From the viewpoint of nursing as caring, the nurse administrator makes
decisions through a lens in which the focus of nursing is nurturing
persons as they live caring and grow in caring. All activities in
the practice of nursing administration are grounded in a concern for
creating, maintaining, and supporting an environment in which calls for
nursing are heard and nurturing responses are given. From this point of
view, the expectation arises that nursing administrators participate
in shaping a culture that evolves from the values articulated within
nursing as caring.
Although often perceived to be "removed" from the direct care of the
nursed, the nursing administrator is intimately involved in multiple
nursing situations simultaneously, hearing calls for nursing and
participating in responses to these calls. As calls for nursing are
known, one of the unique responses of the nursing administrator is to
directly or indirectly enter the world of the nursed, understand special
calls when they occur, and assist in securing the resources needed
by the nurse to nurture persons as they live and grow in caring. All
nursing activities should be approached with this goal in mind. Here,
the nurse administrator reflects on the obligations inherent in the role
in relation to the nursed. The presiding moral basis for determining
right action is the belief that all persons are caring. Frequently,
the nurse administrator may enter the world of the nursed through
the stories of colleagues who are assuming other roles such as
nurse manager. Policy formulation and implementation allow for the
consideration of unique situations. The nursing administrator assists
others within the organization to understand the focus of nursing and to
secure the resources necessary to achieve the goals of nursing. When the
focus of nursing can be clearly articulated, nursing's contribution
to the whole will be understood, If the focus of practice is clouded,
however, this becomes an insurmountable task. Recognition of nursing's
value is contingent upon the ability of nurses to articulate their
contribution. Traditionally, systems define contribution through patient
outcomes and other total quality measures. Future articulation of
nursing and its contributions would emanate from the values and
assumptions offered in the Nursing as Caring theory.
Sharing nursing situations with others is one way to promote the knowing
of nursing. It also is a way for other members of the organization to
see how their roles contribute to the well-being of the nursed. The
following is a nursing situation, re-presented as the poem "Last
Rights," that cries out for nursing administration, that is, nursing
support for nursing.
Last Rights
Tight faced, they found and cornered her at work
As quick as hammers pounding down a wall of
words came hard and nailed that little quirk of
honest so fast she held the rail.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account