Skill a Nurse Needs to Practice the Art of Nursing
Tracey Motter, DNP, MSN, RN
David Hassler, MFA
Mary K. Anthony, PhD, RN
Abstract
Although the art and science of nursing both complement nursing practice, the science aspect is near ofttimes emphasized. The art of practice, nonetheless, may best capture the essence of nursing. To recognize the 50th anniversary of a higher of nursing, faculty, staff, and alumni participated in cosmos of a community poem, entitled "Some Days." As the COVID-19 pandemic brought public awareness to the contributions of nurses, the fine art of nursing was evident in the many ways that nurses cared for both patients and families. The cogitating process took on new meaning, jubilant nurses with poetry and giving voice to the emotional demands of nursing. In this commodity, we offer a brief historical overview of the fine art and science of nursing, and talk over the collaborative process that led to the creation of the poem and its installation as a public work of art. This collective poem weaves together the reflections of many individuals, unveils raw emotions, and provides a deeper understanding of meaningful connections between patients and nurses through the powerful imagery of verse. In our conclusion, readers are invited to read the verse form, "Some Days," and share their passion for nursing by adding to this open customs poem that celebrates the unique work of nurses.
Commendation: Motter, T., Hassler, D., Anthony, M.G., (March 26, 2021) "The Fine art of Nursing Becomes a Commemoration of Nurses" OJIN: The Online Journal of Bug in Nursing Vol. 26, No. two.
DOI: 10.3912/OJIN.Vol26No02PPT72
https://doi.org/10.3912/OJIN.Vol26No02PPT72
Key Words: art of nursing, scientific discipline of nursing, poetry, celebration of nurses, meaning of nursing work, community poem, Some Days, COVID-19 pandemic
To provide optimal intendance in today's complex healthcare environment, nurses must be knowledgeable, technologically savvy, compassionate, and caring. They must do loftier levels of communication. The American Nurses Clan (ANA) describes nursing as the "glue that holds the patient's healthcare journey together, a scientific discipline and an art" (ANA, n.d., para. i). Coming together the many challenges inherent to providing safe, quality, patient-centered care takes both scientific knowledge and artistic art.
The Art and Scientific discipline of Nursing
Throughout history, leaders in the profession of nursing have grappled with the separation, integration, and synergy of the art and science of the field of study.Throughout history, leaders in the profession of nursing accept grappled with the separation, integration, and synergy of the fine art and science of the subject field. Writings of nurse scholars such as Peplau (1988) explain the dazzler of both the art and the science to provide a holistic lens to describe the complication of nursing intendance. Carper's (1978) description of the values and beliefs for professional practice expanded our understanding of empirical and artful ways of knowing. Empirical knowing allows scientific evidence to guide practice, while the aesthetic way of knowing embraces the art of nursing.
Science, equally a fashion of knowing, serves as a basis to advance nursing exercise necessary to continue the service of human being health needs (Grace & Zumstein-Shaha, 2019). This perspective is encompassed in the four nursing metaparadigm concepts of health, person, environment, and nurse. Empirical noesis informs professional person exercise not only from the common understanding of scientific systematic assessments and observations, only too the subjective experiences of persons and the meaning they attach to these events (Carper, 1978).
Collectively, nursing science informs the prove base necessary for the practice arm of the profession and is vital to improve healthcare and patient outcomes (Titler, 2011). Evidence-based practise includes show from scientific studies, too as patient preferences and nurse expertise. It is nurse expertise that may oft be unobserved and only known through a deeper understanding of the fine art of nursing.
Evolving over fourth dimension, the art of nursing has been defined as the nurse'due south power to be empathetic, caring, and communicative The art of nursing, in its earliest history, was rooted in vocational norms related to motherhood and homemaking (Peplau, 1988; White, 2002). Evolving over time, the art of nursing has been divers equally the nurse'due south ability to exist empathetic, caring, and communicative (Palos, 2014). These behaviors enable nurses to interpersonally connect with patients, a skill which is critical to quality patient-centered care and deeply valued by patients and families. Holistic intendance by nurses explores a patient's disease or cause for seeking healthcare. It offers to nurses a framework to acquire about patients' physical, mental, and psychosocial needs to optimize care for them and their families.
Nurses are the most present of healthcare professionals and thus best able to read the emotional cues of patients and institute human connections and relationships. Intrinsic to the fine art of nursing, compassion aligns with nurses' highest professional person ideals. Pity is an emotional response to reduce another's hurting or suffering (Goetz, Dacher, & Simon-Thomas, 2010). It involves taking action, and is distinguished from empathy, a necessary precursor of compassion defined equally feeling and agreement one's suffering (Trzeciak & Mazzarelli, 2019). Compassion elevates intendance through deportment, voice, and bear upon, motivating other forms of relational connectedness demonstrated through caring practices and communication (Goetz et al., 2010). When relational connectedness is established, individualized opportunities for tailored, patient-centered care exist, giving nurses needed insight to know and exercise things differently. The value of this work is in the resulting physical actions and intellectual and emotionally invested decisions at the core of nurses' work. Sadly, these ofttimes remain invisible.
Caring is a multi-dimensional concept interpreted within one'south experiences.Caring is a multi-dimensional concept interpreted within 1'due south experiences. Watson (1979) summarized the piece of work of caring as holding humanistic values of trust, developing relationships, maintaining hope, and recognizing the importance of spiritual, physical, and mental support. She also associated the work of caring with systematic creative problem solving and pedagogy patients to improve their quality of life. The unique role of nurses to be present around the clock, both physically and mentally, provides the opportunity to engage in meaningful patient relationships that demonstrate caring.
Communication, every bit an fine art form, encompasses both verbal and non-verbal interaction and active listening. Nurses use both instrumental and affective communication skills to provide optimal intendance to patients. Instrumental communication fulfills the patient demand to gain knowledge about diagnosis, treatments, and the healthcare journey. Melancholia communication, sometimes considered a soft skill, is the power of nurses to provide an empathetic, empathetic, and caring approach toward patients and families (Van Vliet & Epstein, 2014). Clear, concise, and relational advice is essential to quality, safe nursing practice and patient-centered care. When the fine art and science aspects of nursing practise become synergistic, they shape a holistic and powerful approach to meliorate patient and family care.
Nurses utilize the scientific discipline of knowing and art of nursing in their daily exercise across a breadth of situations.Nurses use the scientific discipline of knowing and art of nursing in their daily practice across a breadth of situations. For example, nurses acquire the best approach to provide comfort for patients and families, especially for those who struggle to cope with a diagnosis and experience frustration and anger. Nurses abet for patients and families using compassionate and empathetic communication to help them understand and navigate the healthcare environment and health outcomes. Nurses bring calm to an frequently cluttered experience by beingness present with patients.
The Art of Nursing and the COVID-nineteen Pandemic
During the COVID-19 outbreak...nurses orchestrated the art of nursing to provide quality care.During the COVID-19 outbreak when patients were critically sick and the illness and treatments defied the boundaries of available science, nurses orchestrated the fine art of nursing to provide quality care. When family support was prohibited, nurses understood patients' needs for the comfort of human connections. They were proactive in providing and facilitating communication with families. They wrote inspirational letters on hospital room windows and ensured that families could communicate with loved ones using engineering. In final moments, nurses, as surrogate family unit members, held patients' hands; they cried with and consoled families (Levitz & Berger, 2020). Capturing the meaning of these indescribable experiences, common in nursing practice, may be best expressed by a medium that captures the essence of their do.
Jubilant Nurses with Poetry
In dissimilarity to science, which defines what something is, poesy gives a deeper and richer understanding nearly the experience... Nurse leaders at Kent State University (KSU), located in Kent, OH, aspired to celebrate nurses during the 50th anniversary of the Higher of Nursing by using poetry to unveil the meaning of the fine art of nursing. Equally an fine art form, poetry provides a unique opportunity for nurses to empathise the lived experiences they share with patients (Hunter, 2002). In contrast to science, which defines what something is, poetry gives a deeper and richer understanding about the experience by describing the "ofness" of something and the emotional connection to these experiences and feelings that help requite meaning to the consequence (Hunter, 2002). Creation of the poem "Some Days" gave vocalism to students, faculty, and alumni who participated in developing a community poem to describe the complex emotions that provide significant to everyday nursing practice.
Reflecting on Practise
In partnership with the university Wick Poetry Middle, KSU College of Nursing faculty created a unique experience for the nursing community to engage in creative dialogue that considered the art and scientific discipline of nursing to develop a community poem that reflects this "ofness" of nursing exercise. The experience of crafting the "Some Days" poem began with eight workshops for College of Nursing faculty, students, and alumni led by the Director of the Wick Poetry Eye (DH). During each workshop, a poem was shared about healing and the piece of work of nursing to inspire conversation and reflection. Each poem served as an invitation and guide for participants to appoint in the writing process and explore their own feelings, memories, ideas, and emotional responses near their experiences equally a professional person nurse.
During each workshop, a poem was shared about healing and the work of nursing to inspire conversation and reflection.Examples of poems used during the feel included "Gaudeamus Igitur" by poet and dr. John Stone (1983), as well as other poems curated by the Wick Poetry Center from community workshops, such as "Ode to My Body" past a group of senior high school students; "Things That Have No Name" by an outpatient therapy group; and "Nurse'southward Prayer" by an oncology nurse (Wick Poetry Center, 2020). Following their consideration of the model poem, the group was led through a discussion that challenged participants to connect with their inner emotions as they relate to day-to-twenty-four hour period nursing practice. A prompt from i of the poems was then used to inspire each participant to reflect and create their own stanza to give meaning to the experience of being a nurse.
Creating a Poem
This procedure required a deep reading and "listening" to the language... After the eight workshops were completed, individual lines and images from almost 300 participating college of nursing kinesthesia, students, and alumni were woven into a collective poem by Director of the Wick Verse Center, (DH) using an organic and intuitive approach. This procedure required a deep reading and "listening" to the language and and then searching for connections to discover how 1 line or epitome could speak to another. This method offered an heady way to connect each private story and experience with a larger commonage story and phonation. The "Some Days" customs verse form is the culmination of this procedure and celebrates the work of nurses.
Inviting the Public
During the COVID-nineteen pandemic, the ability of the poem was reinforced through the narration of the images that were publicly voiced by frontline nurses.In one case the poem was designed and installed as a mural on the commencement floor of the Higher of Nursing academic building, it took on greater pregnant and significance equally a public work of art and point of pride for the college to memorialize the complex emotional truth of nursing and inspire future nurses. During the COVID-nineteen pandemic, the power of the poem was reinforced through the narration of the images that were publicly voiced by frontline nurses. Coupled with hitting, colorful illustrations, this public installation invites all, particularly those who might not unremarkably read a verse form or choice up a poetry book, to pause and reflect on the emotions of what makes being a nurse unique and different, to feel renewed or inspired, and to connect with others through a shared, creative expression. (Figure 1)
Effigy 1.
At that place is no one correct way to interpret a poem.There is no one right manner to interpret a poem. Individual readers interpret the verse form based on their unique experiences. The fine art of developing a customs poem is what allows the poem to touch those who experience it. Stanzas such as "Your arms will open like doors welcoming those in need" express the fine art of compassion and making human being connections exemplified by nurses. Questions imbedded in the stanza, "Who will wipe the face of the unknown?" and "Who will care for the lonely one in the room," emphasize the art of caring, and the phrase "You'll speak directly with death yet yet hear life's wavering mumble" expresses the exact and not-verbal communication skills nurses use in times of need. (Figure 2)
Figure 2.
Conclusion
Nursing is indeed an art and science. Science helps to explain the work of a nurse, while art addresses the human connections, compassionate advice, and defended intendance and compassion that make nursing a disquisitional chemical element of healthcare. Although the science and the fine art of nursing practice are synergistic, in recent years, the worldview of the art of nursing continues to evolve. Emerging scientific show indicates that the art of nursing promotes positive physical and psychological furnishings on healing (Trzeciak & Mazzarelli, 2019).
To experience the complete "Some Days" poem, please see (LINK to "Some Days" PDF version). If you would like to participate in developing the "Some Days" Community poem farther, delight visit https://communitypoems.travelingstanzas.com/somedays.
The verse form celebrates the distinctive contributions of nurses to the healthcare journeys of patients and families.Developing a customs poem focused on the many complexities of nursing offered a meaningful platform about the holistic work of nurses, particularly during, merely not limited to, this fourth dimension of challenge arising from the pandemic. The poem celebrates the distinctive contributions of nurses to the healthcare journeys of patients and families. While the art of nursing do can sometimes be invisible, it is what makes the role of the nurse unique, trusted, and valued by patients and families.
Authors
Tracey Motter, DNP, MSN, RN
Electronic mail: tmotter2@kent.edu
Tracey Motter is the Associate Dean of Undergraduate Programs at Kent Land University Higher of Nursing in Kent, OH. During her tenure at Kent Country, she has received numerous education awards at the college, university, and national level and has received national workforce development funding to increase diversity in nursing. She is an skilful in NCLEX preparation and teaches the NCLEX success grade. Dr. Motter is also a co-investigator in funded enquiry on interdisciplinary end of life intendance. Her area of involvement for research is in nurses' self-intendance and resiliency, transition to practise, and preparing nurses to be leaders in providing quality cost-constructive healthcare. She is a member of Sigma Theta Tau and the American Nurses Clan.
David Hassler, MFA
Electronic mail: dhassle1@kent.edu
David Hassler directs the Wick Poetry Eye at Kent State University in Kent, OH. In 2009, he co-founded Traveling Stanzas, a community arts project which creates illustrations in response to poems generated from customs workshops in schools, healthcare facilities, libraries, senior centers, and veterans' organizations. Hassler is the writer or editor of ix books of poetry and nonfiction, including Red Kimono, Yellow Barn; Growing Flavour: The Life of a Migrant Community; and Speak a Powerful Magic: Ten Years of the Traveling Stanzas Poetry Project. His play, May 4th Voices: Kent State, 1970, based on the Kent Country Shootings Oral History Project, was published by The Kent Land University Printing along with a Teacher's Resource Book and was produced in 2020 as a national radio play by the WKSU NPR station. Hassler'due south awards include Ohio Poet of the Year, the Ohioana Book Award, and the Carter Grand. Woodson Laurels Volume Accolade. His TEDx talk, "The Conversation of Poesy," conveys the power of verse to strengthen communities. In addition to his creative writing publications, he has co-authored articles on poetry, technology, and healing in the Journal of Palliative Medicine and the Journal of Engineering and Instructor Education.
Mary Thousand. Anthony, PhD, RN
Electronic mail: manthony@kent.edu
Mary K. Anthony serves every bit Professor and Acquaintance Dean for Inquiry at Kent State University College of Nursing in Kent, OH and Director of Nursing Research at Academy Hospitals Cleveland Medical Center in Cleveland, OH. Dr. Anthony received a PhD in nursing from Case Western Reserve University in Cleveland, OH. Her area of research focuses on the construction and processes of healthcare delivery systems, including decision making, delegation, leadership, and interruptions. She has investigated patient-centered models of care, particularly those associated with building caring patient and family relationships and how those relationships relate to hospital discharge. Dr. Anthony has held leadership positions in several professional person and customs healthcare organizations.
References
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Goetz, J., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An evolutionary analysis and empirical review. Psychological Message, 136(three), 351-374. doi.10.1037/a0018807
Grace, P. J., & Zumstein-Shaha, 1000. (2019). Using Ockham'due south razor to redefine "nursing science." Nursing Philosophy, 21(3), e12246. doi.x.1111/NUP.12246
Hunter, Fifty. P. (2002). Poetry as an aesthetic expression for nursing: A review. Periodical of Advanced Nursing, twoscore(2), 141-148. doi: 10.1046/j.1365-2648.2002.02356.x
Levitz, j. & Berger, P., (2020, April 10). I'm deplorable I can't osculation you: Coronavirus victims are dying alone. The Wall Street Journal. Retrieved from: www.wsj.com/articles/im-sorry-i-cant-kiss-youcoronavirus-victims-are-dying-alone-11586534526
Palos, 1000. R. (2014). Care, compassion, and communication in professional nursing: Fine art, science, or both. Clinical Journal of Oncology Nursing, 18(2), 247-248. doi.10.1188/14.CJON.247-248
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Stone, J. (1983). Gaudeamus Igitur. Journal of the American Medical Association, 249(13), 1741-1742. doi:ten.1001/jama.1983.03330370051030
Titler, Chiliad. (2011). Nursing scientific discipline and evidence-based practice. Western Periodical of Nursing Enquiry, 33(three), 291-295. doi.10.1177/0193945910388984
Trzeciak, S., & Mazzarelli, A. (2019). Compassionomics: The revolutionary scientific evidence that caring makes a difference. Studer Grouping, LLC.
Van Vliet, 50. Yard., & Epstein, A. Due south. (2014). Current state of the art and science of patient-clinician advice in progressive disease: Patients' need to know and demand to feel known. Journal of Clinical Oncology, 32(31), 3474 - 3478. doi.10.1200/JCO.2014.56.0425
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Wick Poetry Center. (2020). Traveling stanzas: Join the Some Days poem. Retrieved from: https://travelingstanzas.com/
© 2021 OJIN: The Online Journal of Issues in Nursing
Article published March 26, 2021
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