Nursing Archives - Page 247 of 406

The ‘Dialectic at the Heart of Healing’

By Jacob Molyneux, senior editor

Here are the opening paragraphs of the short intro I wrote for our special December edition of the Reflections column. Since the illustrations are an important part of this column’s presentation, I’d suggest clicking through to the PDF versions of the articles linked to below:

“There is a dialectic at the heart of healing that brings the care giver into the uncertain, fearful world of pain and disability and that reciprocally introduces patient and family into the equally uncertain world of therapeutic actions.” —Arthur Kleinman, The Illness Narratives: Suffering, Healing, and the Human Condition

In recent years, the role of narrative in medicine and nursing has gained (or perhaps regained?) a certain amount of respect.

Some advocates value the stories of patients and practitioners because they bring us in from the cold, reminding us of the human side of an increasingly technology-driven field. Others argue for narrative as a crucial source of knowledge about disease processes and best practices, yet another form of evidence in the constant quest to improve outcomes. Others focus on the therapeutic aspect of such writing, our deep need to make sense of encounters shaped by loss, pain, and suffering, whether witnessed or experienced.

The Reflections column has been appearing monthly, with rare gaps, since 1983, when AJN debuted this and other new columns (as well as its editorial board). […]

Share this:
Facebook
Bluesky
X
LinkedIn

Jacob Molyneux, senior editor/blog editor2016-11-21T13:05:51-05:00December 13th, 2013|nursing perspective, patient engagement, Patients|0 Comments

Whose Child Is This?

And I would do it again, but set down
This set down
This: were we led all that way for
Birth or Death? There was a Birth, certainly,
We had evidence and no doubt. I had seen birth and death . . .

—Excerpt from “The Journey of the Magi,” by T. S. Eliot

Painting: Untitled. Oil on Linen, 10″ x 8″ by Julianna Paradisi 2012-2013

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology. The illustration of this post is by the author.

There is a nurse who loves running for exercise through a downtown park. And lo, it came to pass, one very cold day last year in December, that she came upon a host of people gathered around an unconscious man as he lay in the cold, wet grass.

Among them, three Wise Men were on their cell phones, calling 911.

These are my criteria for lending nursing skills to strangers:

▪ I witness the accident

▪ I’m the first one on the scene of an accident

▪ Others are first on the scene of the accident, but they don’t know what to do or are doing it wrong

This unfortunate man’s situation clearly fell into […]

Julianna Paradisi, RN, OCN2016-11-21T13:05:52-05:00December 11th, 2013|career, nursing perspective|7 Comments

Worsening Global Health Workforce Shortage: What’s Being Done?

Frances Day-Stirk, president, International Confederation of Midwives, and David Benton, CEO of International Council of Nurses. Photo courtesy of Marilyn DeLuca.

By Shawn Kennedy, MA, RN, AJN editor-in-chief

While it might seem—based on what we see in our own country—that there is no shortage of health care workers, there is indeed a global shortage and it’s only going to get worse. We reported on the global health workforce last year; new reports are revealing just how much worse things may get. According to the World Health Organization (WHO), by 2035 there will be a shortage of 12.9 million health care workers; currently, there is a shortage of 7.2 million.*

The shortage is being exacerbated by a confluence of occurrences:

the aging population is living longer and with more illness
noncommunicable […]
Share this:

Jacob Molyneux, senior editor/blog editor2016-11-21T13:05:53-05:00December 9th, 2013|nursing perspective|13 Comments

When There’s a Disconnect Between Good Nursing Practice and Reality

Recently I spoke with other nurses about our personal experiences with hospitalization and those of family members, and the conversation turned to disappointment with nursing practice and nursing care. In fact, whenever I’ve asked, every colleague has disclosed a similar experience. Some say that they’d never leave a family member alone in a hospital.

We need to acknowledge that there is a disconnect between what we know to be good practice and what is often the reality—even in facilities with Magnet accreditation. There are far too many instances in which nursing practice is substandard.

This is a heads-up about Shawn Kennedy’s editorial in this month’s issue of AJN, excerpted above. You should read it. The article, “Straight Talk About Nursing,” is free. There are no easy answers to the issues it raises. That’s all the more reason to discuss them openly.

In AJN, we often focus on examples of best practices and insightful, compassionate, engaged care. And we get that there are many institutional obstacles that undermine nurses in their attempts to provide quality care to patients. But even so, we’d be remiss to pretend we don’t hear about, and sometimes personally experience, care that simply falls short. This is scary, at least to me. Patients depend on nurses in so many ways. So have a look at the article and let us know your thoughts, as a nurse or as a patient.—Jacob Molyneux, senior editor

Jacob Molyneux, senior editor/blog editor2016-11-21T13:05:54-05:00December 6th, 2013|career, nursing perspective, patient engagement|15 Comments

Family Pet Visitation: A Nurse-Led Project at One Illinois Hospital

We hear a lot about therapy dogs that are specially trained to visit patients in the hospital. But I for one would want to see not just any dog but my own dog, if I were gravely ill and in the hospital. I know I’m not alone, and some nurses set out to determine the pros and cons of making pet visits happen for some patients in their hospital. What safety concerns might there be? According to the current available research, what benefits might patients experience? What protocols would be necessary if it were to happen?

Nurses from Memorial Hospital in Belleville, Illinois, set out to answer these questions and bring such a program to life. They give the details in “Family Pet Visitation,” a feature article in the December issue of AJN (free for a month), along with some moving photos of patients and their pets. Here’s a quote from the start:

[…]

Jacob Molyneux, senior editor/blog editor2016-11-21T13:05:55-05:00December 4th, 2013|nursing perspective, nursing research, patient engagement|1 Comment