1. WEEK 4:
Evidence Informed Practice in a
Technology Enhanced Workplace
Week

2. Date: Monday September 30 th
A Nursing Diary:
Initial Reactions Just from Looking at the Title:
Evidence Informed Practice in a Technology
Enhanced Workplace
NOTICING:
context, background and relationships I have to the topic

3. DATE: MONDAY SEPTEMBER 30TH
INITIAL REACTIONS JUST FROM
LOOKING @ TITLE:
The title of the Week 4 Class--Evidence Informed Practice in a Technology Enhanced
Workplace—stirred a reaction in me. It brought me back to a time in first year
during a guest lecture by Dr. Cheryl Forchuk. Cheryl was talking about
Peplau’s interpersonal theory. I loved the idea about nursing being a healing
art and many other of the aspects of Peplau’s theory I couldn’t shake the
thought in my head that
“Although I respect Peplaus ideas and other ideas from Nursing
thoerists, I can’t help but wonder how this applies to the real world of
nursing. I just feel that although the ideas in these theories are good
ones, it just isn’t the hegemony of the business type model of the
hospital business”

4. DATE: MONDAY SEPTEMBER 30TH
INITIAL REACTIONS JUST FROM
LOOKING @ TITLE:
I just felt that these ideas were very out of my grasp at this
moment, and couldn’t stop thinking that we are learning these
ideas now because its n our curriculum but once we get to our
nursing practice were not going to be in circumstances where
practicing nursing theories is supported. I recognized that these
ideals were not hegemonic of most nurses. When I talked to Dr.
Forchuk about this she brought up a term I was familiar of it but
I had not quite appreciated the importance of. This term was:

5. DATE: MONDAY SEPTEMBER 30TH
INITIAL REACTIONS JUST FROM
LOOKING @ TITLE:
Dr. Cheryl counteracted my question by talking about objectifying the caring portion
of nursing. If we continue to research and are able to provide proof that the caring
portion of nursing produces results then we can incorporate these ideas to the meso
level. This revolutionized my ideas about evidence-based practice. I felt that
often in the first year of nursing, many students (including me sometimes) just
wanted to focus on the practical aspects of nursing. Alas, from this point on I realized
how important have a theoretical based nursing practice was. I embraced and
appreciated the attainment of more theoretical knowledge from this point on.
In conclusion, my initial reaction to the class on Evidence Informed Practice
in a Technology Enhanced Workplace is one of excitement because of the
aforementioned background and relationship I have to the topic. As I find this whole
grey issue of social media overwhelming at times, I am looking forward to learning
about being more evidence based in this field as it will enhance my competency in this
area!

6. Date: Thursday October 3rd
Journal Title:
Interpreting/Responding to
Different Ideas and Perspectives
from Class

7. DATE: THURSDAY OCTOBER 3RD:
INTERPRETING/RESPONDING TO
DIFFERENT IDEAS AND
PERSPECTIVES FROM CLASS
I came into the class hoping to make social media ethical issues black or white, (or be able
to see the right or wrong). I left the class with awareness that when issues arise, we as
nurses to continuously educate ourselves and have evidence informed opinions so that we
are better able to navigate our way through these ethical issues. In order to become better
nurses we need to be continuously thirsting for knowledge. Throughout the class I
cultivated an understanding that although many of these social media related issues are in a
grey area, we must have evidence informed opinions. This realization came during the class
activity where two groups debated whether or not it was ethical to Google a patient’s name.
I strongly felt that it was not okay to Google a patient’s name. I was shocked as the majority
thought that it was okay to research the client. I felt that by researching the patient it would
interfere with providing them the care that they deserve, and that every person —regardless
of their past—deserves to have unbiased care.

8. DATE: THURSDAY OCTOBER 3RD:
INTERPRETING/RESPONDING TO
DIFFERENT IDEAS AND
PERSPECTIVES FROM CLASS
Evidence Informed Opinion
By googling a patients name I felt that it would taint the nurses perception of the client
and this would result in undesired patient outcomes. The viewpoint that nurses
perception of a client will be altered upon learning about the clients passed is made
evident by Rash and Winton as they state that sex offenders are often marginalized and
stigmatized by nurses (2006). When nurses marginalize and stigmatize clients it results
in negative patient outcomes. Corey and Gorlen (1998) classify this as the “Dark Side
of Nursing”. The dark side of nursing occurs when nurses negatively stereotype
patient behavior, attitudes, and characteristics in a stigmatizing way. “Dark Side of
Nursing” behaviors are described as when nurses are “…hostile, angry, or
interpersonally distancing responses to patients, minimizing or voiding patient contact,
and failing to provide care the patient needs…” (Corey & Gorlen, 1998, para. 3). These
behaviors do not contribute to the well being of patients, and thus it fails to reflect the
moral obligation of a nurse to provide care (Corey and Gorlen, 1998). This was the
viewpoint that I had during class. I felt that by googling the patients name we are more
likely to stigmatize, marginalize, stereotype and label the patient, and as a result it
would affect the patients care. A client who has sexually abused others deserves to be
treated with respect, dignity and is entitled to receive the same kind of care as
everybody else, and by googling them we are infringing on their rights to be cared for
in an unbiased manner.

9. REFERENCES TO MY EVIDENCE
BASED OPINION
Mary C Corley, & Suzanne Goren. (1998). The dark side of nursing: Impact
of
stigmatizing responses on patients. Scholarly Inquiry for Nursing Practice,
12(2), 99.
Rash, E., & Winton, M. A. (2007). Advanced practice nurse attitudes toward
sex offender patients. Journal of the American Academy of Nurse
Practitioners, 19(6), 328-331. doi:10.1111/j.1745-7599.2007.00233.x

10. th
12
Date: Saturday October
Journal Title:
New Perspectives

11. DATE: FRIDAY OCTOBER 12TH
INTERPRETING/RESPONDING TO
DIFFERENT IDEAS AND
PERSPECTIVES FROM CLASS
Saturday October 12 th
New Perspectives on the Ethical Issue: Is it Okay to Google a Patients Name?
I brought up the discussion we had during the Evidence Informed
Practice in a Technology Enhanced Workplace class today at lunch as I was
interested in what other perspectives were. Upon conversation with Mary—a
social worker whom specializes in the reintegration of people who have
offended sexually into society—I gained a new perspective on the idea of
googling a patient. By talking out this scenario and through further reflection
and insight I have a new viewpoint. I now feel that if this situation were to
arise it would be okay to Google the patient. On the next slide is an audio
recording of an interview I did with Mary.

12. Note: Audio recording should occur
on this slide
IS IT OKAY TO GOOGLE A PATIENT?

13. What I have gained through my learning experiences this week:
•
•
•
•
•
Keep an open mind
Continuously be open to attaining new
knowledge
Importance of interprofessional collaboration
(hearing a social workers perspective on an
issue)
Social Media and ethics is a grey are, so
therefore when formulating opinions it is
important to have an evidence informed
perspective
We are constantly learning!