‘Seeing things through.’
In the popular movie named after the attribute, a young girl searches for a man with “true grit”—someone with courage, fortitude, and determination to see things through. She needed someone to find her father’s murderer and believed only someone with true grit would be able to persevere against the odds.
The concept of grit is a good one to describe attributes that a good nurse should possess. How often do we get through challenging days—with short staff and patient crises, for example—just by sheer grit, by having the willpower to soldier on and do what needs to be done?
Helping nursing students develop grit.
In this month’s issue of AJN, Linda Koharchik reflects on the need for grit in nursing and believes nursing faculty can help students develop it. In her article “Helping Students to be Gritty,” she cites several sources that describe ways for clinical instructors to help students. One way is to assign challenging patients or situations, so students can benefit from the instructor’s guidance in handling particularly difficult circumstances.
I agree. As a nursing student, I gained most of my clinical experience in a large municipal hospital that was often underequipped, with basic supplies sometimes hard to come by. We learned to problem-solve and improvise and make do—and usually we got the job done.
Challenged, but supported.
I think such an environment—challenging but with supports from instructors, nursing staff, and peers—allowed us to develop confidence and independence and helped us to pursue goals in the face of obstacles. We believed we could, as one instructor would say, “figure it out.”
The article will be free until February 1; you can also listen to a podcast interview with author Linda Koharchik, who relates her own experience in developing grit.
Thank you for this wonderful post! A great attribute that is all too often taken for granted, and sometimes exploited, but it is grounded in our deepest values and moral commitment to care. Peggy
Let us also instill the need for these nurses to advocate for safe working environments as well. Bedside nursing has changed. Patients’ acuity levels are higher, the demand to “serve the customer” has become a higher priority as a result of patient satisfaction surveys, and the charting processes have become more complex and less forgiving. Add in the decrease in support staff across hospital organizations nationwide and you find nurses manning the desk,the bedside, and the multidisciplinary team. If a bedside nurse has 6 patients, that gives 10 minutes per hour per patient. Factor in charting, med passes, wound care, chart reviews, toileting, adls, and the countless other tasks and what you have isn’t a recipe for developing grit, but a recipe for a poor patient outcome.