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This chat is guest hosted by @maxwele2
Written by Elaine Maxwell
Nursing has often been seen as a practical rather than a theoretical activity but without theory, the practice is entirely subjective and whether patients benefit is a matter of luck rather than planning.
In fact, nursing has long had implicit theories, even though they were not always written down. Even Florence Nightingale espoused an implicit theory in her book, Notes of Nursing, Her theory focused on hygiene and supporting medical practice. There was a concerted effort in the 1950s to articulate implicit assumptions about nursing and to bring them together into a holistic theory that, if understood and implemented in practice, would ensure that professional nursing provided a benefit above and beyond the actions of family or lay carers.
One of the people to do this was Virginia Henderson. Henderson trained at the Army School of Nursing in Washington, D. C. and qualified in 1921. She practised clinically and as a nurse educator before she was invited to edit a new edition of a classicAmerican textbook, Harmer's Textbook of the Principles and Practice of Nursing .Henderson five years revising it, and the 1955 version was based on a new theory of nursing, entirely independent of medicine in which:
"nurses assist individuals, sick or well, in the performance of those activities contributing to health, its recovery (or to a peaceful death), that they would perform unaided if they had the requisite strength, will or knowledge."
The International Council of Nurses commissioned her to write an essay entitled Basic Principles of Nursing Care (Geneva,1960) for nurses who had neither access to technology nor the medical care required to establish disease diagnoses. This demonstrated that her theory was not dependant on place of equipment.
Henderson's Needs Theory identified 14 components, based on human needs: breathing; eating and drinking; eliminating body waste; moving and maintaining posture; sleeping and rest; dressing and undressing; maintaining body temperature; keeping body clean and well groomed; avoiding dangers in the environment and avoid injuring others; communicating with others in expressing emotions, needs, fears, or opinions; worshiping according to one’s faith; working in such a way that there is a sense of accomplishment; playing or participating in various forms of recreation; learning, discovering, or satisfying the curiosity that leads to normal development and health
She described the nurse's role in assisting people with these component in three ways:
- Substitutive (doing things on behalf of the person where they are unable to meet their own health needs),
-Supplementary (helping the person to meet their needs),
Complementary (working with the person to develop their personal capacity to meet their needs independently)
Henderson saw nursing as a logical process, where the nurse makes a structured assessment of the individual against the fourteen needs. The assessment leads to a nursing (as opposed to a medical) diagnosis and the setting of an outcome goal. The diagnosis and goal in turn inform a plan of care, which is monitored and adapted to meet the goal. This became known as the nursing theory process, or the nursing process.
Many subsequent nursing theories have been developed, often focusing in more depth on one or more of the fourteen components and nursing theory was a key part of preregistration curriculum in the 1970s and 1980s but has fallen out of favour more recently.
Nursing theories are in essence philosophical. The conceptual frameworks are difficult to measure under the dominant positivist paradigm. Henderson herself undertook a critical review of nursing research in 1953 and found that most nursing research studied nurses, not nursing care. The move into higher education in the UK, with an increasing emphasis on empirical evidence has left many nursing theories in a no man's land and nurse researchers still study either nurses or medical treatments rather than nursing diagnoses. Few if any are studying the practice of nursing.
Increasingly this theory vacuum is leading people within and outside the profession to suggest that there is no such thing as professional nursing and that we should focus on inter-professional working; physiotherapists as ward managers, social workers to provide home care and a range of support roles to provide the support for physical needs. Without a unifying theory, perhaps they are right.
Harmer, B. (1922) TextBook of the Principles and Practice of Nursing New York: Macmillan
Harmer, B. andHenderson, V. (1955) Textbook of thePrinciples and Practice of Nursing New York: Macmillan
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Here are some of the tweets that stood out to us during this twitter discussion:
QUESTION 1
QUESTION 1
— WeNurses (@WeNurses) April 4, 2019
Virginia Henderson's nursing theory does not relate the medical diagnoses but to the patient's capacity to manage their own health. How does this relate to the way healthcare services are provided?#WeNurses pic.twitter.com/hlZfbJLpDl
#wenurses for me this is the root of many of the current challenges. Nurses find it hard to define their added value in an exclusively medical model service
— Elaine Maxwell (@maxwele2) April 4, 2019
In the main, healthcare services are still provided through a medical paradigm rather than a social or holistic one #WeNurses
— ?Ellen Nicholson 🔶 RN QN MA (@EllzSummary) April 4, 2019
Healthcare services are highly medicalised with an occasional afterthought to a person's holistic needs. Midwifery is a good example of the difficulty people face when trying to prioritise those needs - keeping someone alive or curing them seems to be all that matters #WeNurses
— Leanne Patrick (@LeanneHPatrick) April 4, 2019
QUESTION 2
QUESTION 2
— WeNurses (@WeNurses) April 4, 2019
Do the new NMC standards for pre registration nurse education capture the skills and knowledge needed to meet Henderson's definition of nursing?#WeNurses pic.twitter.com/dcmxBKkG8x
I think the standards cater to the idea of nursing skills as commodities. I feel we've lost our way when it comes to communicating our value because it's easier to advocate for tasks. #WeNurses
— Leanne Patrick (@LeanneHPatrick) April 4, 2019
Man you are so right on this! Not having a theory makes it impossible for testing nursing work, pin our professional uniqueness to or enable us to articulate the concepts of what it is ‘to nurse’ in anything other than take form #wenurses
— Rebekah RNchild (@reboverend_RNc) April 4, 2019
QUESTION 3
QUESTION 3
— WeNurses (@WeNurses) April 4, 2019
Does Henderson's definition still reflect nursing, or has the role changed over time?#WeNurses pic.twitter.com/ow9RZxbZEF
I’m not sure it has changed. How we do it might have, but fundamentally the message remains the same #WeNurses
— Kat Barber (@katbarber2610) April 4, 2019
#WeNurses I’d say there are many elements still present with heavy medical overtones present. Nursing would benefit from exploring its place in the world and what patients perhaps expect in this climate.
— Dean JPSC (@DeanJPSC) April 4, 2019
I feel that Henderson’s definition [with its explicit reference to “the sick role” and health] was/is probably relevant to medical-surgical nursing. Both historically speaking and now it wouldn’t have been necessarily helpful in describing LD nursing practice. #WeNurses
— Shaun Williams (@Shaun_LDNurse) April 4, 2019
QUESTION 4
QUESTION 4
— WeNurses (@WeNurses) April 4, 2019
With increased access to information through the Internet and peer educations, is it still the nurse's role to act for the patient when they lacks the knowledge to do so themselves?#WeNurses pic.twitter.com/6vYBbeUtbe
#wenurses Interesting - I think technology can have a massive impact in empowering individuals to be well. And if as in in grand theory, maybe it’s how we can take our places next to patients - because much like tech, we are complimentary to a patients own will to get better
— Kerri Legg (@LeggKerri) April 4, 2019
Yes. No one person can know everything and even if they have an in-depth knowledge of a subject, we can still add context, give choice, or be that sounding board. How can patients make choices without info? Not all pts have access to resources
— Claire Conboy (@claire_conboy) April 4, 2019
It’s a fine balance we need to be supportive and work together with the patient and carers. What matters to the patient must be central. I keep going back to Old Power + New Power I’m waiting on my #newpower book arriving.
— Lynn Marotta (@LynnMarotta84) April 4, 2019
QUESTION 5
QUESTION 5
— WeNurses (@WeNurses) April 4, 2019
Are nursing theories useful for nurses in day to day practice or simply for describing nursing for a distance?#WeNurses pic.twitter.com/vJU7KyBy5L
#wenurses teaching nurses to use critical analysis for any theory be that nursing or leadership or management is vital, and it’s this that is useful. If every nurse can read a theory and ask ‘how can I apply THIS to MY practice’ we’ve won, we will have a evolutionary workforce
— Kerri Legg (@LeggKerri) April 4, 2019
Being in a profession means having a body of theory to define the uniqueness of the role. We need to define our work, research our effectiveness and reveal our position in therapeutic relationships. It is how we develop as a profession and maintain identity #wenurses
— Rebekah RNchild (@reboverend_RNc) April 4, 2019
Absolutely, I refer to theory every day. Without it how do we justify and evidence our practice?
— Rachael Redman (@RachaelRedman1) April 4, 2019
QUESTION 6
QUESTION 6
— WeNurses (@WeNurses) April 4, 2019
What are your final points re Virginia Henderson and Nursing Theorists ?#WeNurses pic.twitter.com/iIBxYdmhYp
#wenurses i love the fact that theory gives us a foundation for which our profession grows. Henderson for me, told the medical world that the nurse is an advocate for the patient and not an aid for the doctors and it’s this that changed us
— Kerri Legg (@LeggKerri) April 4, 2019
That I have to learn more about her. #Henderson was no topic at all when I attended nursing school and one among many at university. Thank you for pointing me in the direction! #WeNurses
— Dr. Anja K. Peters (@thesismum) April 4, 2019
An excellent model with the potential for positive outcomes. Yet in this economic and political climate where we are having to beg for safe staffing numbers and a profession of nurses that are in danger of losing their identity, it is hard to translate into practice. #WeNurses
— Dean JPSC (@DeanJPSC) April 4, 2019
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#WeNurses transcript
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@LearnPEOLC
04 April 2019 20:00
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RT @thesismum: @Des_Roin Virginia Henderson, nursing scientist extraordinaire: https://de.m.wikipedia.org/wiki/Virginia_Henderson #WeNurses |
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@WeNurses
04 April 2019 20:00
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RT @thesismum: @Des_Roin Virginia Henderson, nursing scientist extraordinaire: https://de.m.wikipedia.org/wiki/Virginia_Henderson #WeNurses |
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@LearnPEOLC
04 April 2019 20:00
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@AgencyNurse @EllzSummary @maxwele2 Me too! #WeNurses https://t.co/WYxH6gNbRk |
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@WeNurses
04 April 2019 20:00
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Hello and welcome to #WeNurses How is everyone ?? Are you joining us and the amazing @maxwele2 for the next hour… https://twitter.com/i/web/status/1113879125406691329 |
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@thesismum
04 April 2019 20:01
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RT @WeNurses: Hello and welcome to #WeNurses How is everyone ?? Are you joining us and the amazing @maxwele2 for the next hour to discus… |
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@LearnPEOLC
04 April 2019 20:01
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RT @WeNurses: Hello and welcome to #WeNurses How is everyone ?? Are you joining us and the amazing @maxwele2 for the next hour to discus… |
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@AgencyNurse
04 April 2019 20:01
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hello Teresa here .... not my specialist subject tonight but really intrigued after reading the prechat info..... here to learn #Wenurses |
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@AgencyNurse
04 April 2019 20:01
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RT @WeNurses: Hello and welcome to #WeNurses How is everyone ?? Are you joining us and the amazing @maxwele2 for the next hour to discus… |
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@faebeth
04 April 2019 20:01
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@WeNurses @maxwele2 Hello #WeNurses |
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@LearnPEOLC
04 April 2019 20:02
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@WeNurses @maxwele2 Hello Sarah here also from @WeEOLC #WeNurses |
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@WeNurses
04 April 2019 20:02
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@faebeth @maxwele2 hello and welcome #WeNurses |
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@WeNurses
04 April 2019 20:02
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@learnhospice @maxwele2 @WeEOLC hello and welcome #WeNurses |
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@WeEOLC
04 April 2019 20:03
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#WeNurses fab chat just starting with @maxwele2 |
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@claire_conboy
04 April 2019 20:03
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@WeNurses @maxwele2 Hello #WeNurses |
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@WeNurses
04 April 2019 20:03
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@thesismum @maxwele2 @ehs_pflege hello there and you are very welcome ... always good to have an international take #WeNurses |
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@maxwele2
04 April 2019 20:03
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@thesismum @WeNurses @ehs_pflege Looking forward to hearing their views #WeNurses |
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@AnnMarieRiley10
04 April 2019 20:03
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@WeNurses @maxwele2 Hello ?? #WeNurses |
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@LearnPEOLC
04 April 2019 20:03
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@thesismum @WeNurses @maxwele2 @ehs_pflege Hello! #WeNurses |
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@WeNurses
04 April 2019 20:03
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@claire_conboy @maxwele2 Hi Claire #Wenurses |
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@WeNurses
04 April 2019 20:04
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Hellooo :D #WeNurses |
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@WeNurses
04 April 2019 20:04
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@AnnMarieRiley10 @maxwele2 Hi Ann-Marie #WeNurses |
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@thesismum
04 April 2019 20:04
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@WeNurses Does it at all? #counterquestion #WeNurses |
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@AgencyNurse
04 April 2019 20:04
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Question 1 #WeNurses |
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@thesismum
04 April 2019 20:04
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RT @WeNurses: @thesismum @maxwele2 @ehs_pflege hello there and you are very welcome ... always good to have an international take #WeNurses |
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@WeNurses
04 April 2019 20:05
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RT @thesismum: @WeNurses Does it at all? #counterquestion #WeNurses |
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@maxwele2
04 April 2019 20:05
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@WeNurses #wenurses for me this is the root of many of the current challenges. Nurses find it hard to define their… https://twitter.com/i/web/status/1113880181465387008 |
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@PUNC14
04 April 2019 20:05
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RT @AgencyNurse: Question 1 #WeNurses https://twitter.com/WeNurses/status/1113879659186233344 |
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@LearnPEOLC
04 April 2019 20:05
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#WeNurses @maxwele2 oh an easy q to start with! |
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@thesismum
04 April 2019 20:05
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RT @maxwele2: @WeNurses #wenurses for me this is the root of many of the current challenges. Nurses find it hard to define their added valu… |
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@WeNurses
04 April 2019 20:05
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Interesting .... how does everyone else feel about it ?? #WeNurses |
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@HistNursing
04 April 2019 20:05
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RT @WeNurses: Hello and welcome to #WeNurses How is everyone ?? Are you joining us and the amazing @maxwele2 for the next hour to discus… |
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@maxwele2
04 April 2019 20:06
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@thesismum @WeNurses #wenurses I think there is a tension which needs to be managed |
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@faebeth
04 April 2019 20:07
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@WeNurses It relates because nurses should still be assessing the patients needs and nursing theory can be used here #WeNurses |
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@LearnPEOLC
04 April 2019 20:07
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@WeNurses #WeNurses 1: maybe a challenge is how health & social care services are constantly changing |
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@LearnPEOLC
04 April 2019 20:08
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RT @WeEOLC: #WeNurses fab chat just starting with @maxwele2 https://twitter.com/wenurses/status/1113879125406691329 |
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@MRadford_HEECN
04 April 2019 20:08
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RT @maxwele2: @WeNurses #wenurses for me this is the root of many of the current challenges. Nurses find it hard to define their added valu… |
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@EllzSummary
04 April 2019 20:08
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@WeNurses @maxwele2 Hi from the wet South East, beeper on the cooker went off at the wrong moment there #WeNurses |
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@WeNurses
04 April 2019 20:08
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@learnhospice @maxwele2 :D #WeNurses |
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@WeNurses
04 April 2019 20:08
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RT @faebeth: @WeNurses It relates because nurses should still be assessing the patients needs and nursing theory can be used here #WeNurses |
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@WeNurses
04 April 2019 20:08
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RT @learnhospice: @WeNurses #WeNurses 1: maybe a challenge is how health & social care services are constantly changing |
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@WeNurses
04 April 2019 20:09
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@EllzSummary @maxwele2 lol hi and welcome :D #WeNurses |
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@maxwele2
04 April 2019 20:09
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@AgencyNurse #wenurses I think the biggest challenge is the complimentary role In Henderson’s theory - helping peop… https://twitter.com/i/web/status/1113881246784999426 |
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@Pflegehistorie
04 April 2019 20:09
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Tonight interesting #WeNurses chat - also relevant for #histnursing. Virginia Henderson influenced Sr Liliane Juchl… https://twitter.com/i/web/status/1113881362971418624 |
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@V_ATaylor
04 April 2019 20:09
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RT @learnhospice: Absolutely fascinating tweet chat tonight with @maxwele2 @WeNurses #WeNurses http://www.wecommunities.org/tweet-chats/chat-details/5316 |
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@AgencyNurse
04 April 2019 20:10
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@maxwele2 it seems (on the surface) to very much apply to what we do and how we should approach nursing care #WeNurses |
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@LearnPEOLC
04 April 2019 20:10
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#WeNurses 1: i wonder if the challenge is not just bio- medical/ rehab/remablent/person centred clash but also esta… https://twitter.com/i/web/status/1113881540726001666 |
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@WeNurses
04 April 2019 20:10
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RT @Pflegehistorie: Tonight interesting #WeNurses chat - also relevant for #histnursing. Virginia Henderson influenced Sr Liliane Juchli in… |
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@ChristopherLugg
04 April 2019 20:10
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@WeNurses @maxwele2 Hello #WeNurses |
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@LearnPEOLC
04 April 2019 20:10
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RT @faebeth: @WeNurses It relates because nurses should still be assessing the patients needs and nursing theory can be used here #WeNurses |
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@thesismum
04 April 2019 20:11
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RT @maxwele2: @AgencyNurse #wenurses I think the biggest challenge is the complimentary role In Henderson’s theory - helping people to deve… |
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@EllzSummary
04 April 2019 20:11
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@WeNurses In the main, healthcare services are still provided through a medical paradigm rather than a social or holistic one #WeNurses |
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@LearnPEOLC
04 April 2019 20:11
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RT @maxwele2: @AgencyNurse #wenurses I think the biggest challenge is the complimentary role In Henderson’s theory - helping people to deve… |
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@mynameisAndyJ
04 April 2019 20:11
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Good evening all. Just lurking into what will be an intresting chat #wenurses |
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@LearnPEOLC
04 April 2019 20:11
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RT @Pflegehistorie: Tonight interesting #WeNurses chat - also relevant for #histnursing. Virginia Henderson influenced Sr Liliane Juchli in… |
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@maxwele2
04 April 2019 20:12
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@learnhospice Agree, it we don’t have a unifying theory- are we even a profession? #WeNurses and if not, does that matter? |
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@WeNurses
04 April 2019 20:12
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@mynameisAndyJ Hi Andy - lovely to see you #WeNurses |
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@LearnPEOLC
04 April 2019 20:12
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@Pflegehistorie #WeNurses how interesting! Will have to go look that up now |
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@AgencyNurse
04 April 2019 20:12
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@maxwele2 @learnhospice ok so daft question .... do other professions have a unifying theory ?? #WeNurses |
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@LearnPEOLC
04 April 2019 20:13
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RT @maxwele2: @learnhospice Agree, it we don’t have a unifying theory- are we even a profession? #WeNurses and if not, does that matter? |
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@thesismum
04 April 2019 20:13
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@WeNurses Would you explain very shortly for international #WeNurses? |
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@LearnPEOLC
04 April 2019 20:13
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@katbarber2610 Say more? #WeNurses |
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@thesismum
04 April 2019 20:13
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RT @learnhospice: #WeNurses 1: i wonder if the challenge is not just bio- medical/ rehab/remablent/person centred clash but also establishi… |
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@maxwele2
04 April 2019 20:13
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@EllzSummary @WeNurses #WeNurses I think it’s not an either/or. It’s and/and. But if we don’t articulate our theory… https://twitter.com/i/web/status/1113882364936171521 |
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@WeNurses
04 April 2019 20:13
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Anyone else had experience of this ?? #WeNurses |
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@thesismum
04 April 2019 20:14
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@learnhospice Hear hear! #WeNurses |
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@thesismum
04 April 2019 20:14
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RT @maxwele2: @learnhospice Agree, it we don’t have a unifying theory- are we even a profession? #WeNurses and if not, does that matter? |
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@thesismum
04 April 2019 20:14
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RT @AgencyNurse: @maxwele2 @learnhospice ok so daft question .... do other professions have a unifying theory ?? #WeNurses |
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@faebeth
04 April 2019 20:14
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@katbarber2610 That's interesting, and disappointing #WeNurses |
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@rachybanp
04 April 2019 20:14
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RT @WeNurses: Interesting .... how does everyone else feel about it ?? #WeNurses https://twitter.com/maxwele2/status/1113880181465387008 |
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@maxwele2
04 April 2019 20:14
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@Pflegehistorie ??can you say a bit more about that please? #WeNurses |
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@NigelHeal
04 April 2019 20:14
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RT @maxwele2: @WeNurses #wenurses for me this is the root of many of the current challenges. Nurses find it hard to define their added valu… |
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@LearnPEOLC
04 April 2019 20:15
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@AgencyNurse @maxwele2 #WeNurses that got me thinking too- wondering what other health or social care practitioners think too |
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@LearnPEOLC
04 April 2019 20:15
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RT @thesismum: @learnhospice Hear hear! #WeNurses |
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@maxwele2
04 April 2019 20:16
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@katbarber2610 #WeNurses I think this highlights how senior nurses and Directors need to use a theory of nursing, c… https://twitter.com/i/web/status/1113882992932421633 |
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@AgencyNurse
04 April 2019 20:16
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@learnhospice @maxwele2 ahh well maybe not so daft question ;D #WeNurses |
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@WeNurses
04 April 2019 20:16
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#WeNurses |
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@maxwele2
04 April 2019 20:18
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#WeNurses |
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@AgencyNurse
04 April 2019 20:18
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@maxwele2 @learnhospice ahhh ok ... i can see that would be the case #WeNurses |
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@NikkiBPinto
04 April 2019 20:19
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RT @Pflegehistorie: Tonight interesting #WeNurses chat - also relevant for #histnursing. Virginia Henderson influenced Sr Liliane Juchli in… |
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@thesismum
04 April 2019 20:19
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@AnnMarieRiley10 @loveebhc @WeNurses I was like: #WeNurses https://t.co/ai0h0p39Ce |
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@AgencyNurse
04 April 2019 20:19
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Absolutely #WeNurses |
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@WeNurses
04 April 2019 20:20
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QUESTION 3 Does Henderson's definition still reflect nursing, or has the role changed over time? #WeNurses https://t.co/ow9RZxbZEF |
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@WeEOLC
04 April 2019 20:20
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RT @AgencyNurse: Absolutely #WeNurses https://twitter.com/katbarber2610/status/1113883690000617472 |
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@WeEOLC
04 April 2019 20:20
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RT @AgencyNurse: @maxwele2 @learnhospice ahhh ok ... i can see that would be the case #WeNurses |
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@WeEOLC
04 April 2019 20:20
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RT @maxwele2: #WeNurses https://twitter.com/deanjpsc/status/1113882985202364416 |
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@kerriannmackay
04 April 2019 20:20
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@maxwele2 @katbarber2610 #WeNurses |
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@katb2610
04 April 2019 20:20
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#WeNurses |
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@maxwele2
04 April 2019 20:21
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@EllzSummary @WeNurses I think we have become a support service to medical model and lost our professional identity #WeNurses |
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@WeEOLC
04 April 2019 20:21
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@EllzSummary @maxwele2 @WeNurses #WeNurses or has it been replaced by eg personalisation, person centred care etc |
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@WeEOLC
04 April 2019 20:21
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RT @AgencyNurse: @learnhospice @maxwele2 ahh well maybe not so daft question ;D #WeNurses |
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@WeNurses
04 April 2019 20:21
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RT @WeEOLC: @EllzSummary @maxwele2 @WeNurses #WeNurses or has it been replaced by eg personalisation, person centred care etc |
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@maxwele2
04 April 2019 20:22
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@LeggKerri @katbarber2610 Totally agree #WeNurses |
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@DebEvans66
04 April 2019 20:22
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@EllzSummary @AgencyNurse @maxwele2 @WeNurses #WeNurses may be Ellen that is the starting point.Revisit Nursing the… https://twitter.com/i/web/status/1113884503544561664 |
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@DeanJPSC
04 April 2019 20:22
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@EllzSummary @WeNurses #wenurses Nursing as a paradigm in my mind has been slowly eroded for some time now. As a pr… https://twitter.com/i/web/status/1113884573354668033 |
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@WeEOLC
04 April 2019 20:22
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This ?????? #WeNurses |
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@WeEOLC
04 April 2019 20:22
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RT @maxwele2: @katbarber2610 #WeNurses I think this highlights how senior nurses and Directors need to use a theory of nursing, can leave i… |
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@kerriannmackay
04 April 2019 20:22
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@AgencyNurse #wenurses - Nursing has absolutely changed in the things that we do everyday but what shouldn’t have c… https://twitter.com/i/web/status/1113884634843099136 |
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@WeEOLC
04 April 2019 20:22
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RT @learnhospice: @AgencyNurse @maxwele2 #WeNurses that got me thinking too- wondering what other health or social care practitioners think… |
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@WeEOLC
04 April 2019 20:22
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RT @thesismum: @learnhospice Hear hear! #WeNurses |
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@WeEOLC
04 April 2019 20:22
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RT @WeNurses: Anyone else had experience of this ?? #WeNurses https://twitter.com/katbarber2610/status/1113882057262944256 |
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@WeEOLC
04 April 2019 20:23
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RT @maxwele2: @EllzSummary @WeNurses #WeNurses I think it’s not an either/or. It’s and/and. But if we don’t articulate our theory of practi… |
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@WeEOLC
04 April 2019 20:23
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RT @WeNurses: QUESTION 3 Does Henderson's definition still reflect nursing, or has the role changed over time? #WeNurses https://t.co/ow9… |
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@WeEOLC
04 April 2019 20:23
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RT @katbarber2610: #WeNurses https://twitter.com/katbarber2610/status/1113882750673616896 |
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@WeEOLC
04 April 2019 20:23
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RT @maxwele2: @EllzSummary @WeNurses I think we have become a support service to medical model and lost our professional identity #WeNurses |
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@WeNurses
04 April 2019 20:23
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An excellent question #WeNurses |
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@DeanJPSC
04 April 2019 20:23
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@maxwele2 @EllzSummary @WeNurses #WeNurses You took the words out of my mouth |
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@faebeth
04 April 2019 20:24
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@AgencyNurse Agreed #WeNurses |
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@WeNurses
04 April 2019 20:24
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Ooooh interesting thought?? Anyone care to comment ? #WeNurses |
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@AgencyNurse
04 April 2019 20:24
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Nice >> #WeNurses |
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@thesismum
04 April 2019 20:25
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RT @WeEOLC: This ?????? #WeNurses https://twitter.com/thesismum/status/1113883025933258753 |
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@WeNurses
04 April 2019 20:25
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oooohhhh .... thoughts ?? #WeNurses |
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@WeEOLC
04 April 2019 20:25
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@maxwele2 @EllzSummary @WeNurses #WeNurses yikes...just curious and also your earlier comment about why other profe… https://twitter.com/i/web/status/1113885400416890888 |
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@WeNurses
04 April 2019 20:25
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RT @DeanJPSC: @EllzSummary @WeNurses #wenurses Nursing as a paradigm in my mind has been slowly eroded for some time now. As a profession w… |
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@WeNurses
04 April 2019 20:26
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RT @WeEOLC: This ?????? #WeNurses https://twitter.com/thesismum/status/1113883025933258753 |
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@WeNurses
04 April 2019 20:26
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Thoughts on this ?? #WeNurses |
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@claire_conboy
04 April 2019 20:27
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@WeNurses It's very thorough but not had a good read of it #WeNurses |
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@faebeth
04 April 2019 20:29
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So maybe just an update for the modern nurse in the 21st century??? #WeNurses |
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@AgencyNurse
04 April 2019 20:29
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And this seems to be the crux of the conversation .... #WeNurses |
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@kerriannmackay
04 April 2019 20:29
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@maxwele2 @WeNurses #wenurses we stay true to a professionally ideal as long as that ideal is true 2the people we a… https://twitter.com/i/web/status/1113886437819265024 |
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@thesismum
04 April 2019 20:30
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@maxwele2 @learnhospice Wouldn’t it be the duty of the nurse who sets the nursing plan to find the appropriate concept/theory? #WeNurses |
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@DeanJPSC
04 April 2019 20:30
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@WeNurses #WeNurses I’d say there are many elements still present with heavy medical overtones present. Nursing wou… https://twitter.com/i/web/status/1113886699795419138 |
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@WeNurses
04 April 2019 20:31
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What do people think ? #WeNurses |
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@WeNurses
04 April 2019 20:32
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RT @DeanJPSC: @WeNurses #WeNurses I’d say there are many elements still present with heavy medical overtones present. Nursing would benefit… |
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@nursingmeyer
04 April 2019 20:32
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RT @Pflegehistorie: Tonight interesting #WeNurses chat - also relevant for #histnursing. Virginia Henderson influenced Sr Liliane Juchli in… |
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@maxwele2
04 April 2019 20:32
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RT @WeNurses: Thoughts on this ?? #WeNurses https://twitter.com/maxwele2/status/1113885338693525505 |
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@katb2610
04 April 2019 20:32
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@WeNurses I’m not sure it has changed. How we do it might have, but fundamentally the message remains the same #WeNurses |
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@maxwele2
04 April 2019 20:32
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@faebeth Based on what though #WeNurses |
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@maxwele2
04 April 2019 20:33
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RT @AgencyNurse: And this seems to be the crux of the conversation .... #WeNurses https://twitter.com/maxwele2/status/1113885797747503109 |
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@maxwele2
04 April 2019 20:33
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@LeggKerri @WeNurses So true, a philosophy rather than a set of tasks #WeNurses |
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@thesismum
04 April 2019 20:33
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RT @WeNurses: What do people think ? #WeNurses https://twitter.com/thesismum/status/1113886788026884097 |
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@WeNurses
04 April 2019 20:34
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RT @mynameisAndyJ: A4 YES it is essential so much mis infomation on the internet so its key a nurse gives the correct info etc #wenurses pl… |
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@DebEvans66
04 April 2019 20:34
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@WeNurses #WeNurses respective specialism of nursing has a duty to enable self management?Invest time to save time.… https://twitter.com/i/web/status/1113887690305482752 |
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@Pflegehistorie
04 April 2019 20:35
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@maxwele2 Fab idea! Will discuss this during our next meeting. @dgp_pflege #WeNurses |
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@kerriannmackay
04 April 2019 20:36
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@WeNurses #wenurses Interesting - I think technology can have a massive impact in empowering individuals to be well… https://twitter.com/i/web/status/1113887982728118278 |
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@WeNurses
04 April 2019 20:36
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Interesting - do others have this experience ? #Wenurses |
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@maxwele2
04 April 2019 20:36
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@thesismum @learnhospice Agree we need to look at philosophies and models from non English speaking countries #WeNurses |
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@LearnPEOLC
04 April 2019 20:36
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RT @maxwele2: @thesismum @learnhospice Agree we need to look at philosophies and models from non English speaking countries #WeNurses |
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@EllzSummary
04 April 2019 20:36
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@katbarber2610 Yes if you ask 20 nursing students you'll have twenty different answers with common themes #WeNurses |
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@maxwele2
04 April 2019 20:37
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RT @Pflegehistorie: @maxwele2 Fab idea! Will discuss this during our next meeting. @dgp_pflege #WeNurses |
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@WeNurses
04 April 2019 20:37
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RT @LeggKerri: @WeNurses #wenurses Interesting - I think technology can have a massive impact in empowering individuals to be well. And if… |
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@maxwele2
04 April 2019 20:37
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@katbarber2610 ??the Google definition ????? #WeNurses |
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@AgencyNurse
04 April 2019 20:38
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@maxwele2 @katbarber2610 •googles nurse* #WeNurses |
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@kerriannmackay
04 April 2019 20:38
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@ShazzaHudson @maxwele2 @WeEOLC @EllzSummary @WeNurses #WeNurses - I think that AHP colleagues role have evolved to… https://twitter.com/i/web/status/1113888656287313921 |
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@LearnPEOLC
04 April 2019 20:39
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@maxwele2 @katbarber2610 Eh???? #WeNurses ???? https://t.co/yBr4WLPKEp |
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@LearnPEOLC
04 April 2019 20:39
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RT @LeggKerri: @ShazzaHudson @maxwele2 @WeEOLC @EllzSummary @WeNurses #WeNurses - I think that AHP colleagues role have evolved to embody a… |
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@AgencyNurse
04 April 2019 20:40
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@maxwele2 @katbarber2610 here it is >> #WeNurses https://t.co/DqwtPNHD68 |
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@maxwele2
04 April 2019 20:40
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#WeNurses https://twitter.com/deanjpsc/status/1113888550964088834 |
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@DeanJPSC
04 April 2019 20:40
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@EllzSummary @maxwele2 @WeNurses #WeNurses I keep forgetting to Hash Tag.... Apologies! ?? |
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@katb2610
04 April 2019 20:41
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@EllzSummary Found they focused on illness rather than wellness too #WeNurses |
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@nursingmeyer
04 April 2019 20:41
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RT @WeNurses: QUESTION 3 Does Henderson's definition still reflect nursing, or has the role changed over time? #WeNurses https://t.co/ow9… |
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@WeNurses
04 April 2019 20:41
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#WeNurses |
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@LearnPEOLC
04 April 2019 20:42
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@thesismum @maxwele2 #WeNurses thats a fair point & making me think of the international sociocultural context of n… https://twitter.com/i/web/status/1113889527909748738 |
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@thesismum
04 April 2019 20:42
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RT @maxwele2: @thesismum @learnhospice Agree we need to look at philosophies and models from non English speaking countries #WeNurses |
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@LearnPEOLC
04 April 2019 20:43
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RT @AgencyNurse: @maxwele2 @katbarber2610 here it is >> #WeNurses https://t.co/DqwtPNHD68 |
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@thesismum
04 April 2019 20:43
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RT @learnhospice: @thesismum @maxwele2 #WeNurses thats a fair point & making me think of the international sociocultural context of nursing… |
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@LearnPEOLC
04 April 2019 20:43
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RT @DeanJPSC: @EllzSummary @maxwele2 @WeNurses #WeNurses I keep forgetting to Hash Tag.... Apologies! ?? |
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@LearnPEOLC
04 April 2019 20:43
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This #WeNurses ...?????? |
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@WeNurses
04 April 2019 20:43
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#WeNurses |
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@AgencyNurse
04 April 2019 20:43
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RT @learnhospice: This #WeNurses ...?????? https://twitter.com/reboverend_rnc/status/1113889363602104321 |
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@maxwele2
04 April 2019 20:44
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@katbarber2610 @learnhospice ?????????????????????????#wenurses medical model of nursing endorsed by google |
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@DebEvans66
04 April 2019 20:45
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@WeNurses #WeNurses I still think there is a disconnect.Has the ACP emphasis made nursing theory less on trend? |
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@WeNurses
04 April 2019 20:45
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RT @Deborah35855216: @WeNurses #WeNurses I still think there is a disconnect.Has the ACP emphasis made nursing theory less on trend? |
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@maxwele2
04 April 2019 20:45
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@learnhospice @thesismum Are we confusing theory with practice here? Common theory executed differently perhaps? #Wenurses |
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@LearnPEOLC
04 April 2019 20:45
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This this this ?????? look forward to define....#WeNurses |
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@CNSSinead
04 April 2019 20:45
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@WeNurses #wenurses I feel like it encompasses my role as a CNS quite nicely actually ???? |
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@WeNurses
04 April 2019 20:46
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RT @CNSSinead: @WeNurses #wenurses I feel like it encompasses my role as a CNS quite nicely actually ???? |
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@thesismum
04 April 2019 20:46
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RT @maxwele2: @learnhospice @thesismum Are we confusing theory with practice here? Common theory executed differently perhaps? #Wenurses |
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@AgencyNurse
04 April 2019 20:46
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RT @maxwele2: @learnhospice @thesismum Are we confusing theory with practice here? Common theory executed differently perhaps? #Wenurses |
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@LearnPEOLC
04 April 2019 20:46
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@maxwele2 @katbarber2610 #WeNurses ?????? |
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@WeNurses
04 April 2019 20:46
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Thoughts ?? #WeNurses |
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@LearnPEOLC
04 April 2019 20:46
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RT @Deborah35855216: @WeNurses #WeNurses I still think there is a disconnect.Has the ACP emphasis made nursing theory less on trend? |
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@LearnPEOLC
04 April 2019 20:48
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@AgencyNurse @maxwele2 @thesismum Absolutely and not throw the ‘baby out with the bathwater’ #WeNurses |
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@LearnPEOLC
04 April 2019 20:48
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RT @maxwele2: @learnhospice @thesismum Are we confusing theory with practice here? Common theory executed differently perhaps? #Wenurses |
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@LearnPEOLC
04 April 2019 20:49
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#WeNurses |
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@maxwele2
04 April 2019 20:49
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RT @learnhospice: This this this ?????? look forward to define....#WeNurses https://twitter.com/maxwele2/status/1113889971482648577 |
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@WeNurses
04 April 2019 20:50
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Something worth thinking about #WeNurses |
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@LearnPEOLC
04 April 2019 20:51
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#WeNurses @maxwele2 |
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@faebeth
04 April 2019 20:51
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@WeNurses This is good #WeNurses |
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@WeNurses
04 April 2019 20:51
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RT @learnhospice: #WeNurses @maxwele2 https://twitter.com/maxwele2/status/1113891636180860929 |
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@maxwele2
04 April 2019 20:52
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@AgencyNurse @thesismum @learnhospice Absolutely! #wenurses |
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@kerriannmackay
04 April 2019 20:52
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@WeNurses #wenurses teaching nurses to use critical analysis for any theory be that nursing or leadership or manage… https://twitter.com/i/web/status/1113892163694276608 |
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@WeNurses
04 April 2019 20:53
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QUESTION 6 What are your final points re Virginia Henderson and Nursing Theorists ? #WeNurses https://t.co/iIBxYdmhYp |
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@WeNurses
04 April 2019 20:53
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RT @LeggKerri: @WeNurses #wenurses teaching nurses to use critical analysis for any theory be that nursing or leadership or management is v… |
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@thesismum
04 April 2019 20:53
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RT @WeNurses: QUESTION 6 What are your final points re Virginia Henderson and Nursing Theorists ? #WeNurses https://t.co/iIBxYdmhYp |
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@LearnPEOLC
04 April 2019 20:53
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RT @LeggKerri: @WeNurses #wenurses teaching nurses to use critical analysis for any theory be that nursing or leadership or management is v… |
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@AgencyNurse
04 April 2019 20:53
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I need to read more #WeNurses |
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@AgencyNurse
04 April 2019 20:54
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#WeNurses > |
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@maxwele2
04 April 2019 20:54
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@AgencyNurse We need to debate more #WeNurses |
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@Chelsea14878
04 April 2019 20:54
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Being on a spoke with an ANP was so good today! She was very knowledgable and let me get involved. #babynurse #WeNurses @WeStudentNurse |
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@AgencyNurse
04 April 2019 20:55
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@maxwele2 yes and that ! #WeNurses |
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@WeNurses
04 April 2019 20:55
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entirely down to @maxwele2 :D #Wenurses |
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@h2cm
04 April 2019 20:56
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@learnhospice @WeNurses @maxwele2 Hello All, #WeNurses Perhaps within the Health Career (as in Life Chances) Model… https://twitter.com/i/web/status/1113893110424178689 |
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@kerriannmackay
04 April 2019 20:56
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@WeNurses #wenurses i love the fact that theory gives us a foundation for which our profession grows. Henderson for… https://twitter.com/i/web/status/1113893126551293952 |
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@AgencyNurse
04 April 2019 20:57
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RT @LeggKerri: @WeNurses #wenurses i love the fact that theory gives us a foundation for which our profession grows. Henderson for me, told… |
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@WeNurses
04 April 2019 20:57
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RT @LeggKerri: @WeNurses #wenurses i love the fact that theory gives us a foundation for which our profession grows. Henderson for me, told… |
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@WeNurses
04 April 2019 20:57
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Thanks for sharing #WeNurses |
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@thesismum
04 April 2019 20:58
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RT @LeggKerri: @WeNurses #wenurses i love the fact that theory gives us a foundation for which our profession grows. Henderson for me, told… |
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@faebeth
04 April 2019 21:00
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@youvegotanthony @WeNurses Agreed #WeNurses |
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@mynameisAndyJ
04 April 2019 21:00
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Thank You for allowing me to lurk and interject ocass #wenurses I learn such a lot from you all, which allows us a… https://twitter.com/i/web/status/1113894113726861313 |
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@WeNurses
04 April 2019 21:00
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Thats all for tonight folks ..... thank you all for contributing to such a vibrant discussion #WeNurses https://t.co/6G4ulBaSO0 |
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@maxwele2
04 April 2019 21:00
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RT @h2cm: @learnhospice @WeNurses @maxwele2 Hello All, #WeNurses Perhaps within the Health Career (as in Life Chances) Model there is an im… |
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@WeNurses
04 April 2019 21:00
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@mynameisAndyJ you are always most welcome Andy #WeNurses |
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@WeNurses
04 April 2019 21:01
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A great big thank you to @maxwele2 who developed the prechat info and questions for tonights #WeNurses .... great w… https://twitter.com/i/web/status/1113894255859240960 |
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@maxwele2
04 April 2019 21:01
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@h2cm @learnhospice @WeNurses That’s a new one for me- thanks #wenurses |
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@AgencyNurse
04 April 2019 21:02
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Thank you @maxwele2 ... lots of food for thought tonight #WeNurses |
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@thesismum
04 April 2019 21:02
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@WeNurses Thank you, @maxwele2, and also #WeNurses for setting the chairs and cushions! |
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@WeNurses
04 April 2019 21:03
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@thesismum @maxwele2 hehehe great way of putting it ... and you are most welcome #WeNurses |
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@maxwele2
04 April 2019 21:03
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@ShazzaHudson @LeggKerri @WeEOLC @EllzSummary @WeNurses I was talking about the profession not individuals #WeNurses |
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@maxwele2
04 April 2019 21:04
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@WeNurses Thanks for hosting, hopefully we can continue the conversation #wenurses |
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@h2cm
04 April 2019 21:04
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@LeggKerri @WeNurses #WeNurses Henderson's work informed my early nursing career and subsequent studies as have man… https://twitter.com/i/web/status/1113895256783716353 |
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@WeNurses
04 April 2019 21:05
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if you are thinking about reflecting on tonights #WeNurses as part of your CPD then here is the MyWe link for you >… https://twitter.com/i/web/status/1113895262106210304 |
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@reboverend_RNc
04 April 2019 21:05
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@maxwele2 @katbarber2610 @DeanJPSC @LeanneHPatrick @WeNurses This is so interesting Elaine! #wenurses |
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@AgencyNurse
04 April 2019 21:05
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RT @WeNurses: if you are thinking about reflecting on tonights #WeNurses as part of your CPD then here is the MyWe link for you > https://t… |
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@WeNurses
04 April 2019 21:05
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RT @h2cm: @LeggKerri @WeNurses #WeNurses Henderson's work informed my early nursing career and subsequent studies as have many other theori… |
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@kerriannmackay
04 April 2019 21:06
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@h2cm @WeNurses Absolutely and in order to find our authentic selves - we can find where we individually sit with these theories #wenurses |
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@LearnPEOLC
04 April 2019 21:06
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RT @h2cm: @learnhospice @WeNurses @maxwele2 Hello All, #WeNurses Perhaps within the Health Career (as in Life Chances) Model there is an im… |
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@maxwele2
04 April 2019 21:07
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RT @WeNurses: if you are thinking about reflecting on tonights #WeNurses as part of your CPD then here is the MyWe link for you > https://t… |
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@maxwele2
04 April 2019 21:08
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@thesismum @WeNurses @ProfessorPflege Yes! ??would love that #WeNurses |
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@LynnMarotta84
04 April 2019 21:09
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RT @WeNurses: if you are thinking about reflecting on tonights #WeNurses as part of your CPD then here is the MyWe link for you > https://t… |
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@thesismum
04 April 2019 21:09
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RT @h2cm: @LeggKerri @WeNurses #WeNurses Henderson's work informed my early nursing career and subsequent studies as have many other theori… |
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@mancunianmedic
04 April 2019 21:13
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RT @WeNurses: A great big thank you to @maxwele2 who developed the prechat info and questions for tonights #WeNurses .... great work, thank… |
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@TheoKuypers
04 April 2019 21:15
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RT @LeggKerri: @WeNurses #wenurses i love the fact that theory gives us a foundation for which our profession grows. Henderson for me, told… |
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@maxwele2
04 April 2019 21:16
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@ShazzaHudson @LeggKerri @WeEOLC @EllzSummary @WeNurses I believe a healthy debate can not damage anything #wenurses |
