Time to get loud
نویسندگان
چکیده
2020 was a year of unpredicted attention to health issues globally. Conditions associated with both the transmission SARS-CoV-2 virus and impact COVID-19 disease it causes have placed an inordinate strain on exposed serious structural gaps within our public care delivery systems worldwide. They also allowed us rare glimpse into politicized policy, revealing that how different communities handle what seem quite similar circumstances can lead dramatic differences in impacts depending who exerts influence (Nickitas, 2020). From outset pandemic, nurses found themselves front centre action. We been testing those symptoms or exposures, leading contact tracing efforts, triaging require care, supporting home management, caring for sickest patients ICUs, managing all other units which without need protection from may it, creating approaches human presence long-term when isolation policies limit family visits finding creative ways reach out whose loved ones are dying cannot be them, grieving they were unable support end. Many started off this pandemic cheering streets. And we attracted consistently as profession has stepped up there need, despite risks, supply shortages threat own ones. routinely portrayed heroes angels pandemic. gratifying (Stokes-Parish et al., 2020), not yet able manage at level deserve is voice policy decision-making tables (Catton, The workforce know had projected globally many individual countries (Drennan & Ross, 2019). While large numbers retired inactive forward rejoin temporary labour others whom grinding hours, challenging conditions unsupported emotional trauma work taken their toll, stand lose valuable contributors nursing just too much (Iheduru-Anderson, glare inadequacies options various sectors systems. Nursing long recognized residential tend register imagination less exciting important society than acute intensive care. made clear allow profit-motive determine quality standards, staff such facilities casualized labour, offering working attract mainly marginalized communities, normalize staffing skill-mix no longer includes highly educated professional influence, create quickly tip balance chaotic responses unnecessary loss life (Faghanipour These but two longstanding system concerns about attempted raise alarm, often sensed alarm fallen deaf ears. now suddenly era wider understanding these matter, will consider do things differently protect future. Our regional national governments responding high-level task forces groups meant capitalize new awareness try solve some complex challenges. expert knowledge point-of-care leadership, being most trusted 18th row Gallop polls, so instances left list invited key process deliberations (Anders, It therefore time find voice. researchers provide hard (and soft) evidence strengthen claims nursing. educators prepare next generation sensibilities strategic smarts active engagement real-world decisional processes. associations furiously possible inject perspective solution societal problems every level. ensure leaders across domains practice coordinating efforts unified strategy, informed fuelled by fundamental disciplinary wisdom. seen, over again, solutions might make logical sense elected official, managerial operations leader even committee representing colleagues medical glaringly inadequate seen eyes. To progress advancing nursing's angle vision strongly must requires deeply commit inherent value distinctive interpreting patients, families affected decisions make, processes disrupted false efficiency measures inequities created place speak move responsive directives towards becoming genuine them. Coming country Chief Officer, I would add vociferous advocates roles, right occupy them then fully asserting coordinated constructive International Council doing its part shape collective message – collaboration World Health Organization enormous information campaign real leadership visibly present, active, national, authority levels. This should time. perhaps still be. over. lessons learned. 2021, seems get really loud!
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ژورنال
عنوان ژورنال: Nursing Inquiry
سال: 2021
ISSN: ['1320-7881', '1440-1800']
DOI: https://doi.org/10.1111/nin.12400