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lhins: bringing it all back home - Registered Nurses' Association of ...

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And the nurse sees<br />

a reflection<br />

Reflection. For many <strong>of</strong> us, the very word conjures<br />

up a variety <strong>of</strong> images: the seasoned nurse, recognizing<br />

her social and pr<strong>of</strong>essional status, admiring her<br />

accomplishments, confident in her contributions thus<br />

far; the mid-career nurse, wincing w<strong>it</strong>h trepidation,<br />

uncertain whether her efforts conform to a nursing<br />

ideal; and the novice nurse, defiant at a reflection<br />

that causes her to appear insignificant w<strong>it</strong>hin an<br />

imposing environment.<br />

In many respects, nurses are a reflection <strong>of</strong> a broad<br />

social milieu, for <strong>it</strong> is the nurse who must ensure the<br />

imperative <strong>of</strong> human caring is not subsumed under<br />

resource lim<strong>it</strong>ation, technological advancement, and stringent<br />

expectations from a complex health-care system.<br />

For each nurse, the reflection <strong>of</strong> self may be<br />

warped by many factors beyond our control. Yet, the<br />

continuing advancement <strong>of</strong> nursing demands an<br />

unflinching view <strong>of</strong> ourselves – a view that counteracts<br />

prevailing misconceptions <strong>of</strong> our pr<strong>of</strong>ession and promotes<br />

nursing as a career in which caring is central.<br />

As the College <strong>of</strong> Nurses <strong>of</strong> Ontario (CNO) declares,<br />

each day <strong>of</strong> nursing practice requires reflection.<br />

Through our disparate roles w<strong>it</strong>hin the structure <strong>of</strong><br />

health care – in the commun<strong>it</strong>y or hosp<strong>it</strong>al setting, or<br />

as instructors in the academic environment – nurses<br />

<strong>of</strong>ten serve as luminaries. It is the nurse who is privy to<br />

emerging changes in resource <strong>all</strong>ocation; the nurse<br />

who is able to identify areas <strong>of</strong> client need that are not<br />

being met; the nurse who is able to sense the air <strong>of</strong> disillusionment<br />

confronting students whose ideal <strong>of</strong> nursing<br />

is ch<strong>all</strong>enged by the real<strong>it</strong>ies <strong>of</strong> nursing practice.<br />

Reflection is the very thrust <strong>of</strong> effective nursing,<br />

enabling a review <strong>of</strong> past actions, and providing the<br />

opportun<strong>it</strong>y to improve future trials, or to re-affirm<br />

the appropriateness <strong>of</strong> prior responses. Through<br />

reflective practice and peer interaction, nurses are able<br />

to apply the power <strong>of</strong> collective action to effecting<br />

social and pol<strong>it</strong>ical change, enhancing our capac<strong>it</strong>y to<br />

ch<strong>all</strong>enge the status quo which impedes nurses’ abil<strong>it</strong>y<br />

to realize their potential.<br />

Reflection. Only through acknowledging the significance<br />

<strong>of</strong> this aspect <strong>of</strong> nursing practice can nurses<br />

maintain the imperative <strong>of</strong> human caring which is fundamental<br />

to our pr<strong>of</strong>ession.<br />

CARIL SEBASTIAN, B.SC.(UWI), SN(IV), IS A<br />

RYERSON UNIVERSITY NURSING STUDENT WHOSE<br />

FIRST DEGREE WAS IN BIOLOGY. BEFORE<br />

EMBARKING ON STUDIES IN NURSING, SEBASTIAN<br />

WAS A PAN AMERICAN HEALTH ORGANIZATION<br />

(PAHO) PROJECT MANAGER AND RESEARCHER FOR<br />

LATIN AMERICA AND THE CARIBBEAN.<br />

22 July/August 2005<br />

Top: Nik<strong>it</strong>a Kandola created a large double-sided puzzle to<br />

show how the different characteristics and tra<strong>it</strong>s <strong>of</strong> a nurse<br />

f<strong>it</strong> together.<br />

Middle: Michele Eng describes nursing through a<br />

trad<strong>it</strong>ional Japanese poem c<strong>all</strong>ed a haiku.<br />

Bottom: Steven Mark fashioned three masks to represent<br />

colorectal cancer patients’ experiences during diagnosis,<br />

treatment and remission.

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