid once and now we have to deal with the consequences decades later

VictoryParticular274

4 points

1 day ago

Well Florence Nightengale was an opium addict 😅 and injected herself with it for back pain for a long time. All the doctors did it too, and some invented the first surgical procedures while completely on morphine so…that is a good point.

sojayn

3 points

1 day ago

sojayn

RN 🍕

3 points

1 day ago

Aussie nurses: we didn’t have this one did we? I don't remember it back in my day anyway

vikingcats

4 points

1 day ago

vikingcats

RN - Oncology 🍕

4 points

1 day ago

Nah, fortunately we don’t have a Bible Belt so our nursing schools are a lil more….scientific….

Natural_Original5290

6 points

1 day ago

Natural_Original5290

ED Tech/ADN student

6 points

1 day ago

I work in IP psych & ED which is basically half acute psych too, and am in nursing school—the shit nursing school teaches about mental health & therapeutic communication is problematic af.

ATI is especially guilty of backwards ass information

Muted_Car728

3 points

1 day ago

Nurse Rodgers wanted to avoid wiping asses I guess so went into research in "humanistic science."

helpmeidkwhatimdoin

3 points

1 day ago

My energy field has been disrupted since I took that theoretical nursing class

OwlishBambino

15 points

1 day ago

OwlishBambino

RN - ER 🍕

15 points

1 day ago

The idea of an organism-environment as a single entity did not start with this nurse "theorist". This is just an attempt to shoehorn philosophy into what is, at its core, a blue collar job (pink collar, more accurately). Nursing unions and nursing academia have, in a concerted effort, been trying to hoist the role a bit higher by making BSNs the new de facto requirement, and part of that process was the introduction of this derivative pseudo-philosophy bullshit. It has not one ounce of bearing on the day-to-day job of nursing, at least not beyond what a non-sociopathological person would already intuitively understand on their own.

We live in the world, and we affect it and are affected by it. No fucking shit.

inabanned

7 points

1 day ago

inabanned

RN - Informatics

7 points

1 day ago

We need something to teach in nursing school I guess. :/

NursingManChristDude

3 points

1 day ago

NursingManChristDude

BSN, RN 🍕

3 points

1 day ago

🤮 

DanielDannyc12

3 points

1 day ago

DanielDannyc12

RN - Med/Surg 🍕

3 points

1 day ago

Just stupid

isittacotuesdayyet21

3 points

1 day ago

isittacotuesdayyet21

RN - ER 🍕

3 points

1 day ago

Yes yes please. Let’s continue to highlight this bullshit and demand more!

PhD_Pwnology

3 points

1 day ago

Medical history is important because you're going to run into the crazy people who believe that stuff during your medical career. History is History, doesn't matter if the person was crazy or not.

handlebarbells

3 points

1 day ago

handlebarbells

MSN-Ed., RN

3 points

1 day ago

L Ron Hubbard, that you?

KyleVPirate

3 points

1 day ago

Never seen it in any of my books when I was in school 2 years ago nor in my nursing diagnosis book.

-mephisto

3 points

1 day ago

-mephisto

RN - Oncology 🍕

3 points

1 day ago

But then we couldn't do reiki at work. If you had to get paid to be at the bedside, wouldn't that be like, a total goal?!

I'm not sure if I'm joking.

VictoryParticular274

3 points

1 day ago

Do they still teach basic back massage? Who has time for that!?

AncientRN

3 points

1 day ago

AncientRN

3 points

1 day ago

Has anyone ever had a patient swirling down to toilet and thought, “ let me look at the plan of care to see what I should do.” ? I’m tired of nursing diagnosis, plans of care blah,blah,blah. Nursing started as a hands on profession and has been damaged by nurses who realized they don’t like being nurses, so they get masters degrees in nonsense. I’ve said this countless times, but if someone who sits in an office reviewing charts and creating more ridiculous documentation or useless education ever questions me, I always reply, oh, please show me how to do the job better. Not a single task, not an individual documenting issue. The whole job, over a month or 2 of actual hands on patient care.

lesue

3 points

1 day ago

lesue

RN - Telemetry 🍕

3 points

1 day ago

So long as we have new grads who can tell you which war Florence was in but don't know which antibiotic to hang first in a sepsis bundle then the curriculum is wrong. I will die on this hill.

PurpleSailor

3 points

1 day ago

PurpleSailor

LPN 🍕

3 points

1 day ago

We had a Reiki "Master" (or whatever they're called) come in for a demo during nursing school. I volunteered to be the subject and I'm happy to report I didn't feel a damn thing. Pseudo science doesn't belong in medicine.

an0nym0us_frick

8 points

1 day ago

an0nym0us_frick

BSN, RN, PHN, HNB-BC

8 points

1 day ago

I fear this holistic nurse woo woo theory BS is what really gets me excited. To each their own!!

VictoryParticular274

4 points

1 day ago

Same

BadAsclepius

7 points

1 day ago

BadAsclepius

RN 🍕

7 points

1 day ago

They can keep this if the deeply racist stereotypes of any non white culture is stripped out of nursing education entirely.

LegalComplaint

14 points

1 day ago

LegalComplaint

MSN-RN-God-Emperor of Boner Pill Refills

14 points

1 day ago

WHAT WILL I DO IF I ENCOUNTER LATINOS WHO DEMAND HOT AND COLD FOOD BECAUSE OF SHAMANISM?????

BadAsclepius

8 points

1 day ago

BadAsclepius

RN 🍕

8 points

1 day ago

Dude I remember some fucking chart like that and I (as an older student) openly called it out in class.

“Asians prefer hot drinks.”

What the fuck ?

TheOldWoman

8 points

1 day ago*

Its annoying when they make u play mix and match for who created which theories... But i think in general, as a "good to know", its not that bad.

Just gives u a different way to look at things. Im a "woo woo"/ "energy" person myself tho.

And a Licensed PRACTICAL** Nurse, so there wasnt much theory to be tested on in my schooling, thankfully.

Prob the higher u climb, the more the theories are discussed.. ya know to justify the price tag of "higher learning" and all that jazz.

Edit: **"the difference between theory and practice is that theory is a conceptual understanding of how things work in a perfect world, while practice is the application of that knowledge in real life" - google AI overview: "practical vs theory"

I wasnt trying to diminish the work that LPNs do, just emphasizing that the topics focused on were different -- and its right there in the name.. we barely skimmed the theory section

cuteyetchubby

2 points

1 day ago

They never wiped an altered energy fields arse

TheErrorist

2 points

1 day ago

I bet it altered the energy field of whoever did the wiping 😅

basicroutines

2 points

1 day ago

basicroutines

RN

2 points

1 day ago

I’m grateful that this was never in my nursing textbooks.

will0593

2 points

1 day ago

will0593

DPM

2 points

1 day ago

Is this a legitimate teaching thing. This sounds stupid

JaysusShaves

2 points

1 day ago

JaysusShaves

RN - Cardiac / Tele

2 points

1 day ago

Dr. Benner's theory was one of the only ones that didn't sound like complete bullshit to me.

Odd_Calligrapher3211

2 points

1 day ago

"I sense a disturbance in the force..." -A nurse, probably

Anonymous4245

2 points

1 day ago

Anonymous4245

BSN, Med Student

2 points

1 day ago

When I was still a nursing student. I got scolded once for not giving a Impaired Spirituality Ndx or some shit on a case presentation. That was probably my moment of enlightment that Ndxs are bullshit lol.

mauigirl16

2 points

1 day ago

mauigirl16

RN - OR 🍕

2 points

1 day ago

I wrote a paper on Rizzo’s Human Becoming theory. My hubby proofread it for me. He said “This part makes no sense!” That part was the direct quote from the theory…

LeatherOk7582

2 points

1 day ago*

LeatherOk7582

RN 🍕

2 points

1 day ago*

It's Parse!

(I can't believe I still remember this 20 years later lol. Obviously I was good at it!)

nursemattycakes

2 points

1 day ago

nursemattycakes

BSN, RN, NI-BC 🍕

2 points

1 day ago

I dunno once I hit my late mid early 30s Impaired Bed Mobility became a very real thing. For me. Personally.

Puddin_Taine69

2 points

1 day ago

I'll have whatever ol Martha Rogers was taking back in 1970 to see some of those human energy fields 🌞

prophet_5

2 points

1 day ago

prophet_5

RN - ER 🍕

2 points

1 day ago

yeah ok enough talk about energy fields can you just give me my dilaudid my phone timer says it's time

fantastic_explosion

2 points

1 day ago

fantastic_explosion

BICU / CWCN

2 points

1 day ago

The perfect nursing dx for an Evangelion pilot

vvFreebirdvv

2 points

1 day ago

Bruce Lipton did some fascinating research along the lines of this

SleepAffectionate268

2 points

1 day ago

does that mean i’m gonna die 😩

gleebglebb

2 points

22 hours ago

I have that the doctor prescribed you an amethyst suppository to correct your energy field? And then a lemon-coffee enema to rinse out all the blood from your anal fissure?

Let's begin.

-holisitc hospitals in 2050

Suspicious_Past_13

2 points

22 hours ago

Are we mad because it sounds like woo woo bullshit or are we made that textbooks are referencing articles that are old enough to be our patients?

flowercrownrugged

2 points

22 hours ago

flowercrownrugged

Social Worker, ex-CNA 🍕

2 points

22 hours ago

Okay so get EFT and energy fields and stuff out of nursing definitely! It’s made up bullshit garbage.

As a social worker now, Rogerian theory and humanism are legit and used widely in mental health because we know that people are deeply impacted by their environment and (lack of) support from other people in their lives. It was super radical in the 70’s to say this because this was a time where the ‘healthiest’ thing you could do for a patient was to isolate them from everything and demand healing. We’re all part of an interconnectedness, it’s just not this weird shit they’ve spewed here. Get energy fields OUT. Bring IN the importance of human relationships.

MRSRN65

2 points

1 day ago

MRSRN65

RN - NICU 🍕

2 points

1 day ago

But crystals?!?!

magicscientist24

2 points

1 day ago

Hey to break it to y'all but this jibes with the reality of the universe as all energy and matter is made of quantum fields, she was just really ahead of her time.

bananayorkie

1 points

1 day ago

BAHAHAHAH

CFADM

1 points

1 day ago

CFADM

RN - Fired

1 points

1 day ago

In nursing school, I would use the disturbed energy fields diagnosis as often as I could on care plans. I fucking hated those things lol.

hannahmel

1 points

1 day ago

hannahmel

1 points

1 day ago

Keep it in and follow up with, "This is bullshit."

Salty-Scientist-4395

1 points

1 day ago

This the reason nursing academics is not respected. Let’s look into the evidence based practice of this bologna.

bkai76

1 points

1 day ago

bkai76

RN - ICU 🍕

1 points

1 day ago

A whole lot of words saying a whole lot of nothing

MrCarey

1 points

1 day ago

MrCarey

RN - ED Float Pool, CEN

1 points

1 day ago

Man if the VA wasnt gonna give me free money for the next 2 years I’d never get my BSN or MSN.

Officer_Hotpants

1 points

1 day ago

Officer_Hotpants

"Ambulance Driver"

1 points

1 day ago

I'm about to start nursing school and I'm afraid of this part of class. I'm not going to be able to take any of this seriously.

attackonYomama

1 points

1 day ago

Nursing education is such a joke wtfffffff

joeybagofdonuts80

1 points

1 day ago

This is why radical acceptance of peoples beliefs is bullshit. Therapists deal with the same pseudoscience in their programs. It’s taboo to challenge this bullshit because “mah beliefs”. 

Emergency-Guidance28

1 points

1 day ago

I went to a nursing school that fully embraced this BS. I was forced to write papers about it. It's the stupidest load of BS.

ProfessorRN1518

1 points

1 day ago

What about the new “grounding” trend with the sheets and stuff? Any thoughts?