Examining the Nurse Manifesto: Identifying with the Past and Future

/ Carey S. Clark, PhD, RN, AHN-BC, RYT, FAAN / 2 Comments

Now, seeking meaningful avenues for action, we choose to identify ourselves with the heritage and future of nurses. From nursing history we have learned the fullness of our own potential as nurses, the strength of nurses, the effect of nurses in communities and to individuals. We have seen our own common self interest, and common oppression. Having found these authentic bonds as nurses, we realize we can rely on each other as we seek conscience-based action to shape a new future for nursing and for health care (Cowling, Chinn, & Hagedorn, 2000, paragraph 4).

This is another excerpt form the Nurse Manifesto, a document that calls us as nurses to create avenues of change for the future of the profession. As I reflect upon this excerpt, and our identity as a profession. Where did we come from and where are we headed? How can history inform the future of our profession, and how is it we can come together to create meaningful change?

Nurses Honor the Past By Wearing Caps For A Day

In 2002, I wrote an article about the nursing shortage and how in some respects, the profession has created our oppressive cycle by not coming together to empower ourselves and take control of future and our practices (Clark, 2002). Perhaps reflective of the greater culture, we tend to enact lateral violence, and repeat actions that keep us divided over our differences versus united in the quest to provide the greatest healing opportunities for our patients. We see that our own oppression grows, as we widen the gaps between administration/ managers and practicing nurses, and the dominance of nurse educators over students. Focusing on our differences, creating small factions, failing to care for ourselves, not committing to being lifelong learners, and spreading ourselves thin all contribute to our professional oppression and keep us from focusing on our common goals.

I believe that we can each start right where we are at. The first step is caring for yourself that you may also better for care for others, patients and colleagues alike. Creating work environments of healing and caring is a common goal we can share and explore together on the local level. We can commit to creating a consciousness for change in nursing and healthcare.

As the over-arching professional organization, it would be wonderful if the American Nurses Association could begin to bring us together on a national level. It seems the state nursing associations on many levels are more likely to create local action, but they also need assistance in gaining participation and increasing membership numbers. In my small state of Maine at our statewide meeting last year a quorum was not established as there simply were not enough members present to meet that mark.

I imagine a professional world where each donate some of our time every year toward taking action on the local-statewide level, whether that is writing a letter to congressional representatives, or serving our larger communities, or perhaps sharing our expertise about the human experience. I have served on the local school board, where I helped to foster much-needed changes in the kitchen and the nutritional program, and now I serve on the early education advisory council in my town, where I share and learn about childhood development and teaching and evaluation skills. Churches are another great place to provide healing services and demonstrate your expertise as a nurse. Serving in communities helps us to unit with the community and our patients; this unification process can also foster change as we grow our partnerships and empower communities and individuals toward creating the healthcare system of the future.

One great way to come together is to join a specialty nurses association and attend their conference. I have found great comfort, support, and enthusiasm in the American Holistic Nurses Association; it is rejuvenating to leave the conference and begin to take action based on what was learned there. I have found that the AHNA has a great commitment to changing the future of the nursing profession, and empowering nurses on a meaningful manner.

Lastly, how do we empower the future nurses to realize the potential of our profession? They must understand the path that nursing has traveled, the change process, self-care, and their potential contribution to the unveiling of the new paradigm of healing in our future.

Nurses in the Future

References:

Clark, C. S. (2002). The nursing shortage as a community transformational opportunity. Advances in Nursing Science, 25(1), 18-31.

Cowling, R., Chinn, P.L., & Hagedorn, S. (2000). The Nurse Manifesto.
Retrieved August 12, 2011 from
http://www.nursemanifest.com.

Breaking Down Barriers: Advocacy for Integral Health and Human Caring

/ Wendy Marks, DNS, ANP-BC / 2 Comments

As we participate in our personal and professional environments how do we break down barriers by advocating for shared power to promote integral health and human caring?

The Peace and Power process breaks down barriers by challenging ideological beliefs and behaviors that alienate and divide us from one another (Chinn, 2008). This process begins with an honest personal inventory and evaluation of sociocultural mores and conditioning that inform our beliefs. It is from this starting point that we can begin to see the power of our thoughts and feelings. How we act and react creates experiences of nurturance and shared power; or of conflict and derision. “Power is the energy from which action arises” (Chinn, p.17). There are many kinds of power, but Chinn’s definition here spurs the notion of advocacy for the use of power as energy. Energy to free, to heal, to care, to make a better, more loving, understanding, healthy, kind and just world.

What are you thinking and feeling right now about what power means to you and your current (personal and professional) life experiences?

Consider the French philosopher Michel Foucault’s (b.1926- d.1984) ideas of power: Foucault (1982) said “Power is everywhere and in everything.”  He believed the effects of power are linked with knowledge, competence and qualification; and that power is a socialized and embodied phenomenon. He also believed that power is discursive rather than (but can be) coercive. Discursive means “running to and from” and involves the use of language (discourse). Indeed, power is communicated in language (verbal and nonverbal).

We often think power means “power over” and attach negative meaning to it, but for Foucault power takes on a socialized, knowledge based meaning; and helps us to see what Peggy means by “power as energy for action.” For a further explanation of Foucault’s beliefs and influences please follow the link below:

http://www.powercube.net/other-forms-of-power/foucault-power-is-everywhere/

As we critically examine the concept of power, we can look at the socialized and embodied beliefs, behaviors and practices that divide and join us.

Watson (2012) suggests we ask “who is this spirit filled person before me?” As we interact with our environment, and those in it, we can ask this question, and go deeper and wider to ask: what are the sociocultural, internal, external, subjective, even global and historical influences and experiences that inform this person and her or his views of self, other and world?  What are the influences of power upon and within this person?

Breaking down barriers to personal and professional advocacy for integral health and human caring can begin with examining power in all its many manifestations.

References

Chinn, P. L. (2008). Peace and Power: Creative leadership for building community. Jones and Bartlett. Sudbury, Ma.

Foucault, M. (1982). The subject and power. Critical Inquiry, 8(4), 777-795.

Watson, J. (2012). Human caring science: A theory of Nursing. Jones and Bartlett. Sudbury, Ma.

Continuing to look at the Nurse Manifesto

/ Carey S. Clark, PhD, RN, AHN-BC, RYT, FAAN / 6 Comments

As summer progresses, I continue to think about the demand for change in the healthcare profession and nursing. The Manifesto provides us with a unique tool to begin the change process, and a foundation for the call to change.

Here is another quote from the document that may be of interest to examine with some depth:

The situation we find ourselves in has been created from an array of forces. While economic issues have helped create a situation in which nurses cannot practice nursing, we, as nurses, have participated by remaining silent. Our professional sovereignty is threatened. The health of global humankind is at risk. It is now time to ask ourselves, who benefits from the situation as it now exists? As long as we know that the current situation inhibits the fullest expression of nursing’s highest values, and that people who need our care are not receiving the best we can offer, we know that we, and those we serve, are not benefiting. If nurses are to significantly contribute to a mission of caring for people and communities, we must find our voice, acting now to create situations in which our values come to the center and from which we can realize our best intentions.  (Cowling, Chinn, & Hagedorn, 2000, paragraph 3).

I have to agree that healthcare is big business here in the USA, a place where democracy, free enterprise, and capitalism have created a healthcare system which profits in the billions of dollars every year. For more information on the profit status of insurance companies, I found this link helpful and easy to follow: http://www.huffingtonpost.com/2011/05/14/health-insurance-companies-make-record-profits_n_861946.html.

As nurses we have in many aspects blindly given over our practice to the regulating agencies and facilities where we work. Instead of as a profession deciding the services we can and will provide, which includes enacting our core values of caring and presence for those on a healing journey, we have chosen to allow our practices to be largely dictated to us. I believe that the high rate of burn out among nurses, and the great professional exodus of many new nurse graduates, is related to the inability to enact a caring-healing presence at the bedside.

So how is that we find our voice in order to create the type of transformative change that is so desperately needed in our healthcare system? While I believe joining a professional nursing organization is a place to start, I think we have found that having over one hundred specialty organizations in nursing has in some ways defeated our ability to come together and create a single strong voice. The American Nurses Association also has it challenges with membership and creating true, meaningful action. As the largest number of healthcare providers in the USA, a clear strong united voice and resultant action that demonstrates how our values can be realized in the healthcare system.

I think partnering with patients offers the profession a lot of hope for the future. As patients demand more access to complimentary and alternative modalities, nurses are the ones who could be enacting these interventions. Patients also know the importance of a caring presence at the bedside as they journey through suffering and the healing process. Patients are also some of our greatest teachers, as they remind us over and over again of the importance of nursing and the urgency of the need for loving kindness and caring in our professional actions. The rewards of nursing are indeed encapsulated within the patient-nurse transpersonal experience, and we have failed on many levels to support one another in explicating, teaching, supporting, and enacting the intricacies of this process.

I also believe that there is great hope for the future: each of us has the power to enact and create the kind of nursing practices we envision. Many of my students have found that by changing their views of themselves and the world, and begin to take action in creating change in how they practice nursing. With an emphasis on self-care and holism, the students often find themselves empowered to begin to solve workplace issues. They begin to return to the sacredness of their work, and enact their own healing journeys.

I suppose the questions remains in how to continue to reach the many, many nurses who are suffering in oppressive work situations. How can we best support and empower these nurses to take back their practices, and accordingly allow for our true nursing values of caring, compassion, empowerment, and patient advocacy to emerge?

Reference:

Cowling, R., Chinn, P.L., & Hagedorn, S. (2000). The Nurse Manifesto.
Retrieved June 27, 2011 from http://www.nursemanifest.com.

Looking at the Nurse Manifesto: The Vision Statement

/ Carey S. Clark, PhD, RN, AHN-BC, RYT, FAAN / 2 Comments

In 2000, Richard Cowling, Sue Hagedorn, and Peggy Chinn came together to write the Nurse Manifesto, which is the backbone of the Nurse Manifest Project grassroots movement. I thought that over these summer months, it would be interesting to look at the Manifesto itself, and relate how the Manifesto can be used to support change in our practices and ultimately help facilitate our sovereignty as a profession.

Taking a look at the Nurse Manifesto Vision statement is a good place to start:

Vision

We believe in a world in which:

  • Nurses practice healing with transformative results.
  • Nurses support, mentor, and nurture one another through participation in learning, researching, and practicing.
  • Nurses act from our most fundamental values.
  • Nurses control our own work lives.
  • Nurses are strong and creative in the face of adversity.
  • Nurses are powerful as healers and as participants in caring and healing processes.(Cowling, Hagedorn, & Chinn, 2000).

I believe the vision requires close attention, to today I will focus on the first concept, that nurses practice healing with transformative results.

I know that the vision statement can be enacted in the academic setting, and that the academic setting is a good place to start with creating change in the applied practice setting. I would love to see a world where nurses are supported to their full healing abilities; I recently finished teaching a summer Reiki course with RN- BSN (and a few ASN) students. Reiki is a hands on healing modality that is gaining acceptance and popularity in many settings from acute care to cancer care centers. The results of the class were amazing, as students began to focus on their own self-care and self-use of Reiki in order to be able to share Reiki with their patients, colleagues, and loved ones.

Reiki is a hands on healing modality.

As the students learned Reiki techniques, they felt empowered to use Reiki at the bedside with dying and demented patients, newborn infants and their mothers, and in support of their colleagues who suffer from workplace stress, which shows up as symptoms such as headaches and burnout. They used Reiki to help themselves and loved ones sleep at night, to provide distance healing for those in need, and to address a number of personal emotional and traumatic experiences that likely relate to their effectiveness as healers.

Reiki transfers healing universal life energy, "Ki", to the recipeint; it can do no harm.

I believe this sort of applied healing experience begins to support nurses in acknowledging and experiencing their natural ability to act as healers. Most nurses are initially drawn to nursing to act as healers and to support folks in their transformative experiences, however the academic and workplace settings regularly fail to support nurses in enacting their calling toward healing.

I would love to hear what you are doing to “support a world in which nurses practice healing with transformative results”.

References: Cowling, R., Chinn, P.L., & Hagedorn, S. (2000). The Nurse Manifesto. Retrieved July 7, 2011 from https://nursemanifest.com/manifesto.htm

Feeling empowered at the American Holistic Nurses Association (AHNA) Conference

/ Carey S. Clark, PhD, RN, AHN-BC, RYT, FAAN / Leave a comment

I have spent the past few days in Louisville, KY, attending the various events at the AHNA conference. It has been a great experience to be with so many like-minded nurses who are committed to self-care, healing, and being empowered in their nursing practice. Many of us believe that the “being” with patients is the art of our nursing practice, and AHNA supports us in building holistic practices that facilitate the “being with” process.

The day here starts with the option of attending a self-care modality, such as yoga or chi gong. Nurses stroll through a vending area, where they can learn about various healing modalities, and buy books on healing and holism or purchase healing souvenirs such as candles, jewelry, and hand labyrinths. We have the opportunity to sign up for treatments such as Reiki, massage, and cranio-sacral therapy. The key-note speakers have included leaders such as Dr. Joan Borysenko, who shared with us her thoughts on burn-out and self-care healing.We are also able to take a class on the art of bodybuilding along with a whole open discussion on real prohormones

The poster area is a great place to see the research that nurses are doing around holistic modalities and how Continue reading →