Wabi-Sabi: Nursing and the Art of Brokenness

Wabi-Sabi (Kintsugi), watercolor and acrylic on paper, 2018 by Julianna Paradisi

Nursing is the art of healing, which ironically also makes it an art of brokenness. We pack and bind wounds. We administer medications to cure disease. We offer interventions for the side effects caused by the medication administered to cure.

We work in a health care system which, despite our best intentions, is broken: not enough resources, not enough staff or providers, not enough health care to go around for everyone.

Nurses have broken areas within ourselves too, but our work environments expect us to perform as perfectly as possible, amidst the brokenness of our patients, the brokenness of health care.

Patients, physicians, other departments, and hospital administrators expect nurses will fix problems, whatever they are, despite the brokenness.

A timely example this flu season is the paradoxical message: “Don’t come to work sick,” coupled with the implication, “Your sick call leaves us understaffed.”

The answer to brokenness is wholeheartedness.

The effort to fix the brokenness or imperfection of nursing and health care may be particularly exhausting for nurses because we are directly responsible for the safety of our patients.

The words of author David Whyte as he recounts a wise friend’s advice elegantly […]

2018-02-14T10:05:33-05:00February 14th, 2018|healthcare social media, Nursing, nursing perspective|0 Comments
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Black Nurses, Then and Now

“Despite the surgeon general’s plea for more nurses to enlist, the army set a quota of 56 black nurses. However, the NACGN helped to abolish this quota, and by the end of World War II, more than 500 black nurses had served in the army and four had served in the navy.”

Nurses gathered at Camp Sherman, Chillicothe, Ohio, 1918.

The theme for this year’s Black History Month, “African Americans in Times of War,” was chosen by the Association for the Study of African American Life and History (ASALH)* to commemorate the end of World War I in 1918.

In keeping with the theme, we offer this photo, which appeared on the cover of our February 2010 issue. The cover story, by Alison Bulman, provided context:

It was 1918 and the armistice ending World War I had just been signed when black nurses gathered at Camp Sherman in Chillicothe, Ohio, to take the photo that appears on our cover. Although the Army Nurse Corps had been established some 17 years earlier, black nurses had only just been permitted to join. Despite their honorable service in the Spanish-American War in 1898 and in World War I, it wasn’t until the desperate need for nurses during the influenza pandemic of 1918 […]

2018-02-12T09:00:39-05:00February 12th, 2018|Nursing, nursing history|1 Comment
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Staying Current with Sepsis Tools, Definitions, and Practices

© Alamy Stock Photo.

Whatever happened to SIRS? Why don’t we use the term “severe sepsis” anymore? And what’s a qSOFA score?

Changing knowledge, changing practices.

Since the Society of Critical Care Medicine and the European Society of Intensive Care Medicine launched the Surviving Sepsis Campaign (SSC) in 2002, there has been an ongoing search for best practices.

Education campaigns have focused on early diagnosis and aggressive treatment. Best practices continue to evolve rapidly. As our understanding of sepsis pathophysiology has increased, definitions have changed and “sepsis bundle” interventions have been updated. […]

2018-02-09T09:57:19-05:00February 9th, 2018|guidelines, Nursing|0 Comments
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Low Physical Activity Among Chinese American Immigrants with Prediabetes and Type 2 Diabetes

“…compared with the general population, people who have or are at risk for type 2 diabetes are significantly less likely to engage in regular physical activity.”

On this month’s cover, group practices tai chi during snowfall in Shenyang, China. ©Photo Reuters/Stringer.

We all know that physical activity is important for maintaining health—for everyone. It’s especially important to prevent or manage prediabetes and type 2 diabetes.

AJN’s February research feature, “Physical Activity Among Chinese American Immigrants with Prediabetes or Type 2 Diabetes,” takes a special look at the issue among Chinese American immigrants. Diabetes is the fifth leading cause of death among Asian Americans, so researchers wanted to investigate what this population’s knowledge of and barriers to physical activity might be.

Recruiting from a community health center in New York City, researchers conducted interviews with 100 foreign-born Chinese American adults having a diagnosis of prediabetes or type 2 diabete

According to the study authors:

“Chinese American immigrants with prediabetes or type 2 diabetes tend to be sedentary and are less likely to perform moderate or vigorous physical activity than the general population . . . .The findings also highlight some of the barriers to such activity and suggest a need for greater involvement […]

2018-02-07T10:30:12-05:00February 7th, 2018|exercise, Nursing, nursing research, patient engagement, personal health practices|0 Comments
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The School Nurse

by rosmary/via Flickr

They march into my heart like little soldiers. There are lads and lassies, rich and poor, sporting bling and brawn. Sometimes they leave the bus and walk into my office as soon as they get in the front door. The litany continues daily.

“I don’t feel good.”

“My stomach hurts.”

My responses follow the pattern.

“Did you tell your parents you didn’t feel good?”

“Did you eat breakfast?”

“Were you up late last night?”

The thermometer comes out. Triage begins. Some came in under the power of suggestion.

“My mother said if I didn’t feel good to come to the nurse’s office.”

Children always think that’s a free ticket to get out of the remaining school day. The sick ones are directed to cots in the back part of the office. Some will rest awhile. Some will have crackers or granola bars to offset the empty stomach they came to school with. Charts come out. The search begins. Some phone numbers are accurate, and parents can be reached. Some, sadly, can’t be contacted. The phone messages become trite.

“The person at this number is not taking calls now.”

“This number is no longer in use.”

I have to put my Sherlock hat on. I search all sources to see if there is a parent or relative who can come and pick up their child per […]

2018-02-01T08:23:45-05:00February 1st, 2018|Nursing|5 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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