"Who were you to say he was a dying man,
though he lay white, his lifethread thin.
How were you to know the speed his flying heart
would race away from bone and shin.
He was hopeless, yes, beneath that tent of
filmy gauze, but who were you to say his fate
was hinged in prayer-our magic spent.
Who knows, he might have lived another day.
"He held my hands, asked the truth," she said.
Then turned away to smooth the empty bed.
--Yelland-Marino (1993)
The nurse administrator can nurture the living in caring and growing in
caring of the person in this story by creating ways to support the
nurse at the bedside in order that the call for hope of being known and
supported as caring person, not object, can occur. What are some of
the strategies that the nurse administrator could engage in which would
reflect the nursing focus?
Because budget determination is such a prominent matter for nurse
administrators, we will begin there. Budget decisions should be directed
from the perspective of what I ought to do as nurse administrator that
would have the greatest effect on nurturing persons being cared for in
their living and growing in caring. One aspect of budget essential to
this story is time--time for the nurse to focus on knowing self and other
colleagues. As Paterson & Zderad (1988) state, for nursing practice to
be humanistic, awareness of self and others is essential. The budget
should include time allocations for staff to participate in dialogues
focused on knowing self as caring person in order that calls, such as
the one in the previous story, can be heard. The notion of dialogue is
central to transforming ways of being with others in organizations. Bohm
(1992) refers to dialogue as creating "a flow of meaning in the whole
group, out of which will emerge some new understanding, something
creative" (p. 16). Persons engaged in dialogue are focused on trying to
understand situations as perceived through another's eyes in order that
new possibilities may be recognized. Through the allocation of time,
nursing staff come to better know self and other. Shared meanings
emerge which become the "glue or cement that holds people and societies
together" (p. 16). These opportunities for knowing self assist the
nurse to achieve, as Tournier (1957) would put it, a reciprocity of
consciousness with other.
Through the opportunity to better know self as caring person, the nurse
will learn to intentionally and authentically enter nursing situations
focused on knowing and supporting the nursed as they live caring and
grow in caring. Time for reflection and collegial dialogue is necessary
to maintain this nursing lens in a period of increasing responsibility.
Such time allocation communicates the commitment of the nurse
administrator to enhance the growth of the nurse in the discipline of
nursing.
Public-domain text, read in full here on John Shaqi.
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