Decorate your door/ Wall/ Space for Christmas

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By Michelle Mullan

I need to start this blog with a disclaimer – at home I do not decorate until the middle of December, but in work…… a totally different story!

It all started 15 years ago in Elmwood Avenue

It has been a long-standing tradition in the unit I work in (Continuing Professional and Academic Development) that we put our tree up on the day before Belfast City Council hold their switch on.  We started this over 15 years ago when we worked in Elmwood Avenue and which we continued when we moved back into MBC and merged with our clerical colleagues in undergraduate nursing. This would normally be a big event around 16th November with ‘special guests’ to do the switch on and an opportunity for a coffee morning.  One year we actually had Frosty the Snowman and the man himself, Mr Claus, in attendance!  Our office has a large glass door and about 4 years ago we idly chatted about how we could turn it into the entrance to Santa’s Grotto, and we did!  There was a lot of brainstorming involved, plus some cardboard and a brick wallpaper, then came the challenge of erecting it!  Then a couple of years ago we thought it would be a good idea to turn this into a fundraising opportunity and encourage everyone in the School to decorate their doors for Christmas whilst donating money to a chosen charity.   Our grotto door was exempt because, well, it was just too good!!

Annual event

The Decorate your Door for Christmas campaign was so well received that we decided to roll this out annually.  How staff decorate their doors (or not!) is entirely up to them.  We have a vote for the winner who receives a trophy (one out of a bag of six from the pound shop, but prestigious nonetheless).   The fundraising from the campaign has gone to a cancer charity and Cruse Bereavement Care. 

Foodbank donations

Now, the School of Nursing and Midwifery is constantly evolving in all aspects of School life, so when one of the lecturers mentioned a reverse advent calendar – putting something in instead of taking out – I thought, why not!  To do this, we obviously had to have a collection point, and so the fireplace was born, complete with chimney, stockings and roaring (fake) flames!   Staff were asked to donate foodstuff for the foodbank and, thanks to the generosity of the School staff, we have been able to donate over 80kg of food to the foodbank in each of the last two years. 

More than ever in 2020 sections of our society are struggling and the work of charities is so important for many who may never have had to access them before. 

Christmas doors decorated in the SONM QUB

This year is a bit different

This year we are running a “Decorate your Door/Wall/Space for Christmas” and no fake backgrounds are allowed!  Staff have been asked to decorate the space behind them. I’m in my kitchen, but others are in home offices, craft rooms, playrooms, living rooms, bedrooms or dining rooms!  Some will go all out (OK, I will!) and others will throw a bit of tinsel over the door handle, and that doesn’t matter, it’s the taking part (and donating the money) that counts. 

Chosen charities

The chosen charities for 2020 will be the foodbank (because we cannot have a food collection) and Women’s Aid.  To enable this a PayPal pool was established and whilst I have not seen any evidence of decorating just yet, the contributions are coming in and that’s what is important. 

Thank you

I think it is timely to thank everyone who takes part every year. Some like to groan and complain and walk about muttering something about ‘bah humbug’ and ‘it’s too early’, some are all in and others just like to enjoy the craic, but everyone contributes something and that only emphasises the sense of community we have in our School which is fostered by our Head of School who has been so supportive of all our mad ideas!  Christmas in July anyone??

Please donate by 11th December 2020!

PayPal Pool – Decorate your Doors – Donation  

Michelle Mullan

Michelle has worked in the School of Nursing & Midwifery since the Colleges of Nursing integrated with Queens in 1997 and her role entails working in CPAD providing administrative support for all of the commissioned programmes and post reg Masters students both local and international. Outside of work Michelle is involved in archery and an Akela for a Cub Scout Group. 

‘Practicing what we preach’: Teaching mental health and wellbeing in a pandemic.

In this post Karen Galway, Pauline McCarthy, Debbie Duncan and Aine Aventin (with contributions from the module teaching team and Sept ’19 nursing cohort) practice what they preach and reflect on an initiative to protect their own and their students mental health.

Picture the scene: It’s September 2020 and a second wave of Covid-19 pandemic has started impacting our health Service in Northern Ireland. Semester one of 2020/21 in the School of Nursing and Midwifery starts in a few short weeks. Our students face continued uncertainty about the future of their degree programme. Teaching is now online with students on campus for essential skills only. Whether the programme will follow the usual pattern of six weeks on campus and six weeks of placement is anyone’s guess.

Our brand new undergraduate nursing curriculum, developed pre-covid, rubber stamped by the Nursing and Midwifery Council, now needs fleshed out under totally new and by now, clichéd unprecedented circumstances. Learning curves are steep, tensions are high and energy is [at times] low.

One teaching team is focused on a new module; Working inter-professionally to improve mental health and wellbeing. This module isn’t presenting a new topic per se, but it presents a consolidated approach to teaching mental health to nursing students, during the toughest of times. With two Lecturers co-ordinating plus eight teaching staff, the module team must now place a new level of focus on mental health and wellbeing for all nursing specialties; adult, children’s, learning disability and mental health.

Week one focuses on models of mental health and wellbeing, stigma and discrimination along with self-care. We introduce mindfulness, self-care principles for nurses and an overview of how covid-19 may be impacting on nurses’ mental health. Week two considers social epidemiology and inequalities to address risk and protective factors for mental health and wellbeing. We also address communication skills and the basics of a mental state examination. Week three addresses issues related to self-harm and suicidal ideation and prevention. It’s challenging content, for lecturers and students alike, in challenging times, taught under challenging conditions.

We worry about how the students and the staff will manage the online environment. We worry about whether we will recognise who is struggling or indeed over identifying with the content. Beyond our self-care content, we also provide links to support, across the university and in the community and we consistently remind our students to reach out and to practice self-care.

Despite our efforts, there seems no easy way to maintain our connections to the students while we all get used to these new technologies and grapple with a new societal normal. Meanwhile three other modules are in full swing for these year two students. We are still groping about awkwardly with a lot of the processes such as developing a meaningful attendance monitoring policy. The timetable can feel brutal, with students and teaching staff online, in classes for up to 6 hours straight. Still ahead in our module specification is week four, focused on physical and mental health interactions, week five addressing trauma informed practice and adverse childhood experiences, with the final week explaining the symptoms of common mental health problems and an understanding of the stepped care model and other useful supportive responses.

Something about this feels very wrong. We are teaching the students about mental health and wellbeing in the middle of a pandemic, while expecting staff and students to perform as normal. In reality, nothing inside or outside of university life is feeling anything like normal.

Day one and week one involve shell shock and eye strain. The materials are well received but the challenge of online delivery intensifies. After two weeks of teaching at ‘business as usual’ pace, we stop to consider this rock of necessary progress against the hard place of exhaustion, frustration, worry and potential disengagement. We brainstorm on how to give ourselves and the students some space to breathe. Can we alter our timetabling? Can we switch live content to recorded content? Would that help? Can we provide adequate breaks and importantly can we identify students who are struggling?

A few actions were tabled and adjustments made to the format for week three. We decide to cut back screen time. In our mental wellbeing module we replace a live online tutorial with a self-care activity.

Students were notified that the two-hour session would now involve a discussion board, instead of a live session. We sent a simple request that the students go and “practice what we’ve been preaching”. The instructions were to take the time to do something to protect and maintain their mental wellbeing, to post a photo or video and comment about the activity on a discussion board. That amounted to a small concession to the Covid-teaching challenge, but it had a big impact.

Within 10 days the discussion generated 546 posts, 250+ photos of stunning autumn scenes, a variety of video clips, poetry, art, music, pet appreciation, baking and a huge amount of shared joy!

A selection of photos and comments from the discussion board

We can confirm that the Sept 19 students are a cohort of dog-lovers, walkers, runners, sports stars, artists, empathetic and caring parents, siblings, children, flat mates and all round philosophers. Contributions were authentic, honest and entertaining personal accounts of how each individual took care of their mental wellbeing, in two hours of me- time, designated for self-care. Reading and commenting on the joy of free time, downtime, the positivity and the creativity was more than a pleasure. It was addictive! Perhaps the discussion board felt like a surrogate for the missing sense of community that the pandemic has taken away. Perhaps it should not be surprising that such a simple idea was embraced in such complicated times.

Acknowledging student contributions
Sept ‘19 undegraduate nursing students: Leon Daly, Shannon Campbell, Cliodhna McIntryre, Marianna Donahue, Deirdre Boyle, Siobhan Duffy, Emma Shields, Chloe Truesdale, Edelle Brown, Caroline Devlin, Roisin McCann, Holly Brown, Megan Elloitt, Roisin Byrne, Orlagh Carson, Santina Campbell, Heather Gould, Caitlin Duffy, Grace Espie. Thanks for allowing us to share your discussion posts and photos.

It would be great to hear how you have managed your own mental health or that of your students since the beginning of the academic year. Comment below- or send us a photo!

Empathy + Communication = Connection

To mark International Mens Day, School of Nursing and Midwifery Head of School, Prof. Donna Fitzsimons reflects on the connection made between her brother when he was ill and a male nurse, and argues that the profession and our patients would benefit from more men in nursing.

My name is Donna Fitzsimons and I’d like to share a short story with you that as a Head of a busy School of Nursing & Midwifery where less than 10% of our undergraduate students are male, I tend to reflect on quite a lot. 

It starts some 20 years ago now, when my brother Joe was 32 and he was diagnosed with a Ewing’s Sarcoma in his spine. This was a big shock to Joe who was an average sort of guy – a builder, married with three kids and a strong circle of family and friends. He was very much a man’s man, if you know what I mean, liked a pint with his mates and a game of golf at the weekend.

From the word ‘Go’, the odds were 50/50 at best, and the gruelling 3 weekly chemo would last almost a year and require a minimum of 3 days hospitalisation for each one. A self-employed guy, Joe had to give up work, he lost his hair and he was pretty sick and sore. Despite that he loved a joke, was competitive on the Mirror Crossword and when I called up to see him at lunchtimes he was usually found begging the nurses to speed the drip and let him out of there. He hated living in pyjamas, wasting daylight and going bald. 

More importantly he hated sympathy or being treated as a sick person and that’s where Mark came in. He was a Staff Nurse on the chemo unit, always ready to have chat about his golf game, or seek Joe’s advice on how to fix a leaking flat or get new double glazing. Mark saw beyond the pallid guy pushing a drip around and helped Joe connect with his usual identity. They developed a therapeutic connection that really made that treatment journey less toxic to my brother; and all the more so when the cancer returned – when treatment had to start all over again, and when Joe acknowledged his days were numbered. 

In those days Mark came into his own and helped Joe get his head round some of the most challenging of physical and mental issues – usually with a joke or a pat on the back and a palpable ‘we’re in this together’, shoulder to shoulder approach.  Mark was a fabulous nurse, he had great empathy and communication skills, exemplifying that these are not gender specific qualities and that they are at the very heart of our professional practice as nurses and midwives.

I often reflect whether this was a gender issue? Were all the female nurses who cared for Joe in such an exemplary way not able to provide the kind of support that he got from Mark, just because they weren’t a man? I don’t really believe that. But what I do believe is that because roughly 50% of patients are men, we need to rectify the gender balance in our profession. 

Diversity and inclusion are a top priority for Nursing & Midwifery. I think our professions provide wonderful opportunities for career development and job satisfaction, and despite all of the inherent challenges that we face, we are also privileged to have rewarding and enriching careers. Currently we also have job security and reasonable pensions to enable us to provide for our families. So let’s stop worrying about the optics and do what we know in our hearts is the right thing to do – shout it from the rooftops – patients need men in Nursing & Midwifery and so do the professions.

Prof. Donna Fitzsimons

In this blog, Alannah Curran, a PhD student with dyslexia, shares her experience of becoming connected using her Dragon.

On reading this title you may be thinking of Game of Thrones with Daenerys Targaryen and her dragons conquering Westeros or the Viking Hiccup training his dragon Toothless for the greater purpose of changing perceptions of dragons. Well, my dragon is not a real one as such, it is a software called Dragon Professional Individuals by Nuance which is a dictation technology that essentially types what you are speaking. But, like Daenerys and Hiccup I am using my own dragon in conquering my own PhD journey with dyslexia and throughout that journey changing perceptions of dyslexia within academia.

So, let me tell you how I came to be where I am today. I am Alannah Curran, a second year PhD student within the School of Nursing and Midwifery here at Queen’s University Belfast and, I am dyslexic! A lot of people ask me when did you first realise you had dyslexia? The answer to this question is, from first entering the education system however, I was not officially diagnosed with dyslexia until I entered Queen’s University as an undergraduate nursing student. Growing up with dyslexia through  the education system was challenging but I always managed to see the funny side, like when I read out ‘orange-ootan’ instead of orangutan and this humour allowed me to develop a coping strategy, giving me  the determination to achieve the grades I needed to enter the undergraduate nursing program within Queen’s University, after two failed interviews may I add. 

When the revolution of social media began in my teenage years, I also had many experiences of miss spelling words on my social media posts. You can imagine how this felt as a teenage girl. A lot of people found it humorous, including myself, however I still struggle writing posts on social media which to this day impacts on my engagement with connected learning in using chat functions on Microsoft teams, group forums, posting on twitter and even writing emails. 

The turning point for me was in disclosing my disability to Queens and being told through my assessment I had dyslexia, so I finally understand why my brain works the way it does and why I find specific tasks such as reading, spelling, recalling information and talking without stumbling on words a challenge.  Student Guidance Centre then put an individual reasonable adjustment plan in place and collaborated with the School of Nursing and Midwifery, so I received the support I needed such as: extra time in examinations, a dyslexic support tutor, adequate consideration given to oral presentations, and access to dyslexic specific software mainly read and write gold, mind view maps and recording devices for lectures. This support allowed me to develop and adapt to academia to reach my potential, graduating as an adult nurse with a first-class honours degree and then completing my masters in advance professional practice with distinction. This brought me to my current status as PhD student where I have learned I read better on blue paper. Yes such a strange concept, but I discovered dyslexics experience a glare of white paper which negatively effects reading, and explained why when reading I would squint at the page regardless of having 20/20 vision. However, the downside of this was (Pre COVID-19), I would mistakenly leave my blue paper in the printer, meaning my PhD colleagues would come along to print important protocol documents on my bright blue paper!. Everyone knew exactly who the culprit was but I like to think I brought a bit of colour to their day. 

But where is my dragon, I can hear you asking! No, I did not emerge from the ashes of a flaming fire holding my dragon like Deanerys. I was introduced to my Dragon in a more conventional, but still exciting, way through the Student Guidance Centre.  

How do you train a Dragon? 

One of the most challenging but entertaining aspects of training was asking the Dragon to get to grips with the Northern Ireland accent. If you are an international faculty member or student or even from another province in the UK or Ireland am sure you will understand the challenges my Dragon faced. My dragon would interpret the word ‘now’ as ‘neagh’ and ‘how’ and ‘high’. Being in its infancy, like a toddler when picking up new words, my Dragon had a tendency to repeat, let’s say, comments of frustration which I had to ensure were not included in documents sent to my supervision team. However, after only a few days of training my Dragon the software adapted to my accent allowing me to talk freely without correction. 

How do I use my Dragon to remain connected in my learning? 

I am using it right now; I have written this entire blog using my Dragon Software. By embracing this technology, I have developed digital capabilities giving me the skills and therefore the confidence to overcome challenges I face day-to-day with my dyslexia in PhD journey. Specifically, I now have the skills to use Dragon software to facilitate me in adequately engaging with connected learning such as, chat functions on Microsoft teams and posting on twitter as I am confident that the dragon software will provide the correct spelling allowing me to overcome my previous experience. I have also embraced my Dragon software to write my systematic literature review and methodology chapter for my PhD.  I am now adapting my systematic literature review for publication. This is not without its challenges, but by collaborating with my supervision team, Student Guidance Centre and my dyslexic support tutor in continuously assessing and reassessing my abilities. 

What are the benefits and changing perceptions?

So what does all this mean? I would like you to take a moment to think about dyslexia as a faculty member, student nurse or indeed your dyslexia yourself… What do you think about dyslexia? Mixing up b’s and d’s?; difficulties reading and spelling?; if indeed you are a dyslexic yourself a lot of people report the feeling of being stupid. How, I want to ask you did you think of many positive attributes of dyslexia during this time? Maybe you did, but most likely you didn’t. Yes, mixing of b’s and d’s and challenges with reading spelling is a part of being a dyslexic but dyslexia is much for than the misconceptions society has of it. We need to move away from thinking of dyslexia negatively and think about the significant cognitive advantages that dyslexics have and identifying those. Dyslexia is a different way of thinking not a disadvantage and empowered dyslexics do amazing things.

People with dyslexia are: dynamic achievers, innovators, creator’s problem solvers, and possess so many skills and attributes to contribute in society, the workplace and indeed Universities. Don’t believe me… well let me tell you a few facts. 40% of self-made millionaires and billionaires are, yes you guessed it, dyslexic. Many of you may be reading this blog on an iphone or an apple Mac, Steve jobs was dyslexic. How many of you drive a car? Henry Ford was said to be dyslexic. There are so many others, Orlando Bloom, Keira Knightley we all know Richard Branson. But my favourite statistic is you know all them insanely intelligent people at NASA, one in two scientists at NASA are dyslexic. 

The cognitive advantages of dyslexia are being viewed as those needed to thrive within the current technological revolution, which COVID-19 has now escalated.  As I have shown, my academic journey with dyslexia has really been about unlocking my potentials as a student. One of the keys to unlocking my potential has been learning to embrace digital technologies like my Dragon and developing my own digital capabilities which has allowed me to gain confidence to overcome challenges. However, we need to think not only about developing digital capability for students with dyslexia but for all student nurses who are the future workforce of the ever-digitalising healthcare system. And indeed, providing opportunities for faculty to be equipped with the digital capabilities provide nursing students with these skills. How do we do this? How do you think this could be done as a student nurse or a member of staff? This thinking has led to my current PhD study: Exploring digital capability within nursing curricula in Northern Ireland; the perceptions of pre-registration nursing students and nurse educators.  I don’t have all the answers and would love to hear what you think! 

If you wish to know more about my PhD study or to register your interest in participating please see links below OR alternatively please email me at acurran21@qub.ac.uk 

Nurse educator link to register interest  

www.NEinterest.com 

Pre-registration Student Nurse link to register interest 

www.PreregNSinterest.com 

Fo more information on the Student Guidance Centre, please visit https://www.qub.ac.uk/directorates/sgc/disability/studentinformation/

Invisible Threads Are the Strongest Ties: Connecting Us with You by Twitter

In this blog post nursing students Sara Dean, Alex Connolly, Andrena Christie, Gary McCrea, Eddie McArdle and Ryan Cahoon discuss setting up the @NFM1121EBN Twitter page and reflect on its development.

COVID-19 has changed our lives in so many ways but one thing that has not changed is that the evidence-based practice we deliver to our patients is still constantly changing.  This is due to new knowledge, research, regulatory codes of practice and clinical guidelines.  As nursing students on the front-line, there has never been a greater urgency for us to have access to evidence that will help us to work safely, optimise patient experience and protect our own physical/mental health…if only there was a way this information came straight to us!

COVID-19 has made life more challenging for us all.  As nursing students, undertaking an award-winning nursing programme at Queen’s University Belfast (#JustSaying – Student Nursing Times 2020 Nurse Education Provider of the Year), we are sadly not immune to challenges.  But rather than spend our time focusing on challenges, we thought we would try something a little daring.

In September 2020, we launched a dedicated twitter channel for the year one nursing module: Evidence-Based Nursing.  We had already been working with the module coordinator @GaryMitchellRN over the summer months to co-design the new EBN module for year one nursing students.  One of our ‘big ideas’ was to provide something that could help nursing students connect with the latest evidence in real-time AND to provide something that helped nursing students connect with one another, albeit virtually…and so, the @NFM1121EBN twitter page was born.

Our tagline for this student-led account is ‘Connecting Nursing Students to Improve Knowledge & Care’.  We have even got our own hashtag going #QUBEBN.  Twitter is an online social networking service that allows users to send a message (known as a tweet) using 280-characters to each other or their followers.  While everyone can see a tweet, you must be an account holder to reply or share a tweet.  Interested in setting up your own Twitter account?  Check out this simple guide:   http://www.wecommunities.org/blogs/3503

We now have 320 followers, and this number has been steadily increasing since we developed this Twitter channel.  Our followers include healthcare professional students, healthcare professionals, researchers, policymakers, patient advocacy groups and healthcare journals.  In the last week, our #QUBEBN has made more than 70,000 impressions on social media, with a potential reach of more than 11,000 unique twitter users.  

We believe this Twitter channel will support nursing students to keep the conversation going after online classes, promote the sharing of new evidence/knowledge amongst users and provide a forum for professional networking between students, their peers and other healthcare professionals interested in evidence-based practice.

But our Twitter channel is not all about evidence-based nursing, if it were the letters E.B.N would probably stand for Everybody is Bored Now… (Shoutout to Zach Mitchell from the EBN Pod; if you know, you know!)  Our channel is also a place for connecting student nurses with other like-minded people and supporting them in their journey.  We make no apologies for lots of GIFs (that is pronounced JIF not GIF), short inspirational quotes or promotion of other learning activities that might be of interest to our audience.  As you will see, we are big reweeters and recently we have been sharing plenty of selfies from our current Sept 20 Cohort – just check out our page!

So, whether you are interested in using the account to access the latest evidence, engage in professional networking or just following the conversation, we think there is something for just about everyone!  So why not take the plunge and set up your own professional account, give us a follow, retweet our content and connect with us all!

Right now, we are like islands in the sea, separate on the surface – but connected in the deep.  (William James 1842-1910).

EBN Student Champions

Sara Dean (@SDeanStN)

Alex Connolly (@AleexConnolly)

Andrena Christie (@AndrenaChristie)

Gary McCrea (@GaryMcCrea)

Eddie McArdle (@ArdleEdward)

Ryan Cahoon (Not on Twitter?!)

The Positive Power of Connections

In March 2020, nursing and midwifery students found their studies interrupted as a result of the Covid pandemic. They were given a choice to opt in to finishing their programme in clinical practice with online classes as required, or to pause their studies. This week Hannah Angus, Eimir Martin, Jenna Doherty and Tina Adams, who decided to pause their studies, reflect on that decision and discuss how the QUB Connections initiative worked to support them.

When the news broke that we were going into lockdown in March due to the Covid 19 pandemic, we all had only five months left of our training to become nurses and midwives. Because of this, the remainder of our nursing and midwifery training would be concluded in clinical practice and whatever classes we had left would be online. There was an “opt in” or “opt out” choice to this arrangement but to some of us there didn’t feel like there really was a choice at all as the option to opt in was not viable due to personal or family commitments or health conditions that would inhibit some of us from going into the clinical area which was deemed too unsafe. 

So whilst there was Zoom call after Zoom call with our lecturers understandably sorting the arrangements of what opting in meant – our classmates entering the unknown and clinical areas during a pandemic, whilst being a part of the meetings we couldn’t help but feeling isolated as the things talked about were nothing to do with us as we couldn’t and wouldn’t be entering the clinical area and didn’t know when we would be either. The whole unknown and uncertainty was extremely hard and unsettling as we couldn’t help but going down the rabbit hole of thinking, when will be we able to re-join practice? Will it be safe? Will we re-join in time to finish the course and graduate with our peers? Will we finish in time to take up the posts we had already interviewed for and been offered jobs for? Although we were at home surrounded by family and connecting to friends and classmates through video calls and texts etc we felt alone. 

As the weeks passed it seemed our classmates were moving on without us and we were stuck at home, alone and feeling worthless as our personal circumstances were stopping us from entering and helping the workforce and society during a global pandemic. After all , one of the reasons why we want to be nurses and midwives is to help people but yet here in a global pandemic when help was needed we had to face the reality – we couldn’t enter the front line to do what we were made to do and it was heart breaking. As the weeks went past there was nothing but a sense of loneliness. We were made aware that when we were spoke to individually that there were other students who were also in the same situation but not knowing who these students were made things that bit harder as that feeling of being alone was still there and we couldn’t support each other because we didn’t know who also had to pause.

A few weeks into being paused on our programme we were invited to join a QUB Connections group for students who were paused on their programme during the pandemic. Whilst initially everyone was nervous it very quickly became a place where everyone could speak honestly, openly and felt safe to share how they were feeling. It really helped to see we weren’t alone, and everyone was feeling the same – alone, isolated, worried, guilty, anxious feeling a sense of loss, feeling left behind and having no control over our current situations. Clare, Deirdre and Monica were fantastic, listened to us, offered support, advice and encouragement and by being there showed they really cared, wanting to help us in whatever way they could. We felt we were no longer alone and there were others out there who cared and knew and understood exactly how we were feeling.

We learnt coping mechanisms from each other and encouraged each other on by setting positive targets/goals to achieve between each meeting. We shared positive stories, sad stories and best of all through our connectedness we had a laugh and felt a sense of camaraderie with each other. The saying goes everything in life happens for a reason and during the worst times in our lives we meet some of the best people, well It is only because of the Covid pandemic did we all have the opportunity to come together, got to know each other and made friends along the way. 

We are extremely thankful to have had the group as it really helped us through the emotional rollercoaster of being paused on our programme during Covid 19 but like riding a rollercoaster it was less scary and unsettling when we had others there supporting us through the bumps and twists and turns. The sense of loneliness, fear, isolation and guilt was all replaced by happiness, togetherness, and a sense of being a part of a team who were full of support and encouragement. 

We were all able to help each other in special ways that no one else would ever understand as they were not in our situation. They were not at home, they were on the frontline fighting for our NHS whilst we were fighting our own battles to better ourselves and support each other’s mental, physical and emotional health. This has then enabled us to become stronger student nurses and midwives that will eventually enter the frontline, finish our courses and do what we love to support the community that we live in. All of this could not have been achieved without the connection group bringing us closer together to fight one battle instead of our own battles alone.

Hannah Angus is student adult nurse, Eimir Martin, Jenna Doherty, Tina Adams are all student midwives. All four are currently finishing their final placements.

CPAD and Connected Learning

In this post Prof. Michael Brown reflects on the challenges to, and opportunities for CPAD in the School of Nursing and Midwifery by moving to a connected learning model.

As most people know, CPD stands for Continuing Professional Development and is the term used to describe the learning activities professionals engage in to develop and enhance their knowledge, skills and abilities.  Evidencing Continuing Professional Development is a requirement of revalidation by the Nursing and Midwifery Council every three years. The evidence required can take different forms which creates exciting and innovative opportunities for nurses and midwives.  CPD activities that often spring to mind include the mandatory elements required by the job, such as Equality and Diversity updates; the list of mandatory updates seems to grow every year.  Other examples of CPD might relate to education and training regarding specific developments regarding new treatments and interventions, necessary to enable nurses and midwives to deliver safe and effective patient care. For colleagues working in higher education, the focus may be on activities such as new technologies to support Connected Learning approaches to delivering education.  

The pandemic has seen a rapid increase in the need to move from ‘traditional’ teaching and learning approaches where we meet face-to-face with students and get to know the individual learner. For us all this is the heart of what motivates us within higher education. The move to Connected Learning brings many challenges and opportunities. It has been challenging to move rapidly to develop new learning materials and resources for on-line delivery with limited time, sometimes leaving the feeling of being a bit under prepared and flying by the seat of our pants. Chocks away!   Chocks away conjures up the image of the start of a journey with a planned destination, yet where the route is less clear.  

The opportunities involve a period of self-reflection on personal approaches to pedagogy per se and approaches to teaching and learning.  From a personal perspective the move to Connected Learning has presented an opportunity to think about what motivates ne as an educator and how I can continue to sustain it during these ‘unprecedented times’ to use a much-used phrase from the BBC.  Having little choice but to adopt new teaching and learning strategies has not been a bad thing. Stressful at times, yes, but not a bad thing.  It is often too easy to adopt a Manjana approach of ‘tomorrow’ as there is always a list of other priorities that need to be met.  Working collaboratively with academic and IT colleagues to share knowledge, skills and ‘know-how’ has been invaluable.  Without sharing newly acquired knowledge and skills many of us would struggle in a rapidly changing higher education environment.  

Recognising the opportunities and the challenges leads me to reflect on the ones presented to our students.  Many are working in health and social care services providing essential care and support to patients and their families while at the same time coping with changing life circumstances and uncertainty. As the School of Nursing and Midwifery lead for Continuing Academic and Professional Development, I have the privilege to lead a team of perfectly formed academics and to work with first rate administrators.  The role gives a clear overview of the education programmes, courses and modules provided. It is a complex picture of academic levels, studied ate different times full-time and part-time. We have a mix of local students undertaking studies to support development and delivery of health and social care service.  Studies which are coupled with professional demands and family commitments.  International students, often with their government’s support choose Queen’s to undertake further study. 

Yet, despite these demands, students have risen to the challenge of adapting to our Connected Learning approach to continue with their studies.  The new journey has been forced upon us all and is not how we would have planned it.  However, while it is clear that there remain challenges to be overcome, there are new opportunities to change our teaching and learning practice for the future, thereby opening the learning opportunities for students of the future.  To quote C.S Lewis who wrote many books including the Chronicles of Narnia, “You can’t go back and change the beginning, but you can start where you are and change the ending.” 

Why not add your thoughts or comments by posting in the comments section below

Promoting a connected learning through developing an online community: The Jelly Baby Tree

In this blog post Alison Smart shares her experiences of adopting the Jelly Baby Tree for online work.

As we have all started to adapt to the (dare I say it) “New Normal” which we all know will be ever evolving. From a profession where people feature very strongly – personal interactions are something I have massively missed during lockdown. The social interactions we all had on a day to day to basis within the MBC is something I took for granted but a key aspect that makes work enjoyable. 

September 2020 are now in their fourth week of our new curriculum and going to university is a time for social interaction; meeting new people, making new friends and spreading your wings. I remember my first day when Susan Carlisle said look to your left and your right and there will be someone in this room who will become a great friend and she was right. I have very fond memories and made some very good friends, as I know we all did at university. This can also be a daunting time, reaching out to people you don’t know, I would think it’s quite daunting to do this in a predominately virtual world. However, our current students have transitioned to a connected learning environment, when the normal pre-class chatter and a bustling MBC is no longer. Virtual Coffee’s, Zoom Quizzes, Break-out rooms, chat functions are the current virtual social life choices that have quickly became staples in our lives. 

This post will discuss the use of the Jelly Baby Tree (JBT) in creating an online community. The JBT is currently being used in Year 1 Professionalism Module. I will reflect on the implementation of the tool to the module and identify how you could use this. This tool has been previously used as an icebreaker and I have used an adapted version that I had previously used in MSc module with leadership whilst undertaking an MSC course.  

Before I get started, I would like you to look at the image below and think about how you are feeling this week in relation to our current journey at SONM and our journey with connected learning. Which Jelly Baby do you identify with? 

Are you a 12 and branching out? Or wick at 6? Relaxing like an 11. I have been nearly all the Jelly babies on the tree but this week I am a 9 and feeling fine. I have had some positive feedback from the year ones and enjoyed face-to-face teaching this week.

Why JBT? 

I had previously used the JBT in an online module at MSC level which looked at leadership and each week we were asked to identify which Jelly Baby we were in relation to our leadership journey. This was an international module and the use of the JBT facilitated a social presence. The selection of this JBT was used to encourage communication within an online context and its use would help to support and develop the year ones. Previous analysis suggested students found that JBT was a valued aspect of the course. Evidence reported “Jelly Baby Tree as the best bit of the course” giving it “human touch” whilst others “come away inspired every time I read someone else’s Jelly baby posting” It was 2014 when I used it so I figured if I still remember it now, then it must have a lasting impact.

How did I use it?

I set up a weekly JBT discussion forum with a single thread. The students were introduced to the Jelly Baby tree during the start of the module and received the directions below. 

Each week, they are asked to reflect and complete a post to where they are feeling on the course and on their journey as a professional. The instructor should do the same in order to “model the way” and connect with students thereby fostering a sense of social presence for themselves as well. In addition to this, myself and other members of the module team have replied to students with their comments with words of encouragement, thus creating a social presence aimed at creating an atmosphere of trust and belonging.

How has it been received? 

I have been positively surprised, as I was unsure despite my positive personal experience in a postgraduate format. I wasn’t too sure how it would fare with Year 1’s who have not met each other but to date we have had over 650 posts in the 4 weeks. Students appear to be engaged with the Jelly Baby Tree and it does appear to foster a community of encouragement. 

As the potential social isolation starts to creep up on us again, with a 4-6-week restrictions imposed. I think it is important to try and encourage social interactions for our new cohort but to help facilitate those existing friendships. I think the JellyBaby tree is a good place to start. I had initially been dubious myself but having had such a positive experience myself, I thought with the move to more of a connected learning approach this was the right fit. I hope you consider the use of the tree for both undergraduate and postgraduate.

Thank-you for taking the time to read this, let’s take time to ensure we help the student’s in this journey and also ourselves to socially connect.

Please post any comments or your experiences on using the JBT online below

The case for disconnectedness

In this post I argue that, in a connected learning environment, being disconnected is essential to being productive as well as caring for yourself.

Enquiring about the well-being of one of the School of Nursing and Midwifery CPAD students recently she told me the following, ” Some see it as working at home, I feel that I am living at work”. I am sure that she isn’t alone in this feeling.

Over the last seven or eight months initially through necessity-and even now as recommended, we have in effect allowed some of our safest places, our sanctuaries and dare I say it our personal asylums, – our homes- to become part of the rat race that we call work.

We have had to learn new technologies, refine how we work, deal with technological issues and in some cases deliver set content in less hours than previously afforded in our teaching timetables. And this is all with the sword of the NSS hanging over our heads. Pedro Noguera recently noted, “teaching is exhausting, emotionally and psychologically exhausting”. He then goes on to argue “…if you don’t want to give people support, they won’t want to stay in the career. To certain extent I agree. However, this implies that the support should be top-down and here is where I digress from Noguera.

Yes, the employer needs to accept some responsibility to support me, however I also have a responsibility to look after my own health. Working in the Academy and the concept of academic freedom offers the ability to meet work and professional obligations in a manner that is consistent with my obligations to myself and my family. That is why there are times when I choose to wilfully disconnect.

Email + Instant messaging + social media + the world wide web = Information overload = Noise.

Like the proverbial rabbit in the headlights, that noise can become paralysing. It is okay at times to admit that it becomes too much, and at that stage it is appropriate to walk away for a short period of time. School of Nursing and Midwifery Senior Lecturer Dr Derek McLaughlin often talks about, and encourages students to take, guilt free breaks. That can be for as short as an hour or a day or longer. There are times when we need to disconnect from the noise that surrounds us.

Constant digital connection is associated with increased levels of loneliness, anxiety and depression. Disconnection clears the mind, improves concentration and helps focus which in turn increases productivity, I feel better and I get more done-a ‘win win’! In a blog post last year Natalie Cawthorne listed five reasons to disconnect from the digital world.

  1. Greater work-life balance
  2. Decreased symptoms of anxiety and depression
  3. Lower levels of job fatigue and burnout
  4. Reduced stress
  5. Better sleep

It is important to emphasise that the disconnections need to be complete and not simply transferred from desktop or laptop to a tablet and/or smartphone. The ease with which we can inadvertently find ourselves engrossed in something can be frightening. How many of us, attempting to switch off, have taken to a social media site only to find something that you think may be of interest to your students? I do it regularly! The all-pervasive nature of connectedness can be harmful.

I am by no means Luddite or even anti-tech. Those that know me may even say I’m bit of a geek in relation to tech, but I try to engage with it on my terms. I hasten to add not always successfully though.

My colleague and School of Nursing and Midwifery Lecturer Colin Hughes recently recorded a podcast that was published on the RCNi website on why and how nurses should self-care during the Covid pandemic. He talks about the value of routine as one coping mechanism. So my challenge to you, dear reader, is this. Build yourself a routine and make being disconnected from a digital world part of it. In other words, get connected with the physical world around you. You will feel better for it.

Developing a Digital Community in Nursing Education

In this blog post Paul McAleer reflects on his experiences of developing digital communities.

The advent of the Coronavirus pandemic has presented a challenge to the well-established and familiar way of academic life in Nursing Education.  In the short-term at least, it is no longer possible for teachers and students to be ‘in the room’ together as they were before.  In order to assure the safety of both students and staff, social distancing directives have forced change upon the traditional ‘face-to-face’ teaching.  Class sizes have been reduced to support public health guidance and many pieces of the Nurse Education Curriculum have been moved online.  Intuitively, this seems like it may present a threat to our well-established classroom communities however is this actually the case? 

The Classroom Community

Being taught in a classroom is one of the most common and unifying cultural experiences in our society.  From the earliest moments in our lives, these experiences will have served to shape our attitudes, beliefs and how we relate to others in the world around us. 

Anyone who has spent time reflecting on what it’s like to be within the classroom will understand that everyone who is present is having their own, uniquely individual experience.  Everyone in the classroom brings personal fears, anxieties, perceptions and expectations.  In this sense it may be possible to suggest that at any given time there are actually two classes running at the same time…the one that is occurring externally (within the room) and the other which is taking place internally (within the minds of those who are present). 

The familiar classroom experience is a multi-personal one.  Effective teaching moves beyond the didactic delivery of information to the group, by using the taught content as a springboard for discussion and problem-solving.  In these situations, the class becomes more like a community where individual ideas and thoughts are shared and added to so that a higher level of understanding can be achieved. 

Effective teachers will plan and facilitate opportunities to trigger learning through discussion however, the class as a community evolves into an entity which is more than the systems of social interactions which the teacher imposes upon it.  As the individuals within the group share and assimilate ideas, react and respond to each other, agree or disagree, a complex and dynamic matrix of multi-personal relationships are formed and experienced collectively (Foulkes, 1964).  At some level this may seem overly theoretical, however people sometimes talk about instinctively or intuitively knowing what a class wants, or how the class is feeling.  These feelings are often associated with ‘being in the room’ and may be a sign that one is tapping into the classes communal experience.

The Connected Learning Approach

The use of a ‘Connected Learning’ approach may, at least in the short term, help us to maintain our sense of connectedness with our class communities. Connected Learning is a framework for online learning which seeks to replicate face-to-face learning by developing a digital community that is academically orientated, creates shared purpose, is production-centred and provides peer support (Ito et al, 2013).  As Nursing Students are now expected to ‘work from home’ it is anticipated that Connected Learning approaches will facilitate academic learning and also reduce anticipated feelings of isolation, as a result of the limited time the class physically spend in the classroom.  It has been suggested that digital technology can encourage openness and connectivity and can help to construct shared understanding and learning as part of a socially orientated online community. 

Learning and Teaching in Lockdown

During the springtime ‘lockdown’ I had the opportunity to use Connected Learning approaches with a class of Undergraduate Learning Disability Student Nurses.  Admittedly, adopting these approaches was more through necessity than choice, although as Plato so eloquently put it “necessity is the mother of all invention”.  The module lasted for six weeks and to promote wellbeing, the originally timetabled classes were consolidated into four-hour online workshops using a Flipped Classroom approach.  This approach meant that more time could spend on group work activity, discussion and debate.

Various pieces of digital technology were used to help the group to foster a shared and communal online space.  With the exception of online conferencing, students were already familiar with many of the tools, for example, online discussion boards, quizzes, polls and presentations, thus reducing connectivity issues and any hesitancy people might have had when adopting new technologies.  The tools were used to orientate students to the academic content, and to develop a range of co-productive group tasks and activities which offered a sense of shared purpose.

Connecting Through Emotional Experience

To build a sense of community it is important that people can share emotional experiences.  Everyone was asked to keep their webcams switched on so that others could see their facial expressions and emotional reactions.  At the beginning of the workshops, students and teachers took part in icebreakers designed to collectively acknowledge and validate any common feelings or anxieties related to the workshop, or more generally to the pandemic.  For example, people were invited to put one word in the chat box which described how they were feeling.  The group then reviewed each other’s comments.  The emotional themes were summarised so that common feelings could be acknowledged. 

At various points throughout the workshop polls were used to encourage people to express opinions on the session topic.  Students were also asked to make open comments on the topics which related to their own clinical experiences.  This encouraged people to continuously contribute to the collective group task, and to identify and connect with other people’s experiences. Members of the teaching staff were assigned to breakout rooms to support group discussions and work activities.    At the end of the session when the class came together again, people were invited to give each other feedback and share their reflections about their experience throughout the day.

Did People Feel More Connected?

In their evaluations, students provided valuable commentary about their experiences during the workshops and the ‘Connected Learning’ approach more generally.  The feedback was generally very positive, but what was particularly interesting was the language students used to describe their experiences.  Collective pronouns such as ‘we’ and ‘us’ were frequently used to describe their feelings.  One student commented that:

Even in these strange times, we were able to work together with the help of our lecturers through the use of group work”

The language used in the evaluations may represent an important reflection point regarding the students’ ability to development of a sense of ‘community’ or ‘solidarity’ with one another.

Whilst it seems that students and teaching staff were able to establish a shared sense of community on this occasion, it is also worth noting that the group had already spent time together in the physical classroom prior to the lockdown. This will undoubtedly have helped ease the migration of teaching and learning to a fully online medium. 

What will the future hold?

Predicting the future is a difficult task and as a result of the pandemic there is much uncertainty about how the next few months or years will play out.  Approaches to teaching and learning such as Connected Learning will undoubtedly be placed in sharper focus, and it remains unclear whether these approaches alone will be effective in helping new student nurses to develop the collective sense of community that is enjoyed as a matter of course in face-to-face classes.  One thing that is certain however, is the commitment and passion of nurses (students and teachers alike) to solve problems and overcome challenges…even in the most adverse of circumstances. 

Whatever the future holds, we can be assured that Nurses will be at the forefront of any innovative approaches to building communities through online teaching and learning.  As Florence Nightingale said, nurses would rather ‘die in the surf, heralding the way to a new world, than stand idly on the shore’.


[1] Foulkes, S. H., (1964) Therapeutic Group Analysis. London: Karnac Books.

[2] Ito, M., Gutierrez, K., Livingstone, S., Penuel, B., Rhodes, J., Salen, K., Watkins, S.C. (2013). Connected learning: An agenda for research and design. Irvine, CA: Digital Media and Learning Research Hub.

“Paul is a Lecturer (Education) in the SNoM’s Learning Disabilities Team, and has a special interest in Forensic Healthcare and Reflective Practice Groups”