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Vessels of the Heart
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Nurses in a nutshell
Numerous external factors contribute to nursing burnout. Pediatric intensive care nurse, Alina Sato, discusses her personal struggle with burnout and how an ...
Becoming Nursey: an abridged reflection on my undergraduate education
Nursing school, while feeling like a huge feat to tackle, has not been the only thing that’s brought me here--in a position ready to enter the world as a nurse and as a confident woman. Various aspects of my education have played a vital role in fostering my genuine feeling of readiness to enter the profession of nursing. My experiences in university have been unexpected and, at times, trying to my sense of self and my relationships. Being a spiritual ministry coordinator, working in a homeless shelter, traveling abroad, engaging in theology courses, participating in the honors program, working random jobs here and there, and finally experiencing the rigor of nursing school have all contributed to my becoming a new nurse. My faith has been stretched as I wondered about the restlessness of my soul in this seemingly chaotic world. It is this final thought which inspires me to say that I do not attribute my readiness and success to myself, but to God’s guidance and the immeasurable blessings which I have received to get here. For I have noticed that God resides in the disorder which can be found in the world and in nursing, so I am willing to stay, despite the discomfort of doing so.
General Education
In my first quarter of university, I took a “Literature and Faith” course wherein we read novels written by great stewards of the gospel message through literature. Our professor was a vivacious Catholic woman with a British accent and wonderfully crude word choice who brought the novel’s embedded messages of grace and love to life. While learning about the themes of grace in literature, the professor did not ask us questions in soft tones and wait for our responses. Rather, she yelled about the “fucking” grace of God while stomping around in black Doc Martens boots and preaching at us to see the world through the lens of the wildly honest Flannery O’Connor, or the guilt-ridden Whiskey Priest in Graham Greene’s The Power and the Glory. This professor helped us to see the meeting of the profane and the sacred—or showed us that they might even be one in the same. I’ve found this same truth in nursing.
Later, I took a theatre course on Christianity and Comedy with little prior knowledge about the concept of humor as a way of communicating the grace of God. I learned that theatric comedy and humor demonstrate the power of the gospel in that humor requires the trajectory of grace—redemption occurs in the act of laughter which is a display of humility when one chooses not to take oneself too seriously. Being an honors student, I was required to study Greek and Latin classics, read philosophers of Modernity, learn about the globalization of the world, among other topics. Each of my courses entranced me, made me wonder if I was choosing the right path by pursuing a major in nursing. Continuing to do so became especially difficult when a professor for one of my Honors’ courses graded me the highest in the class on a paper analyzing Kantian philosophy—I mean I know you’re doing this nursing thing, Claire, but you seriously have a knack for this.
Yet while engaging in all this course content, I was motivated not just by the academics, nor the romantic notion of studying literature and writing about the world abstractly. I equally wanted to engage with the challenges I faced internally, on my campus, in the city, and even in the world. I loved learning through reading and writing but, admittedly, it felt disconnected, abstract, even airy with privilege and comfort. Attempting to learn about the state of our current world and the ideas which brought us to this point in history prompted me to approach nursing with the truth in mind that the world is a place riddled with nuances, perplexities and contradictions. Thus, these courses helped me meet The Baccalaureate Essential IX (2008) stating that graduates should “demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice” (p. 32). The learning which I did in the first two years at University taught me about the unpredictability of the world with regard to evolving ideas, the pain of history, and my privileged position in this world. These courses compelled me to think deeply about the human condition and my place in engaging with it. I loved the liberal arts portion of my education, but it was just the transition I needed into nursing school—to embrace the reality of human suffering and the role of science in caring, to manifest the reality of the human condition which was taught to me through lectures and books.
Vocational Development
I became a nurse because I needed a vocation which combined art and science. Nursing has always been considered “an art and a science” and both of these terms hold special significance in nursing practice (Peplau, 1987). As mentioned above, my decision to pursue nursing did not come without turning down other interests and passions in the realm of humanities, which I’d consider an art. Still, I have also always had a love of science, especially in asking questions about the world and learning the way things work. I appreciate the opportunities in nursing to engage art as well as the scientific process. From longing to understand humanity and care for people, I began to consider nursing as a creative act of being in which the nurse chooses to engage with another with heartfelt curiosity and compassion. The nurse must notice, appreciate, and stay curious with her patients. To care, especially for those in vulnerable places of illness, requires a willingness to stay present in the fatigue, even while there exists a threat of recoiling from suffering or even just becoming indifferent. I wanted to enter this profession that had a striking impact on people. Hildegard Peplau (1987) aptly describes this impact on people in that “they are touched (literally and figuratively) and sometimes changed at a very personal level by the art nurses practice” (p. 9). I feel that it is an honor to begin practicing this art.
I’ve realized during my short journey that the utter curiosity which I have about the world—and which compelled me to ask questions, be an Honors student, and enthusiastically jump into new experiences—aided me in discovering a vocation of nursing. My inherent curiosity makes me eager to engage in the scientific aspect of the discipline, while my compassion aids in the art. Despite the challenge of learning a large sum in nursing school, I have always appreciated adding new things to my knowledge base. When studying courses like medical/surgical nursing became especially difficult, the prospect of using this information to care for people was quite motivating. My fellow nursing students around me also helped in this journey, which contributed to my developing understanding of the importance of community in learning, creating new ideas, and becoming competent in nursing as a science.
Character Development
My journey of faith has been riddled with nuances, doubt, misunderstandings, and minuscule revelations. Paralleling this journey was my developing sense of self, forever vacillating between assuredness and utter uncertainty. My experience in university has revealed to me both the steadfastness of God along with the simultaneous uncertainty of religion and spirituality. Flannery O’Connor (1979) wrote the following prayer that has always resonated with me: “Lord, I believe; help my unbelief… is the most natural and most human and most agonizing prayer in the gospels, and I think it is the foundation prayer of faith” (p. 476). As I was confronted with contradictions of Christianity in various courses and in my own experiences, I’ve prayed this prayer as if simply speaking into the void, hoping for truth and clarity. God has been with me all the while.
God has been my source of strength in moments of fear in the context of nursing. Finding meaning and purpose prove essential in this profession to maintain hope and joy. Similarly, looking to God for comfort and strength felt wildly important when I worked at a homeless shelter for young adults in Seattle. It was difficult to cling to hope when confronting such difficult and discouraging situations experienced by the guests at the shelter. The seemingly insurmountable issues in the world are immediately present in my own city. Dr. Paul Farmer, Co-founder of Partners in Health, holds the belief that to give in to despair is to give up on those who are suffering… for they have no option out (2013), and this has inspired me to strive to maintain hope and stave off despair for the sake of those who require care. I feel that my journey of learning about other religions, questioning my own faith, and still trusting God’s work in my life has also prepared me to “demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice” (Baccalaureate essential IX).
My University education has been rich with experiences, which have prepared me to begin a vocation in nursing. I’ve learned that nursing as an art and science could not have been a better fit for me as I desire to care for people and continue learning. I look forward to understanding how best to care for people, and how to do so while fulfilling my own heart, which longs to connect with people and see God’s hand at work in the world. I appreciate that this is not an easy task, but there are brilliant nurses who have come before me and others around me to build me up. Simply to look in a patient’s eyes and transmit hope and joy despite their suffering has made this journey worthwhile.
References
American Association of Colleges of Nursing (2008). The Essentials of Baccalaureate Education for Professional Nursing Practice. Retrieved from http://www.aacnnursing.org/Portals/42/Publications/BaccEssentials08.pdf
Farmer, P. (2013). Dr. Paul Farmer on hope. Retrieved from https://www.youtube.com/watch?v=PINxZQwde54
O’Connor, F. (1979). The habit of being: Letters of Flannery O’Connor. Retrieved from https://books.google.com/books?id=zU9liqlCzmsC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
Peplau, H.E. (1987). The art and science of nursing: Similarities, differences, and relations. Nursing Science Quarterly. doi: 10.1177/089431848800100105
As I think about graduating in just a little over three weeks my chest flutters with anxiety, but it’s also so so surreal.
I’ve learned so much in university. So much about myself and who I want to be in the world. I’ve met people who’ve shown me love and grace. I’ve learned how to be a good friend and family member. I’ve started to become a nurse even as I am still overwhelmed at the prospect of caring for the world.
Friends like these have carried me through this journey. So much more to write, but back to work on my Capstone paper for nursing synthesis.
For my senior practicum we all are completing a service learning project in groups. My group and I were tasked with producing a health-promotion project with a Seattle-based organization called Recovery Café. We decided to collaborate with another organization that runs a local urban farm. The research literature was pretty clear that gardening has considerable impacts on mental health & promoting community. I was so happy with how our first garden work party turned out. A group of members from the Café along with us nursing students took a short walk to this garden & spent the next couple hours weeding, planting new things, & harvesting radishes & lettuce. All this produce got to go back to the Café to feed all sorts of folks during the week. It felt so refreshing to be out in the garden & special to be doing so alongside folks who were excited & grateful for the experience.
Nurse Notes
January 27: perhaps the thing that most scares me to work with kids is not being well enough myself.
Discomfort & unease may just give way for questions.
February 8: I like seeing the changes on my patients’ faces as the shift progresses... even the more stoic ones sometimes seem to smile as the day goes on. Looking for the balance between cheerfulness & solemness in their situations. Maybe sometimes proximity & the comfort of presence, even without the perfect words can be a transmission of compassion?
March 8: Is nursing what I think is caring? Or, what is caring for the patient? Are these the same?
I am wondering what makes a “good nurse”...
April 27: Nursing is such an act of being. You really can’t just do the tasks—you have to be & stay present. You have to notice & appreciate & stay curious with patients. To care, especially for those in vulnerable positions of illness, requires willingness to stay present even in the fatigue & even with the threat of indifference.
“The Dane”: A lively Danish-style coffee shop perfect for catching up & doing some studies too! Finished finals ✔️ time to work on my honors project & rest a bit too!!
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Nursing, pre-med, med school, PA, pharm, anything like that (especially nursing)
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A brief update on life & nursing theory
It’s been ice ages since I’ve posted something on this blog and I truly have a heap of happenings to write about. I’m in the thick of gloomy winter quarter and everything is moving fast. The beginning was rougher than an unbroken agate as I figured out how to transition through a difficult season of life and somehow get back to nursing school where so much focus is required of me. I realized several weeks ago (and even now) that I simply did not have my brain all-together and organized. Anxiety filled me as I considered going into this busy quarter, working on my honors project, trying to maintain my staggering mental health and feel purposeful in my coursework. This disillusionment made it quite difficult to organize things.
So I am acutely aware that I have not been on top of everything... or almost anything for that matter. I’ve turned in assignments past due. My best friend has reminded me of something that we have due on multiple occassions. I’ve emailed professors saying “I apologize for the delay...” a couple of times. I’ve walked into clinical dead tired and wondered how I’d get through the day.
But, somehow now, after a week of scoring lower on two exams then I would have hoped, I’ve acquired an ounce of peace about my current situation. I gave up social media for Lent and have felt blessed by the lack of distraction and a subtle change in my mood... yes, I’m reluctant to admit that I feel lighter and more myself after just a few days of less scrolling Instagram and Facebook which means less subconscious comparing and judging of myself.
I’ve harnessed newfound commitment to living a life that produces less waste. My best friend, who is eons ahead of me in this department, inspires me daily to abandon social norms for the sake of sustainability. We’ve begun a separate Instagram blog to document “zero waste” projects and challenges.
I’ve simply found myself wondering many things... some of which relate to nursing.
Earlier today I got to observe in the Pediatric ICU! What an experience it was to observe the amazing work done by nurses and doctors there. Though you might expect a children’s ICU to be riddled with fear and sadness, my experience this time was lighter. I enjoyed reading books to a cute little boy on his way to getting better. Clinically, he represented a complex medical picture. But, reading books to him with excitement and talking to him in soothing tones reminded me that he was living like a kid as any other. Of course, there are profound difficulties inherent in the ICU, but I appreciated the chance to connect with a little boy in a simple way that left me less focused on his complex medical picture and more blessed by his person-hood. Perhaps the ICU represents the epitome of medical complexity in terms of diagnoses and human responses to those. Amazing machines must be learnt by nurses to treat people on the verge of death in some cases.
Earlier this week I met up with my adviser for my senior honors project. She’s such a wonderful lady who encourages me with a smile, and nods of understanding each time we meet. I asked lots of questions to help me as I move forward in an integrative literature review which I’m hoping will fuel a design for a research study (regarding impaired quality of sleep experienced by young adults experiencing homelessness). My inquiry about an appropriate nursing theoretical framework for my project left me thinking about the relevance of such theories in current nursing practice. So much of the work that I’ve done in clinical has been just that--very clinical. I wondered... are these theories still even relevant now? The historical nurses who asked questions such as “what is nursing?” weren’t in the same context of healthcare as we find ourselves now. Evidence-based practice arrives at the forefront of nursing literature and seems to fuel the legitimacy of nursing as a profession. What would those theorists say about nursing now that it lives in the midst of rapidly developing technology that often seems to usurp the meaning out of the experience of caring for human beings? In fact, I believe that the wisdom of nurse theorists may be more necessary then ever, as the profession dose exert so much focus on the role of evidence based practice. Certainly, Martha Roger’s perspective of nursing as including both the science of nursing and the art of nursing holds true.
I have not learned much about these theories or these theorists and all their wise words. But, I had a philosophy professor tell me I had a knack for analyzing difficult philosophy. Perhaps there might still be a place for analyzing the theory of nursing even in this fast-paced, highly technical world of nursing which I am just beginning to understand. I will look into this more.
Partners In Health Co-founder Dr. Paul Farmer shares his views on hope, a prominent theme in a new book co-written with Fr. Gustavo Gutiérrez. To read the fi...
To give in to despair is to give up on those who are suffering... for they have no option out.
me: say it— i need to hear those three words
library database: Full Text Online
me, shedding tears: i love you too
Thousands Of Puerto Ricans Are Still In Shelters. Now What?
For Yamyria Morales, her baby daughter and 2 year old son Jonael, home for now is a couple of cots in an elementary school gymnasium in Vega Alta, an hour west of San Juan.
“I’ve lost track of when I arrived here,” Morales says. “It’s been really hard.”
Morales, a 25-year-old single mom, came to the shelter with her kids and her father just days after Hurricane Maria destroyed her wooden home in Sabana Hoyos, about 20 miles away.
“Whatever little I had, I lost,” she says.
Now, nearly two months after Maria, Morales’s father is hospitalized with a severe fungal infection, and she and her children are among more than 2,000 people across the island still living in shelters.
As the Federal Emergency Management Agency and Puerto Rico’s government try to transition from emergency response to long-term recovery, emptying shelters like this one is a priority - especially since many of them are located in schools that need to re-open. The trouble is, the people staying in the shelters don’t have anywhere else to go.
Mike Byrne is in charge of the FEMA response in Puerto Rico. He says the agency routinely provides temporary housing in hotels after mainland disasters. But Puerto Rico poses special challenges. Many hotels are still closed. Others are filled with emergency responders and power crews working to restore the island’s badly damaged electric grid.
So, Byrne says, FEMA is considering something new: chartering planes to fly people to New York or Florida, where hotel rooms are more abundant.
“It’s better than leaving them in the condition they’re in,” Byrne says. He argues that if people are still in shelters, it’s because they don’t have another option.
“We want them to have another option,” he says.
Continue reading
A Londoner’s Story on Coming Back to Nursing
When I was in London, I met a woman at a poetry reading who happened to be a nurse. She was vibrant and spunky, dressed in some eccentric get-up that I’ve since forgotten. She wore thick rimmed black glasses with her hair messy in a lopsided pony tail fashion. In the cozy basement of a cafe, brave Londoners shared deep thoughts and musings through poetic verse and song. About half way through the night, the lady I met got up and began a narrative which catapulted me into her world, to be frank, of slight madness and struggle to maintain composure. She began: “I’m going back into nursing”. And she continued with her plight as a nurse edging on the same craziness which she encountered in her work on a psychiatric unit. Pacing the front of the white room, she pushed out the words from her mouth and, with convincingly aggressive flair, flicked the finished pages of her poetry on the floor. Her expression spoke out an experience I understood. She wrestled with the forced power differential inherent in nursing; the way that servants of compassion and care can be so complacent; the way that she felt much more similar to her patients than different.
In her world of falling apart in depressive episodes and violent moods, she felt moved to care for people. I could feel her frustration. She resided in a place of longing to deeply empathize with her patients while pressured to mask her own vulnerability to fall into the depths of mental illness. Perhaps the starchy disconnect of practitioners is required so that they do not become too much like their patients. Perhaps the disconnect is a means of staying afloat, to convince that we ourselves are doing okay.
This woman, her words were sincere. They were also radical and absurd. She was loud and boisterous. She was honest and passionate about her work because she had been there. After nearly 20 years of working in the arts, she was coming back to nursing because she felt a deep need. She felt the sting of stigma that separated patients from practitioners.
After the show, I thanked her for her honest words.
“I’ve been thinking about nursing in London, actually”
“Oh? Yes! Come on over!” she reassured me in a lovely British accent that nursing wasn’t as bad as she might have made it out to be in her poetry. I told her I understood the pressure to stay separate from patients, even as we feel an equal desire to dip into their pain.
My Dad on our walk back to the tube station: “she wasn’t actually mentally ill, though, was she?”
Our lives, our cultures, are composed of many overlapping stories. Novelist Chimamanda Adichie tells the story of how she found her authentic cultural voice -- and warns that if we hear only a single story about another person or country, we risk a critical misunderstanding.
Incredibly important. As a nurse I will be in a position to engage with people whose identities have been usurped by single stories. I hope to empower people and lift up the voices of those who have been ignored by having an open mind, devoid of assumptions.
Because my Pathophysiology professor brought this up this morning in lecture!!!