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From Silence To Voice

Bernice Buresh Bernice Buresh 

www.www.silencetovoice silencetovoice .com .com 

2009 Pediatric Trends

From Silence To Voice

Bernice Buresh Bernice Buresh 

www.www.silencetovoice silencetovoice .com .com 

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New York Times

New York Times

Letter to Editor

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Better Homes & Gardens

Toronto Star

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Physicians Convey 

What They Know

by Describing

What They Do

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School Nurses of Today School Nurses of Today 

Beyond Band Aids and Ice Packs Beyond Band Aids and Ice Packs Beyond Band Aids and Ice Packs 

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Boston Globe May 6, 2009

NURSES

Say Little

DO MUCH 

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Nursing Is Presented As

VirtueNot As Knowledgeable Work DevotionalDevotional

AltruisticAltruistic

Self SacrificingSelf Sacrificing

SilentSilent

AnonymousAnonymous

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You’re always there when someone needs you

You work your magic quietly

You’re not in it for the glory

The care you give comes naturally

You take my hand

Touch my life

When I need you

Johnson and Johnson, Patient Perspectives

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Boston Medical CenterExceptional Care

Without Exception

 A place where nurses walk on water.

Hospitals 2004Advertising Supplement

GOAL 

Show that Nursing is

Consequential

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PUBLIC COMMUNICATION

MODES

Professional selfProfessional self--presentationpresentation

Anecdotal stories about nursingAnecdotal stories about nursing

Mass media and political campaignsMass media and political campaigns

PROFESSIONAL SELF-PRESENTATION

Verbal and nonverbalVerbal and nonverbal

Naming practicesNaming practices

Use of titlesUse of titles

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Sonia Oppenheimwww.familycomic.com

Sonia Oppenheim

www.familycomic.com

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PUBLIC COMMUNICATION

MODES

Professional selfProfessional self--presentationpresentation

Anecdotal stories about nursingAnecdotal stories about nursing

3 ANECDOTES

Voice of Agency 

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ANECDOTAL STORIES

Paint a picturePaint a picture

Avoid jargonAvoid jargon

Use facts and statisticsUse facts and statistics

DEEP VEIN THROMBOSIS

50% of orthopedic surgery patients50% of orthopedic surgery patientsat risk for deep vein thrombosisat risk for deep vein thrombosis

30% at risk for pulmonary embolism30% at risk for pulmonary embolism

Cost of 3Cost of 3--month treatmentmonth treatment — —$12,000$12,000

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ANECDOTAL STORIES

Paint a picturePaint a picture

Avoid jargonAvoid jargon

Use facts and statisticsUse facts and statistics

Paint yourself into the picturePaint yourself into the picture

Paint the whole picturePaint the whole picture

Depict Your Knowledge as

Internalized

““As J.D.As J.D.’’ss assigned assigned nurse, Inurse, I had to had to follow thefollow the

hospital protocol hospital protocol for attempted suicide patients,for attempted suicide patients,

which includedwhich included…”…”

““As J.D.As J.D.’’s nurse, I did what we do to protects nurse, I did what we do to protect

all suicidal patients, which includedall suicidal patients, which included…”…”

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““Being a nurse is all about holdingBeing a nurse is all about holding

someonesomeone’’s hands hand……or getting the wrinklesor getting the wrinkles

out of the back of a sheet thatout of the back of a sheet that’’s causings causing

someone to be uncomfortablesomeone to be uncomfortable……

““And sometimes just rubbingAnd sometimes just rubbing

someonesomeone’’s back is the answer to all theirs back is the answer to all their

prayers.prayers.””

Johnson & Johnson TV Ad 2002Johnson & Johnson TV Ad 2002

Being a nurse is all about saving patientsBeing a nurse is all about saving patients’’ lives.lives.

Being a nurse is about making sure a patientBeing a nurse is about making sure a patient

doesndoesn’’t develop a fatal complication after surgery.t develop a fatal complication after surgery.

ItIt’’s about paying attention to the small, buts about paying attention to the small, but

significant details such as smoothing out the wrinkles on asignificant details such as smoothing out the wrinkles on a

sheet so a patient doesnsheet so a patient doesn’’t develop an excruciating andt develop an excruciating and

costly bedsore.costly bedsore.

Sometimes by sitting and talking to someone, I findSometimes by sitting and talking to someone, I find

out the most important thingsout the most important things — —like whether patientslike whether patients

understand how to take their medications, whether theyunderstand how to take their medications, whether they

have support at home, and whether they are frightenedhave support at home, and whether they are frightened

and anxious.and anxious.

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‘JUST A NURSE’ 

 THANK YOU!

www.www.silencetovoicesilencetovoice.com.com