Powerful Profession


Did you see the NYT opinions article, The Power of Nursing?

It’s a busy time (for all nurses, I’m sure), and I didn’t really know how to relate this to some brilliant idea, but thought it was important to share anyway. Makes me proud of the work nurses do. Reminds me of the variety in our work.

I’m a diabetes educator, so I always think about how things can be applied to people with diabetes. I am planning to share this article with my students in the Master of Science in Diabetes Education and Management program at Teachers College Columbia University. I look forward to exchanging ideas about how we could develop similar programs that help people with diabetes.

What else could nurses do along these lines? What other populations could we help?

Some history on the origin of the word “nurse”


Thomas Lawrence Long, from the University of Connecticut, has graciously provided a guest blog post on the etymology of “nurse.” I happened to see something Tom posted about Shakespeare and “nurse” and thought this would be an interesting topic to discuss here.

Because historians of health and health care are sometimes preoccupied with the slipperiness of the signifier nurse (see Monica Green’s (2000) caution concerning the term in reference to medieval and early-modern studies), a brief historical lexicography might illuminate the meanings that the word has accrued, absorbed, and may, to some extent, still carry. Here is examined the historical traces of a noun-substantive, from wet-nurse, to caretaker of children, caretaker of the sick, asexual hive bee, and health professional, in which the traces of ideologies of gender identity and gendered work appear to be retained.

The first instance in English of nurse occurred in the early thirteenth century as the Anglo-Norman nurice, derived from the fifth-century post-Classical Latin nutrice, a wet-nurse (hired to provide an infant with breast milk when the infant’s mother would not or could not do so), although by the time it entered the Middle English lexicon, it had already absorbed the figurative sense of any female caretaker of children (Oxford English Dictionary 2010). Etymologically it is related to our modern word nourish, to feed.

Already by the late fourteenth century nurse had also taken on the figurative sense of any thing or any place that nurtures or fosters a quality or condition, and by the early fifteenth century, any person who takes care of, looks after, educates or advises someone.

The earliest attested use of nurse in a strictly medical sense appears in Shakespeare’s Comedy of Errors (ca 1616): “I will attend my husband, be his nurse, Diet his sicknesse, for it is my Office” (V.i.99). The wife as nurse (and the advantage of marriage as engaging a live-in nurse) is also apparent in the Duchess of Newcastle’s Matrimonial Trouble (1662), which contends, “That he might do [sc. marry], if it were for no other reason, but for a Nurse to tend him, if he should chance to be sick.”

Another curious figurative usage is attested to in the early nineteenth century: nurse as an entomological term, explained by the OED as “A sexually imperfect member of a community of bees, ants, etc., which cares for the larvae; a worker,” citing Kirby and Spence’s Introduction to Entomology (2nd edition): “The workers, termed by Huber nourrices, or petites abeilles (nurses), upon whom the principal labours of the hive devolve.” The Huber in question was the Swiss naturalist François Huber (1750-1831) whose Nouvelles Observations sur les Abeilles was published at Geneva in 1792 and translated into English in 1806. Perhaps by association the later zoological term nurse shortly came to characterize any asexual invertebrate, a spineless sexless creature.

The semantic process whereby the word nurse begins by denoting a woman hired to provide surrogate breast milk and comes to denote a sexless worker insect may be related to the religious associations of woman as healer and caretaker of the sick, particularly the ubiquitous presence of European women’s religious orders comprised of celibates (and thus, in the medieval view, sexless) devoted to the wellbeing of others.

Reference

Green, Monica H. (2000). Documenting medieval women’s medical practice. Women’s healthcare in the medieval West. Aldershot, UK: Ashgate Variorum, pp. II, 322-352.

When you think of the word “nurse,” what comes to mind for you?

The Future of Nursing revisited


The editorial printed in this quarter’s Journal of Nursing Scholarship takes a look at where we are with nursing one year (and change) after the Institute of Medicine’s Future of Nursing report. Susan Gennaro discusses changes that are being made toward the four keyNurse Symbol areas called for in the “landmark report”:

  • ensuring that nurses are able to practice to the full extent of their education and experience
  • removing educational barriers
  • ensuring that nurses practice collaboratively as full partners in the healthcare system
  • establishing infrastructure to ensure that data about the workforce is available to make decisions upon

Are these changes happening where you are? What are your observations, activities, thoughts on these changes and any progress or lack of progress you’ve experienced? What about the NurseManifest project – how does it fit with these proposed changes?

Genarro, S. (2012). The future of nursing: Accomplishments a year after the landmark report. Journal of Nursing Scholarship, 44(1), 1.

Redefining the meta-language of nursing science


Due to technical difficulties with my webinar last week I decided to make a recording of my presentation that is now available as a YouTube video. The length is just under 30 minutes. I hope you will join me for “lunch” or “tea” to experience the video, and share your thoughts and critique here or on the Advances in Nursing Science Journal blog.

This presentation covers some of the ideas from my recent paper “The Integrality of Situated Caring in Nursing and the Environment” published in the current issue of Advances in Nursing Science. I sincerely look forward to the dialogue that I hope this presentation and paper will provoke. Don’t be shy, please share your thoughts.

Dream of a Healing House & Feminist thought in nursing


Toady I posted on my own blog a “reprint” of the “Dream of a Healing House” that appeared in 1989 in the now-defunct journal Nursing and Health Care.  For those who have become familiar with the NurseManifest project, you will immediately recognize that the dream, and the feminist ideas that I wrote about then are also part of the foundation of the NurseManifest project.  It seems like a discouragingly long time since I first wrote this article, and of course it is even much longer since others have conceived of similar ideas.  But, those of us who have been and are inspired by the ideals embedded in NurseManifest possibilities thankfully never give up the dream!

What prompted me to get permission to “reprint” the dream was a request, by email, from a school in Australia that was facing a routine accreditation review of their curriculum, and in the documents that they had on record describing the curriculum there was a reference to a “dream of a healing house” that was not cited, but that folks involved with the program believed to have been published by me at some point along the way!  They were contacting me to see if this was the case, and if so, where was it published.  I still do not know what their curriculum materials contain, but of course I provided the information they needed and urged them to keep working to make this a reality!

This kind of connection continues to pop up regularly with the NurseManifest project – someone somehow hears about or sees the web site, and either emails or comments when we meet about how much the web site means to them.  So far we have done no promotion, and I wonder what might happen if we were to find more ways to let folks know we exist?  But regardless, I am so very glad that the ideas are “out there” as part of a much wider and deeper trust that we can make a difference!

If you have had experiences that affirm the possibility that our ideals can, or actually are coming into action, please share here!  Just share a comment about what you have experienced, and let’s build a “log” of things that affirm our conviction that the ideals can be real!