24/04/2012 - Is nursing a vocation or a career?

#NurChat to discuss "Is nursing a vocation or a career?" Tues 24th April 8pm

Nurses have had a lot of criticism of late for not being caring enough, only earlier this month The Independent ran a series of reports about “the crisis in nursing”, the Prime Minister wants to release “time to care” and reports such as the Mid Staffordshire Inquiry and the Patients Association Report all point to a lack of good fundamental care in nursing. But when we look at modern nursing what do we see? Are modern nurses trained to be managers? Nursing used to be a calling, a vocation –do modern nurses have this calling and do we need it? Are nurses fundamentally caring these days or are we just climbing the career ladder on our way to be managers?  Do nurses come into nursing for the right reasons?

Please click on the picture to download a prinatble / emailable flyerto share with other nurses

Below are some links to background reading that you may find useful -please feel fee to add you own links via the comments section.

Christina Patterson:  More nurses, better paid than ever- so why are standards going down? - The Independant

Nursing is no longer the caring profession - The Telegraph

New forum must focus on the future and not look backwards  - Nursing Times

It's not just a career, its a calling - Nurse Together

Reawaken your sense of vocationby remebering nursing history - NursingTimes

Summary by Teresa Chinn RN

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Post Chat Summary 



The subject of this NurChat was - Is nursing a calling? The chat started by asking exactly that and NurChatters initial thoughts: Many felt that it was a calling for them and some felt very strongly that it is both a calling and a career. Some distinction was made between days gone by when nursing was seen as a calling and modern day nursing careers starting with a university based education. A point was made that perhaps a sense of vocation helps us to be great nurses.

It was then asked if participants felt that a nurse was something we are as well as something we do – a noun and a verb? Most participants wholeheartedly agreed that it was.

It was also raised if nursing was a personality trait? Some participants felt that their person centred personalities helped with nursing

It was mentioned that if nursing was a calling is that the reason for low pay and would we do it for nothing? Some thought that low wages attracted people who wanted to nurse for the right reasons, others tweeted that they would nurse as volunteers as they loved it, and one participant tweeted do you have to do something for free for it to be a calling? It was further discussed if our calling may be the reason for our poor pay – in that we would happily do it for nothing and this gives employers a point to exploit, some agreed with this and felt that there were always those who will take advantage.

The role of good mentors in nursing and how this shapes our ability to be good nurses was also addressed; it was asked if NurChatters could remember a nurse they wanted to be like? Most could but it was added that there were also those mentors that they did not want to be like. Some disagreed that mentors did not help make good nurses but show the way and bring out the best in us. It was also tweeted that leaders are important and that they should set direction and inspire others and that caring is infectious.

NurChat asked if anyone was from a long line of nurses and if nursing was in our soul? many participants reported that they were from a long line of nurses and some felt very passionately that nursing is inbuilt in them.  Many NurChatters reported that they wanted to be nurses from young ages.

The X factor in nursing was discussed and it was put forward that good communication is vital – most agreed that this was a fundamental part of nursing.  

To conclude the chat NurChat tweeted “so we all came into nursing for different reasons be it a calling or a career – why do we stay?” Participants had a variety of answers ranging from it is in their heart and soul, some stated that they would die happy and enriched, some believed that they were making a difference, some liked to talk and some liked to see smiles.  Most agreed with @Ramck001 when he tweeted “If heaven exists nursing is probably a free pass for most of us”

This link was shared during this chat 

 This article by Jenni (nursing times net) struck a chord with me today - adds value to tonight's #nurchathttp://t.co/I3PPTPnz

Summary by Teresa Chinn RN


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Chat transcript (via Storify)

10/04/2012 - Nursing MH & LD patients in a general setting

#NurChat discusses "Nursing MH & LD pts in a general setting" Tues 10th April 8pm

Often when people are admitted to hospital it is not merely one condition that is apparent. Our patients health is often multifaceted and we are all taught as students that we must care for them in an holistic way encompassing all of their health needs.  So what happens when we are faced with nursing someone with learning difficulties or mental health problems within a general setting.  Each of these things are specialities of nursing in their own right, so can we care for them appropriately within a general setting?  What tools and facilities are there to help us to do this? And what can we do to gain a greater understanding of each others specialities when cross overs occur?

Please  click on the picture to download a  printable/ emailable flyer to share with other nurses.

Below are some links to background reading that you may find useful – please feel free to add your own links via the comments section.




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Post Chat Summary

View our Nursing Times Blog for this discussion

This #NurChat was a very busy and lively debate with nurses from mental health, learning disability and general settings.  The chat started by asking if participants felt that the current standard of care could be improved ? Some stated that it varies from place to place, some felt that they don’t have the necessary knowledge to care for people with learning disabilities and mental health patients, but it was generally agreed that improvements could be made.

It was then asked if there is enough education in these areas? Both newly qualified and long qualified nurses reported that they had little insight into LD and MH specialities in their training. It was stated that LD nurses spend a lot of time learning about adult nursing but not vica versa.

The role of the hospital liaison nurse was discussed at length. NurChatters stated that these nurses are not available in all hospitals but are a useful resource and support patients, families and staff alike.  

NurChat asked what can we do to increase understanding ? The use of hospital passports was discussed and all liked these tools, but the overwhelming consensus was that greater communication between specialities is vital.

It was raised that in NMC fitness to practice cases issues often arise around general nurses not managing MH & LD patients and LD/MH nurses not managing physical issues.  It was discussed why this is the case and ideas such as not seeking help and not recognising that they do not have the knowledge were raised.

It was then asked if there should be MH & LD nurses on all wards ? The feeling amongst participants was that this was an overkill and costly solution.  The Ward Champions role was discussed as being an alternative and concerns were raised that this shouldn’t be a substitute for the Liaison Nurses it should be an addition.  The idea of having people with LD providing training and insight to general nurses was liked and having LD and MH patient experience days.  

At the end of the chat #NurChat asked chatters what they would do to improve things in their area? Some stated that they would promote interdisciplinary communication, some that they would promote other specialities and promote a greater respect for MH and LD colleagues.  Other NurChatters said they would develop links with other professionals to deliver best quality care and that they would disseminate the information they had learned through this chat.

Quite a few useful links were shared throughout the course of this chat and we have posted them below:

This is a great document for working with people with learning disabilities in hospital http://www.thh.nhs.uk/documents/_Patients/PatientLeaflets/general/Working_Together-HFT.pdf #nurchat

RT @AgencyNurse: Read this, this evening- death by indifference - prior to tonights http://www.mencap.org.uk/sites/default/files/documents/2008-03/DBIreport.pdf interesting stuff #NurChat

the first national conference is later this month in Nottingham check http://a2anetwork.co.uk/ #nurchat


@NurChat This is also an awesome resource http://www.improvinghealthandlives.org.uk/about/ #nurchat

@ridz761 Hospital passports you say? Check http://www.ekhuft.nhs.uk/improvingcommunication/ #nurchat

@AgencyNurse Mencap says yes to Liaison nurses! http://www.mencap.org.uk/sites/default/files/documents/2010-06/charter.pdf #nurchat

Summary by Teresa Chinn RN
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Chat Transcript (via Storify)