Quote from SandySummers
How sad it is that you can't appreciate nursing's leaders. Our nursing researchers and innovators make it possible for bedside nurses to change and improve our care so our patients will have better outcomes. For instance, if we had no nurse leaders we would not have any sexual assault nurse forensic examiners. Don't you think that they have improved patient care? Without anyone to push the creation of these SAFE nurses, rape patients would still be getting the barbaric care they used to receive.
Did you see the leaders that we chose as potential people to consider for the Nobel prize?
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Nurses' achievements merit international recognition - baltimoresun.com
Remember that the ultimate example of the "Ivory Tower Hack" is Florence Nightingale.
I'll hold my powder on Florence for the time being, except to say that she would be APPALLED that the lasting image of her was the contrived notion of 'lady with the lamp'. Even SHE shunned that image.
The bottom line is that our Ivory Towered leaders are more interested in their own musings then in the nurses in the trenches. Instead of basing their 'theories' on real life practice, they expect practice to yield to their 'theories'. And, since they have no idea how that practice works, that is a difficult construct, indeed.
They are more interested in their 'body of knowledge' that creates 'professionals' that must learn to work around that 'body of knowledge'. In order to learn to practice in the trenches, nurses must first either deconstruct the useless language of the tower, or more likely, ignore it altogether.
You have to really wonder, don't you, how our leaders got pegged as being in an 'Ivory Tower' in the first place?
You talk about SANE nursing being created by the Ivory Tower. I hope you aren't serious. That's an actual practice issue. The need to secure evidence necessitates such a position or the training, not the Ivory Tower. As far as caring for those so traumatized, that's what nurses in the trenches do. We're darn good at it and never needed direction from the Tower to do that.
In all too many cases nurses in the trenches are good at what they do, not because of the Tower, but in spite of it.
There is NO praxis in nursing. The ideas from the Tower do not translate into practice. This is why: the Tower is in complete control of who gets phDs in nursing. If you don't talk like them, and believe like them, you don't pass go, and don't collect either 200 bucks, or your degree.
The Tower is so thin-skinned that they brook no alternative reality but the one they choose to impose, top-down. If you have a valid critique, your qualifications to HAVE such a critique are called into question. Once the Tower decrees a position, no media associated with nursing can or will publish against the Tower. In order to get along, you have to go along. If your job depends on 'publish or perish' then you better be writing something that has a chance to be published.
Critique is a good thing. It sharpens opinions. When opinions are not allowed to be subject to critique, they become dull and stale. They lead to a lack of praxis (how well a concept translates to practice). There is an utter lack of praxis in nursing.
Whose fault is that? I'll tell you who: the nurses in the trenches. We can't have alternate points of view, merely ignorance that needs more 'education' so that we will come to see things the Tower's way. Read some of the literature and see how very many times that the tower dismisses the lack of praxis as simply a need for more 'education'.
I guess I just need more 'education', as well. Look, it might be 'sad' that I don't appreciate the Tower, but it's even MORE sad that they don't appreciate me. My disdain is completely mutual.
This wasn't the thrust of this thread and this was a response to direct comments. I'm passionate about it because I think that if our trenches were placed first in nursing, nursing as a 'profession' would rapidly improve.
But, I'll cool it here now.