My heads underwater

Last year I really wanted to take part in the School for Health Care Radicals however I was just too busy to commit, however this year when the opportunity presented itself again I was determined to take part.  I have to admit to being a bit behind as my diary has not allowed me to take part in two of the live webinars, but the wonderful thing is that they are all recorded and shared and I can catch up! (Well done #SHCR :D)

Anyway, this week, (which was actually last weeks session … I said I was behind!) I felt a bit discombobulated during the webinar because I started to feel like I was looking at things from a very different perspective from most of my classmates.  For quite a while now I have felt like I have been on the outside of organisations, struggling to know what they know and struggling to make contact with the inside however recently what I have realised is that many people inside organisations are struggling to make contact with outside and to know what we outside know.  Helen Bevan describes this well when she says there should be no us and them but us and us … and I have to agree! But this was not the reason for my discombobulation, this was all due to this little diagram:

oscar berg

I have seen this diagram before (see The Collaboration Pyramid Revisited) and it unsettled me and I am afraid to say that it still unsettles me … why your ask? Well the reason is because it’s designed from the perspective of someone from inside an organisation struggling to make contact and know what we outside already know ….. which is not my perspective at all !!! From my perspective this diagram is upside down … so lets just turn it’s on its head:

photoNow that feels so much better (I can feel recombobulation happening as I type!) The only problem with this is that from my perspective I am underwater.  I have to admit this is what it sometimes feel like – being on the outside struggling to make contact with the inside and to know what they know ….. but here’s where I had an epiphany …. In the world where its us and us, working together some of us need to be underwater, some of us need to be a bit stealth like, some of us need to be working from this perspective.  I had the sudden realisation that the upside down underwater perspective that I am coming from is ok ! In the words John Legend “My heads underwater, but I’m breathing fine”  and its all down to us and us.

Of course this picture is just my perspective – from your perspective it could very well be different again.

So here’s to seeing things from a different perspective, turning things upside down, sideways, slantways or anyway because in the world of us and us we need all perspectives.

The new code and a large sigh

I have to say that I audibly breathed a huge sigh of relief this week when I read the Revised NMC Code of Conduct for Nurses & Midwives and saw that in it a common sense approach had been applied to social media.  Of course we can all remember back in the summer, during the draft revised code consultation period being faced with Point 114 which stated:

 “You must ensure that you use social networking sites and other forms of electronic communication responsibly and in line with our guidance, in particular by not referring to employers, colleagues or past or current people you have cared for”

I remember being quite astounded at reading this, my worries being that many nurses are starting use social media as part of their work and this stipulation would not allow for the further exploration of social media within nursing.  At the time WeNurses held a Twitter discussion about the draft code, which the NMC took part in,  some of the comments regarding Point 114 are outlined below:

Screenshot 2015-01-30 12.20.34 Screenshot 2015-01-30 12.20.48 Screenshot 2015-01-30 12.21.09 Screenshot 2015-01-30 12.21.24 Screenshot 2015-01-30 12.21.37 Screenshot 2015-01-30 12.21.51 Screenshot 2015-01-30 12.22.02I, like many others, also completed the NMCs online consultation form and expressed my views beyond 140 characters.  I was concerned that Point 114 was very badly worded.  I was so relieved to see that The NMC engaged and listened to registrants and clearly took action – the mention of social media in the new code is, in my humble opinion, spot on !

Screenshot 2015-01-30 12.28.49

Social media is merely communication at the end of the day and we need to treat it as such and its important we are aware that our actions using any form of communication must remain professional at all times.  I like this approach and I am glad that the NMC have chosen this wording.  If social media is to become recognised for the mainstream communication it is then we need to stop singling it out – well done NMC.

Of course, we still have a few hurdles to jump through – I for one will be looking out for the new NMC Social Media Guidance that the Revised Code refers to and Revalidation details …. I hope that both of these things will reflect the same common sense approach to using social media in nursing.