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PDF (PhD Thesis) - UWE Research Repository - University of the ...

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incompetent. For example, Lillian, a retired teacher and patient, told me I<br />

seemed in control, concise and commanding. This was not <strong>the</strong> picture I<br />

had <strong>of</strong> myself ra<strong>the</strong>r I felt di<strong>the</strong>ry, compelled to check out what I was doing<br />

with <strong>the</strong> permanent staff, meek and slow most <strong>of</strong> <strong>the</strong> time. Lillian told me<br />

she could tell I had a lot <strong>of</strong> experience. I chatted to her about my past and<br />

why I was updating my nursing skills. The next day I was taking <strong>the</strong><br />

redivac drain out <strong>of</strong> her neck. I didn‘t see <strong>the</strong> stitch under <strong>the</strong> white plastic<br />

cover so I tried pulling <strong>the</strong> drain out and realised this was hurting her which<br />

it shouldn‘t have done. I went to get Teresa, an experienced staff nurse,<br />

for her opinion and she hadn‘t seen a drain like this before ei<strong>the</strong>r. I<br />

suppose this made me feel a bit better never<strong>the</strong>less; I still, felt awkward<br />

and foolish when Lillian said ―I think it‟s stitched‖. I hadn‘t considered this<br />

so I apologised, cut <strong>the</strong> stitch and removed <strong>the</strong> drain.<br />

Writing about this experience later made me feel better because I was<br />

able to let go <strong>of</strong> <strong>the</strong> emotion triggered by my mistake. I stopped thinking<br />

about <strong>the</strong> incident over and over again in my head and getting it out <strong>of</strong> all<br />

proportion. In processing <strong>the</strong> experience I was able to look at my<br />

communication with Lillian. She had told me to stop worrying about hurting<br />

her and I had joked that I really needed to update my nursing skills and<br />

wasn‘t so in control as she had first thought. In being straight with her<br />

about <strong>the</strong> incident and not trying to cover up <strong>the</strong> mistake I think she<br />

appreciated my honesty. Now I see this as an example <strong>of</strong> using my<br />

vulnerability as strength. I did not get defensive. I did not try to justify<br />

myself although I found comfort when <strong>the</strong> staff nurse was also not sure<br />

what to do. I was still uncomfortable about <strong>the</strong> ethical component and<br />

expectation that as a nurse I was not to harm patients. I wonder now if<br />

Lillian experienced a minimising <strong>of</strong> <strong>the</strong> power relationship in this process<br />

through my admission <strong>of</strong> vulnerability.<br />

Lois raised a useful question in her final interview (7/3/06) when we were<br />

discussing using our vulnerability as strength: could it be a smokescreen<br />

241

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