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 [email protected]@uncg.edu Slide 2 Triad Chapter
of AAMN Slide 3 Ram-N-Don Slide 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? Slide 5 2010 is the 100 th Anniversary of
Florence Nightingales Death and The International Year of the Nurse
Slide 6 The voice of Florence Nightingale
http://www.youtube.com/watch?v=ax3B4gRQNU4 Slide 7 Lady with the
Lamp Slide 8 Before and After Slide 9 Dons Mom, Alice (a.k.a.
Florence) Slide 10 Slide 11 Nightingale Attributes Science Plumbing
Statistics Leadership Slide 12 Nightingales legacy has also led to:
Philogyny Sexualization of mens touch No men in nursing orderlies
or doctors Upstairs or downstairs Only women are nurturing Slide 13
Slide 14 Nurse Rached from One flew over the cuckoos nest (1975)
Slide 15 Which brings us to the story of a hero in a Mental
Hospital Slide 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 (OLynn &
Tranbarger, 2007) Slide 17 Real Men are Compassionate Slide 18 ARE
YOU MAN ENOUGH......TO BE A NURSE? Slide 19 Caring and Nursing Jean
Watson believes Slide 20 Lighting a candle to honor the work of
nurses everywhere Slide 21 The caring moment is the core of nursing
Slide 22 A Caring Leadership Model for Nursings 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 ones 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. Slide 23 Many of us
care about our moments here.. But there is a famous story about
Florence Slide 24 The Rise of Nightingale and the Decline of Men in
Nursing (OLynn & 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!) Slide 25
Change did come Slide 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 wouldnt let men change the light bulb Slide 27
Nightingales 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) Nightingales greatest gifts came
from her intuition flashes of inspiration, insights into
relationships of ideas and meaning of symbols. T (Thinking)
Nightingales 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 anothers
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. Slide 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 Slide 29 Nightingales Challenge
for Nurses Dossey, 2010 Nightingales INTJ personality allowed her
to be a practicing mystic, mange her chronic illness, and her
ability to create new models of nursing care. Nightingales 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 Slide 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. Slide 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. Slide 32
Kathleen quickly responded, "He shouldn't have crawled in there in
the first place." "Smack his ass again." Slide 33 Statistics 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...... Slide 34 Nightingales causes of mortality Slide 35
Unfortunately our data.... Nursing is still billed as part of the
room charge Nurses 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... Slide 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 Slide 37 Not this legacy! Slide 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. Slide 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 Slide 40 Maggie
Thurmond Dorsey, RN, EdD Slide 41 The End
