03 June 2015

Evaluation etiquette

A topic I have wanted to address for some time is teacher and speaker evaluations. I kept toying with the idea, but never acted upon it. Now is as good a time as any. I’m sure this post will resonate with educators and conference presenters, as well as other speakers.

As a nurse leader, I have had the opportunity to review many conference evaluations, including my own. As a teaching apprentice, I have become used to receiving quarterly student evaluations. Although most are positive and some are fairly constructive, there are always several that are downright mean. I’m not sure why members of the most trusted profession in the United States feel the need to anonymously bully their peers or superiors, but I see this as a trend.

Andrey Popov/iStock/Thinkstock
Two evaluations of presentations by me stick out like sore thumbs. The first came from an attendee of a major annual nursing conference. In presenting national legislation that supports teen pregnancy prevention programs, I spoke of a new law in California that prevents insurance companies from sending explanation-of-benefits (EOB) information to anyone other than the receiver of health care services. I observed that this was a great move for reducing teen pregnancy, because minors and young adults on parental insurance who consult a health care provider no longer have to be afraid their parents will be notified. In evaluating my presentation, one person wrote that he (or she) couldn’t wait until my 16-year-old daughter came home pregnant. I was devastated when I read this! How does advocating for reproductive health autonomy lead someone to wish such an unfortunate circumstance on my future children? Why would someone write something like that?

In another instance, a student wrote that I should be kept away from students because I made him (or her) sick. Again, what would cause someone to write something like this, especially since, in this case, I didn’t interact with the class enough to make anyone dislike me that much. What could I have possibly done that this graduate student was repulsed by my very presence? Not only was this comment hurtful, it made me wonder what kind of people we are preparing to care for those who are vulnerable?

I have seen or heard other inappropriate comments, including references to the presenter’s or instructor’s hairstyle, nail polish, and accent. Yes, someone actually commented on another person’s mispronunciation of a word! I still can’t believe some people are so petty.

If you’ve read enough of my other posts, you know I like to provide lists of action items to assist readers. Well, at this point, I thought it might be nice to remind you of a few important elements of properly written evaluations. Here goes.

Be constructive, not just critical.
If your comments won’t help the speaker become a better educator or presenter, keep them to yourself. Everyone who gives a presentation wants to do a good job, and most of us are open to constructive comments. Critical comments—especially those that refer to dress, style of hair, or pronunciation—are not only unwarranted, they are just plain mean.

Say about others what you would have them say about you.
We have all heard this advice in one form or another. Before commenting, stop and think, “How would I feel if someone were saying this about me?” Apart from the truly constructive comments I advocate above, if what you are preparing to write isn’t a comment you would want to receive, don’t write it. We are always representing our family, our employers, and the nursing profession. We should never act without considering those we represent. How would your employer feel if someone wrote about you what you have written about others? Keep these thoughts in mind the next time you fill out an evaluation.

Don’t write anonymously what you wouldn’t say directly.
Some people hide behind anonymity. It happens with social media, and it happens on evaluations. Just because your identity is concealed is not a good reason to write cruel remarks about someone. Maintain integrity even when commenting anonymously. After all, almost all evaluations—especially electronic ones—can be traced back to the author. Although many companies involved in processing evaluations won’t go to the lengths necessary to identify commenters, it can be done. So, when completing an evaluation, do so as if you are signing your name at the bottom of the page.

Put yourself in his or her shoes.
When completing evaluations, we should consider what it feels like to be evaluated. Giving a presentation requires a great deal of effort. Lecturing is no easy task. In addition to the preparation and travel time involved, a certain level of vulnerability comes with speaking in front of an audience. Imagine what that feels like. Then imagine, after giving your best effort, the horror of reading a comment that is completely devastating. Think of the embarrassment of knowing that what has been written about you is available for all of the organization’s top-level administrators to read. Imagine the confidence that needs to be rebuilt before you would be able to give another presentation, one that may very well be scheduled for the next week or even the next day. If we played these images in our minds prior to completing conference or classroom evaluations, we would be more kind with our comments.

It’s not about you.
This tip is not for evaluators, but those being evaluated. Unfortunately, the powerful impact of negative evaluations may discourage educators and other presenters from reading evaluations altogether. While I encourage my students and those who attend my conference presentations to complete their evaluations, I know many nursing colleagues who refuse to read them. After reading the negative comments that come with each set of evaluations, it’s easy to become disheartened. Even if there are only one or two nasty comments in a hundred, the mean, hurtful and negative comments are the ones that tend to stick with us. They are the ones we remember, the ones we dwell on. Still, try not to internalize them. They aren’t about you. Mean and inappropriate comments say more about the person who wrote them than they ever say about the person about whom they were written.

Wrapping it up
Evaluations are a necessary component of program assessment. It’s important that those involved in program development and members of curriculum committees receive meaningful feedback. Asking workshop attendees and students to provide that feedback is necessary to refine programs for better outcomes, but negative, unconstructive, and inappropriate comments are not helpful. Rather, they reveal the immaturity of certain attendees and students and, are not useful in making accurate assessments.

I hope I never see another nasty comment about a presentation or lecture I have given, but I know this is a big wish. More than anything, I want nursing students and fellow nurses to be compassionate with each other. I want us to be kind to one another. I’m not asking that we sugarcoat bad presentation styles or ineffective teaching, but we should be considerate in what we say. This isn’t too much to ask.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

14 April 2015

Ready, set, write: 5 tips for becoming a better writer

Getting a PhD is unlike anything I’ve ever done. Once my coursework was complete, and it was up to me to continue progressing through the program, I was at a standstill. I was surprised, because writing has never been difficult for me. As a child, I loved to write. I wrote songs, short stories, and poems. I’d even doodle my name for hours on end. But it didn’t take long for me to realize that writing the chapters of my dissertation would be much different than the type of writing I was used to.

Because I had never really taken on a task that I deemed too large to complete, I was unsure of how to move forward. I tried talking to a dissertation coach. She helped me break down the overwhelmingly large chapters I had planned into more doable sections. Meeting with her was helpful, but it didn’t do the trick. I still found myself stuck. I tried writing at different times of the day, a technique that had previously been helpful. This time, it didn’t work.

"I started to think of a new, self-inflicted obstacle
I could overcome. It didn’t take long before I
decided that running would be that obstacle."
– lzf/iStock/Thinkstock
I began to feel that the only way to conquer this formidable task was to take lessons I had learned from overcoming other obstacles and apply them to my writing. The problem was, I didn’t have a plethora of previously conquered obstacles to choose from. Until then, I had led a pretty safe life, taking on only those things I knew I could achieve. So, as a way to train for writing, I started to think of a new, self-inflicted obstacle I could overcome. It didn’t take long before I decided that running would be that obstacle.

I have never enjoyed running. Never ever. I used to get in trouble during physical education class for refusing to run. I didn’t mind participating in other forms of physical activity, but running was always tough for me. Several asthma attacks had been triggered by running in cold weather, and those experiences made me hate running even more. I used to say, “If you see me running, you had better start running, too, because there’s probably something chasing me.” As I said, I hated running.

I don't remember the day I decided to run, but I remember exactly how I felt. I thought I was going to die! Upon reaching the end of that first section of bike trail, I was proud of myself. I didn’t die. I didn’t even pass out! And I had achieved a goal I once thought unattainable. As I walked the next section of the trail, my breathing slowed, my heart didn’t beat so fast, and I was ready to run again. I continued to alternate between running and walking each new section of trail, and, by the time I made it back home, I was beaming with pride. I did it! Now that I knew the truth of what could be, there was no stopping me.

Every time I went for a jog—more accurately, a jog-walk—I had to mentally prepare myself. “You can do this. You won’t die. Just keep moving. Whatever you do, don’t stop.” And every time I arrived back home, I was proud of myself. Once again, I had accomplished something I was truly scared to do.

I used the lessons I learned while jogging to help me become a better writer. There is an endless list of tips I could give to help any new jogger or writer, but I’ve chosen five to share with you:

1. Go at your own pace.
You don’t have to do what everyone else does. Quite honestly, you shouldn’t want to. This is your race. You aren’t competing with anyone but yourself. Almost every runner on the trail moves at a faster pace than I do. I don’t care. I’m not running in a competition. My only goal is to do better this week than I did last week. That’s it! When I started walking regularly, my pace was 22.5 minutes per mile. Today, I jog at a pace of 15 minutes per mile. My goal is to get below 12 minutes per mile, and it will happen. I just have to keep going. I’m committed to staying in my own lane, no matter how fast others around me are running.

The same is true with writing. Not everyone will write at the same pace. Even if we did, the dissertation chapters, journal articles, and class papers wouldn’t be the same length or word count. Some people have more references than others. Some people’s methods are more complicated than others. Nothing about a PhD program screams “competition.” I completed my dissertation proposal and advanced to candidacy a full year after some of my classmates. It doesn’t matter. In the grand scheme of things, my job was to write and defend my proposal—and I did. As hard as it is, try not to compare yourself to others. It doesn’t help you progress any faster, and, ultimately, it takes your focus away from the task at hand. In most cases, wearing blinders isn’t a good way to approach a situation. In this case, it’s OK.

2. Use the proper tools.
As I have become a more experienced runner—(I use the term “experienced” lightly—I’ve learned to use proper tools, which keep me from having sore ankles or becoming so irritated while running that I stop midstride. Not too long after beginning to run, I bought my first pair of running shoes. I thought it was the only tool I’d need. I was wrong. When I began running, my keys were in my hand, and the sun beat into my eyes. When it was cold, I wore a very thin warm-up jacket that did nothing to keep cold air from getting to my lungs. After running more than enough days feeling like my chest was on fire, I purchased a light, but very warm, running jacket, and I made sure it had zippers so I could safely secure my keys, phone, and ID.

When it rains, I put the hood on. On warmer days, when I don’t wear my jacket, I put all my belongings in my running pouch. If running after sunrise, I wear a baseball cap or sun visor. Finally, I use the Run Keeper app. It tracks the length of my runs and allows me to comment on my friends’ workouts, as well. These and other tools are staples for “real” runners.

As I’ve become somewhat of an experienced writer, I have also found several writing tools I can’t live without. One of these is EndNote, a reference manager. Once I began using EndNote, I was mad at myself for not discovering it earlier. It’s a true writing assistant! I no longer have to manually enter in-text citations or entries to my reference list, and I am able to group my 750-plus references for easy identification. I can attach article PDFs directly to the references, and EndNote saves the highlights and notes I make on the electronic copies of the articles. It’s an amazing tool, indeed! I’m not suggesting that everyone go out and buy EndNote. It’s the reference management software I like to use, but there are plenty of other software programs that can help organize your references.

Another tool I use, though not as regularly as I did when writing my proposal, is my Pomodoro app. The Pomodoro method of writing says that, for every 25 minutes of writing, you should take a five-minute break. Then, for every two hours of writing, including those brief breaks, you should take a longer break of about 15 to 30 minutes. This technique has been shown to increase productivity for many, including me. There’s an entire science behind this method, which I won’t go into now, but it’s worth checking out.

3. Find a group to encourage you.
Running was OK when I was alone, but it became really fun when I started running with a group. Earlier this year, I began to power walk and run with a local Black Girls Run (BGR) group. BGR has running groups all over the country. Members meet at various times and locations to work out together. One of the things I love about this group is their motto “No woman left behind.” Whether you are a walker, jogger, or runner, you will not have to go it alone.

I experienced this the first day my running partner couldn’t make it to our morning running group. I can’t run as fast as some of the ladies, but they promised not to leave me, and they didn’t. They’d run laps around me, run to a tree, then back to me, or just run alongside me at my pace. There’s something special about doing things with a group. Running is no different.

Just as running groups help you run, writing groups help you write and develop healthy habits. During my third year at UCLA, I joined a writing group on campus. We didn’t actually write together, but we met weekly to report our writing experiences during the previous week, give advice to each other, and thus help increase our writing efforts. We set what we thought to be attainable goals each week. Sometimes we met our goals, sometimes we didn’t, but I loved the community that was built among our group, and I remained in the group for the duration of my third year.

In addition to in-person writing groups, there are tons of group-writing websites, such as AcademicLadder.com and the Text and Academic Authors Association. Social media sites, such as Twitter, also encourage group writing through hashtags that include #AcWri (academic writing), #amwriting (early morning writing), and #shutupandwrite. Anytime you can write in the presence—or virtual presence—of another person, you will be encouraged to do your best. If you have become distracted from writing, I urge you to join a writing group. If nothing else, the group members will hold you accountable. You’ll either get with the program, or you’ll leave the group.

4. Do it even when you don’t feel like it.
If I had a dollar for every time I said, “I don’t feel like running today,” I’d be able to buy myself a nice pair of Jimmy Choo pumps. Whether or not I feel like running when I begin, I always feel great after my run is complete. And never have I regretted getting out of bed at 4:30 a.m. to go for a run. That’s right, my running group takes off at 5:15 a.m. I have plenty of excuses to stay in bed, but getting my run in early has yet to negatively affect my plans for the day. So I run, no matter how I feel.

Like running, writing is not something that comes easy for most people. Even among those for whom writing does come fairly easy, we aren’t always in the mood to write. While completing my proposal, I discovered something about writing: You don’t have to be in the mood to write to be a productive writer. The best way to become a great writer is to write as often as possible. Every day you don’t write is a 24-hour period closer to never writing again. That said, write when you want to write and especially when you don’t. I promise, once you get started, it’s not so bad. The first five or 10 minutes of writing are always the most difficult. After that, your ideas become more organized, and the words just begin to flow.

5. Quiet the mind-chatter.
Running is the most physical thing I have ever done. However, I have learned my mind will give up long before my body does. One of my friends who runs gave me the best advice ever. She told me, “Just keep moving your arms.” She was right. As long as I kept moving my arms back and forth, no matter how badly I wanted to quit, I kept running. At this point in my running journey, I don’t even listen to the negative thoughts anymore: “You’re not going to make it.” “You’re going to pass out.” “Your legs can’t take this.” My mind says these things, but my body hasn’t failed me yet.

Just like running, writing is more mental than physical. Your mind will keep you from writing long before you ever sit down to type. You can’t allow yourself to listen to those negative thoughts. You have to sit down at your desk, at the kitchen table, or wherever else you write and think like the Nike slogan: “Just do it!” While it’s important to take mental health breaks, don’t let negative mind-chatter talk you out of writing altogether. Even if it’s for only 15 minutes, write something! If you manage to write for 15 minutes, you can probably write for 15 more. Once you look up, two or three hours will have gone by, and you’ll be done with your writing for the day!

These tips are but a few that may help you become a better writer. I am no expert, by far, but each of the aforementioned tips has been of great help to me. If you are struggling to write—and even if you aren’t—I encourage you to take on a new and challenging activity, and use the lessons you learn to help you become a better writer.

For me, it was running. For you, it may be swimming, knitting, dancing, or hiking. It may also be something like jigsaw puzzles, computer games, or a musical instrument. Whatever you decide to take on, if you stick with it, you won’t be disappointed. Your writing will be much improved, and you’ll find a new hobby along the way.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

04 March 2015

Grade inflation. (I'm against it.)

I love education—always have, always will. I love being a student. Learning new information, writing papers (yes, I actually enjoy writing papers), discussing with classmates interesting topics—I love it all.

In recent years, I have discovered my love of education from the perspective of an educator. I enjoy creating exams, suggesting curricula changes, and mentoring students. (I tend to have more of a love-hate relationship with grading papers, but that is neither here nor there.)

I get it!
Working as a teaching assistant is interesting, because I am neither the student nor the faculty member of record. I get to see things from both sides. I am closer in age to most of the students than the faculty members are, and, in all of my TA experiences except one, the faculty members are further removed from nursing school than I am. That said, I understand student anxieties and frustrations. “Honestly,” I tell them, “I get it!”

koya79/iStock/Thinkstock
What I don’t “get” is the overwhelming desire to achieve perfect grades. As an MSN-prepared nurse educator, I appreciate an exam that yields beautifully shaped, bell-curve scores. I understand that not everyone can or should receive a top score. I recognize that, on the NCLEX, more than one answer may be correct but candidates are examined on their ability to choose the best answers. I realize that the drive to have a perfect GPA should never supersede one’s drive to acquire excellent nursing skills.

I will admit that, as a nursing student, I loved it when an instructor granted extra points to compensate for a poorly written exam question. I even had one professor who gave an extra point to anyone who discovered a grammatical error on exams she gave. Free points were an unexpected surprise. However, as an educator, I do not agree with this practice. I think students should receive only the grades they earn. Call me Nurse Educator Hatchet, but I am not a fan of grade inflation, and I have no plans of contributing to it.

Once, after being questioned about the legitimacy of a grade I gave, I sent the following email to a student: I understand, trust me. I once cried in a professor’s office after receiving an A- instead of an A on a paper. I get it. I have also been a nurse for nine years, so I understand the insignificance of grades in the real world.” Your worth as a nurse will not be rooted in your GPA. To be frank, your worth as a student isn’t, either. You are so much more than the grades on your transcript. Striving for excellence is always the best way to go. As a PhD student, however, I’ve learned that the pursuit of perfection can actually cause more harm than good. You all did a wonderful job in class. You received a well-deserved grade in a fast-paced course with material that is very different from what you are used to. Please don’t be too hard on yourself.

The bigger picture
I sincerely hope this student took my words to heart. We are not the sum total of our GPAs! We cannot allow ourselves to get so caught up in getting the best grades that we miss the bigger picture of getting the best education. As students, we don’t pay tuition with the expectation of buying a stellar GPA. We pay tuition with the expectation of being well-prepared to take the NCLEX or an advanced practice licensing exam.

I have witnessed, via social media, the disrespect of students unhappy with their grades. They say things about their instructors that I’m sure they wouldn’t say to these men and women in person. It seems that they think life is over if they don’t earn an A on every assignment or exam. I remind my students that I have never been asked to show my transcripts during a job interview. No one cared whether I received an A or a C in pathophysiology or pharmacology. In the real world, nurses are judged on their ability to provide appropriate care and to do it with a smile. On the hospital unit, grades are a nonfactor.

It's not just students
Students aren’t the only ones obsessed about grades. Some educators also obsess over whether they are perceived as a friendly, likeable instructor or a hard-grading one. Obsess as we may, we are not here to be our students’ friends. It is unethical to give exams after we have already given the answers to them, or to reward students with grades that don’t match their academic or clinical performance. We need to be supportive of one another and ensure that students actually learn the material we are required to teach. We are not in a profession where we can afford to allow students to enter the workforce unprepared.

I implore educators to take a good look in the mirror. Are we helping students by giving away unearned points? Should we continue to send nursing graduates into the workforce with an unrealistic assessment of their abilities by padding their grades? Are we doing the next generation of nurses any real favors when, to quiet the voices of students disappointed with grades they have earned, we change those grades? Are we giving outstanding students in our classes an opportunity to accurately represent themselves when we inflate grades of students who should be receiving median grades? No, no, no, and no!

I believe the answer to the current obsession with grades is to move from a letter-grading system to a pass-fail system. If grades were given in the same manner as NCLEX scores, students would not have to worry about their GPAs. I honestly believe such a shift in grading would do wonders for the morale of nursing students. Until a shift to a pass-fail grading system occurs—or if it never does—nurse educators must work to ensure students are given the grades they earn, while doing their best not to break the students’ spirits in the process. We need to build up nursing students, while helping them understand that their grades do not reflect their future careers as nurses.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.

29 January 2015

Making the leap from theory to practice

As a nursing student, I spent a lot of time learning what nursing practice should look like. Because I was enrolled in a bachelor’s program, I spent less time in the clinical setting than my diploma-school or associate-program counterparts. We spent a lot of time talking about theoretical patients and how they should be cared for. When it came time to take that theoretical knowledge and apply it to real-life patients, I felt slightly overwhelmed.

The same was true for my master’s program. I spent an entire year studying the ins and outs of nursing education. I wrote papers, gave presentations, and took exams. Still, moving from my theoretical understanding of the role of a nurse educator to actually functioning as a preceptor was a giant leap.

Here again
These days, I find myself at this juncture once more. I am moving from life as a PhD student who sits in classes and writes papers to that of a PhD candidate who conducts research and writes data-based manuscripts. This shift feels all too familiar and, just as before, slightly uncomfortable.

Photo credit: George Doyle/Valueline/Thinkstock
The day I passed my oral qualifying exam, I couldn’t have been happier. Once my exam paperwork was filed with UCLA’s Graduate Division, I officially became a PhD candidate, and I could move from working on my dissertation study in theory to working on my actual dissertation study.

When I submitted my application to the Institutional Review Board (IRB) to ensure adherence to research-related governmental and institutional regulations, I expected to go back and forth with them for several months before receiving final study approval. This is what everyone told me to expect, and, as someone new to research, I assumed the process would go the way everyone told me it would. Imagine my surprise when my IRB application was approved—pending revisions—just two weeks after it was submitted. I made the requested revisions during the holiday break and didn’t expect to hear back from the IRB for at least a few weeks. Again, imagine my surprise when, less than a week later, my study was approved. Exactly one month from the day I submitted my first-ever IRB application, I had permission to begin my study.

Attacked by fear
I was excited, but the excitement was soon overcome by anxiety. Were the people on the IRB really giving me full permission to conduct my own study? Had they made a mistake? Didn’t they know I had never done this before? Did I honestly have the authority to recruit participants, collect and analyze data, and write up my findings—carte blanche? I felt the same way I did when I walked into a patient’s room for the first time—scared to death!

I couldn’t believe I was so fearful of conducting a study I had been planning for more than three years. This was the moment I had been waiting for, the moment my study would move from plans in my head—and the first four chapters of my dissertation—to a real-life research study. Why was I so afraid? What, exactly, was I afraid of?

As a nursing student, I was always afraid I would hurt someone. I never wanted to do anything that could potentially harm a patient. As a nurse educator student, I was afraid my students would have a less-than-stellar educational experience. As a PhD candidate, the fear is similar, yet not quite the same. My research does not require me to use any of my bedside nursing skills, so I have no fear of physically harming someone. There isn’t even a concern about subjecting someone to mental anguish or causing a cascade of emotional unraveling. To be frank, I have no idea what caused this sudden onset of research anxiety. What I do know is that I have been at this theory-and-practice crossroad several times before, and, each time, I made it through unscathed.

Regaining perspective
Never have I been asked to move from theory to practice without having a plethora of assistance at my disposal. This time is no different. I am not being thrown to the wolves with no hope of survival. I have an amazing team cheering me on. I constructed my dissertation committee purposefully. The committee chair and each of the other members have a unique set of research skills and expertise from which I can glean. There are also tons of other resources on campus, including statistics consulting, that I can use, should I get stuck at any phase of my study.

I’ve worked on the details of this study for a long time. It may not go according to plan. I may have to change some of my recruitment methods, or I may discover findings that were not anticipated. So what? It’s actually happening! I’m on the brink of conducting my very first research study (outside of small studies conducted for class assignments). I’m the one in charge, and I have an amazing team behind me. My ideas are coming to fruition. They have moved from my mind to my dissertation proposal, and now they are taking the final leap into reality. How exciting!

As nurses, we each experience times when we are afraid to take the next step. Sometimes, those fears are caused by external factors. But, many times, we scare ourselves. When thoughts arise telling you why you can’t make progress in your nursing education or in the nursing profession, combat them with reasons why you can and will. Surround yourself with people who remind you that the leap from theory to practice isn’t as frightening as you think—and with those who won’t let you fall if the leap turns out to be larger than expected.

Above all else, remember, you were made for this! Trust the training you’ve received. Trust yourself to put into practice everything you know. Trust yourself to flourish in your new role. Maintain faith that you are headed in the right direction. And, keep walking, keep advancing, keep progressing—in spite of your fears.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International. Comments are moderated. Those that promote products or services will not be posted.