Papers

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Every Nurse is responsible for caring for people irrespective of their different faiths, as well as for those who may have lost faith, or who may not ascribe to any faith, but are never the less broken and bleeding inside. This includes people who are facing their own or their loved one’s death.

This series of papers, is a collation of Prophecies or teachings that have direct relevance for Nurses of all faiths and persuasions.

Who better to share the wealth of their knowledge and experience than two learned Pundits from whose input this first paper was collated? As you receive and share with your friends and colleagues, the concept of Nurses helping Nursing grow in knowledge and wisdom, will become a reality.

Nurses – Powerful or Powerless? This series of papers addresses the issue of Nurse Power in Disaster Mitigation.

Exposing the root cause and effect of powerlessness in Nursing, each paper provides insight into every Nurse’s relationship with Government and the means whereby Nurses may appropriate real effective power.

The reality of each challenge that confronts Nurses, brings a fresh focus on Nurse potential and Nurse’s ability to realize victory.

Paper 1: Nurses Powerful or Powerless
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Paper 2: Gujarat in 2002 A Microcosm of the World
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Paper 3: Nurse Where Are You?
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Paper 4: Disaster Mitigation=Victory Over Powerlessness
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This series of papers address the relationship of the Nurse’s Pledge to: Disaster Mitigation in Nursing; Socio-Cultural and Religious Forces; Nurse and Doctor made Disasters; Doctor’s Hippocratic Oath and Disaster; and the Constitution of India.

The power available to Nurses is examined in direct relation to the blocks that may not be recognized, the means to overcome the blocks that can free each Nurse to appropriate a constant, unfailing, effective, power supply.

The harsh reality of the present scenario in the Health Services stands out against the backdrop of hope and help that bridges the gap between powerlessness and powerfulness and leads to effective action.

Disaster Mitigation = Victory over Powerlessness:

Paper 1: Pledges, Oaths and Promises
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Paper 2: Socio=Cultural and Religious Forces
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Paper 3: The Pledge -Nurse and Doctor made Disasters
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Paper 4: Nurse’s Pledge-Doctor’s Hippocratic Oath and Disaster
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Paper 5: The Nurse’s Pledge and the Constitution of India
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This paper was our response to the specific request for Nursing input into the YMCA Seminar on ‘Disaster Management and Preparedness’ held in Gandhidham from 1-3 March 2002.

It addresses and re-affirms the role and function of Nurses in Disaster Mitigation; Nurse’s authority; her invaluable inherent mechanisms essential for Disaster Mitigation; crippling factors; reality and the way to revival.

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A specific request by the Director, Emmanuel Hospitals Association for their Leadership Training Program held in Utraula in February1999.

This paper addresses Quality Control, Quality Assurance and Quality Improvement in Nursing and has been much in demand. It was published in the Nurse’s Link in 2001.

A three day workshop based on this paper was conducted in Delhi in February 2002.

During 2002 many Nurses throughout Gujarat requested copies of this paper. One Nurse photocopied 20 copies for her personal distribution and gave 8 to the author with strict instructions to do likewise!

Beginning with the source of ‘quality and goodness’, this paper provides a sound practical basis for determining and developing quality ‘means’, that will enable every Nurse achieve more effective ends in and through Nursing.

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This paper was the response to a special request to gather with bereaved Nurses. A telephone call from the CNO of Northern Railway Central Hospital at 10.20pm one night to do something to help Nurses overcome their shock and fear when 4 Nurses had lost their husbands in less than 30 days, three within 5 days.

Around 200 Nurses were present. While the program concluded at 4.30pm the majority stayed on to make specific prayer requests or share their burdens. The CNO remained present until 6.00 pm when the last of her Nurses concluded her discussion with NWAD Nursing personnel.

Nurses helping Nurses in grief brought a depth of meaning and unity in the midst of fear and suffering. The richness of this experience for all who attended is not so much in the immediate response as in the way in which we can expect these grief stricken Nurses to respond in the future.

Nurses who actively refine and sharpen their abilities and sensitivities toward patients and their families and all people in grief through bereavement or from any other cause, are better equipped to be with those in grief and do not need to protect themselves through detachment.

Dr. Viru H Bhudia

This paper is a sensitive portrayal of crisis management in Disaster.

From first hand active involvement the writer experiences deep distress caused by the insensitive red tape intervention of the National Health Services team that stands in stark contrast to the International Health Services Teams.

This Nurse’s deep desire to have Indian Nurses exposed and able to benefit from the International efficiency in providing sensitive effective Patient care was well justified.

A year later when Nursing With A Difference met with Nurses and Doctors just prior to their going into the New Red Cross Hospital, the state of what had been a highly efficient Unit as described by Dr. Bhudia, had to be seen to be believed.

The Medical Officer in Charge complained that the Overseas Support teams had been withdrawn without any replacements. The question asked was “What is wrong with our own teams?”

The reality of this inhuman hapless approach to Health Service Management and therefore Disaster Mitigation by the Medical Profession demands that Nurses prayerfully and carefully take the initiative for their own conscience sake and for the genuine care of patients.

As you read this paper will you pray for wisdom and guidance for every Nurse – Administrator and clinical bedside Care Giver, who are caught in this invidious, oppressive, soul destroying situation, in India and in the neighboring Nations?

Will you re read the papers on Powerlessness and Powerfulness and seriously consider how you can join with Dr. Bhudia and others like her who have a genuine and deep commitment to building quality Nursing in every situation.

Privilege brings responsibility that is grounded in integrity and leads to significant change. Change in Nursing is a personal, professional, growth phenomenon, in which we are all involved – Nurses in Sri Lanka with Nurses worldwide.

This paper introduces us to the blessings and challenges that accompanied sharing with Nurses in Sri Lanka for three full months.

The positive and negative effects of Politics and Religion, Peace Initiatives versus the Forces of Darkness, System shock reality, Marginalization and Wisdom with Hindsight, Behavioral Contrasts that bring Pain and Joy, War and Peace, Myths-Deception and Calculated Oppression, Freedom with Constraints, Trade Unions versus Professional Activities, Unmet Needs and Stress Management, and much more, bring us to appreciate the truth of Beauty for Ashes in Nursing.

The Post Script sets a precedent for a meaningful Post Script by inviting each Nurse to confront the interactive process of Nursing development in terms of her/his responsibility to build nationally and contribute to the international standard and quality of Nursing.

By submitting your response to this paper you will add something special, particularly to the many war stricken areas of the world where Nurses are really suffering. This will be an even greater tribute to the Nurses of Sri Lanka.

Paper 1:
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Paper 2:
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Paper 3:
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Paper 4:
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Edified to Edify was written specifically to Nurses graduating from the Baccalaureate Program of Nursing in one of the ten top Postgraduate Medical Education and Research Institutes in India.

Delivered to one specific group of Baccalaureate Nurses as part of their ‘Commencing Service’, the message has relevance for all Nurses graduating from every College of Nursing.

The magnitude of the challenge to graduating Nurses in India to ‘Be a true Nurse’ has to be experienced to be understood. It is one of the reasons why so many seek greener pastures abroad.

However, let us not forget that graduating Nurses in every country face unprecedented challenges in the 21st Century.

Higher education has not prevented or reduced unmet needs.

In welcoming each Graduate into Nursing, may this message encourage all qualified Nurses with the new Graduates, to take every opportunity to edify one another.

Paper 1: Assam Introduction
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Paper 2: Assam Overview
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Paper 3: Background Paper People Groups
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Paper 4: THE RISE AND FALL OF NURSING – ASSAM THE GATEWAY TO EAST
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Paper 5: Recommendations
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Paper 6: Appendix Introduction
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Paper 7: Appendix I
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Paper 8: Appendix II
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Paper 9: Appendix III
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Nursing in Meghalaya – The Authority of reality

This resume and recommendations aim at presenting facts, examining some of the issues, sorting fact from fiction, and seeking to look beyond the symptoms and problems, to the root and heart of the issues that Nurses in Meghalaya grapple with.

Nurses helping Nurses restore bridges of reconciliation by demolishing fear induced stereotypes and developing workable strategies to encourage behavioral changes and the strength to disengage from the battle-field-strategies that mitigate against good quality Nursing and Patient care.

This paper has been divided into 6 Parts to facilitate smooth downloading

Part 1
Page 1 and 2:1st page of colour photographs and script
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Page 3: 2nd page of colour photographs and script
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Page 4:3rd page of colour photographs and script
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Part 2: Pages 5 to 8 Accountability, Crossing Barriers and Freedom
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Part 3: Pages 9 to 12 Indicators that reflect the value of diverse people groups.
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Part 4: Pages 12 to 16 Stress factors and challenges
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Part 5: Pages 17 to 20 Thinking through resistance and reconciliation to redirection
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Part 6: Pages 21 to 23 Recommendations and Appendix
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Light and shadow in Nursing in Twipra (Tripura)

A journey through the light and shades in Nursing suggests that Nurses in any situation can inspire and repel, can be a model and an enigma, can be a success and a failure.

The content of this paper seeks to highlight the following:

1. Risks and benefits.
2. Facts and fallacies
3. Success and failures
4. Models and enigma
5. Strong points and not so strong points
6. Recommendations.

Throughout, current strengths in Nursing are reinforced and in the process at least some of the present perceived inadequacies have been addressed along with corporate wisdom in the reality of cultural, cast and religious differences. Thus encouraging Nurses in their ability to spear-head a revolution-through-reconciliation in the Health Services.

A key component of any Nursing Education program is to engender confidence during the process of tapping potential to facilitate professional growth and development.

Therefore, by addressing some of the very real frustrations Nurses face, conscious effort has been made to assist every Nurse to appreciate his/her own self worth as chosen, called and living precious gem stones before God, with whose enabling each Nurse can be His true agent of transformation in the Health Services and in Society. Excellence and a just reward is achievedable.

Paper 1:
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Paper 2:
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Paper 3:
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Watch Dreams in Nursing Blossom in Sikkim the Abode of the Angels

This resume of the first ever official visit to Nurses in Sikkim is presented with the expectation that Nurses round the world will be challenged to prayerfully consider a fresh approach to the issues, along with ways and means of addressing the current critical situation in Nursing.

Sikkim , a tiny thumb shaped, landlocked, least populous State in India is strategically placed as it nestles in the Himalayas, between China, Nepal and Bhutan.

A mere 118 Registered Nurses only one of whom holds a BSc., provide the Nursing services in the three hundred bed State hospital that is being upgraded to 500 beds, A School of Nursing, 4 District Hospitals, 147 PHC sub centres, 24 PHC centres, 1 Leprosy Hospital and a 400 bed Central Referral Hospital cum Medical College and College of Nursing, with no established Nursing Voice.

In spite of all the negatives, the analysis and recommendations clearly indicate that Sikkim could well become an effective microcosm for a genuine leap forward in Nursing if a few Nurses with a vision and creative thinking from all around the world were to extend the hand of true professional fellowship. Not just Sikkim and India but the whole world would be the richer

To facilitate downloading the paper has been subdivided into 11 small sections

Section 1: Overview
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Section 2: Sikkim the Abode of the Angels
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Section 3: Accountability
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Section 4: Focus and Comments
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Section 5:Nursing Response
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Section 6: Sikkim District Visits
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Section 7: Nursing Advocacy
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Section 8: Resource Justification
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Section 9: Spiritual Care
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Section 10: Recommendations
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Section 11: Appendices 1 to 4
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This paper brings fresh thinking into some of the major health and Nursing issues encountered in this, the longest, thinnest mountainous and virgin State of India.

Arunachal Pradesh, “The Land of the Rising Sun”, “The Land of the Dawn-lit Mountains” and “Natures Treasure Trove and Home of Orchids.’ with District Hayuliang meaning “My Land of Liquor” gives some insight into both the wonders and extremes, natural and man-made, in this State.

Care has been taken to address each  issue in relation to the multifaceted cultural, religious and political forces that are part and parcel of the state. Not an easy task but one which cannot be ignored.

Colours chosen specifically: green indicative of the countless shades of green seen in the jungles of Arunachal Pradesh signifies new growth and new life; golden yellow of the rising sun signifies the glory of God shining over this beautiful virgin state, while blue of the expansive sky lifts and inspires. the majesty and beauty of God’s creation thus encourages His masterpiece, man, to look up and expand his horizons by developing and using all his potential.

Section 1: Overview
Section 2: Entry and the three key voices in Nursing:
Section 3: Health Institutions visited with numerical data for each District
Section 4: Staffing Patterns – policies, politics and low morale > sub-standard Nursing
Section 5: Health Education – Culture, Religion and Politics vs. Addictions and truth
Section 6: Education and publicity designed to: Teach People how to become Addicts
Section 7: Health Services, Fear, Community and Patient Care – political unrest, insurgency – the Nurses role, defence and security
Section 8: Nurses input into the thinking of Doctors – competence and confidence in sharing
Section 9: Generosity: personal and professional – the health services – patient needs
Section 10: Trauma to Nurses – the key precipitating cause of low performance
Section 11: The Red Ribbon or the Scarlet Thread of Redemption – an historical and factual view that offers something for all: health workers, politicians and the peoples served
Section 12: Conclusion – all good things lead into fresh beginnings
Fact Sheet: Extracts: Nursing, Drugs, AIDS and Community-based changes by Future Generations, – the current situation; what has been, and what may be achieved,