Nurses A Voice to Lead Response - 20.06.2017
A READY RESPONSE TO A TIMELY COMMENT
“NURSES THE VOICE TO LEAD”
ACHIEVING SUSTAINABLE DEVELOPMENT GOALS
Nurses Under Pressure
ICN President Judith Shamian and CEO Frances Hughes encourage nurses and midwives to ‘Celebrate our achievements, share our stories, and use our voice to lead’. This ‘Timely Comment’ offers us all the opportunity to ‘Stop, think and where necessary change direction’. However, I must say I found the request that nurses and midwives of all faiths begin to do this by personal soul-searching prayer was like a sheet of lightening. I was jolted to recognize as fact that we don’t usually think or talk about ‘prayer apart from religion’. We do emphasize the importance of spiritual care for patients but that is different. Here we are addressing injustices in the health services that affect us and patient/client care.
The statement that everyone has the freedom to talk with the Almighty Sovereign God – and accept HIS promise that IF we call HE will answer, leaves no room, excuse or reason for religious exclusiveness.
Two Questions immediately arose – How best can I talk to HIM, the Eternal Sovereign God who knows everything about me? Why do I need to pray? Sure, Nurses’ Week provides opportunity to open a new chapter in the history of nursing BUT is it dependent on the ‘IF? This IF refers to the first step, IF we unite to seek God’s clear direction to fulfill ‘His good pleasing and perfect Will’?
Fortunately I went to the section on Prayer on this same website where I gleaned some clues that led me to search the Bible on-line for references on courage and found in John 16:33 The LORD Jesus Christ said
“These things I have spoken to you, so that in ME you may have peace.
In the world you have tribulation,
but take courage. I have overcome the world.”
I searched again and found Yeshua HaMashiach means ‘The Annointed One’, the ‘Messiah’. These two factual statements brought a sense of awe that I had not experienced before.
My prayer wasn’t just groping in the dark to any god, fearful, because like the world, we seem to have lost our way. The LORD Christ is anointed to call us, hear us and answer us. This seems to have given me a different sense of hope.
My question now is, why, when so many N&M of all faiths pray, our situations don’t seem to change, let alone get any better?
The battles on so many fronts go on and on. One little ray of sunshine here and there, then down come the clouds that try us to the point of despair. I would like to join the courageous core of nurses and midwives involved in a continuous search for a win win situation. Please tell me how to do so. I do believe that compassion is our professional and moral obligation, but what about compassion burnout?
Now that I am learning to ask YHVH for courage and how to be the kind of nurse I really want to be in our present situation, perhaps the next step will help me. Please share your thoughts and findings for the next step.
Common complaint we hear from Nurses and Midwives in and from many different countries.
“I am so busy, there is no time on duty and there is no time at home what with…”
Time versus Time consuming:
Nursing With A Difference addresses this challenge by choosing to initially deflect attention away from the pungent, unpleasant aroma of moans and groans to the largely unexplored reality of a more excellent way forward that enables Nurses & Midwives to
Basis for Nursing With A Difference decision and the outcome:
Time is a gift from God for us to use with discretion and wisdom.
He provides us with sufficient time each day to accomplish His purpose in Nursing and in our personal/family life. Facts not generally understood, therefore not practiced.
Thoughtful caring Nurses and Midwives know that:
‘Skills once achieved
The same applies to aquiring the skill of consecrated time.
Because Time is a gift from God, in the narrow sense of the word we can say that ‘consecrated time’ is the time we dedicate for God’s service.
However, if we look more carefully at the ‘Source of Time’ and His purpose in giving human beings time, we are both enlightened and encouraged:
As we consider the depth of meaning of consecration that can be expressed in so many ways, it is a wonder that Nurses and Midwives have not chosen to emphasize the practical benefits as an integral part of both learning and practice from day1 on entering Schools and Colleges of Nursing/Midwifery:
When we Consecrate our time and our talents to God they are sanctified or made holy.
Consecration is also an act of dedication on our part.
Consecration of time and talents means that we expect God to bless these attributes and enable us to use them to be a genuine blessing to all.
Consecration means our time and talents are hallowed i.e., made holy by the Lord Jesus Christ and therefore acceptable to a Holy God. Hallowing is an act of our will and mind that brings forth the fruits of patience, perseverance, quietness, confidence, peace and joy in the midst of business, pain and suffering. We are stretched but not broken, burned out or made impotent.
Nurses and Midwives who develop this skill do not need to demand respect. Each is respected even when critisized for deep down his/her integrity is a recognized given – an integral part of his/her life.
Critisism is taken, examined before the Creator of time and talents and used with grace for good be it justified or unjustified.
Dinner was over; discussion had focused on adaptation to the challenges in clinical situations. It was time to go.
About to leave, ‘C’ vacillated before commenting
“I hesitate to say this… but it concerns me that so many who graduated with me a year ago are so unhappy in Nursing. The reasons given are that after all our training and preparation the amount of work and long hours, all the paper work, no time to spend with patients plus a very low salary”… ‘C’ went on“I do not feel these are the real reasons for so much unhappiness…but what is?”
‘C’ was right, the reasons Nurses and Midwives verbalize as causes for unhappiness all tend to overlook the ‘root cause’ of unhappiness in every generation that limits the development of one’s potential and one’s effectiveness.
Is there any country where Nurses are not unhappy? And the answer is sadly a resounding NO that reverberates all around the world.
Unhappiness echoes sadness, sorrow, grief, misery, discontent, despondency, gloom, melancholy, depression and despair, all being the complete opposite to happiness which seems to become more elusive the more one achieves in life.
Delusion is the tool the Devil uses to deceive to the extent that Nurses and Midwives who are unhappy are even able to deceive themselves into believing that their unhappiness is actually imposed by circumstances or people, often designated as ‘The great god They’.
This little song based on Isaiah 5:7; Isaiah 42; and Psalm 47; was written by a woman who knew the source of happiness and knew well how we all might receive it.
MY GARDEN OF DELIGHT
“O people of praise, My garden of delight,
Receiving Living Water, and rooted in Your Love,
You trust in My mercy, you are My delight,
Receiving oil and new wine, refreshing from Your hand,
O Jesus, God’s Chosen One, in Whom He delights,
O Love that waters cannot quench, to our heart’s desert bring,
When each Nurse and Midwife knows the very root of his or her existence and purpose in this world, it is amazing how the challenges of the day become ‘just that,a challenge, and nothing more’.
The ‘Root’ is the key to the ‘fragrance and fruitfulness’of his or her life, and this key is available to everyone.
It is time Nurses and Midwives took stock and thought more seriously how we all may receive and relate these three essential ingredients, root, fruitfulness and fragrance into every aspect of our personal life and collective professional life.
A sense of inadequacy, inferiority, not being able to meet the requirements, or whatever, assume a more wholesome perspective as each Nurse or Midwife learns to draw more deeply on the resources of redeeming love that stems from the Root.
“Happiness happens but joy abides in the heart that is stayed on Jesus.”
Happiness may be described in two ways
Because the very nature of ‘CARING’ Nurses and Midwives are confronted with tears, sorrow, mourning, pain, loss, adversity and persecution in contrast to happiness, joy and gladness.
For each one’s own mental and physical health plus that of the Health Services as a whole, it is imperative that we consider together the importance of not just knowing about, but being able to enter into the triune experience of gladness, joy and happiness that stems from quiet, confident assurance in our root and in our purpose and desire being fulfilled in
MY GARDEN OF DELIGHT
“O people of praise, My garden of delight,
Receiving Living Water, and rooted in Your Love,
Receiving oil and new wine, refreshing from Your hand,
O Love that waters cannot quench, to our heart’s desert bring,
The following response to a casual but all too common question coming from a Malaysian Nurse, is a timely encouragement to Nurses around the world who are experiencing the harsh reality of low morale, high attrition and increasing workloads and long hours made worse by the horrendous shortage of Nurses.
Nursing has Values
Very often in our casual conversation we are asked the question, “What do you do?” I once caught myself answering, “I’m just a nurse”. Immediately I felt within me a self-rebuke which resented this devaluation and prompted an immediate amendment to answer, “I’m a nurse”.
Dear nurses, please do a re-evaluation if you think you’re ‘just a nurse’. Do you know, in 2004 for the 5th time in 6 years, nurses came first in the Gallup survey of the most trusted professions? (“Nurses are Most Trusted –Again” Nursing 2005, 35, No.3). We are rated higher than teachers, doctors, clergy and judges! Despite the many misrepresentations and sometimes rather stereotyped portrayals of our profession in the mass media, the public still finds us trustworthy!
Is it because they feel nursing is a noble profession and that nurses still make sacrifices? For example, in this current crisis of the Influenza H1N1 pandemic – aren’t nurses subjecting themselves to potential risks? Maybe it is because they feel that nurses are in this field, not for the money? Or perhaps people have found their needs met by nurses in ways they hadn’t imagined?
Whatever the reason, it’s heart-warming to know we are being trusted. Knowing that patients trust what we do for them helps in our delivery of care. May we be worthy of this trust and maintain our rating in the eyes of our clients.
Sometimes we may think doctors are more valuable than us. To put it simply, at the risk of oversimplifying, maybe it’s because doctors order and we carry out the orders. Let’s refuse to let this put our profession in a lower status. It is but a difference in our roles. Our voice, our actions and our role are vital to the holistic care of the patient. If we are all doctors or if we leave what we can offer as nurses, what will become of our patients? All will be losers.
What is of greater value is how God views us. God looks at things differently. Human status and position is not important in God’s sight. What matters to God is doing well in whatever we have been asked to do.
“Walk worthy of the vocation wherewith you were called.
Nurses are special. What we do in our daily work is significant and has lasting impact on the well-being of our patients. As Christian nurses how God sees us is of utmost importance – nothing else matters.
“Let every detail in your lives
Lee Yin Ling
(Contact through the Malaysian Nurses Christian Fellowship, 9, Jalan SSI/1B, Kampung Tunka, 47300 Petaling Jaya. Telephone 012-2876121)
The Reality of Fear
This comment comes from a nurse of Jewish Gentile heritage, who grew up in the Netherlands during the 2 nd world war and German occupation. Married a South African and nursed in South Africa. Migrated to England due to the horrors of apartheid in preference to going to bed with a gun. Later migrated to New Zealand, and was actively involved in the care of intellectually handicapped people.
In addition, this nurse encountered different frustrations and fears when her husband, a gifted teacher became a progressive alcoholic until his death, their eldest daughter entered a same sex relationship and their only son was diagnosed as borderline IHC.
This expressive comment, while the reaction of one nurse, cannot be viewed as peculiar to her. Rather it spells out a little of the reality of the many fears expressed by nurses over time and in differing situations.
Nursing With A Difference is therefore constrained to respond to what we know to be a major factor in nurse’s lives. A factor that has caused us much concern having too often witnessed the grief of fear that so many nurses are experiencing.
This little acrostic, discovered when catching up on some of the heart rending devastation in the Middle East and many other countries around the world, is a timely reminder for Nurses seeking to bring comfort, strength and healing to those caught in the soul destroying web of fear and are in need.
Midst the ‘seething caldrons of anguish in the sensitive hot spots of the world’, Nurses need fresh courage and renewed energies to fight on with an unfailing wisdom until a better quality life for Nurses and patients is achieved. With danger and death having become such a constant painful fact of life, it is understandable that the fear of death all too often keeps Nurses from being bold in relation to specific nursing issues. This is neither apathy nor mindless resignation to what is.
Fear is a very natural response when bombs and missiles are exploding all around you and when Nurses are fearful and frazzled, is it any wonder that the patient and his relatives are seriously affected?
There are however, many other causes of fear in Nursing which adversely affect the health, wealth and happiness of Nurses, as is evident in the high attrition rate and significantly large older age group of registered nurses in most, if not all countries.
The ‘G’ and ‘Y’ factors can be linked and discussed with psycho-socio-legal and other factors ad nauseam, but the root cause of fear remains a reality that each Nurse must address and resolve to his or her own satisfaction.
There are only two real options, either to ‘grow in nursing’ or ‘quit nursing on some justifiable pretext’, for those who neither leave nor grow become as the walking dead. Statistics suggest that the balance is tipped in favour of quitting.
This is where the Flower of Assurance comes in.
This Flower of Assurance is an undeniable reality-based-fact.
May no nurse, for any reason delay entering in and taking hold of that which will:
Transform his or her ability to better manage the fear-pain-fear-anger-fear syndrome.
Generate a three fold faith that dries the tears of sorrow, heals hearts of mourning, lifts the hands that hang down and strengthens the feet that falter.
Strengthen faith and confidence by giving time, labor and tears to strengthen others.
This Flower of Assurance can be guaranteed to get at the root causes of fear in Nursing.
The fragrance of this flower of assurance is found in the abundance of quality blossoms, some ever so tiny, but all powerful in preventing, managing and overcoming fear from every conceivable source.
The source of this fragrant flower of assurance comes from none other than the God of mercy and peace and Christ Jesus our LORD who has “not given us a spirit of fear, but of power, and of love and of a sound mind.” 2 Timothy 1:7
An Open Letter to All Nurses from a Nurse
To all Nursing Students, Staffs, Nurse Tutor friends, Nursing Administrators in hospitals and in the community…
Today, I Mrs. Tshering Yangzum Bhutia, retired nursing tutor would like to share something about my past experience of life which (I hope) may help you to have a totally different view upon your domestic and professional problems which always lead us to dark sad end called DEPRESSION.
My story goes like this……..
The emotional turmoil’s started in my early childhood when I realized that I was a rejected (bastard) child looked down upon by society, family and friends, so, an inferiority complex was dominating my whole personality from the beginning
All of my dreams and ambitions shattered due to lack of financial support. Somehow I managed to pass higher secondary from a Scottish Mission School and I took refuge in my grandparents house.
In 1979 I finished GNM course from Safdarjung hospital after much struggling for 3 ½ years because I found myself acquiring three kinds of diseases, Typhoid, Malaria and TB intestines. But I came back and served in a Government hospital.
My married life:
Next episode of trouble started almost immediately after my marriage due to…alcoholism at home, constant interference from in laws and the negative effects on my nursing profession. Physical and mental turmoil’s started to take toll on my health after having three children. Several times I decided to leave my job.
I had struggled 14 long years to get a single promotion as a nursing tutor.
So, early one morning as usual I was going to my Puja room, a voice told me to open the window and shout that the word is full of sin …reluctantly I started to shout, my husband thought that I was mentally off. Most of my in laws and relatives arrived and summoned priest Lamas, Tantrics and performed Pujas but all in vain. The psychiatrist was called, but more confusion and frustration led me into a worse condition. PEACE VANISHED FROM MY LIFE.
During this time I had a vision of a person praying with bowed head, he told me to keep quiet and not to be afraid. He called me by my name. At the same time two Christian ladies came to our house and prayed for me. After long suffering and without food, I slept peacefully and started to talk normally from that day onwards.
After prayer both my legs got healed. Hence I accepted the Lord Jesus as my savior and got baptized in 2004.
Summary——according to John Chapter 10:10
The Devil stole my job, health, peace, property, self-confidence and marriage happiness.
“The THIEF Does Not Come Except To Steal, and to Kill, and to Destroy.
I have come that they may have life and that they may have it more abundantly.”
So, friends in white when there is still time, remember the Florence Nightingale pledge, repent and turn around and a meaningful and abundant life as Jesus our Lord has showered on me and my family.
According to John 14:27
“ Peace I leave with you, My peace I give to you, not as the world gives do I give to you. Let not your heart be troubled, neither let it be afraid.”
So, my friends I got all the answers regarding my problems because Jesus says:
“I am the way, the truth and the life. No one comes to the Father, except through Me.” John 14:6
P.S. I was a lost sheep. So Jesus says in
John 10:11 “I am the good shepherd. The good shepherd gives His life for the sheep.”
John 10:14 “I am the good shepherd; and I know My sheep, and am known by My own.”
Mrs. Tshering Yangzum Bhutia
Comment by Ms. T.A. Master in Nursing, Faculty member of a well reputed College of Nursing.
“The website content is commendable from the point of view of Spiritual approach for nurses who are facing different personal/professional problems as it provides a psychological base on which to build their tolerance. However, I personally feel that such an approach is not satisfying in a realistic sense as concrete interventions only can solve their problems. The need is to have a team approach, train and involve them in the problem solving process.”
This thoughtful comment is appreciated and warrants an equally thoughtful response:
In every School or College of Nursing every Nurse is challenged by the expected outcome by the time she/he qualifies to be competent to demonstrate in the practice of Nursing the following attributes:
Following graduation there is ample evidence of a significantly large disconnect between the above commendable and realistic expectation of these requirements and the deeds that show the practical application thereof.
Through close interacting with thousands of Nurses in their respective institutions in many States, coupled with the personal observation of the shocking conditions in which Nurses work and the way they adapt to those conditions, the world wide concern with the shortage of Nurses, lack of job satisfaction, the increasing age of Nurses coupled with the decreasing motivation of young people to enter Nursing and the staggering number of Nurses in Nursing purely for economic reasons, Nursing With A Difference has been challenged to use the problem solving process in searching below the surface of education to the cause.
It has become very clear that the increasingly higher standard of Nursing Education is not; as we had hoped and worked for, the whole answer to help Nurses effectively provide Nursing Service in the 21 st Century.
Blaming the ‘Government’ and ‘Those in Authority’ is a popular means of denial ending in legalism that is strongly linked to abdication of responsibility, professional displacement and emptiness and the multifaceted mountain that ‘Disconnects’ Nurses from Nursing.
Nurses around the world acknowledge the need “To be lifted up”, and over the years Nurses have and continue to work hard to “Lift themselves up”. Yet the worldwide alarmingly low and increasingly lower Nurse-patient-client staffing ratio, along with an accepted and respected Nursing presence speaks volumes.
With Higher education not achieving what it was expected, and aught to achieve, even with the team approach and the problem-solving-process, neither of which are new concepts, along with the many psychological perspectives used over the past five decades not providing the ‘missing link, is it not time to re-evaluate and relate points 1-4 to Nurses?
A re-look at what and how we are doing in Nursing is imperative if the current cycle is to be effectively broken, therefore, we would request Nurses to critically re-examine the content of each web page:
While there is a marked discrepancy between ‘Spiritual and Psychological’ there is also a strong tendency in Nursing today to sacrifice the ‘Essence for the Illusion’ and in the process to become ‘Spiritually blind.’
Nursing With A Difference acknowledges that most if not all Nurses are deeply religious. At the same time thousands of Nurses acknowledge that Religion has not helped.
This then is sufficient reason to look at the personal relationship of each Nurse to her Creator, from whom alone comes the power of grace in integrity, and love in service to overcome the horrors and nightmare of Nursing Service.
While all religions advocate ‘Searching for light and working” it is Jesus Christ who said
This in no way suggests that Nurses sit back in an armchair or using a very common expression with hands directed upward sigh and state:
“Do not worry, all is well, it is His Will”
Is it the Will of a Holy God that all the beauty and energy of Nurses should result in more and more suffering for themselves and for patients/clients?
To acknowledge the Will of God requires that we have a personal relationship with Him whereby we can individually and collectively ask for and receive understanding of His Will in every situation.
Thus the means of truth leading to victory must arise from the starting point of obedience to know the person of God who gives the knowledge, wisdom and power to fulfill His will which is unconditional and impartial for all.
The means follows, which is obedience in putting into practice, in the midst of even the most distressing situations, those attributes that transform an unhealthy situation into a viable, vital, vibrant and healthy one
The dynamics involved is not mere psychology it is the life giving and life transforming power that the LORD Jesus Christ said we would receive when the Helper the Holy Spirit came.
This is not mumbo jumbo psychical, immaterial, pious spiritualism, it is not signs and wonders, it is not airy fairy pie in the sky:
It is in Reality
The resurrection power of a Living Christ working in us and through us, in the daily challenges of everyday life, helping us bring order and meaning out of injustice and chaos.
Every Nurse has the freedom to choose to receive, act and receive again.