Archive for the ‘art and nursing’ Category

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Those Who Wait: Recent Work in ‘Art of Nursing’

December 19, 2011

By Sylvia Foley, AJN senior editor

Beach Stone Found by mscaprikell, via Flickr

“I held that stone / in my hand for hours while they split your bones,” says the narrator of Janet Parkinson’s poem “Talisman,” which appears this month in Art of Nursing. The poem speaks to the tremendous strain of waiting for the outcome of a loved one’s emergency surgery. It’s about the  need for connection over great distances, for a “stone constant” in the face of grave uncertainty. The poet’s voice is unsentimental and steady, and the poem, just seven lines, itself feels almost talismanic. (Art of Nursing is always free online—just click through to the PDF file.)

In Roger Davies’s poem “Preparing to Pretend to Knit at the Chemotherapy Clinic,” featured in October’s Art of Nursing, a husband also waits, feeling helpless. “I’ll choose the long, elegant needles,” he says, imagining homespun wools dyed in autumn colors. Recalling his mother’s “nonchalant / competence” at the craft, he longs for the solace found in knowing what to do—even if it’s only how to hold the needles. In the poem’s last lines, the narrator says, “I could look out the window / to this fading autumn day.” But it’s clear that he’s not quite ready to see that view yet.

The Waiting Room: Norma, copyright 2010 Rebecca Thomas

Rebecca Thomas’s painting “The Waiting Room: Norma,” featured in November, depicts the artist’s grandmother, who gazes out at us, her expression both yearning and fierce. She seems to lean forward slightly into a blurred foreground, much as one might lean into an unknown future. About her grandmother, Thomas writes:  “She lived through lymphoma. Her husband didn’t. Now, the cancer and my grandfather are gone from everywhere but her face in this moment—her ‘waiting face,’ right before the smile.”

We invite you to pause with these works for a few minutes and listen for what resonates within you. And if you’re interested in submitting your own work to Art of Nursing—we consider visual art, “flash” fiction, and poetry—email me for guidelines: sylvia[dot]foley[at]wolterskluwer.com.

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Learning to Serve Others: The Key to Happiness

November 10, 2011

With Veterans Day tomorrow, it seems appropriate to highlight the achievements of Charles Kaiman, an artist and a clinical nurse specialist in psychiatric mental health who works with veterans, primarily those with posttraumatic stress disorder (PTSD). Kaiman recently received the Excellence in Behavioral Health Nursing Award at the 2011 New Mexico Nursing Excellence Awards for his work as a caregiver for veterans at the New Mexico Veterans Affairs Health Care System in Albuquerque.

In this video interview, posted on YouTube by KASA FOX 2, an affiliate of the Fox Broadcasting Company, Kaiman speaks about how he decided to become a nurse, the symptoms of and treatment strategies for PTSD, and what he sees day to day while working with Iraq and Afghanistan war veterans—an experience he calls “one of the most rewarding” of his life.

When asked why he became a nurse, Kaiman said he was first inspired when he was 10 years old, reading a book by Albert Schweitzer that argued no one could be happy unless they learned to serve others. Later, when Kaiman was trying to make ends meet as an artist, his father suggested becoming a nurse because he would “never be out of work.” And his father was right.

Kaiman has now worked as a nurse for 31 years, 26 of those specifically with veterans. When asked about the rewards of helping others and what he would say to those interested in entering the nursing profession, his answer was clear:

“I can’t believe I get paid for this. It’s the greatest thing you can do for the world and for yourself. I completely and absolutely urge everyone who is interested to become a nurse.”

Kaiman’s artwork has been featured in AJN‘s monthly Art of Nursing and twice on AJN’s cover (September 2009 and September 2011). His painting “America the Beautiful” appeared on our September cover in honor of the 10th anniversary of 9/11; for more about that cover, read our blog post and see On the Cover.—Amy M. Collins, AJN associate editor

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Webnotes: Nurse Comics, Uninsurance, Hospital Image vs. Reality, Social Media Guidance

September 15, 2011

The Web comes back to life after Labor Day weekend. Will, the nurse and artist who relates episodes from his life in comics at Drawing on Experience, has a new post about starting a job in a cardiothoracic intensive care unit (CTICU). There’s a thumbnail version of it below—click it to see the actual post in full size at his blog.

The best hospitals? The New York Times reports that “the country’s leading hospital accreditation board, the Joint Commission, released a list on Tuesday of 405 medical centers that have been the most diligent in following protocols to treat conditions like heart attack and pneumonia.” Many of the hospitals often considered among the “best” (including those in New York City) did not, however, make this list (though some came very close). While hospital representatives argue that there are several mitigating factors that might have influenced these findings, this is a reminder that reputation and the presence of famous specialists may not necessarily mean the best care.

Their own darn fault. Though some may laugh at letting sick people who can’t pay for care just die, many of us are able to imagine ourselves, a friend, or neighbor in such a situation. For those who believe America should be more like Victorian England in its division between the the haves and have-nots (bring back debtors’ prisons!), good news: such hilarious down-on-their-luck characters should be easier than ever to find:

Nearly one million more Americans went without health insurance in 2010 than in 2009. This distressing news is further evidence of the need for government safety net programs and the national health care reforms that will take effect mostly in 2014.

Social media guidance for nurses. Last, but not least, the American Nurses Association (ANA) has released new social networking principles (which, somewhat surprisingly, given the topic, you have to purchase!). Still, it’s good that these exist, since nurse blogger Megen Duffy recently noted in her September iNurse column in AJN, “Patient Privacy and Company Policy in Online Life”:

Social media is a newcomer to health care, and policies are still being formulated. Mistakes will occur, and policies will be revised. Nurses can rise to the challenge and make sure their voices are heard in the formulation of workable guidelines; we live and breathe the nursing process, and if something isn’t working, we reassess and implement another plan.

Leave us your comments. This is social media, after all.—Jacob Molyneux, senior editor 

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Remembering 9/11: Nurses Were There

September 9, 2011

By Shawn Kennedy, editor-in-chief

AJN September cover: 'America the Beautiful,' copyright Charles Kaiman

One can find many commemorative events for the 10th anniversary of 9/11 being held in those places (New York City, Washington, DC, and Shanksville, Pennsylvania) where planes hit, and in other cities as well. Some are appropriate and done well and others are (at least to me) over-the-top and tactless—like one New York City radio station playing tapes of the confusion and chaos from first responder radio transmissions; families and friends of victims don’t need to hear that and think of what their loved ones were going through in their final moments.

How we saw it then. AJN’s offices are located in New York City. In 2001, we could see the burning World Trade Center from our windows and we wrote about about our experiences and thoughts. We knew nurses would be in the forefront of responding to help, so we reached out to nurses here in New York and in the Washington, DC, area in order to report on what nurses there were doing. And we also carried a Viewpoint essay, in which one of our Muslim colleagues reported on the backlash that she was experiencing and made a plea for tolerance.

Our current coverage. In planning this September issue, we wanted to acknowledge the events in some way—hence our cover (thumbnail illustraton above) by artist and nurse Charlie Kaiman, who witnessed the events (see also his artwork from 2001 conveying that experience; click “View Full Text” at the link) and subsequently moved out of New York City; the guest editorial by disaster preparedness expert Tener Goodwin Veenema, who takes stock of nursing’s readiness; and an AJN Reports story by former managing editor Joy Jacobson, who revisited several nurses who were directly involved in or whose careers were changed by the events of 9/11.

The nurses who died. As we reflect on how the events 10 years ago changed our country and our lives, we should remember the nurses who died that day. For a few of them, it was a matter of happenstance and bad timing. For most of them, it was because they were doing their job—whether as a company health nurse or as a  firefighter or police officer—but they were nurses all.

Nurses Killed on September 11

Touri Bolourchi, 69, retired nurse, passenger aboard United Airlines Flight 175

Lydia Bravo, 50, occupational health nurse at Marsh & McLennan Companies, Inc.

Ronald Bucca, 47, fire marshal, New York City Fire Department

Greg Buck, 37, firefighter, New York City Fire Department, Engine Company 201

Christine Egan, 55, community health nurse visiting from Winnipeg, Manitoba, Canada

Carol Flyzik, 40, medical software marketing manager, passenger aboard American Airlines Flight 11

Debra Lynn Fischer Gibbon, 43, senior vice president at Aon Corporation

Geoffrey Guja, 47, lieutenant, New York City Fire Department, Battalion 43

Stephen Huczko, 44, police officer, Port Authority of New York and New Jersey Police Department

Kathy Mazza, 46, captain, Port Authority of New York and New Jersey Police Department, and commanding officer, Port Authority Police Training Academy

Michael Mullan, 34, firefighter, New York City Fire Department, Ladder Company 12

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Compassion for Those Among Us: Recent Poems in ‘Art of Nursing’

August 12, 2011

By Sylvia Foley, AJN senior editor

Faded rose texture, by Calsidyrose via Flickr

In Carolyn Scarbrough’s poem “A Rose By Any Other Name” (Art of Nursing, August), a nurse sees an “opaque rose, unfurling” on a CT scan of an infant’s brain. Recognizing this as “evidence of violent acts,” she knows the outcome will almost certainly be tragic. Yet when she looks from the scan to the exhausted young father, another memory shifts her thoughts from “trauma to love.” With each reading, this poem reveals more about the intertwining of outrage and compassion. (Art of Nursing is always free online—just click through to the PDF file.)

“I try / to meditate on emptiness, // receive the next lungful, ignore / my prattling mind,” says the narrator of Risa Denenberg’s poem “Three-Part Breath” (Art of Nursing, July). The poem’s title refers to a yoga breathing practice, one built on trust; as the yoga teacher says, “There will always be // another inhalation.” Read the rest of this entry ?

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Bearing Witness: April’s ‘Art of Nursing’ and Cover Art

April 14, 2011

By Sylvia Foley, AJN senior editor

In “Palm Sunday,” the poem featured in this month’s Art of Nursing, nurse and poet Rachel Betesh evokes the prolonged anguish of those who tend the dying. A man lies “sick and stained” in a bed, leaves his food untouched, and “hardly speaks anymore.” His wife and sons lament “the sin of the too-long moment”; time does not heal, but gapes like an “open wound between sickness and dying.”

A lesser poem might have slipped into sentimentality. But Betesh’s characters are a lively, indomitable bunch. “Pop!” the man’s sons say, visiting; you can feel their vigor. His wife remembers a baked potato he’d once given her, and her response: “You gonna marry me or what?” Indeed, it’s through witnessing, hearing the family’s stories, that the nurses can offer some comfort. They cannot heal the man, but they can “pack the wound, and listen.” (Art of Nursing is always free online—just click through to the PDF file.)

Windows and Doors by Paula Giovanini-Morris

This month’s cover art, a work of embroidery by nurse and fiber artist Paula Giovanini-Morris, explores the concept of memory and illustrates its mechanisms, the neurons and synapses through which the brain registers, encodes, and retrieves events. The piece, titled “Windows and Doors,” was prompted by another kind of witnessing: the artist’s visits to her mother, who was suffering from the early stages of dementia.

AJN senior editorial coordinator Alison Bulman spoke with Giovanini-Morris, who explained, “As I watched [my mother] search for words to express herself and attempt to recall recent events, I was struck by a sadness, realizing that in a short period of time the mother I knew might be replaced by someone who had no idea who I was.” Giovanini-Morris also acknowledged that she faces the possibility that she might eventually suffer from dementia herself. For more on this artist and her work, read this month’s On the Cover.

If you’re interested in submitting your own work to Art of Nursing—we consider visual art, very short “flash” fiction, and poetry—send me an email (sylvia.foley@wolterskluwer.com) for more information.

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Vampire Nurses, PhDs, Your Best Moment as a Nurse: Today’s Notes from the Nursosphere

March 30, 2011

Here are some recent posts of interest we noticed on the nursing blogs. Many of these blogs can actually be found on our blogroll, so we hope you’re exploring what’s there from time to time, even if we know the list isn’t exhaustive and is probably missing some other excellent (and at least somewhat frequently updated) blogs.

It’s good to know that Will, the nurse/comic artist who shares his drawings at Drawing on Experience, has started posting again more regularly. One of his most recent efforts depicts a night shift nurse as a kind of vampire. It’s funny and, in a way, insightful. We give just a thumbnail version of it below on the right, in the interests of preserving the artist’s copyright; to see it enlarged, click the image and visit the version posted on his site, where you can also find a bunch more drawings, many about his life as a relatively new nurse. 

The INQRI Blog (that INQRI stands for Interdisciplinary Nursing Quality Research Initiative, a real mouthful) has a new post about an increase in enrollment in nursing doctorate programs. Here’s an excerpt:

According to new data released recently by the American Association of Colleges of Nursing (AACN), enrollment in doctoral nursing programs increased significantly in 2010. The AACN believes that this shows a strong interest in both research-focused and practice-focused doctorates.

The post also connects this enrollment trend with some recommendations from the IOM Future of Nursing Report, which we’ve written about more than once on this blog in recent months. But no more policy today! Whatever your degree, if you’re a nurse, you probably wonder from time to time why you do such a challenging job. An evocative post at Those Emergency Blues recounts an after-dinner conversation between two friends about just this. One of them asks the other, “What’s your best moment in nursing?” The author struggles to find an answer. Here’s part of what she says:

I stopped and thought. I could see my reflection in the dining room mirror, dimly, and even I could see bone-tired in my face. But I thought about codes and trauma. I thought about why I was once made Employee of the Month. I thought of smaller moments of giving care— warm blankets, a back rub, a cup of ice chips, repositioning. I thought about missed findings. I thought about the time a patient an ambulance gurney went VSA while I was triaging her, and walked out of hospital ten days later. I thought about innumerable STEMIs caught and thrombolysed (and later sent for rescue cathetherization) within minutes of arrival. I thought about the times when I pushed for some extra intervention which made a real difference in the patient’s life.

It’s engaging, but it’s probably not the most important part of her answer, which you’ll have to read the entire post to learn. Anyway, maybe we’ll steal the question and ask it here, since we’d really like to know what our readers think (as the chill air hangs on at the end of March and energy levels waver). So what’s your best moment as a nurse?—JM, senior editor/blog editor

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Nurse Brings Photo Exhibit to U.S. Capitol

February 7, 2011

By Shawn Kennedy, AJN editor-in-chief

Kathleen Bartholomew, MN, RN, a consultant and speaker from the state of Washington, has made it her mission to enlighten policy makers and legislators about the important work of nursing. And she believes in the power of photographs to help her make her case.

From January 24 through January 28, Bartholomew hosted AJN’s award-winning photo exhibit, Faces of Caring: Nurses at Work, which was on display in the rotunda of the Russell Senate Office Building in Washington, D.C.  For two days of the previous week it was on display in the Rayburn House Office Building. Bartholomew had enlisted the help of her legislators, Congressman Rick Larsen and Senator Patty Murray, to get the necessary clearances and permissions for this unique location within the Senate building. While people viewed the exhibit, Bartholomew was available to speak with them about the vital work of nursing. She also visited senators’ offices and met with legislative aides.  

The photographs in the exhibit are the winners and selected honorees from an international photo contest that was first exhibited at New York University College of Nursing in New York City in 2007, with support from the Johnson & Johnson Campaign for Nursing’s Future, the Beatrice Renfield Foundation, and the Jonas Center for Nursing Excellence. Since then, the photographs have traveled to various cities throughout the U.S. as a vehicle to advance awareness of the vital role of nursing. To learn about sponsoring the exhibit, go here.

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The Shape of a Woman: Two Poems in ‘Art of Nursing’

February 4, 2011

By Sylvia Foley, AJN senior editor

Abstract ice patterns by net_efekt, via Flickr

“I think about the woman / wilting // on the pillow of the steering wheel,” begins Stacy R. Nigliazzo’s poem “Sketch,” featured in this month’s Art of Nursing department. As the title suggests, the poem sketches out a scene, the immediate aftermath of a car accident. The driver appears dead; the paramedics “offer her up, prostrate / in white splints,” while the physician records the time. The narrator—who might be an ED nurse (perhaps Nigliazzo, an ED nurse herself)—describes what she sees. And as she does, we feel the terrible burden of her witnessing: the victim’s eyes brim “like black bowls that can’t be filled.” When the victim has been taken away, we’re left with almost nothing, only some coins and “buckled lines / in the shape of a woman.” It’s a short, spare piece that conjures up far more complicated matters, like where the dead reside, and how the living might go on.

The narrator of “Connection,” the poem by Camille Norvaisas that’s featured in January’s Art of Nursing, has undergone a double mastectomy. She is shockingly direct in her stated desire. “I want to feel the same / as my nipples, so cold, / in some jar in a sterile lab,” she tells us. She’s trying to comprehend a literal disconnection: once her breasts were part of her; now, “referred to as tissue,” they lie on a stainless steel table somewhere awaiting dispassionate study. The poem hums with sensation, real and imagined. Somehow it manages to be both fierce and stoic in its lament.

Have a look at these poems, sit with them a while; poems tend to reveal more upon rereading. (Art of Nursing poems are always free online—just click through to the PDF files.) And if you’re interested in submitting your own work to Art of Nursing—we consider visual art, short-short fiction (750 words max), and poetry—feel free to send me an email (sylvia.foley@wolterskluwer.com) for more information.

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Nurses, Hospitals, and Social Media: It Depends What Business You’re In

January 19, 2011

By Julianna Paradisi, RN

Zuckerberg/via Flickr, World Economic Forum

Before the placenta picture posted on Facebook by a nursing student made national news, I read Time Magazine’s “Person of the Year 2010,” by Lev Grossman. Born in 1984, Mark Zuckerberg, the inventor of Facebook, is decades younger than the average working nurse. According to the article, so many people now belong to Facebook that if the Web site were a country “it would be the third largest, behind only China and India.” To refuse to recognize the social impact of Facebook is to miss the boat.

Throughout the nurse blogosphere, nurses are demanding that hospitals create policies about the use of social media. Some hospitals have. Not surprisingly, these documents state that no unauthorized photographs of staff, patients, or patient care areas should be taken, let alone posted on the Internet.

Hospitals with social media policies are not necessarily squelching their employees’ right to freedom of speech. They don’t want to spend time and money in court defending their public image. They already spend lots of money on marketing. They are in the business of patient care, not entertainment. So hospitals with social media polices take the position that you can post or tweet to your heart’s content, but should keep in mind the following:

  • Nothing you post is private.
  • If your online behavior disrupts patient care or creates hospital liability, the hospital reserves the right to fire you.

Consider your personal commitment to your own rights. Do you really want to catch every ball that’s thrown to you? Hospitals don’t want to spend their time and money on social media lawsuits. Do you?

Social media is not going away. One of Mark Zuckerberg’s profitable insights is that people like reading about and seeing their friends and friends of friends online. A few years ago, many of us were upset when the Patriot Act made it possible to force libraries and bookstores to report which books their patrons read. Now we want everyone to know what books we “like,” and no one seems to mind that Amazon tracks what we read, then focuses ads according to our purchases.

My own concept of privacy is changing. Read the rest of this entry ?

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