The Oklahoma Nurse - August 2022

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6 The Oklahoma Nurse August, September, October 2022 We are on Holy Ground Catherine White, MA, RN, FCN-BC Faith Community Nurse Coordinator Mental Health Coach, First Responder In the past several issues of THE OKLAHOMA NURSE there have been several articles about selfcare, wellness, holistic health care, faith-based care along with articles instructing nurses how to deal with stress – stress from academic pursuits, stress from pandemic situations of short staffing, insufficient or unavailable supplies, environmental hazards (e.g., incivility and conflict in the workplace) and the list goes on with topics about how to handle life’s difficulties. Authors did their best to write articles with optimism and actions to minimize if not eliminate the many problems nurses face in providing care while maintaining ethical standards. The articles were insightful but would lead the reader to wonder if there might be an option yet to be considered. The most recent article that made me want to answer the author's question "Where Do I Go From Here?" is in the May-July 2022 issue of THE OKLAHOMA NURSE publication by Sharon Broscious, page 22. There is an answer. There is indeed an option that needs to be shared. Traditional nursing care has been seen as meeting the patient's physical, mental and emotional, and to some extent spiritual needs. But over the years more attention has been given to the aspect of "spiritual care.” In the 1980s two efforts arose to address spiritual care from two different perspectives: holistic vs wholistic. It is interesting to note that these are different yet similar. The similarities are in the two organizations being founded. Holistic nursing as a clinical specialty came into being January 17, 1981, in Houston, Texas, when 33 nurses from eight states met to share their stories and implement a vision using a variety of healing and integrative therapies from a humanistic worldview such as imagery, visualization, relaxation, deep-breathing techniques, stress management, aromatherapy, subtle energy therapies (therapeutic touch) for patients in hospitals and in private practice. The faith-based or wholistic nursing, also an ANA clinical specialty, was founded in Chicago, Illinois, in the mid-1980s (1984) by a Lutheran Minister – Hospital Chaplain and medical doctor, Rev. Dr. Granger Westberg. Both organizations attempted to address the patient's needs for care of the body, soul and spirit but Dr. Westberg's efforts were to be based on the Judea- Christian worldview. Rev. Dr. Westberg made rounds daily at the hospital where he served and concluded that while the physical nursing care was excellent, there seemed to be a lack of attention to caring for the whole person spiritually. Intentionally using spiritual and religious practices such as prayer, anointing, religious and inspiring materials along with using one's presence helped the patient (and family) to know that healing as a desired healthcare outcome is from a right relationship with one's Creator, God. When people with diseases, disabilities, or mental illness manifestations approached Jesus, He, by word, touch, and presence, made them whole. He imparted the Shalom, or supernatural peace, healing and wholeness, that led to a healing only He could give them. The "Higher Power" Dr. Westberg saw as needed for health recovery was based on Biblical principles. As he taught these concepts to nursing staff at the hospital where he served, he helped them learn ways to provide self-care spiritually along with using skills to include in patient care providing a benefit to both giver and to receiver. The hospital administration was in full support of this education and, as word spread to other nursing staff at other hospitals in his community, he taught other medical staffs how to provide what he called "wholistic care" to enhance "traditional care.” He reminded the staff that one cannot give or use what one does not have or that one has not learned, so he taught the staff to use an in-filling of power to perform the tasks of caring – for self-first and then for others. Originally, the faith-based nursing organization was called Parish Nursing because denominations that are more formal in their ministries – Lutheran, Catholic, Episcopalian – have geographic boundaries called parishes for their congregations. As this type of faith-based nursing ministry expanded over the years, the name has been changed to Faith Community Nursing in order to include denominations of other groups. According to the Parliament of the World Religions, over 50 world religions recognize the basic core values of faith nursing, which include respect for life and the promotion of charitable service to others (Kung & Kuschel, 1993). Originally, religious orders were known for caring for the sick, poor, widows, orphans, prisoners and other vulnerable populations as an expression of God's love and power toward mankind. While holistic principles and the inclusion of natural therapies (oils, liniments, salves, ointments, teas, plasters, poultices, compresses) were foundational in the early practice of nursing, they were largely abandoned by the mid to later part of the 1900s. In the later part of the 1900s technology superseded the human connection and the God-connection and healthcare began to change from a "service profession" to a "for-profit business.” The caring and healing connection that was fundamental to nursing was subdued by an emerging culture that valued efficiency and profit margins. Nursing early on had been seen as a calling of God and servanthood, but that view changed causing nurses to be frustrated by their inability to provide what they considered quality care and tend to the needs of the person as a whole entity. It was out of this milieu that these two organizations emerged, each with its own unique perspective on how to restore that care. There is another organization that works collaboratively with the Faith Community Nurse organization and that is Nurses Christian Fellowship. This organization was founded in Chicago, Illinois, in early 1935 when three nurses met to pray at Children's Hospital about forming an organization intent on meeting the spiritual needs of nurses. Students in Chicago discovered this group and returned to their home school (diploma) and started a group like the one they had encountered. NCF reaches out to nurses needing their spiritual needs met while serving in various roles: faculty, administrators of nursing programs and departments of nursing in healthcare settings, staff nurses, nursing students, for example. Both organizations rely on the concept of wholeness that occurs when a person has a personal relationship with Jesus so that quality of nursing care is a reality even in the midst of indescribable and unbearable stress. Wholeness as a concept occurs in Matthew 9: 1-13 with Jesus meeting a man with palsy, then in verse 22 with a woman who had a chronic hemorrhagic condition for 12 years to whom Jesus said, "Daughter, be of good comfort; your faith has made you whole. And the woman was made whole from that hour." (See also Mark 5:25-34). Other scenarios of supernatural healings – a 40-year-old crippled man – are recorded in the book of Acts 3:10 and Acts 4: 5-10. People with seizures, self-cutting and mental illness, blind, deaf, dumb, dead, a withered hand and – the list goes on – all were made alive or well - whole - having had an encounter with Jesus. As a member of three organizations – Faith Community Nurse ministry, Nurses Christian Fellowship and the Mental Health Coach First Responder ministry – I want to leave some passages of scripture that may lead a nurse colleague with the answer to Dr. Broscious question "Where Do I Go From Here?" The answer is found in the manual for life, i.e., the Holy Scriptures aka the Bible. Start your day with Psalm 5: 3, 8- "My voice shall You hear in the morning, O Lord; in the morning will I direct my prayer unto You and will look up...Lead me, O Lord... make Your way straight before my face." Add Psalm 143:8- "Cause me to hear Your lovingkindness in the morning for in You do I trust; cause me to know the way wherein I should walk for I lift up my soul unto You." How about Psalm 37: 23 – ''The steps of a good man (person) are ordered of the Lord and He delights in his way." Isaiah 30: 21- "And your ears shall hear a word behind you saying, 'This is the way, walk you in it, when you turn to the right hand and when you turn to the left." Proverbs 3: S, 6 - "Trust in the Lord with all your heart and do not lean on your own under-standing. In all your ways acknowledge Him and He shall direct your paths." How about this one? 2 Chronicles 16:9a - "The eyes of the Lord run to and fro throughout the whole earth to show Himself mighty on behalf of those whose hearts are perfect (loyal) to Him." No one needs to be told that the times in which we live today are perilous and troublesome, so one needs Help From Above to live out one day. Our world is in chaos and spiritual warfare abounds. We need tools that are a match for such warfare and these tools (weapons) come from the Lord. See Isaiah 40:29 - "He gives power to the faint and to them that have no might He increases strength...they that wait upon the Lord shall renew their strength; they shall mount up with wings as eagles; they shall run and not be weary and they shall walk and not faint." Isaiah 41: 10, 13a, 14a - "Fear not (DO NOT BE AFRAID) for I am with you; be not dismayed for I am your God. I will strengthen you; I will help you; yes, I will uphold you with the right hand of my righteousness...For I the Lord, your God will hold your right hand saying to you, 'Fear not; I will help you...Fear not...' ". See Micah 7:7 - "I will look unto the Lord and I will wait for the God of my salvation; my God will hear me... when I fall, I shall arise; when I sit in darkness, the Lord shall be a light unto me." Jeremiah 33:3 -" "Call unto Me and I will answer you and show you great and mighty things that you do not know." In answer to Dr. Broscious' question "Where Do I Go From Here?" - how about this answer: Matthew 11:28-30 - "Come unto Me all you who are weary and heavy laden (burdened) and I will give you rest. Take My yoke upon you and learn of Me and you shall find rest unto your souls. For My yoke is easy and My burden is light." Then when the workday or shift is done, try this for encouragement. The 23rd Psalm which can be a form of prayer. "The Lord is my Shepherd. I shall not want (lack anything). He makes me to lie down in green pastures; He leads me beside still waters. He restores my soul; He leads me in the paths of righteousness for His name's sake. Yes, though I walk through the Valley of the Shadow of Death, I will fear no evil (harm) for You are with me and Your rod and Your staff they comfort me. You prepare a table in the presence of my enemies; You anoint my head with oil; my cup (of water) runs over. Surely goodness and mercy shall follow me all the days of my life and I shall dwell in the house of the Lord (heaven) forever (eternally)." Amen
August, September, October 2022 The Oklahoma Nurse 7 How Stress Affects the Physical Body Nicole Cerrini BSN, RN We are often consumed with how stress can cause us to experience mood changes, sleep pattern disruptions and overall anxiety. But what about the physical symptoms that appear and become chronic? Gastrointestinal (GI) distress, headaches, back pain, TMJ, hormonal imbalances and extreme fatigue, just to name a few, can all be the result of stress. So how do we know if our physical ailments are the result of stress, and how do we treat it? Learning to listen to your body is the first step in understanding if what you’re experiencing is directly related to stress. Do you find that your stomach gets upset when you have a lot going on, or you tend to lose your appetite (or eat more) when you feel overwhelmed? These are both signs that your body is battling an internal imbalance, not a stomach bug. We’ve been conditioned to believe that all physical symptoms must be attributed to a true medical condition, instead of looking at it from a holistic perspective. There are circumstances where you may in fact have a medical condition and may need specific treatment, but it should become a habit to analyze outside factors that may be contributing to your symptoms. The dreaded culprit of back pain is another good example. There are millions of people suffering from back pain in our country, and a lot of times physicians are quick to recommend invasive procedures or prescription medication to help alleviate their symptoms. Chemical and physical reactions take place in your body when you are under stress, causing an involuntary tightening of your muscles due to an increase in cortisol and adrenaline levels. This can present as back pain in certain individuals and may branch out to include other physical symptoms. Becoming aware of physical symptoms that may be related to stress is the first step in treating these ailments. Once you're able to reflect and listen to your body, the next step is to make it a priority to listen to your needs! Holistic therapies are often ignored as a primary means of treatment. Analyzing the body through this perspective allows for a unique approach focusing on physical, emotional and spiritual health resulting in a plan to align and balance the body. Specific therapies for treating physical symptoms caused by stress include nutrition plans, mindset exercises, meditation, breathwork, hypnosis, reiki and many other modalities. Nutrition is one of the most important variables in your health, especially as it relates to stress and overall wellness. The term “food is medicine” was coined for a reason; how you fuel your body can have a direct impact on preventing and treating physical ailments. Try to keep an open mind when it comes to your health, and consider alternative therapies in your quest for relief of physical symptoms. CEO Report continued from page 2 can see on the Call to the ONA House on the pages of this publication, every Region has representatives that are based on the number of members in each Region. We need nurses to volunteer and serve as Delegates to the House of Delegates. Breathe again…smile, another brain chemistry shift. RN2LEADER Joyful Noise Dr. Dean L. Prentice, Colonel (Ret), USAF, NC, DHA, MA, BSN, NE-BC Do you find joy in your job? I’m not asking if you like your job, but if you find joy in the basic heart of your job. When you started your professional life, I bet there was a part of you that really desired or even felt that being joyful, positive, or happy about going to work was what you wanted. You worked hard to earn that license, were proud of the accomplishment, and you were ready to take on the world. The positive outlook and desire to go to work is essential for ultimate job satisfaction. It increases your productivity, innovation, and performance at work. How you get to that joy at work can take many paths Dr. Dean Prentice which will require you to do some self-reflection on your current job. Then you will have to do some work if where you are currently is not where you want to be ultimately. People feel once they become successful, they will be happy. I am not sure that thought is entirely correct. Yes, becoming successful in your position does bring a sense of pride, of accomplishment, of fulfilling a need to be valued. That alone, I believe, is not going to guarantee joy at work. First you set out to create a work environment where you like going to work. This may include building a great team, defining the roles, looking for the right people for the team, and setting a vision all of which will encourage positive work environments. You also need to foster or create a work environment where you know you will enjoy working. Dreading coming to work, or facing daily challenges and not being able to improve them does not support your goal. Choosing to work for the right organization is another aspect of finding joy at work. The simple task of finding an organization whose mission, core values, and culture agree with yours can seem impossible at times. Networking with colleagues, talking with other professionals in the organization other than nurses, looking at the strategic plan of the organization, and observing where they invest their resources are great indicators of what the organization values. If what you see is not what you want, then look for another organization. Building strong interpersonal relationships helps build better feelings of joy at work. When you start to build stronger relationships with peers, both in and out of your profession, you have a sense of connectedness with the organization. Likewise these relationships help during times of crisis or disagreements. When challenges arise and you have an established positive relationship with another colleague, it is easier to walk through the resolution process to solve the problem. You are more confident in what you know and in the knowledge that you and your colleague are on the same team. Another great aspect about having a positive outlook on your job and finding joy at work is that your attitude spreads. A joyful attitude can positively affect your fellow workers and organization. You can be the change in your unit or organization that it needs to take it to the next level of excellence. Imagine if you and your fellow leaders looked forward to coming into work. So what is your next step to create joy at work? Don’t forget to take a colleague along for this journey. Working on this habit together can really pay dividends. FIVE-STAR RATED On another front, ONA has been advocating for nurses at the State Capitol. Our work has focused on solutions to our nursing shortage by supporting nursing education and other policy issues. Often Legislators have their own solutions, and we work to educate them on better solutions. One of the ways we are working to educate Legislators is to request an interim study focused on the nursing shortage. We want to highlight the current data, nursing’s educational needs, and the skills and education necessary for registered nurses as they deliver the highly skilled care required in todays’ patient care settings. This will take all of us to educate Legislators, both those running for election or reelection and those without elections this cycle. I encourage you to get involved…talk to those candidates knocking on your door, get involved in a campaign by volunteering or just voting. Voting is the most important thing you can do. Breathe again…smile you’re shifting your brain again I hope to see you at the ONA Annual Convention, The Power of Nursing, at the Hyatt Regency Tulsa Downtown in Tulsa, Oklahoma on September 28 - 29, 2022. Look for more details on the ONA Convention in this newspaper and on the ONA website. ONA takes guidance from our members on where to focus our efforts. To ensure you have a voice in providing direction you need to be a member. We hope that you will become a member and get involved so that collectively we can make a difference in Oklahoma. Breathe again…you should be a different place then when you started! LEADERSHIP OPPORTUNITIES • RN, System Chief Nursing Officer • RN, Quality Director NURSING OPPORTUNITIES Community Hospital South: RN, FT*: ICU/Med Surg Days/Nights, Circulator, Med-Surg Days/Nights, ER Weekend PRIME Mid/Nights RN, PRN: ER Days/Nights, Med-Surg Nights, PACU, Pre-Admission Testing ADDITIONAL OPPORTUNITIES Paramedics, FT: Med-Surg *Sign On Bonus Community Hospital North: RN, FT*: Circulator, Pre-Admission Testing, PreOp/Phase II, Med-Surg Days/Nights RN, PRN: Med-Surg Days/Nights, PACU, Circulators $10,000 for FT Circulator • $10,000 for FT Med-Surg Nights $10,000 for FT Emergency • $7,500 for FT Med-Surg Days $5,000 for FT PACU • $3,000 for FT Pre-Admission Testing $3,000 for FT PreOp/PhaseII • $2,000 for FT Paramedics Learn about our benefits Northwest Surgical Hospital: RN, FT*: Med-Surg Days/Nights PACU RN, PRN: Med-Surg Days/Nights, PACU, PreOP/Phase II Come join our award winning team! 3 LOCATIONS IN OKLAHOMA CITY! COMMUNITY HOSPITAL SOUTH COMMUNITY HOSPITAL NORTH NORTHWEST SURGICAL HOSPITAL Community Hospital/Northwest Surgical Hospital complies with Federal Civil Rights laws and doesn’t discriminate on the basis of race, color, age, disability or nationality. Community Hospital and Northwest Surgical Hospital are facilities in which physicians have an ownership or investment interest. The list of physician owners is available upon request. To apply, please visit www.communityhospitalokc.com or www.nwsurgicalokc.com.
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