Nurses Who Soar Like Eagles


This post contributed by Adeline Falk-Rafael

For the past several years I have taught leadership to internationally educated nurses in a 4th-year BScN course. Given professional and disciplinary expectations that nurses demonstrate leadership, regardless of their practice role, the course is designed to provide related knowledge and skill development through classroom and experiential learning.

 After the initial exploration of contemporary leadership theories we begin development of some related skills, the first being communication and collaboration. At the outset of the eaglecourse, students are assigned to a group of 7 or 8 students. Each group is expected to complete a project by the end of the term, but the primary purpose of the group is to provide an opportunity for applying leadership principles and practicing related skills, such as effective communication, (for more information, see my “Peace and Power blog post

 It is the difficulties that students experience in this practice and application that provides an opportunity to reflect on why that is – on how we have been taught to how to act, communicate and be in relationship as nurses in the health care environment and women and men in our society. It is about at this time, that I show them the parable of the chicken and the eagle, which you can watch below!

The basic premise of this parable is that a young eagle has found itself in a chicken yard and learns to believe it is a chicken and thus behaves like a chicken. Although I have seen various versions of this parable, in this particular one, although an eagle tries to “mentor” the young bird into realizing its potential as an eagle, it retreats into the safety of the chicken barn to live out its life as a chicken.

My belief is that it is irresponsible to emphasize the professional imperative for leadership without examining some of the systemic barriers to enacting that leadership; what stands in the way of us fulfilling our potential as eagles, how have we been taught to think of ourselves and behave as chickens – or less than we are? It is only in recognizing the barriers that we can begin to discover ways of overcoming them. Throughout the remainder of the course, it seems that whether we are speaking of communication, collaboration, advocacy, change agency, conflict resolution, or visioning for the future, we encounter “chicken” messages or confining structures that need to be overcome before we can soar like eagles.

What keeps us from working to our full scope of practice, for example? Is it the safety /comfort/ security of working within a defined job description? To what extent have we internalized an identity of an ancillary medical worker?

What keeps nurses so often from being acknowledged as credible knowers? In 2003, I was President of the Registered Nurses Association of Ontario, during the SARS outbreak in Toronto. At one point, officials deemed the outbreak over, but nurses in one hospital began seeing patients present with the same symptoms and warned of possible new cases. They were silenced with the words, “if I need an expert, I’ll ask for one.” (For more information, see “Lessons Learned from SARS”)

Ceci,1 in a brilliant analysis of the proceedings of an inquest into the deaths of 12 children who underwent cardiac surgery at the Winnipeg Health Sciences Centre, in Manitoba, Canada, similarly described dismissals to nurses’ repeated expressed concerns with the competence of the surgeon, leading the judge presiding for the inquest to observe that the nurses eventually silenced themselves. Ceci concluded: “nurses were presumed to be, acted upon as if they were, the sorts of persons whose concerns need not be taken seriously and gender ideology was a resource that could be strategically drawn upon to make the presumption true” (p. 76).

My guess is that most nurses reading this would be able to recount similar incidents, although more than 10 years have passed since these events. It is a challenge to keep believing and acting like an eagle when you continually get messages that you are a chicken! It is all too easy to become discouraged and give up but in the words of May, “What becomes important for nurses is not that we somehow expect that we may free ourselves of the effects of gendered, gendering discourses, but that we begin to understand how these work in constituting our experiences, . . . that we begin to understand their hold on us and try to make choices about what, if anything, we want to do about this” (cited in Ceci, p.80)

1Ceci, C. (2004). Gender, power, nursing: A case analysis. Nursing Inquiry, 11(2), 72-81.

 

 

A Nursing Textbook Worthy of NurseManifest Endorsement


Several months ago I had the honor of writing the Foreword to a new nursing textbook by Gweneth Hartrick Doane and Colleen Varcoe titled “How to Nurse: Relational Inquiry with Individuals and Families in Changing Health and Health Care Context.” In their Preface, they state the goal of the text very clearly – one that reflects elegantly the ideals of the Cover How to nurseNurseManifest vision:

“Our goal is to help readers engage in a thoughtful process of inquiry to more intentionally and consciously develop their knowledge and nursing practice, develop their confidence and ability to act in alignment with their nursing values, and to navigate the complexities of contemporary health care settings as they care for patients and families.” (p. x)

There are particular features of the book that are notable from “NurseManifest” perspective.  One is that the book accomplishes something typically missing in textbooks – it fully engages the reader as a participant.  In essence, the book “models” the title — it is relational.  Throughout the book there are features that engage the reader in the content, for example encouraging the reader to “try it out” and providing guidelines for “this week in pracice.” The “Relational Inquiry Toolbox” features at the end of most of the chapters provide guidance for the reader in focusing on using the tools presented in the chapter in practice.  For example, at the end of Chapter 2 – one of the tools is to “Enlist a critical feminist filter to see how gender dynamics are intersecting with other forms of oppression and affecting health and health care.”

In short, this is a marvelous book.  Get your copy today .. even as a person who is not enrolled as a nursing student, I guarantee you will learn a lot and see vast possibilities for nursing that will amaze you!

Alchemic Reflections of Nurse Manifest Project 2014 and Beyond


This post is contributed by Dr. Wendy Marks

The Nurse Manifest project is a collective work in progress. I encourage nurses around the globe to join the cause and become social activists working towards partnership and emancipation in healthcare practice, education, research and policy.

Reflecting upon the achievements in the nursing profession for 2014, I consider the Manifesto’s Mission:

A Call to Conscience and Action

  • To raise awareness
  • To inspire action
  • To open discussion of issues that are vital to nursing and health care around the globe.

2014 was a year of nurses raising their awareness of issues vital to nursing and healthcare around the globe. From Ebola, to poverty and violence, nurses are at the frontlines addressing personal and public health concerns around the world.

2014 saw expanding roles of nurses with the abolition of practice barriers for Advanced Practice Nurses to meet growing healthcare demands in many States.

The American Nurses Association is a great place to find resources for advancing the profession http://www.nursingworld.org. One great initiative is from the Bedside to the Board Room; where staff nurses are educated to create policy change.

I encourage nurses to read, reflect upon and utilize the ideas from the articles, books and doctoral dissertations citing the project https://nursemanifest.com/resources/.

Change happens when we reflect and transform of values, beliefs and actions. As we close 2014 and open 2015, I encourage nurses around the globe to see and say what nursing is and can be. Create the world you want to live in.

As nurse manifestors we are looking for new thought, bravery, compassion, and alchemy.

The poem Not Here by Rumi illuminates our work and mission:

Not Here

There’s courage involved if you want to become truth.
There is a broken-open place in a lover.
Where are those qualities of bravery and sharp compassion in this group?
What’s the use of old and frozen thought?
I want a howling hurt.  This is not a treasury where gold is stored; this is for copper.
We alchemists look for talent that can heat up and change.  Lukewarm won’t do.
Half-hearted holding back, well-enough getting by?
Not here.

From Soul of Rumi by Coleman Barks

Go forth nurses in 2015 and bring peace, comfort, care, love and alchemy!

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