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The Legacy of Florence Nightingale for Men Entering Nursing in 2010 American Assembly for Men in Nursing Durham, North Carolina September 25, 2010 Ramesh.

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Presentation on theme: "The Legacy of Florence Nightingale for Men Entering Nursing in 2010 American Assembly for Men in Nursing Durham, North Carolina September 25, 2010 Ramesh."— Presentation transcript:

1 The Legacy of Florence Nightingale for Men Entering Nursing in 2010 American Assembly for Men in Nursing Durham, North Carolina September 25, 2010 Ramesh C. Upadhyaya, RN, MSN, MBA, CRRN Donald D. Kautz, RN, PhD, CRRN, CNE The University of North Carolina at Greensboro

2 Triad Chapter of AAMN

3 Ram-N-Don

4 Don, do you know why I like nursing conferences? Don, what is the advantage of being a nurse in the hospital? Don, what do they call a woman nurse who works twice as hard as a man?

5 2010 is the 100 th Anniversary of Florence Nightingale’s Death and The International Year of the Nurse

6 The voice of Florence Nightingale

7 Lady with the Lamp

8 Before and After

9 Don’s Mom, Alice (a.k.a. Florence)

10

11 Nightingale Attributes Science Plumbing Statistics Leadership

12 Nightingale’s legacy has also led to: Philogyny Sexualization of men’s touch No men in nursing – orderlies or doctors Upstairs or downstairs Only women are nurturing

13

14 “Nurse Rached” from One flew over the cuckoo’s nest (1975)

15 Which brings us to the story of a hero in a Mental Hospital

16 Men have always been in nursing 250 B.C.E. – First School of Nursing: only men were allowed 370 C.E. – St Basil the Great employed male nurses (known as nosocomi) 600 – 1200 C.E. Knights of St. Lazarus Knights Hospitallers of St. John of Jerusalem 1886 – 1929 Schools for male nurses opened (O’Lynn & Tranbarger, 2007)

17 Real Men are Compassionate

18 ARE YOU MAN ENOUGH......TO BE A NURSE?

19 Caring and Nursing Jean Watson believes

20 Lighting a candle to honor the work of nurses everywhere

21 The caring moment is the core of nursing

22 A Caring Leadership Model for Nursing’s Future Randy L. Williams II, RN, MSN, MBA, Associate Faculty Watson Caring Science Institute, Professional Practice Coordinator Wake Forest University Baptist Medical Center(WFUBMC) Donald D. Kautz, RN, PhD, CRRN, CNE, Associate Professor of Nursing, UNC-Greensboro Judy B. McDowell, RN, MSN, CCRN, Professional Practice Manager WFUBMC Caring Leadership Model © Model of Care Patient/Family, Team, Self, Community McDowell-Williams Core Values of Caring Leadership Always live with kindness, compassion and equality Generate hope and faith through co-creation Actively innovate with insight, reflection and wisdom Purposely create protected space founded upon mutual respect and caring Embody an environment of caring-helping-trusting for self and others Shared Decision-Making Core Values of Caring Leadership Model Crosswalk McDowell-Williams Caring Leadership Model© Kouzes & Posner Leadership Theory Jean Watson Theory of Human Caring Always live with kindness, compassion and equality. Model the Way  Practice of loving-kindness and equanimity; caring consciousness  Being supportive of expression of positive and negative feelings Generate hope and faith through co-creation. Inspire a Shared Vision  Being authentically present in the moment  Engaging in genuine teaching- learning experience Actively innovate with insight, reflection and wisdom. Challenge the Process  Cultivation of one’s own spiritual practices and transpersonal self  Creative use of self and all ways of knowing Purposely create protected space founded upon mutual respect and caring. Enable Others to Act  Creating healing environments at all levels  Assisting with basic needs, with an intentional caring consciousness Embody an environment of caring-helping-trusting for self and others Encourage the Heart  Developing and sustaining a helping-trusting authentic caring relationship  Soul care for self and the one being cared for Exemplar of Caring Leadership: I have two RNs in my department who desire to cut back on their work hours. These employees are long-time, seasoned nurses. I sat down with both of these employees and allowed them to discuss their concerns and wishes. I could have ignored their request but instead have worked with them to create work hours that meet their personal needs. I allowed them to “vent” and gave them guidance and support. We are in a trial period with their schedules. ~~C. M.

23 Many of us care about our moments here….. But there is a famous story about Florence…

24 The Rise of Nightingale and the Decline of Men in Nursing (O’Lynn & Tranbarger, 2007) 1860 – Nightingale establishes her first school for nurses “Sairey Gamp” – a cultural perception of nurses Decline in the number of monasteries Unorganized and poor quality nursing practiced in secular hospitals United States military does not allow men to work as nurses until after the Korean War (100 years of no US military men in nursing!)

25 Change did come

26 Nightingale was a Nursing Theorist – (is Bill Cody in the room?) Feminist A woman who at times had Nursing leader “The” Florence Nightingale Statistician Visionary And finally, why Florence wouldn’t let men change the light bulb…

27 Nightingale’s Personality Type (Dossey, 2010) I (Introversion) Nightingale was an introvert. When she was alone, she experienced her best ideas – her intuition and brilliance flourished when she worked by herself N (Intuition) Nightingale’s greatest gifts came from her intuition – flashes of inspiration, insights into relationships of ideas and meaning of symbols. T (Thinking) Nightingale’s preference was to make decisions based on her logical analysis of the facts – and her own experience. She was proud that she had never been swayed by a personal consideration of another’s feelings. J (Judging) Nightingale loved to live her life in a manner that is decided and settled. Nightingale had a system for everything, a planned life, sustained effort, and acceptance of routine.

28 INTJ Personality Type A major legacy for nursing Traditionally, nursing has always valued nurses who are independent, individualistic, single-minded, love rules and order, and are tough minded with others – and follow the leaders who think and act just like them. The pitfall is that nursing leaders may have difficulty letting go of impractical ideas, ignore the impact of their leadership style on others, and criticize others who strive for the ideal. Some would argue that this personality type has led us to be a profession that…

29 Nightingale’s Challenge for Nurses Dossey, 2010 Nightingale’s INTJ personality allowed her to be a practicing mystic, mange her chronic illness, and her ability to create new models of nursing care. Nightingale’s legacy is a challenge for nurses to: - educate political leaders to create health reform - integrate healing, spirituality AND technology - respond with the same courage she demonstrated in carrying our vision to the world Nightingale would argue there is still a need for a “rebirth” of the true values of nursing

30 Another birth story The night of a big storm, the power went out. Due to a power outage, Joe, the nurse midwife was the only one who come help. The house was very, very dark, so Joe asked Kathleen, a 3-year-old girl, to hold a flashlight high over her mommy so he could see while he helped deliver the baby. Very diligently Kathleen did as she was asked.

31 Her mother Heidi pushed and pushed, and after a little while Connor was born. Joe lifted him by his little feet and spanked him on his bottom. Connor began to cry. Joe then thanked Kathleen for her help and asked the wide-eyed 3-year-old what she thought about what she had just witnessed.

32 Kathleen quickly responded, "He shouldn't have crawled in there in the first place." "Smack his ass again."

33 Statistic’s Legacy McDonald, 2010 Nightingale Was a passionate statistician Belief based on her faith in a God of order Used statistics to indicate serious problems, assist in policy making, monitor outcomes Legacy for Nursing Statistics is a required course in BSN programs Even though..... We are all taught, “we must show the effect of our care......”

34 Nightingale’s causes of mortality

35 Unfortunately our data.... Nursing is still “billed as part of the room charge” Nurse’s enter data daily which is never used This data is rarely available to practicing nurses. Legacy for men (and women) entering in 2010 We say that our practice is based on evidence, but much of our care is still based on tradition. The technology is here for us to now to use ALL the data we collect. There will be more and more and more changes to come...

36 As these changes come There will be times for all of us to tell our unique stories. Speaking of unique stories… Ram, did you hear about the time that God told St. Peter… Showing, we must create our own legacies

37 Not this legacy!

38 Two Great Nurses Yu (Phillip) Xu, PhD, RN will be the first man to lead the Asian American/Pacific Islander Nurses Association General Bill Bester, RN First man to be Chief Nurse of any military nurse corp.

39 Men in leadership at the UNCG School of Nursing Randy Rausch, RN, PhD, FNP Chair, Community Health First African American man to earn a PhD in Nursing Richard Cowling, RN, PhD, Director of the PhD Program Editor, Journal of Holistic Nursing

40 Maggie Thurmond Dorsey, RN, EdD

41 The End


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