The (nursing) revolution will not be televised: Part II


“If we do not change direction, we are likely to end up exactly where we are headed”- Chinese Proverb.

In one of my previous postings, I mentioned that the nursing revolution would not be televised; in other words, our own revolution begins with an evolution of consciousness about nursing and our practices. I do believe, just as our esteemed nursing theorists Jean Watson has stated time and again, that caring is the essence of nursing practice, and yet we have continued as nurses to generally practice in institutions and organizations that do not know how to value and support the caring- healing capacities of nurses, despite the fact that our patients make clear time and again are of the utmost importance along their healing journey.

We are each, as individuals and nurses, in need of awakening to our own personal path of caring and healing. If we are to be able to share caring and healing with others on a meaningful basis, we have to be on a caring-healing journey for ourselves individually and collectively.

In order to create change in our profession and move toward greater acceptance of caring-healing nursing practices, the change needs to come from within each of us. I have some students who state things along the lines of, “What is the use? I can change myself and yet this will not effect the institution where I work”. And this is where they are wrong. I have seen time and again nurses who move toward changing their consciousness and engaging in their own self-care and healing endeavors, and they then go on to create meaningful changes in their lives and their practices. Others find the courage and strength through self-reflective practices  and increasing stress resilience to realize that they are serving a dysfunctional system and they opt to leave their place of employment. By increasing our personal stress resilience and creating new brain pathways, we can open up to creative solutions to workplace problems and we can walk into our own issues instead of running from them or remaining stagnant.

Stress resilience helps us to create a personal revolution toward peace, ease, and well being. The following is a video by Joan Boryenseko on transformational experiences of healing, awakening, and consciousness evolution. Here she walks into the process of witnessing our emotions and the process of witnessing, forgiveness, and grief.

As we undertake the revolutionary steps of transformation to change our personal and nursing consciousness toward peace, we will notice a reduction in aggression and an increase in compassion, caring, love, and tolerance- the qualities needed to support the creation of healing environments in our healthcare systems and facilities. As our personal and professional consciousness evolves and shifts, we begin to move toward a better understanding of the unity of all human beings and species and even to the larger cosmos.

So what prevents us from taking the steps toward personal and professional revolution through consciousness transformation? Below is a video by Eckhart Tolle that briefly described the movement toward consciousness transformation and moving beyond fear.

I am open to hearing your thoughts here and in the next installation, I will present ideas on the steps toward walking into peaceful revolution and transformation in part III.

The (nursing) revolution will not be televised: Part I


Nursing is in need of a revolution. A revolution of thought and a revolution of how nursing is learned and practiced. Now seems to be a “good” chaotic moment in time and history for the revolution to begin and perhaps to expand: as our healthcare systems become less well funded, less well-staffed, and as more and more of the population (in theory) begins to seek healthcare due to “Affordable Care Act”, the stage for change and growth have been set. I do predict that some major changes are ahead for nurses and our roles in healthcare, and if we as a profession and as individuals do not create our own revolution in nursing, the revolution will be dictated to us by others.

Dovetailing on my last post about nursing and the media, I feel confident in stating that the nursing revolution will not be televised. The following is video-recording of Gil Scott Heron’s work on the revolution not being televised:

What Gil Scott Heron really meant he explains here:

We as nurses can learn a great deal from this song and the revolution of the civil rights movement to begin to plan how we each can and must forge a plan to change our minds, our consciousness, to move toward the right page, and find the right note as Mr. Heron encourages us to do. Each of us has within us the power to create the environment and practices of nursing that best serve our patients, our colleagues, and ourselves on this human journey of life, healing, and love.

And it begins within; we cannot televise the changes in our consciousness that we create, but we can begin our own efforts focused on healing and creating stress resilience practices that support us in moving toward others, instead of remaining in fight-or- flight mode and running from ourselves and others. We can each create a personal brain bio-psycho-neuro-immunological (mind-body-spirit) revolution movement that can change the face of healthcare as we empower ourselves and others toward healing and supporting our evolution of consciousness personally and professionally.

In future postings, I will discuss a bit more about how this is possible and the amazing tools that we have at our disposal to make this revolution a reality.

Nursing in the media: A story


Unfortunately, nursing seems to lack a strong presence in the media world, including radio broadcasts. I was thrilled then to discover today on my i-pod and podcast supported walk through the woods the presence of a voice of nursing on an NPR show called Snap Judgement. On this particular show, entitled G.I., show # 216, which aired on May 24, 2012, the vignette entitled “Frances Liberty” includes the account of a world war II nurse and how she cared for the injured and dying as a WAC nurse. Though “Lib” died in 2004, her voice lives on in this story of what I would call nurse heroism through creating caring-healing- spiritual environments.

You can listen to the whole show, which is somewhat heart-breaking in its accounts of veteran PTSD issues, or simply entertain Lib’s story by visiting this link:

http://snapjudgment.org/radio-show?page=1

What this nurse remembers the most in her accounting of being a WWII/ WAC nurse are the caring- healing moments she created for the soldiers. She tells of how she had the pretty nurses with their pleasing appearance doll themselves and use perfume, so as to sit with the most seriously injured and dying. Normally I would be perhaps not really thrilled with this portrayal of a nurse as an object of beauty, but I found myself agreeing that the nurses’ pleasing appearance perhaps create an environment of healing for a young man who is facing his mortality far too soon. Theorists such as Jean Watson and Barbie Dossey have agreed that the environment supports the healing process and this is an example of setting an intention for creating a calming, healing, and perhaps even pleasant presence.

Interestingly, the nurse detailed a story of sharing prayers and a rosary with a young Jewish man who was in need of surgery and facing his mortality. Not to give away the story, but her presence and spiritual support were what made all of the difference for this man; a moment of connection lasted this man’s entire life. And, as we often find in nursing, both for ourselves and our patients, it is those caring moments that our patients whom we serve remember, and it is those moments that most impact us as nurses and spiritual beings on our own healing journey.

I would love to read and hear more of our meaningful stories on the nurse manifest blog and in the media; this sort of story can help us to express to the public that we are there for them both as the providers of technically competent, life-saving care, but also as the guardians and supporters of the spiritual- healing needs.

International Association for Human Caring Conference 2012: Part II


On the second day of the conference, the key note speaker was Dr. Sigridur Halldorsdottir. My knowledge of Dr. Halldorsdottir’s work was that it is based in caring, but I found myself truly appreciative of the amazing work she has done to define what caring is. Her Speech was entitled,  Caring or Uncaring: What nursing is and what it is not- Revisited. Those of you familiar with Florence Nightingale’s work will recognize the idea of “what nursing is and is not”.

Sigridur provided us with a model that stated that love is the essence of caring. Caring is supported by the nurse’s courage, wisdom, authenticity, generosity of heart, and self knowledge. Patients can sense when caring is genuine and hospitals need to value caring to support nurses in their work.

Dr. Halldorsdottir also listed 9 competencies for caring. The competencies include caring in the sense of the existential, real caring, the ability to educate, ethical approaches, cultural competence, interpersonal communication, education, empowerment, and self development.The idea of being able to align caring with specific competencies demonstrates the advances we are making in developing a caring science of nursing. The downside which cannot be ignored is that if a caring nurse is placed in an uncaring environment, she will most likely leave that environment. This could be part of the body of evidence as to why so many nurses leave the profession.

It is difficult to capture here the essence of Dr. Halldorsdottir’s caring presence as she presented these ideas; she threaded some healing pictures from her homeland of Iceland throughout the presentation, but I was honored to be able to experience her heartfelt wisdom.

International Human Caring Conference: Part I


I think that those of us interested in creating change need to find ways to gather, to heal ourselves, and to support one another in and through the change process. It is a blessing when we as professional nurses can be with other professionals of like mind and like goals.  I was privileged to attend the International Human Caring Conference in Philadelphia, PA this week. There were dozens of trade show displays and booths, of variou new and old non-profits aiming to better the world. As always, the key note speakers were amazing and inspiring: Dr. Jean Watson and Sigridur Halldorsdottir.

Dr. Watson focused on the heart space and unitary patterns, how we are all interconnected and how our own thoughts, intentions, and heart spaces can impact the greater field. Though these are not new concepts for Dr. Watson to express (many of them are mentioned in her 1999 publication Post Modern Nursing and Beyond), there seems to be a growing body of evidence to confirm that the transpersonal human caring states and states of personal peace that come from a heart centered space are able to create a greater unitary space and pattern of healing. Human caring therefore becomes about a unitary place of peaceful connectedness. This concept is confirmed by the fields of quantum theory, the unitary world view, caring science, and the ethics of belonging. Our true power as nurses and healers comes from taking action from a place of an evolving higher vibration consciousness and human caring – peace intentionality. Watson emphasized in her presentation the idea that love and peace are the highest level of unitary consciousness, and it is by dropping into heart space, and enacting our heart ways of being, that we can manifest peace and healing in meaningful ways.

Universal, Unitary Heart

Many people may read this and wonder just how to interact within the heart space; they may assume that it takes great practice and effort to relate to others from a heart space. Watson (1999) did however remind us that we have this power within us already; it is not so much about learning or adding in something, it’s about getting in touch with and remembering who we are- spiritual beings, interconnected from our roots. I like to remember that we all came from our star dust origins.

Some simple techniques to enter into the heart space may include closing your eyes, setting an intentionality for caring, communicating, and healing from the heart. Next, one may start from closing the eyes, focusing on the breath moving in and out of the nostrils. Next take the minds’ intention, by focusing on the “third eye” space or the space between the brows, and from there internally-visually dropping one’s attention into the heart space. Notice how it feels to dwell from this space and intend to be in this space throughout the day. Send the love you feel for and from yourself out to your loved ones, family, friends, pets, colleagues, administrators, your challengers, and the world. This can be done in 1-2 minutes, and one can remember/ return to this practice throughout the day; always returning to the heart space which is the core of our being.

For nurses this should be good news. In a just a few steps, you can begin to create the sort of caring-healing practices that make our work worthwhile and meaningful. Additionally, consider that the more one practices self-care and healing techniques, the easier and more natural it becomes to enter into the heart space. Practices such as yoga, Reiki, meditation, contemplative prayer, and tai chi can help one become familiar with the heart space, and prepared to enter it more easily. Taking good care of one’s being through diet, exercise, and sleep are basic health factors that also enable us to better relate to others from the heart. Within the heart space, nurses can generate peace and wellness for self, others, and all beings of the world. From this place of peace, we can create change within our profession, as we strive to support nursing in our emancipatory process.