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There was something special about July 4 this year.
It seemed that everyone wanted to remember our country's
history and celebrate its endurance, especially as we
all work to find meaning in all that we do.
In my small town, hundreds turned out for the Fourth
of July parade, an event filled with kids on bikes and
the town fire truck. The crowds were the biggest ever
and I couldn't help but think that we all wanted to
show our patriotism and instill that appreciation in
our children.
I feel somewhat the same about nursing's 100-plus-year
history. While many would say that the essence of the
practice is the same, its methods have changed dramatically.
I am always in awe when I watch nurses practice today,
with the incredible complexity of knowledge, technology
and skills that they must blend with caring in order
to deliver nursing care. Likewise, I love the image
campaigns that portray nurses as they actually are today:
intelligent, well-educated men and women who literally
hold people's lives in their hands every day.
Like you, I had a course in school that included a
little history, especially about Florence Nightingale.
In reality, the history of nursing is rich with heroes
and heroines who have added to the fabric of the profession.
Many of the great strides in nursing were made in times
of crisis. Whether it was a war or a rampant disease
or, in some cases, new cures, nursing moved quickly
ahead to manage the challenges and, in doing that, added
new accountability and responsibilities to the practice.
I recently had the opportunity to talk with several
nurse executives in the Chicago area about what was
going on in nursing in their institutions. What were
they doing to find solutions to practice challenges,
the shortage and the need for innovation in the profession?
They spoke of new clinical programs initiated by nurses,
their efforts to bring creative solutions to the workplace
and their progress in retaining professional staff by
ensuring a strong learning culture. Most importantly,
it appears that their efforts are yielding positive
results with much lower turnover rates, higher participation
in governance councils and better work environments.
What struck me was that the emphasis on retention was
far greater than the focus on recruitment. The ability
to retain their nurses enabled them to accomplish goals
related to customer service, safety and quality improvement.
That also is a major part of nursing's history. From
the days of the Crimean War, when Nightingale found
ways to improve care and sanitation, to the present,
where we are looking for ways to stem the transmission
of HIV across the globe, history is being written. It
will be interesting to see what historians will have
to say about these times of shortage and change. We
should try to project what history will say and ask
ourselves what we are doing to contribute to the growth
of the profession.
I have always liked being a part of teams and organizations
in which great ideas are valued and implemented. That
is what excites me about our present. The momentum to
move nursing forward and to create great places to work
is palpable in most health care organizations. I can
feel the energy that is building and it appears that
the work to support nurses is paying off. I think we
will be proud of what we are doing now to create an
even better future.
Like the community and national pride of July 4, we
are seeing the pride in nursing played out publicly.
I think history will report that through the crises
of the shortage, we found many avenues to bring people
into nursing and through hard work, we found ways to
keep them as positive contributors to the profession.
Discuss this and other topics with your colleagues
at www.nurseweek.com/rnvillage.
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