We Must Not Forget What We Once Knew

2010 ◽  
Vol 28 (4) ◽  
pp. 260-262 ◽  
Author(s):  
Gina Kearney

Whether it is adhering to the latest regulatory requirements, measuring performance, evaluating the patient’s experience of care, or preventing pressure ulcers, nothing is more vital to the success of any initiative than the requisite skill and observations of a professional nurse. Yet, for many nurses, getting through the day can be a struggle. Feeling overwhelmed, disconnected, and scattered, reshaping the identity and passion once recognized as an individual’s “calling” to professional nursing leads to poor outcomes for nurses and patients alike. Nursing was not intended to be such a struggle, and many “new” performance indicators contain elements that have been recognized as proper nursing practice throughout the history of the profession. Nurses must be reminded of their rich history and the teachings of Florence Nightingale. This article summarizes one hospital’s experience with a newly developed tool used during nursing orientation. While connecting past and present, both standards and expectations for nursing practice are communicated, leaving nurses feeling supported, validated, and energized.

2017 ◽  
Vol 7 (5) ◽  
pp. 94 ◽  
Author(s):  
Martin Christensen

Objective: Nursing is as old as mankind and the nature of what it means to be a man in nursing has a wide and varied history. Men have been at the forefront of nursing practice from before the birth of Christ – the first record of male nursing originates from ancient India. Slowly over time the image of the male nurse has given way to the dominance of women largely thanks to Florence Nightingale. The aim of this paper is to discuss the contribution men have made to the profession of nursing through the early years of nursing’s history in particular from 250BC to the early 1900’s.Methods and result: Design: A historical review. Data Sources: The search strategy included research studies both qualitatively and quantitatively, as well as anecdotal and discursive evidence from 1900-2015. Implications for Nursing: The predominance of the history of has always had a focus on the female perspective. Men have had played a significant part in the development of that history. Acknowledging the role men have contributed in developing and promoting nursing practice is equally as valid and as such should be recognised accordingly.Conclusions: Male nursing has had a varied history from the first recoded nursing school in 256BC to its slow eventual slow demise from the 1840’s. Records reveal the work of the male nurse was seen predominately within secular institutions and personified aspects of care that focused totally on patient wellbeing both physically and spiritually.


2021 ◽  
Author(s):  
◽  
Jill Caughley

<p>The purpose of this study was to explore the history of the Florence Nightingale Medal and in particular its New Zealand recipients. New Zealand nurses have, over many years, contributed to international nursing by providing service during conflicts and disasters. Several have worked with the Red Cross and, of these nurses, twenty-two have been awarded its highest honour, the Florence Nightingale Medal. This thesis related the history of the Red Cross and Red Crescent Movement, and its place in humanitarian and international nursing. It traces New Zealand nursing's involvement in this, and offers a history of the New Zealand recipients of the Florence Nightingale Medal, 1920-1999. The personal and professional stories of five New Zealand nurses who were awarded the medal between 1969 and 1999 were gathered through oral history interviews. Their stories are used to consider in more detail the motivations and experiences of nurses who work in these circumstances, and the way in which humanitarian nursing practice and Red Cross principles shaped and challenged their practice. The thesis therefore documents the work of five New Zealand nurses who have demonstrated exceptional courage, dedication, and commitment to humanitarian causes and international nursing practice. As an exploratory and descriptive study which has drawn on both historical and contemporary sources of information, it raises awareness about the Red Cross and its nurses, humanitarian nursing practice in particular, and international nursing in general.</p>


2021 ◽  
Author(s):  
◽  
Jill Caughley

<p>The purpose of this study was to explore the history of the Florence Nightingale Medal and in particular its New Zealand recipients. New Zealand nurses have, over many years, contributed to international nursing by providing service during conflicts and disasters. Several have worked with the Red Cross and, of these nurses, twenty-two have been awarded its highest honour, the Florence Nightingale Medal. This thesis related the history of the Red Cross and Red Crescent Movement, and its place in humanitarian and international nursing. It traces New Zealand nursing's involvement in this, and offers a history of the New Zealand recipients of the Florence Nightingale Medal, 1920-1999. The personal and professional stories of five New Zealand nurses who were awarded the medal between 1969 and 1999 were gathered through oral history interviews. Their stories are used to consider in more detail the motivations and experiences of nurses who work in these circumstances, and the way in which humanitarian nursing practice and Red Cross principles shaped and challenged their practice. The thesis therefore documents the work of five New Zealand nurses who have demonstrated exceptional courage, dedication, and commitment to humanitarian causes and international nursing practice. As an exploratory and descriptive study which has drawn on both historical and contemporary sources of information, it raises awareness about the Red Cross and its nurses, humanitarian nursing practice in particular, and international nursing in general.</p>


2007 ◽  
Vol 14 (4) ◽  
pp. 466-477 ◽  
Author(s):  
Karen L Rich

In spite of a continuing long and rich history of caring for patients, many nurses have not been satisfied with their work. One cause among others for this dissatisfaction is that nurses often do not care for one another. The philosophy of a Buddhist Sangha, or community, is similar to the philosophy of western communitarian ethics. Both philosophies emphasize the importance of people working together harmoniously towards a common good. In this article, unsatisfactory nurse-nurse relationships have been considered and a model for communitarian nursing practice has been suggested based on a Buddhist Sangha.


Author(s):  
E. V. Sitnikova

The article considers the historical and cultural heritage of villages of the former Ketskaya volost, which is currently a part of the Tomsk region. The formation of Ketsky prison and the architecture of large settlements of the former Ketskaya volost are studied. Little is known about the historical and cultural heritage of villages of the Tomsk region and the problems of preserving historical settlements of the country.The aim of this work is to study the formation and development of the village architecture of the former Ketskaya volost, currently included in the Tomsk region.The following scientific methods are used: a critical analysis of the literature, comparative architectural analysis and systems analysis of information, creative synthesis of the findings. The obtained results can be used in preparation of lectures, reports and communication on the history of the Siberian architecture.The scientific novelty is a study of the historical and cultural heritage of large settlements of the former Ketskaya volost, which has not been studied and published before. The methodological and theoretical basis of the study is theoretical works of historians and architects regarding the issue under study as well as the previous  author’s work in the field.It is found that the historical and cultural heritage of the villages of the former Ketskaya volost has a rich history. Old historical buildings, including religious ones are preserved in villages of Togur and Novoilinka. The urban planning of the villages reflects the design and construction principles of the 18th century. The rich natural environment gives this area a special touch. 


2019 ◽  
Vol 16 (1) ◽  
pp. 40-46
Author(s):  
Rui Guo ◽  
Ruiqi Chen ◽  
Chao You ◽  
Lu Ma ◽  
Hao Li ◽  
...  

Background and Purpose: Hyperglycemia is reported to be associated with poor outcome in patients with spontaneous Intracerebral Hemorrhage (ICH), but the association between blood glucose level and outcomes in Primary Intraventricular Hemorrhage (PIVH) remains unclear. We sought to identify the parameters associated with admission hyperglycemia and analyze the impact of hyperglycemia on clinical outcome in patients with PIVH. Methods: Patients admitted to Department of Neurosurgery, West China Hospital with PIVH between 2010 and 2016 were retrospectively included in our study. Clinical, radiographic, and laboratory data were collected. Univariate and multivariate logistic regression analyses were used to identify independent predictors of poor outcomes. Results: One hundred and seventy patients were included in the analysis. Mean admission blood glucose level was 7.78±2.73 mmol/L and 10 patients (5.9%) had a history of diabetes mellitus. History of diabetes mellitus (P = 0.01; Odds Ratio [OR], 9.10; 95% Confidence Interval [CI], 1.64 to 50.54) was independent predictor of admission critical hyperglycemia defined at 8.17 mmol/L. Patients with admission critical hyperglycemia poorer outcome at discharge (P < 0.001) and 90 days (P < 0.001). After adjustment, admission blood glucose was significantly associated with discharge (P = 0.01; OR, 1.30; 95% CI, 1.06 to 1.59) and 90-day poor outcomes (P = 0.03; OR, 1.27; 95% CI, 1.03 to 1.58), as well as mortality at 90 days (P = 0.005; OR, 1.41; 95% CI, 1.11 to 1.78). In addition, admission critical hyperglycemia showed significantly increased the incidence rate of pneumonia in PIVH (P = 0.02; OR, 6.04; 95% CI 1.27 to 28.80) even after adjusting for the confounders. Conclusion: Admission blood glucose after PIVH is associated with discharge and 90-day poor outcomes, as well as mortality at 90 days. Admission hyperglycemia significantly increases the incidence rate of pneumonia in PIVH.


Author(s):  
Eric Helleiner

Abstract As the global crisis triggered by the COVID-19 virus unfolded, The Economist magazine published a cover in May 2020 titled “Goodbye globalization: the dangerous lure of self-sufficiency.” The title summed up well the new political interest in the ideology of national economic self-sufficiency in the pandemic context. Unfortunately, contemporary textbooks in the field of international political economy (IPE) say little about this kind of “autarkic” thought. No survey of the history of autarkic thought exists even within specialist IPE literature or in the fields of intellectual history and the history of economic thought. Filling this gap in existing scholarship, this article highlights a rich history of autarkic thought that includes the ideas of famous thinkers such as Jean-Jacques Rousseau, Johann Fichte, Mohandas Gandhi, and John Maynard Keynes. Three core rationales for a high degree of national self-sufficiency have been advanced in the past: (1) insulation from foreign economic influence, (2) insulation from foreign political and/or cultural influence, and (3) the promotion of international peace. At the same time, considerable disagreements have existed among autarkists about some of these rationales and their relative importance, as well as about the precise meaning of national self-sufficiency. These disagreements stemmed not just from differences in their specific goals but also from the different conditions across time and space in which autarkic thought was developed. In addition to improving understanding of the autarkic ideological tradition, this article contributes to emerging scholarship attempting to overcome Western-centrism in IPE scholarship as well as literature exploring the new politics of de-globalization in the current era.


Author(s):  
S. Sze ◽  
P. Pellicori ◽  
J. Zhang ◽  
J. Weston ◽  
I. B. Squire ◽  
...  

Abstract Background Frailty is common in patients with chronic heart failure (CHF) and is associated with poor outcomes. The natural history of frail patients with CHF is unknown. Methods Frailty was assessed using the clinical frailty scale (CFS) in 467 consecutive patients with CHF (67% male, median age 76 years, median NT-proBNP 1156 ng/L) attending a routine follow-up visit. Those with CFS > 4 were classified as frail. We investigated the relation between frailty and treatments, hospitalisation and death in patients with CHF. Results 206 patients (44%) were frail. Of 291 patients with HF with reduced ejection fraction (HeFREF), those who were frail (N = 117; 40%) were less likely to receive optimal treatment, with many not receiving a renin–angiotensin–aldosterone system inhibitor (frail: 25% vs. non-frail: 4%), a beta-blocker (16% vs. 8%) or a mineralocorticoid receptor antagonist (50% vs 41%). By 1 year, there were 56 deaths and 322 hospitalisations, of which 25 (45%) and 198 (61%), respectively, were due to non-cardiovascular (non-CV) causes. Most deaths (N = 46, 82%) and hospitalisations (N = 215, 67%) occurred in frail patients. Amongst frail patients, 43% of deaths and 64% of hospitalisations were for non-CV causes; 58% of cardiovascular (CV) deaths were due to advancing HF. Among non-frail patients, 50% of deaths and 57% of hospitalisations were for non-CV causes; all CV deaths were due to advancing HF. Conclusion Frailty in patients with HeFREF is associated with sub-optimal medical treatment. Frail patients are more likely to die or be admitted to hospital, but whether frail or not, many events are non-CV. Graphical abstract


2021 ◽  
Vol 34 (2) ◽  
pp. 196-201
Author(s):  
Jeanne Cummings ◽  
Steven L. Baumann

In this paper, the authors suggest that shame is a barrier to many patients’ willingness to disclose their history of trauma to nurses and other members of the healthcare team and that the clinicians participate in this withholding of information because of their experience of vicarious shame. The authors propose that shame and vicarious shame reduce the accuracy of assessment, limit the nurse–patient relationship, and reduce the ability of the healthcare teams to accurately diagnose and treat patients. Shame as a barrier to trauma assessment is also considered in light of the Roy adaptation model and from a global perspective. Implications for education, research, and nursing practice are discussed.


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