Do You Feel Nursing Is a Science an Art or Both?
Tracey Motter, DNP, MSN, RN
David Hassler, MFA
Mary K. Anthony, PhD, RN
Abstruse
Although the fine art and science of nursing both complement nursing practice, the scientific discipline aspect is most often emphasized. The art of practise, however, may best capture the essence of nursing. To recognize the 50thursday ceremony of a college of nursing, faculty, staff, and alumni participated in creation of a community poem, entitled "Some Days." As the COVID-19 pandemic brought public awareness to the contributions of nurses, the art of nursing was evident in the many ways that nurses cared for both patients and families. The cogitating procedure took on new meaning, jubilant nurses with poetry and giving voice to the emotional demands of nursing. In this article, we offering a brief historical overview of the art and science of nursing, and discuss the collaborative process that led to the cosmos of the poem and its installation as a public work of art. This collective verse form 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 poetry. In our conclusion, readers are invited to read the verse form, "Some Days," and share their passion for nursing by calculation to this open up community poem that celebrates the unique work of nurses.
Citation: Motter, T., Hassler, D., Anthony, M.K., (March 26, 2021) "The Art of Nursing Becomes a Celebration of Nurses" OJIN: The Online Journal of Problems in Nursing Vol. 26, No. 2.
DOI: 10.3912/OJIN.Vol26No02PPT72
https://doi.org/10.3912/OJIN.Vol26No02PPT72
Key Words: art of nursing, scientific discipline of nursing, verse, celebration of nurses, meaning of nursing work, community poem, Some Days, COVID-19 pandemic
To provide optimal intendance in today's complex healthcare surround, nurses must be knowledgeable, technologically savvy, compassionate, and caring. They must practice high levels of communication. The American Nurses Association (ANA) describes nursing equally the "glue that holds the patient's healthcare journey together, a scientific discipline and an fine art" (ANA, northward.d., para. 1). Coming together the many challenges inherent to providing rubber, quality, patient-centered care takes both scientific noesis and creative fine 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 scientific discipline of the bailiwick.Throughout history, leaders in the profession of nursing have grappled with the separation, integration, and synergy of the fine art and science of the discipline. Writings of nurse scholars such as Peplau (1988) explain the beauty of both the art and the science to provide a holistic lens to describe the complexity of nursing care. Carper'southward (1978) description of the values and beliefs for professional person practice expanded our understanding of empirical and aesthetic ways of knowing. Empirical knowing allows scientific bear witness to guide practice, while the artful way of knowing embraces the art of nursing.
Scientific discipline, as a mode of knowing, serves as a ground to advance nursing practise necessary to continue the service of human being wellness needs (Grace & Zumstein-Shaha, 2019). This perspective is encompassed in the 4 nursing metaparadigm concepts of wellness, person, surroundings, and nurse. Empirical noesis informs professional practice not but from the common agreement of scientific systematic assessments and observations, but also the subjective experiences of persons and the meaning they attach to these events (Carper, 1978).
Collectively, nursing scientific discipline informs the evidence base necessary for the practice arm of the profession and is vital to amend healthcare and patient outcomes (Titler, 2011). Evidence-based practice includes evidence from scientific studies, likewise equally patient preferences and nurse expertise. It is nurse expertise that may oftentimes be unobserved and simply known through a deeper agreement of the art of nursing.
Evolving over fourth dimension, the art of nursing has been defined every bit the nurse'southward power to be compassionate, caring, and communicative The art of nursing, in its primeval history, was rooted in vocational norms related to motherhood and homemaking (Peplau, 1988; White, 2002). Evolving over fourth dimension, the art of nursing has been defined as the nurse'south ability to be compassionate, 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 care by nurses explores a patient's illness or cause for seeking healthcare. It offers to nurses a framework to larn about patients' physical, mental, and psychosocial needs to optimize care for them and their families.
Nurses are the nearly present of healthcare professionals and thus best able to read the emotional cues of patients and establish human connections and relationships. Intrinsic to the art of nursing, compassion aligns with nurses' highest professional ideals. Compassion is an emotional response to reduce another'southward pain or suffering (Goetz, Dacher, & Simon-Thomas, 2010). Information technology involves taking activeness, and is distinguished from empathy, a necessary precursor of compassion defined as feeling and understanding ane's suffering (Trzeciak & Mazzarelli, 2019). Compassion elevates care through actions, voice, and touch, motivating other forms of relational connectedness demonstrated through caring practices and advice (Goetz et al., 2010). When relational connection is established, individualized opportunities for tailored, patient-centered care be, giving nurses needed insight to know and exercise things differently. The value of this work is in the resulting concrete actions and intellectual and emotionally invested decisions at the core of nurses' work. Sadly, these oftentimes remain invisible.
Caring is a multi-dimensional concept interpreted within ane'southward experiences.Caring is a multi-dimensional concept interpreted inside one's experiences. Watson (1979) summarized the work of caring as belongings humanistic values of trust, developing relationships, maintaining promise, and recognizing the importance of spiritual, physical, and mental back up. She also associated the work of caring with systematic creative problem solving and education patients to meliorate their quality of life. The unique office 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, as an fine art grade, 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 cognition most diagnosis, treatments, and the healthcare journeying. Affective advice, sometimes considered a soft skill, is the ability of nurses to provide an empathetic, compassionate, and caring approach toward patients and families (Van Vliet & Epstein, 2014). Clear, concise, and relational communication is essential to quality, safe nursing exercise and patient-centered care. When the art and science aspects of nursing practise go synergistic, they shape a holistic and powerful approach to improve patient and family care.
Nurses apply the science of knowing and art of nursing in their daily practice across a latitude of situations.Nurses use the science of knowing and art of nursing in their daily exercise beyond a latitude of situations. For example, nurses learn the all-time arroyo to provide comfort for patients and families, peculiarly for those who struggle to cope with a diagnosis and feel frustration and anger. Nurses advocate for patients and families using empathetic and empathetic communication to help them understand and navigate the healthcare environment and health outcomes. Nurses bring calm to an often cluttered experience by being present with patients.
The Art of Nursing and the COVID-19 Pandemic
During the COVID-19 outbreak...nurses orchestrated the art of nursing to provide quality intendance.During the COVID-19 outbreak when patients were critically ill and the disease and treatments defied the boundaries of bachelor science, nurses orchestrated the art of nursing to provide quality intendance. When family unit back up was prohibited, nurses understood patients' needs for the condolement 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 technology. In final moments, nurses, as surrogate family 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 practice.
Celebrating Nurses with Poesy
In contrast to science, which defines what something is, poetry gives a deeper and richer understanding virtually the experience... Nurse leaders at Kent Country University (KSU), located in Kent, OH, aspired to celebrate nurses during the 50thursday anniversary of the Higher of Nursing by using poetry to unveil the meaning of the art of nursing. As an art form, poetry provides a unique opportunity for nurses to understand 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 connexion to these experiences and feelings that assist give meaning to the event (Hunter, 2002). Creation of the poem "Some Days" gave vocalization to students, faculty, and alumni who participated in developing a community poem to depict the complex emotions that provide meaning to everyday nursing do.
Reflecting on Do
In partnership with the university Wick Poetry Eye, KSU College of Nursing faculty created a unique experience for the nursing community to engage in artistic dialogue that considered the art and science 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 Center (DH). During each workshop, a poem was shared about healing and the work of nursing to inspire conversation and reflection. Each verse form served as an invitation and guide for participants to engage in the writing process and explore their ain feelings, memories, ideas, and emotional responses about their experiences as a professional person nurse.
During each workshop, a poem was shared well-nigh healing and the work of nursing to inspire conversation and reflection.Examples of poems used during the experience included "Gaudeamus Igitur" by poet and physician John Stone (1983), also as other poems curated by the Wick Poetry Eye from customs workshops, such as "Ode to My Body" by a grouping of senior high school students; "Things That Have No Name" by an outpatient therapy group; and "Nurse'south Prayer" by an oncology nurse (Wick Poetry Center, 2020). Post-obit 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-24-hour interval nursing do. A prompt from i of the poems was then used to inspire each participant to reflect and create their own stanza to give significant to the experience of being a nurse.
Creating a Verse form
This process required a deep reading and "listening" to the linguistic communication... After the eight workshops were completed, private lines and images from nearly 300 participating higher of nursing faculty, students, and alumni were woven into a collective poem by Managing director of the Wick Poetry Center, (DH) using an organic and intuitive approach. This process required a deep reading and "listening" to the linguistic communication and then searching for connections to discover how one line or image could speak to some other. This method offered an heady mode to connect each private story and experience with a larger commonage story and vocalization. The "Some Days" community poem is the culmination of this process and celebrates the work of nurses.
Inviting the Public
During the COVID-19 pandemic, the power of the poem was reinforced through the narration of the images that were publicly voiced by frontline nurses.Once the poem was designed and installed as a landscape on the first flooring of the College of Nursing academic building, it took on greater meaning and significance as a public work of art and bespeak of pride for the higher to memorialize the complex emotional truth of nursing and inspire future nurses. During the COVID-19 pandemic, the ability of the poem was reinforced through the narration of the images that were publicly voiced by frontline nurses. Coupled with striking, colorful illustrations, this public installation invites all, particularly those who might not commonly read a verse form or option up a verse 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. (Effigy 1)
Effigy ane.
There is no one correct way to interpret a poem.There is no one correct manner to interpret a poem. Private readers interpret the verse form based on their unique experiences. The fine art of developing a community verse form is what allows the poem to affect those who experience it. Stanzas such equally "Your artillery will open up like doors welcoming those in need" express the art of compassion and making human connections exemplified past nurses. Questions imbedded in the stanza, "Who will wipe the face of the unknown?" and "Who volition care for the lonely one in the room," emphasize the art of caring, and the phrase "You'll speak directly with death still notwithstanding hear life's wavering mumble" expresses the verbal and non-verbal advice skills nurses use in times of need. (Figure 2)
Figure 2.
Determination
Nursing is indeed an art and science. Science helps to explain the work of a nurse, while art addresses the human connections, empathetic advice, and dedicated care and compassion that brand nursing a critical element of healthcare. Although the scientific discipline and the art of nursing practice are synergistic, in recent years, the worldview of the art of nursing continues to evolve. Emerging scientific evidence indicates that the art of nursing promotes positive physical and psychological effects on healing (Trzeciak & Mazzarelli, 2019).
To experience the consummate "Some Days" poem, please see (LINK to "Some Days" PDF version). If you would like to participate in developing the "Some Days" Community verse form further, please visit https://communitypoems.travelingstanzas.com/somedays.
The poem celebrates the distinctive contributions of nurses to the healthcare journeys of patients and families.Developing a community poem focused on the many complexities of nursing offered a meaningful platform about the holistic work of nurses, especially during, simply non express to, this time 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 exist invisible, it is what makes the role of the nurse unique, trusted, and valued by patients and families.
Authors
Tracey Motter, DNP, MSN, RN
Email: tmotter2@kent.edu
Tracey Motter is the Acquaintance Dean of Undergraduate Programs at Kent State Academy College of Nursing in Kent, OH. During her tenure at Kent State, she has received numerous teaching awards at the college, academy, and national level and has received national workforce evolution funding to increase diverseness in nursing. She is an expert in NCLEX training and teaches the NCLEX success grade. Dr. Motter is too a co-investigator in funded enquiry on interdisciplinary finish of life care. Her area of involvement for research is in nurses' self-intendance and resiliency, transition to exercise, and preparing nurses to be leaders in providing quality cost-effective healthcare. She is a member of Sigma Theta Tau and the American Nurses Association.
David Hassler, MFA
Email: dhassle1@kent.edu
David Hassler directs the Wick Poetry Center 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 author or editor of nine books of poesy and nonfiction, including Red Kimono, Yellow Barn; Growing Flavour: The Life of a Migrant Customs; and Speak a Powerful Magic: 10 Years of the Traveling Stanzas Poesy Projection. His play, May 4th Voices: Kent State, 1970, based on the Kent State Shootings Oral History Project, was published past The Kent Country University Printing along with a Teacher's Resource Volume and was produced in 2020 as a national radio play past the WKSU NPR station. Hassler'due south awards include Ohio Poet of the Year, the Ohioana Book Honour, and the Carter G. Woodson Honour Book Award. His TEDx talk, "The Chat of Poetry," conveys the power of poesy 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 Periodical of Technology and Teacher Educational activity.
Mary Grand. Anthony, PhD, RN
E-mail: manthony@kent.edu
Mary M. Anthony serves every bit Professor and Associate Dean for Research at Kent State University Higher of Nursing in Kent, OH and Manager of Nursing Inquiry at University 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 commitment systems, including decision making, delegation, leadership, and interruptions. She has investigated patient-centered models of care, specially those associated with building caring patient and family unit relationships and how those relationships relate to hospital discharge. Dr. Anthony has held leadership positions in several professional and customs healthcare organizations.
References
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Carper, B. A. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Scientific discipline, 1(one), thirteen-24.
Goetz, J., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An evolutionary assay and empirical review. Psychological Bulletin, 136(iii), 351-374. doi.10.1037/a0018807
Grace, P. J., & Zumstein-Shaha, M. (2019). Using Ockham's razor to redefine "nursing science." Nursing Philosophy, 21(3), e12246. doi.10.1111/NUP.12246
Hunter, L. P. (2002). Poetry as an aesthetic expression for nursing: A review. Journal of Advanced Nursing, twoscore(two), 141-148. doi: 10.1046/j.1365-2648.2002.02356.x
Levitz, j. & Berger, P., (2020, April x). I'k sad I tin can't kiss you: Coronavirus victims are dying alone. The Wall Street Journal. Retrieved from: www.wsj.com/manufactures/im-deplorable-i-cant-buss-youcoronavirus-victims-are-dying-alone-11586534526
Palos, G. R. (2014). Care, compassion, and communication in professional nursing: Art, science, or both. Clinical Journal of Oncology Nursing, 18(ii), 247-248. doi.ten.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:x.1001/jama.1983.03330370051030
Titler, M. (2011). Nursing science and evidence-based practice. Western Journal of Nursing Research, 33(three), 291-295. doi.ten.1177/0193945910388984
Trzeciak, S., & Mazzarelli, A. (2019). Compassionomics: The revolutionary scientific testify that caring makes a departure. Studer Group, LLC.
Van Vliet, L. M., & Epstein, A. Southward. (2014). Current state of the art and science of patient-clinician communication in progressive disease: Patients' demand 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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White, G. (2002). Nursing every bit vocation. Nursing Ethics, 9(3), 279-290. doi: 10.1191/0969733002ne510oa
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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