A biannual publication of the
School of Nursing and Health Care Practices,
Southern Cross University,
in association with the
Australian College of Holistic Nurses Inc.
|
|
A biannual publication of the School of Nursing and Health Care Practices, Southern Cross University, in association with the Australian College of Holistic Nurses Inc. |
|
12(2): 51 Book Review
Tucakovic
M 2005 Nursing as an Aesthetic Praxis AuthorHouse, Bloomington, Indiana
Review by Professor Beverley
Taylor
Extract: …Even though the topics of praxis and aesthetics may seem daunting, the book is constructed in such a way as to unfold its wisdom in manageable chapters. Multiple foundations of stories, insights and literature are laid down skilfully, as super-strong premises, on which to build some very large, universal conclusions about the nature of human existence and why we exist at all. The end effect is to see not only the beauty of nursing as a reflective, changing and evolving practice, but also to get a glimpse into the power and energy of tiny and relatively simple interpersonal acts of care, central to beauty and God consciousness…
12(2): 43-50 Occasional Article
Anthroposophical Nursing
Tessa Therkleson
Tessa provides us with an introduction and overview of Anthroposophical Nursing and examples of its application to practice.Abstract: Anthroposophical nursing evolved out of a striving to maintain the human caring and loving warmth of nursing practice whilst having cognisance of academic rigor and scientific nursing research. It is an extension of traditional nursing requiring inner personal development to accompany a modern scientific approach.
12(2): 5-12 Feature Article
Facial
expressions in paintings as perceived by the student nurse
Britt-Maj Wikström PhD
Gunilla
Svidén PhD
Abstract: The aim of the study was to develop an educational tool consisting of selections of paintings in order to complement theoretical knowledge regarding non-verbal communication. Another aim was to investigate students’ opinions of the educational tool. A visual art programme which introduced student nurses to varying facial expressions in art reproductions was developed as a complement to textbooks on nonverbal communication. Participants were student nurses from two nursing schools in Sweden. Data were collected over a period of two years (1998-2000) in the second year of the 3-year undergraduate programme. Participants were able to infer whether a positive or negative message had been given to the depicted person. Participants´ evaluations of the programme were expressed in positive terms.
12(1) Editorial
Bev Taylor
On the gift of presence
Bev reminds us of the reciprocal nature of genuinely ‘being there’ in heart and body for others, and of the abundant healing for all concerned that can result from heartfelt interactions..Excerpt:
Welcome to this edition of AJoHN. We are proud to bring to you refereed and selected writing from many authors, who all share a common feature – their human presence in their work …
Why is presence a gift? I have referred often to presence as though it is a treat or prize you can give to another person, because, in effect, you can ‘be there’ in a role, but be absent in the true sense of presencing. Being geographically near does not give presence. Presence is given as a gift when we so attune to the proximity and needs of another human being, that we give that person our full attention and respect, even if only for a split second as we pass by in the street, or stop from our busyness to be more fully available to them …
12(1): 4-10
Feature Article
The phenomenon of presence within
contemporary nursing practice: A literature
review
Di Welch RN, BAppSci(Nursing), MHlthSci(Research).
Sally Wellard RN, BA(SocSci), Post-Basic Renal Cert, MN,
PhD.
Abstract: Nursing practice underpinned by humanistic values may promote presence experiences within nurse–patient interactions. These interactions are powerful and beneficial both to nurse and patient. However, the phenomenon of presence is surrounded by competing and confused definitions. Whilst presence is arguably a core aspect of nursing practice, current health care environments significantly influence nurses’ opportunities to experience presence.
Key words: Presence, Intersubjectivity, Nursing practice, Positive outcomes, Devaluation.
12(1): 21-31
Feature Article
Community mental health nurses and their emotional wellbeing: Is
anyone listening?
Jayln Rose RN, BNurs,
BnursHons.
Nel Glass RN, MHPEsd, PhD, FCN(NSW),
FRCNA.
Abstract: This paper highlights some of the findings from a recent study with women community mental health nurses which explored the relationship between emotional wellbeing and professional practice. Specifically, this article addresses the unique meaning of emotional wellbeing, self healing strategies used by participants, and identifies the relationship to professional practice. The findings revealed that the notion of emotional wellbeing whilst complex was explicitly linked to the intertwining of their personal and professional experiences and situations. It is argued that the implications for failing to meet the needs of our nurses will not only jeopardise the nurses themselves but moreover the clients as recipients of such an essential service
12(1): 31-35
Occasional Article
Bowen
Technique – Its use in work related injuries
Anna Dicker
RN, RM, BHSc(Nursing), Diploma Bowen
Technique
Abstract: A program in Byron Shire in 2002 offered Health Service staff treatments with Bowen Technique. The program was evaluated after 9 months. The evaluation explored the effect of the treatment on work related injuries. The responses indicated that the provision of Bowen Therapy for staff might be an effective way of reducing Workcover claims.
Keywords: NRAHS, Bowen Therapy, Workplace morale, Bowen clinic
12(1): Book
Review
Wright LM 2005
Spirituality, Suffering, and Illness: Ideas for Healing
F
A Davis Company, Philadelphia.
Reviewed by Bev
Taylor
This book inspires the reader to look deeply into the phenomenon of suffering and its relationship to illness and spirituality. Through people’s narratives, the author has captured the meaning of suffering and how suffering can lead us to transcendent levels of knowing, experienced as spirituality. Even though the book has a substantial academic component, as evidenced in relevant professional literature, it nevertheless manages to entice the reader into listening in on conversations about suffering, because of its focus on the experiencing human.
Chapters are devoted to spirituality, suffering and illness in everyday life; reflections and learning about suffering; the literature; the Trinity Model of beliefs, suffering and spirituality; clinical practices that help healing; and connecting the personal and professional in matters of suffering, spirituality and illness. This book would not only be useful for nurses and health care workers in sensitising their practices to suffering, but it would also be a useful resource for researchers, whose projects are within the area of illness, suffering and spirituality.
12(1): 31-35
Occasional Article
Bowen Technique – Its
use in work related injuries
Anna Dicker RN, RM,
BHSc(Nursing), Diploma Bowen Technique
Abstract: A program in Byron Shire in 2002 offered Health Service staff treatments with Bowen Technique. The program was evaluated after 9 months. The evaluation explored the effect of the treatment on work related injuries. The responses indicated that the provision of Bowen Therapy for staff might be an effective way of reducing Workcover claims.
Keywords: NRAHS, Bowen Therapy, Workplace morale, Bowen clinic
11(2): 4-11 Feature Article
Carers’ perceptions of pain in people with dementia: A grounded theory approach
Falls D (RN), Stevens J (RN, PhD),Andersen M (RN), Collin S (RN), Dodd N (RN), Fitzgerald E (RN), Mitchell G (RN), Sheriden J (RN), Ramsay A (RN), Weaver A (RN), Wilson V (RN).
Formal and informal carers reveal the important role played by intimate knowledge developed from close and ongoing contact.
Abstract: The purpose of this study was to add to the limited understanding about the perception and observation of pain by the formal and informal carers of people with dementia. Thirty-one carers were interviewed to talk about how they know when their person with dementia has pain. The findings from this Grounded Theory based project showed that there is no one set of signs or behaviours that indicate pain in all people with dementia. However, there appeared to be a common pain assessment process amongst the carers. This process involved being able to detect deviation from normal behaviours based upon their intimate knowledge of what is normal for their person with dementia. A central hypothesis was thus generated from the data that considered that effective pain assessment for people with dementia is dependent on carers having an intimate knowledge of the individual’s normal state of being with dementia. Implications for nursing practice in caring for people with dementia are discussed.
11(2): 12-20 Feature Article
Critical illness – a lived reality for patients and their families
Jan Foster BSocSc(PIT); MSW(Melb).
Jan’s case study provides an intimate insight ‘…when the cancer is rare, away from the well-worn path, all are floundering in a sea of uncertainty…’
Abstract: This case study tells of one family’s experience surrounding the diagnosis of rare cancer, where both the medical system and family struggle with a critical, largely unknown illness. The experience was complicated by communication issues between the medical profession and family, support from counselling services, and lack of information – compounded by a health system concentrated in metropolitan areas.
11(1): 37-44 Occasional Article
Implementing reflexology into midwifery practice
Lyndall Mollart RN, RM, CHFHC, BHScNurs, GradDipMid, DipReflexology
Lyndall’s study adds to the body of literature on midwives observations and perceptions of a complementary therapy such as reflexology and its integration into clinical practice.Abstract\: This paper reports on a small quantitative study of midwives who had undertaken a midwifery reflexology course in NSW, Australia. In particular, it examines some of the barriers and influences which affect implementing knowledge into practice.
Introduction
Midwifery embraces the wellness model of caring by providing care and support of women during the normal progression of pregnancy and childbirth. However sometimes the physical discomforts of pregnant can interfere withthe joy of this profound life experience. In the majority of cases women are unable to take medications during pregnancy, so many midwives endeavour to decrease the symptoms for these women by incorporating complementary therapies such as reflexology within their holistic model of midwifery care.
Many midwives are excited and enthusiastic in learning reflexology. But what happens after they have completed a reflexology course? Do they use reflexology within their holistic care of midwifery? Or does the pressure of work limit their usage of reflexology? What factors influence their use of reflexology at work?
10(2): 5-10 REFEREED FEATURE ARTICLE
Abstract: Part 2 of this discussion provides a detailed examination of specific issues associated with the fathers’ personal involvement in their child’s hospital treatment for paediatric acute lymphoblastic leukaemia (ALL). In particular, fathers testify to the difficulties they encounter when involved with the restraining of their child-patient for treatment. Issues raised by parents during this study have been addressed by recommendations detailing factors which need to be considered when providing holistic care for the family and the child with leukaemia.
The complete report and the information resource developed from this project can be accessed on http://www.rdns.net.au/research_publications or by contacting the authors.Abstract: In this paper we focus on data generated from an in-depth interview with one participant of a larger study, and his voice in the participatory action research groups with other residents of a Supported Residential Facility. Bill describes what life is like when living with schizophrenia, being on anti-psychotic drugs and residing in boarding house accommodation. The aim of telling Bill’s story is to reveal the burden of living with this mental illness and how it shapes every aspect of his world. We note that his physical health is neglected, and we conclude that residents such as Bill need assistance in health promotion, social engagement and navigating community and acute health services. Bill’s story may contribute to sensitising health care professionals toward provision of holistic care and promote collaborative approaches focused toward addressing the needs identified for residents of boarding houses.
Abstract: Nursing educators have been constantly striving to develop a curriculum which enhances holistic patient care. In this article, a descriptive overview is given of a senior level, 3 credit, nursing course designed to provide nurses and other health professionals with a background in the uses of music and the importance of auditory environments for patient care and well-being. This course, which was developed by LeNavenec and Epstein, has been available via the internet since Spring 2003.
Abstract: Complementary therapies have an increasing popularity. This case study explores the experience of a nurse who practises complementary therapies within the health care system where there is a still a widespread of skepticism within the medical profession. It is considered by the nurse that it is a ‘luxury’ to include these therapies in nursing practice.
Excerpt: The holistic health professional of the early 21st century sees the human being as a complex synthesis of physical, mental, emotional and spiritual influences. Contemporary practitioners are aware that the symptoms collected from the patient need to form an accurate picture of the totality of the patient’s dis-ease. Consequently, a rapidly increasing number of students and practitioners of holistic health are today paying more attention to the art of how to take the patient’s case—to the collection of accurate information concerning the health of the patient.
This book will be a valuable ally for all natural therapy practitioners and will assist greatly in teaching case-taking to students. Unfortunately the title The Homœopathic Conversation, although it will catch the eye of most serious homœopathy students, will miss a much wider audience of students of naturopathy, nursing, medicine, herbalism etc. The modern health professions cover a multitude of modalities.
10(1): 4-12
Journey to the Other
Side
Jan Barling RN DipAppSc BA MN MRCNA
FANZCMHN.
Anthony’s mother, herself a nurse,
re-evaluates ‘care’ as her
vulnerable family journeys
at the mercy of the health care system.
10(1): 4-12Abstract: This paper attempts to provide a snapshot of the feelings and experience of a mother’s journey after her son is diagnosed with cancer. It is hoped that those who choose to read this paper may develop some understanding of the feelings experienced during this frightening journey, and that this understanding may influence the care you give now and in the future.
Selected quotes and poetry written by Anthony Barling, in 2001 appear in italics throughout this article.
Including the fathers' perspective in holistic care. Part 1: Findings on the fathers' experience with childhood acute lymphoblastic leukaemia
Pam McGrath BSocWk, MA, PhD
Nicole Huff B
SocSc (Child Life)
Pam and Nicole provide
insights and recommendations to help integrate fathers
into our
holistic practice as we work with children with cancer.
Abstract: There is scant work completed on the fathers' experience with the treatment for childhood cancer. The present discussion seeks to make a contribution to deepening our holistic understanding of paediatric treatment for leukaemia by presenting findings on the paternal involvement in, and experience of, treatment for paediatric acute lymphoblastic leukaemia (ALL). The understanding will be extended in Part 2 by a detailed examination of specific issues associated with the fathers' hospital experience and in particular, the difficulties they face with restraining their child-patient for treatment.
Keywords: Fathers; Holistic; Psychosocial; Acute Lymphoblastic Leukaemia; Restraint.
10(1): 30-45
Reflexivity
in nursing: Where is the patient?
Where is the nurse?
Abstract: Drawing upon forty years of nursing experience, in this paper we are reflexive about four issues relative to nursing clinical practices: seeking technological solutions to health and ill-health; moving from the nurse-patient relationship to the patient-healer relationship; utilising critical pathways; and, supporting evidence-based nursing. We examine current nursing practices and ask probing questions to generate debate. Most of all, we encourage nurses to engage in reflexivity and not to lose sight of their selves (knowledge, expertise and skills), and their patients’ voices and subjectivity, in their contribution to health care.
Keywords: Patients, Nurses, Reflexivity, Technology, Patient-Healer Relationship, Critical Pathways, Evidence-Based Nursing
9(2): 4-13
Refereed Feature
Article
Abstract: Biodiversity is nature’s expression of the principle of holism. This ‘natural holistic imperative’ is manifested in all aspects of the environment. While environmental health originated through a concern for protecting humans from environmental risks, it is now concerned with protecting the environment from the activities of humans. In order to protect the health of humans, there is a need to be concerned with protection of the biosphere. Moreover, the environmental crisis is essentially a crisis in spirituality, and a spirituality that respects and nurtures the non-human parts of our universe as much as it does the human ones is likely to be the only means of securing the health and happiness of humanity.
Key Words: biodiversity, environmental health, holism
9(2): 24-31
Refereed Feature Article
Intuition and visual art: Student nurses’ projection into experiences of elderly women
Britt-Maj Wikström PhD
Britt-Maj challenges us to consider creative ways in which nurses could be trained to heighten their intuition.
Abstract: The aim of the present study was to determine the degree to which student nurses in Sweden were able to predict responses of elderly women to 12 paintings. The result showed that the students were able to enter into situations and experiences of the elderly women. They used intuitive knowing—they were emotionally involved and used cognitive knowing during the prediction process. It could be concluded that nurse educators concerned with finding new directions to develop intuition skills might consider visual art of considerable value.
Keywords: Visual art, intuition, student nurses
9(2): 41-49
Refereed Feature Article
An examination of factors influencing natural therapy use in the Royal District Nursing Service
Matthew Leach RN, BN(Hons), ND, MATMS
Matthew’s detailed study addresses the use of natural therapies within nursing practice.
Abstract: Fifty-six nurses employed by the Royal District Nursing Service of South Australia (RDNS) completed a questionnaire examining factors that influence and constrain natural therapy use in nursing practice. Other issues examined included natural therapy education; natural therapy knowledge base; therapies utilised in practice; and types of patients and health conditions exposed to these therapies.
9(2): 32-40
Refereed Feature Article
Philophonetics counselling for prevention of burnout in nurses
Patricia Sherwood PhD, GradDip(SpEd), BA, GradDipArts(Counselling), AdvDip(Philophonetics)
Yehuda Tagar BA(EdTheatre), PGDipSocSci(Counselling), BA(Theatre)
Trish and Yehuda provide further insight into ways in which philophonetics counselling is assisting nurses to deal with stress and burnout.
Abstract: Nurses who have self-reported burnout rate their experiences prior to and after the intervention to reveal significant reductions in their burnout experience on all items. Philophonetics counselling interventions address feelings of victimisation, disorientation, loss of decision making power, lack of interpersonal boundaries and disconnection from one’s inner being and one’s internal resources.
9(2): 50-51
Personal &
Poetic
Sandi Grieve is the Director of Nursing at Walwa Bush Hospital, and in this edited transcript from ABC Radio National’s Life Matters, she kindly shares her perceptions of nursing within this inspirational hospital.When I first began working in a tiny country hospital, I felt it was a step backward. There was no amazing technology, only one full time doctor, and only one nurse on duty each shift. I cringed at how it was possible to adequately care for people under such primitive conditions. 12 years later, I have had the privilege of nursing many community members as they recovered from illness, or as they died, I can passionately say, the care offered in our tiny hospital is exemplary. I now know what is possible, that what we were taught as students is not idealistic, that given the correct environment and circumstance, absolute patient care, with an emphasis on what is important to the patient, not just what will save lives, is entirely possible.
(Refereed Feature
Article) 1(1): 16-27
Refereed
Feature
Article
Marina Tucakovic
Spiritual Aesthetics in Nursing: Within and without, me and you, above and below
Spiritual aesthetics in nursing is about love, beauty and truth
Abstract Spiritual aesthetics in nursing is a pattern of knowing that in-forms nursing as an aspect of caring. The prevailing ideology has represented the art of nursing as masculinist energy. This paper describes the acknowledgement of the polar opposite energy of the feminine, in which one comes to know beauty through feeling, to create a union of the masculine and feminine energies. In this way, spirituality in nursing becomes a mode of human being in which there is love, beauty and truth.
1(1):
43-46
Non-Refereed Occasional
Paper
Myra Sessions
Healing Guidance: A nursing practice
Nurse healers offer an alternative for clients needing healing rather than just curing
Abstract Nurse healers provide care for their clients in an environment and culture which views the practices of nurses as insignificant and often menial. While the nursing profession has tried to gain recognition by emulating the medical model, nurse healers have chosen to become participants in their clients’ journey to healing. The re-valuing of their healing care – ‘the care that sustains us rather than the technology that maintains us’ – will require a change of culture and consciousness.
1(1):
47
Book Review
Lyn Ramsay reviews Keegan l 1994 The nurse as healer Australia: Thomas Nelson
2(1): 4-12
Refereed
Feature
Article
Mary Jo Trapp Bulbrook
Healing from Within and Without: A holistic nursing theory illustrating the role of the inner & outer environment on health.
A theory of nursing that embraces not only the healing process but the interrelationships the healing process, the caregiver, the client and the environment
Abstract Healing from Within and Without (HFWW) is based on the assumption that health and healing in oneself is interrelated with health and healing in others – including the environment. HFWW is a powerful dynamic process in which the Body/Mind & Emotion/Spirit (interrelated systems) interface with the Self/Other/Context (interrelated systems) between the client and care giver.
2(1):
13-24
Refereed
Feature
Article
Pauline McCabe
Exploring the Phenomenon of Healing as a health capacity
Pauline McCabe advances a model of health and healing based on a qualitative survey of five nurse/natural therapists
Abstract The perceptions of five nurse/natural therapists were examined regarding the phenomenon of healing. A grounded theory approach was used, with the aim of uncovering underlying common themes. The study resulted in a definition of the Healing Response and construction of the HEALTH– Healing/Disordering Model, which identifies healing as a health capacity.
2(1): 25-30
Refereed Feature Article
Joan O'Connor
Ethical Decision-making in Holistic Nursing Practice: ...and the patient's right to refuse treatment
A hypothetical case study is the basis for a detailed examination of this contentious issue
Spiritual aesthetics in nursing is about love, beauty and truth
Abstract Spiritual aesthetics in nursing is a pattern of knowing that in-forms nursing as an aspect of caring. The prevailing ideology has represented the art of nursing as masculinist energy. This paper describes the acknowledgement of the polar opposite energy of the feminine, in which one comes to know beauty through feeling, to create a union of the masculine and feminine energies. In this way, spirituality in nursing becomes a mode of human being in which there is love, beauty and truth.
1(1): 43-46
Non-Refereed Occasional Paper
Myra Sessions
Healing Guidance: A nursing practice
Nurse healers offer an alternative for clients needing healing rather than just curing
Abstract Nurse healers provide care for their clients in an environment and culture which views the practices of nurses as insignificant and often menial. While the nursing profession has tried to gain recognition by emulating the medical model, nurse healers have chosen to become participants in their clients’ journey to healing. The re-valuing of their healing care – ‘the care that sustains us rather than the technology that maintains us’ – will require a change of culture and consciousness.
1(1): 47
Book Review
Lyn Ramsay reviews Keegan l 1994 The nurse as healer Australia: Thomas Nelson
Return to top of page
2(1): 4-12
Refereed Feature Article
Mary Jo Trapp Bulbrook
Healing from Within and Without: A holistic nursing theory illustrating the role of the inner & outer environment on health.
A theory of nursing that embraces not only the healing process but the interrelationships the healing process, the caregiver, the client and the environment
Abstract Healing from Within and Without (HFWW) is based on the assumption that health and healing in oneself is interrelated with health and healing in others – including the environment. HFWW is a powerful dynamic process in which the Body/Mind & Emotion/Spirit (interrelated systems) interface with the Self/Other/Context (interrelated systems) between the client and care giver.
2(1): 13-24
Refereed Feature
Article
Pauline McCabe
Exploring the Phenomenon of Healing as a health capacity
Pauline McCabe advances a model of health and healing based on a qualitative survey of five nurse/natural therapists
Abstract The perceptions of five nurse/natural therapists were examined regarding the phenomenon of healing. A grounded theory approach was used, with the aim of uncovering underlying common themes. The study resulted in a definition of the Healing Response and construction of the HEALTH– Healing/Disordering Model, which identifies healing as a health capacity.
2(1): 25-30
Refereed Feature Article
Joan O'Connor
Ethical Decision-making in Holistic Nursing Practice: ...and the patient's right to refuse treatment
A hypothetical case study is the basis for a detailed examination of this contentious issue
Abstract The increasing use of sophisticated medical technology is cited within the literature as the major reason why professional nurses need to be aware of ethical theory and problem-solving techniques in order to resolve the growing number of moral dilemmas such as the one described in the accompanying case study. In relation to the case study, this paper discusses the patient’s right to refuse treatment and describes the ways in which rights and duties should be applied in professional holistic nursing practice. The paper suggests that resolution of these moral problems can only be made on the basis of a valid ethical theory, using sound moral principles to act as guidelines in identifying morally acceptable actions, and emphasises the need for nurses to recognise the patient’s spiritual and emotional needs when determining appropriate holistic care for the terminally ill.
2(2): 4-14
Refereed Feature
Article
Martin J. Owen
Challenges to Caring: Nurses interpretation of holism
A descriptive account of the philosophy of holism and its relationship to the science of nursing
Abstract Many scholars claim that nursing is a human science of caring, and that holism and holistic principles are central concepts within its heritage. This paper provides a descriptive account of the phenomenon of holism for the participants of a research project (registered nurses), utilising a hermeneutic phenomenological approach, which was used to explore the participants’ experiences, as it is lived.
3(1): 12-17
Refereed
Feature
Article
Dr Maurice Ryan, Margaret McAllister
The Good Samaritan: A Revitalised Narrative for Nursing.
An exploration of the parable of the Good Samaritan and its relevance to the helping professional today
Abstract The parable of the Good Samaritan demonstrates the enduring power of a good story. The Good Samaritan has informed the law which today serves nurses well. But he has more to say. A revisited Good Samaritan can teach that narrative approaches to understanding are valuable; that nurses must not lose sight of their true purpose–to help and care; that rules, principles, and boundaries are all necessary but not sufficient in guiding practice; that the distance afforded by increased knowledge, power and professionalism in nursing can sometimes distract nurses from responding to those in need; and finally, that decisions also need to be informed by compassion if one is truly to nurse.
3(1): 12-17
Refereed Feature Article
Dr Maurice Ryan, Margaret McAllister
The Good Samaritan: A Revitalised Narrative for Nursing.
An exploration of the parable of the Good Samaritan and its relevance to the helping professional today
Abstract The parable of the Good Samaritan demonstrates the enduring power of a good story. The Good Samaritan has informed the law which today serves nurses well. But he has more to say. A revisited Good Samaritan can teach that narrative approaches to understanding are valuable; that nurses must not lose sight of their true purpose–to help and care; that rules, principles, and boundaries are all necessary but not sufficient in guiding practice; that the distance afforded by increased knowledge, power and professionalism in nursing can sometimes distract nurses from responding to those in need; and finally, that decisions also need to be informed by compassion if one is truly to nurse.
3(2):
12-18
Refereed Feature
Article
Jane Hall
Challenges to Caring: Nurses as Wounded Healers
This is the first part of a paper which explores the wounds of nursing and the avenues for healing. The second part will be presented in our next issue
Abstract Nurses as healers face many challenges. This paper presents the notion of the wounded healer as a pattern which the nursing profession as a whole and nurses as individuals can use to provide preparation and guidance for healing practice. This pattern is utilised to explore in tandem the wounds of nursing and the avenues for healing. The pitfalls of failing to acknowledge woundedness and to seek healing are identified, and a picture of the nurse as wounded-healer is presented.
3(2): 19-26
Refereed Feature
Article
Nel Glass
Integration of the (Whole) Self: Risk Reflections of Tertiary Women Nurses
Nel presents the results of a research study which explored women nurses' experience of the impact of tertiary study on their personal and professional lives
Abstract This article draws on some of the results of a recent research study. The study explored women nurses’ experiences with tertiary education and specifically, its impact on their personal and professional lives. The CONNECTIONS between holistic philosophical assumptions and risk reflections are put forward.
4(1): 4-10
Refereed Feature
Article
Helen Cox
Nursing Lifespaces: Places of Care and Healing
This is the second part of Helen's paper on recovery following a devastating bushfire. In this paper Helen explores the healing relationship from the perspective of nursing and nursing work
Abstract In Part A of this paper (AJOHN 1996, 3, 2), the focus was on the human/environment relationship and disruption to the dwelling place caused by bushfire. This paper focuses on the human/environment relationship from the perspective of nursing. Commencing again with the bushfire, the paper examines what it means to nurse in disrupted lifespaces and how important it is that nurses see themselves as part of the environment of the other, while looking to the environment for their own well-being.
4(1): 11-16
Refereed Feature
Article
Jane Hall
Nurses as Wounded Healers: The Journey to Healing the Person and Profession
Jane continues her exploration of the path of the wounded nurse healer and the search for balance between woundedness and healing
Abstract In Part A of this paper, Challenges to Caring, published in the AJOHN 1996, 3, 2, Jane discussed the path of the wounded healer and the importance of identifying these wounds as part of our ‘call to healing’. This paper will explore the wounds of powerlessness and invisibility and the seeds of healing that lie therein. Some principles of healing and the polarisation between ‘wounded’ and ‘healer’ are explored. Through the process of recognising and healing our wounds, transformation, self knowledge and creativity are facilitated at a deep level.
4(1): 17-24
Refereed Feature
Article
Gloria Powell
The New Physics: Health and Nursing
Gloria explores how the new physics is increasing our breadth of vision in relation to health and healing
Abstract The paper examines our interpretations of reality, particularly as they relate to health and healing. The Cartesian mechanistic model of reality is contrasted with the New Physics model of reality before demonstrating how the influence of Dr Martha Rogers has, in this twentieth century, led nursing into a new world view.
4(1): 41-44
Non-Refereed Occasional Paper
Janette Mills
Aromatherapy on the Ward: The whiff of ‘de-stress’
Janette discusses the implementation of aromatherapy into a busy and stressful environment and the positive outcomes that were achieved
Abstract Aromatherapy, as identified by the Burton Goldberg Group (1994), is a natural therapy which utilises the medicinal properties found in the essential oils of various plants. Through a process of steam distillation or cold-pressing the constituents of the plants oil (its essence) are extracted from its flowers, leaves, branches, or roots (Burton Goldberg Group, 1994). My challenge was whether a therapy, such as aromatherapy, could be implemented into a busy, stressful orthopaedic ward and have a positive effect in relieving some of the stress in that environment.
4(2): 15-23
Refereed Feature
Article
Nel Glass
Horizontal Violence in Nursing: Celebrating conscious healing strategies
This article investigates the experiences of women nurse academics in universities, focusing on horizontal violence and some strategies to move beyond it
Abstract This article represents some of the qualitative findings from a recent research study which investigated the lived experiences of women nurse academics in universities. In particular the participants’ experiences with horizontal violence are revealed, and the associated identified healing strategies to move on from negativity are discussed.
4(2):
45-47(
Poem
Anonymous
"Transition Tide"
5(1):4-9
Refereed Feature
Article
Verna Owen-Mills
Presencing in Practice: Utilising the Core of the Caring Process
This article is about knowing in nursing, and using presence knowingly. It is based on Verna's years of clinical nursing practice
Abstract This article is about knowing in nursing, and using presence knowingly. It examines some descriptions from the literature and discusses how issues raised sit with my personal practice-based understanding of presencing. Four short exemplars are given to illustrate some of my experience with presencing, often in difficult circumstances, in clinical nursing practice over the years.
5(1):
32-38
Refereed Feature
Article
Allison Williams
The Experience of the Female Nurse Who Is a Patient: Powerless or in Control?
This article explores a study on the female nurse as patient and the power relationship between patient and care provider
Abstract This qualitative study sought to explore the experience of the female nurse as patient, focusing on the power relations between the female nurse-patient and the female nurse providing care. A critical approach informed the interviews with six registered nurses regarding their hospitalised experiences, and why they chose to disclose or withhold their professional occupation. Thematic and deconstructive analysis revealed the subjugation and marginalisation of these nurse-patients, suggesting that nurses do not always view nurse-patients as individuals requiring holistic care, as well as the need for a more balanced sharing of power between these two groups.
Mary Beveridge
5(1): 39-43
Non-Refereed Occasional
Paper
Weaning- A Nursing Challenge
Mary discusses weaning from mechanical ventilation and the need for a protocol from which advanced nurse clinicians could work
Abstract Weaning a patient from mechanical ventilation and then to extubation is a challenge for critical care nurses who play a vital role in assessing a patient’s readiness for weaning and managing the weaning trials. Traditionally, critical care nurses perform the process, but only under the direction and supervision of intensivists. This team approach is important but can lead to delays. I believe that with clearly defined boundaries a critical care nurse could expedite the weaning process of a patient from mechanical ventilation. An Intensive Care Unit protocol, which provides a valid framework from which professional advanced nurse clinicians could work, would give increased autonomy and legitimacy, avoiding unnecessary delays.
5(1):
47-48
Poem/Story
Sue Kildea
"Back from the bush"
Sue provides insight to life as a nurse out bush
5(2): 14-19
Refereed
Feature
Article
Dawn Freshwater
From acorn to Oak Tree: a neoplatonic perspective of reflection and caring.
Dawn calls on nursing theory and mythology to discuss the idea of caring as an ‘innate image; and provides and analysis of reflection and caring.
Abstract This paper provides a meta-analysis of reflection and caring. Placed within a philosophical framework, the nurse’s call to care is explored. Drawing upon Rosemarie Parse’s theory of human becoming (1981) and Plato’s myth of Er (Hillman, 1996), the author discusses the idea of caring as an ‘innate image’. This image is expanded throughout the paper as the author uses the analogy of the acorn as containing the becoming oak tree.
5(2):
4-6
Refereed Feature
Article-
Kathryn Roberts
Patchwork and quilting as holistic health practice Kay explores the value of patchwork and quilting to enhance the holistic care given by nurses to both clients and their loved ones.
Abstract Patchwork and quilting can be part of holistic care to clients and their loved ones. Nurses can encourage clients to use these skills to promote health and divert their attention from their illness. They can also encourage clients’ loved ones to make commemorative quilts. Such strategies will help to enhance the emotional and spiritual side of nursing.
5(2): 36-40
Non-Refereed Occasional
Paper
Anthony G Tuckett
Code of Ethics: Assistance with a lie choice?
An exploration of honesty and truth telling in nursing, addressing how the Code of Ethics for Nurses can be applied to an ethos of nursing care.
Abstract Nurses are often confronted with clinical situations demanding a decision to respond either by telling the truth or by deceiving. Nurses are not unique in this regard. However, nurses are expected to act within an ethos of care cognisant of duty, the right and the good. In order to be guided through such a dilemma nurses may reasonably ask for some clear and helpful statements to assist with that practice. This paper examines the Code of Ethics for Nurses in Australia for some such statements.
5(2):
27-31
Non-Refereed
Occasional
Paper
Margi Martin
Considerations and contemplation.
This paper takes us on a journey into language, conversation, silence and understanding as an essential part of the healing process.
Abstract In thinking through practice reflections Margi uses images and text to contemplate the form of conversation when spiritual/elemental experience enables a person or family to reconnect the layers of their everyday world with the heart or centre of their being.
6(1): 25-31
Refereed Feature
Article
Martin Hemsley
Nel Glass
"Super’ presencing nurse healers stories of healing.
Describes and outlines the experience for nurse healers of being a channel for healing.
Abstract This article describes the experience for nurse healers of being a channel for healing. In particular this was explored by revealing "super" presencing — and essential them if the lived experience of nurse healers described in a recent research study. "Super" presencing not only enhances our knowledge but gives inspiration in an otherwise undernourished area of the healing profession of nursing.
6(2):
28-34
Refereed
Feature
Article
Martin Hemsley, Nel Glass
Nurse healers: Exploring their lived experiences as nurses.
Martin & Nel off insights in the working lives of nurse healers.
Abstract This article explores the lived experience of nurse healers in nursing, reporting on three themes identified in a recent hermeneutic phenomenological research study. These themes, mapped out in the words of the participants, are termed responding, evolving, and weaving.
7(1): 4-8
Refereed
Feature
Article
Jean Watson
Via negativa: Considering caring by way of non-caring
We are challenged by Jean to consider that Caring transcends Curing; that Caring involves deeper CONNECTIONS between people, and that Caring is an end in and of itself.
Introduction In the past decade there has been open discourse about the barriers and contrasts between caring and curing philosophies and models. It has been acknowledged that these differences and the dialectic between caring and curing are found in both medicine and nursing, across genders and fields, such as ethics, women’s studies, philosophy and health sciences. Medical practices reside more clearly and comfortably within the public space of treatment and cure, whereas caring has been less visible, often associated with women’s work, residing more within the private, more intimate world and spaces of home, society, and health care.
7(1):
9-14
Refereed
Feature
Article
Steve Wright
Picking up the pieces
In addressing problems such as stress and burnout in nurses and other carers, Steve suggests we need to look more carefully at the context and process of caring relationships.
Abstract This paper examines some of the current evidence of stress and burnout among nurses and other health care workers. Even in environments where pay and conditions are good, nurses still experience significant difficulties in healing relationships, stress and burnout sufficient to render them dysfunctional at work. The paper, using the case study of a unit set up to provide care for nurses, examines how the needs of nurses can also be taken into account in the holistic perspective on caring.
7(1): 15-20
Refereed Feature
Article
Patricia Sherwood
Yehuda
Tagar
Experience awareness tools for preventing burnout in nurses
Trish and Yehuda introduce us to Philophonetics Counselling: dealing with nurse burnout through personal empowerment
Abstract Philophonetics counselling is a radically new method of coping with stress through the developmentof individually tailored self-controlling emotional and cognitive strategies. This paper proposes that philophonetics counselling provides an innovative holistic approach of dealing with burnout in the nursing profession.
7(1): 21-25
Non-Refereed Occasional
Paper
MaryAnne Yeldham
Combining complementary therapies and nursing skills to supplement healing
After years of following the biomedical line with the feeling that it did not always provide what the patient needed, MaryAnne investigates other possibilities.
Abstract The biomedical model’s main focus is ‘cure’ which sometimes is not the most important outcome as far as clients are concerned. The need for other techniques to supplement and aid ‘healing’ rather than ‘cure’ can have positive outcomes for both the nurse as healer and the client.
7(2): 4-11
Refereed Feature
Article
Barbara Hanna
Getting on the inside: A researcher’s journey into the world of teenage motherhood
Woman to woman, mother to mother – Barb openly discusses the trials and tribulations of entering into and beyond the lives of others in an intimate research situation
Abstract This paper describes some of the methodological challenges and particularly the ethical issues when researching with teenage mothers. It specifically describes the difficulties of gaining access, establishing and maintaining relationships and withdrawing from the field. It concludes that close attention to these issues is important when researching with teenage mothers.
7(2):
12-19
Refereed
Feature
Article
Wendy Penney
The Story of Fable: Connecting with the real world of being a registered nurse
Just what is it like for new grad’s when they finally start working? Wendy shares the story of Fable to help us understand
Abstract Fable’s story is the result of research using an interpretive approach to explore what it is like to be a registered nurse from the perspective of four new graduates. This story highlights the understanding that nursing is more than just a job: the human connection with patients and staff is a sustaining force during the many tough times experienced by the new grad.
7(2): 45-47
Practitioners
Forum
Patricia Sherwood
Yehuda Tagar
Self-care tools for creating resistance to burnout: A case study in philophonetics counselling
Our introduction to philophonetics counselling in our previous issue is further illustrated with this case study
Introduction The more intense, demanding and complicated the pressures of today’s working environments are, the more effective the tools need to be with which to monitor, access and protect our inner system. The range of non-verbal modes of awareness and of expression exemplified by philophonetics counselling, can become a significant contribution for the empowerment, maintenance and self care of nurses. The following case study of a philophonetics counselling session with Mary illustrates the application of this process.
8(1):
38-42
Non-Refereed
Occasional
Paper
Anna Dicker
Using Bowen Therapy to improve staff health
Anna provides us with the background to an exciting health promotion project
Abstract Positive results from the administration of Bowen Therapy to staff while at work has prompted an innovative project addressing the lowering of stress levels and preventing burn-out for all staff, in and beyond nursing.
8(1): 43-46
Non-Refereed Occasional
Paper
Julie Ralph-Flint
Cultural Borrowing and Sharing: Aboriginal Bush Medicine in Practice
Working on the boundary between two cultures has shown Julie a new perspective to health care
Abstract Aboriginal people of the Northern Territory continue to approach health related issues by integrating traditional and modern lifestyles and sharing information.
8(1): 47-48
Personal & Poetic
Kay de Mestre
Working with dementia patients and their relatives
Introduction As the Nurse Unit Manager of the General Ward I work closely with dementia patients every day and have a lot to do with the relatives. My previous experience had covered all areas of the ward were covered EXCEPT aged and dementia care. I saw, caring for acute medical, surgical, aged, dementia and midwifery patients as quite a challenge and even before I started I knew this was to be a quite learning curve for me. The challenge soon became quite evident.