Inspiration in Unlikely Places


IMG_1565Hiking uphill along a strenuous stretch of mountain trail in Vermont, I happened along an older woman hiking downhill. I estimated her to be in her early 80s. My first thought was, “Oh my goodness. I need to help this woman. This is far too strenuous for her. She might fall, get lost or dehydrated.” But I quickly realized she was moving perfectly fine, steady and balanced with 2 hiking sticks, sturdy shoes, a backpack (perhaps with water, a snack, and a phone), a hat, and sunscreen visible on her nose. I didn’t have hiking sticks, a snack or a hat. She had a smile on her face. She greeted me with cheer and moved along with the gait of a nimble mountain goat. And that’s when it hit me.

Why did I assume she needed my help? Why did I assume she lacked the ability and fortitude for the hike? Why did I immediately see myself as her protector? In fact, I am always inspired by older people who are active, agile, and adventurous. I want to be that person in my later years. And yet, I imagined her as feeble, incapable, in need of my help and protection. I based my assessment on the assumption that she was weak. And in that assumption, I never considered her strengths.

As nurses, are we programmed to see problems or opportunities? Do we assume weakness in  our patients, our colleagues, our students? Does caring mean we place ourselves in a privileged position over others? If so, what is lost by this weakness-based approach? Better put, what could be gained by a strengths-based approach?  Consider approaching patients, colleagues, students with the assumption that they bring strengths to every situation. Instead of uncovering problems to solve, we can assess circumstances, identify strengths, and collaboratively define opportunities to optimize those strengths rather than focus on weaknesses. Rather than feeling disabled, dis-empowered or disrespected, our patients, our colleagues, our students, even we, feel strengthened, empowered, energized, and respected. This is not a call to ignore problems and certainly not a call to ignore emergency situations that need immediate intervention. It is a difference in approach between “What is the problem and how can we fix it?” to “What is this circumstance, what is going well, and how can we do more of it to restore balance?”

Perhaps this is a trivial nuance in thinking but plenty of positive psychology and brain science literature point to the power of positivity and strengths-based approaches to situations. It so occurred that I began drafting this blog post just as Adeline Falk-Rafael’s post, Peace as a Prerequisite for Health, appeared on the NurseManifest blog site. I cannot help but draw connections to the deep reflections in her bittersweet post. While reflecting on recent outbreaks of violence and civil unrest, she calls attention to courage and peace, social justice and equity as positive antidotes to violence and antecedents for health. Her photo choice: Lesha Evans, a Black female nurse confronting law enforcement in poised courage beautifully illustrates the power of positivity in creating peace and health. She chose to emphasize a strengths-based approach.

I am inspired by Lesha Evans. I am inspired by the vitality of the woman I passed along the trail. I admire their strength, their passion, and their commitment to living fully in peace and positive strength. I have to admit, even as I recognized the strength of the woman on the trail, I made a mental note to keep an eye out for her on my way back down…just in case… Once again, she showed me that strength and courage win. I never saw her again…she was well along her way to greener pastures by the time I completed my descent. I owe a debt of gratitude to this woman on the trail for giving me the opportunity to engage in critical reflection and to find professional inspiration in an unlikely place. I really do want to be that woman hiking the trail like a nimble mountain goat when I am in my 80s and I hope the younger whippersnapper who passes me thinks, “Wow! I want to be like her one day!”

 

A special note of gratitude goes to Peggy Chinn for her words of wisdom and encouragement in the development of this post.

 

 

 

Sociopolitical Knowing: Connecting with hearts, minds, guts, and groins


[Edited 8/6/16] At a time when many are celebrating the official nomination of Hillary Rodham Clinton I am also acutely aware that many are not. While there are many valid concerns that have been raised, what troubles me most is to hear the contempt and disbelief that anyone could support Trump. It concerns me because it reflects a de-humanizing and de-valuing of many in the white working class.

We expect that our students and coworkers will be sensitive to the values and personal goals our patients and their families. We expect nurses to be non-judgemental towards patients who are living in poverty, suffering from addictions, or making decisions that do not seem based in upper-middle class norms and values. Can we also expect nurses to develop an understanding of how to be respectful and understand what is important to people with different political views. 

Sociopolitical Knowing is a core strength of professional nursing. Conceptualized by Jill White in 1995, sociopolitical knowing occurs on two levels:

1) the sociopolitical context of the persons (nurse and patient), and 2) the sociopolitical context of nursing as a practice profession, including both society’s understanding of nursing and nursing’s understanding of society and its politics. [emphasis added]

To start the dialogue, I am circling back to the Spiral Dynamics model that was used to organize the sociopolitical context of nursing in the published Results from the Nurse Manifest 2003 Study: Nurses’ Perspectives on Nursing.

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Basics principles of leadership and motivation according to Spiral Dynamics:

  1. identify the specific needs and capacities of individuals and groups, and
  2. calibrate the precise developmental messages that fit each unique situation.

Sociopolitical knowing requires an understanding of how to connect with and motivate people where they are. It means developing an understanding of what messages will be most effective in “pushing someone’s buttons” or eliciting a strong emotional response. The table below highlights the most prevalent value memes in modern society – defined through worldview, core values, and value-based reasons for violence and war. 

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How Trump connects: From sexual innuendos and vulgar speech to stoking conspiracy theories and racist viewpoints, Trump often makes his connection with people’s minds, guts, and testicles. He has effectively tapped into pent-up frustrations and fears, justifying aggression and intolerance to make America “great again” (red and orange) and “safe again” (blue and green). 

How Clinton connects: From It Takes a Village to Hard Choices, Clinton has a long history of speaking to people’s hearts, minds, and ovaries. She has effectively tapped into national pride and hope, focusing on accomplishments that make America “great right now” (red and orange) and safer through unity and tolerance (blue and green). 

Both campaigns employ messaging that is strategically targeted at different audiences. The point of this blog entry was not to start a political debate — this is not the place for that. Rather, I am hoping to start a conversation about understanding how we might apply sociopolitical knowing to strengthen our ability to communicate with others. I hope that through application of sociopolitical knowing we can better connect with different communities about the work of nursing, and issues that impact the patient populations and communities we serve.

Please help build the dialogue around sociopolitical knowing, through comments here, and conversations with your coworkers, family, and friends. 

References for further reading:

Beck, D. E. Human Capacities in the Integral Age: How Value Systems Shape Organizational Productivity, National Prosperity and Global Transformation

Charen, M. What Hillbilly Elegy Reveals About Trump and America: A harrowing portrait of the plight of the white working class. National Review, July 28, 2016.

Harryman, W. Is Hillary Clinton the First Integral Politician? Integral Options Cafe, November 6, 2005.

Jarrín, O. F. Results from the Nurse Manifest 2003 Study: Nurses’ Perspectives on Nursing. Advances in Nursing Science, 29(2), E74-E85.

Pew Research Center. Few Clinton, Trump Supporters Have Close Friends on the Other Side. August 3, 2016.

Schwartzbach, S. M. Drowned: Nurses Under Water. The Nurse Sonja. July 27, 2016.

Vance, J. D. Hillbilly Elegy: A Memoir of a Family and Culture in Crisis. 2016; HarperCollins: New York, NY. 

White, J. Patterns of knowing: review, critique, and update. ANS Adv Nurs Sci. 1995 Jun;17(4):73-86.