Have we lost the "art" of nursing?

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As a member of the "aging baby boomer" generation, I have often wondered where has the "art of nursing gone"? There is little doubt that medical science is an integral part of nursing. However, it is often difficult to see if the "art of nursing" is practiced. In fact, I find myself asking if this unique art has been lost. Is it being taught to nursing students in the 21st century, or is it simply a lost art? What is the art of nursing, you may ask? Simply put, in many ways, the art of nursing has to do with the logical and common sense approach to nursing.

In other words, doing the little things that brings relief to a patient without having to get a doctor's order. For instance, back in the day, when I was in nurses' training, we gave patients back rubs at night before they went to sleep, or fluffed up their pillow and turned it over to help them get settled down for the night; even sometimes washing the pt's feet (if time allowed). You know, the little things that provided comfort, and often appreciated by a patient. I know you are probably thinking "wash feet, back rubs, who has time to do those extra things?" By the time you finish doing meds and treatments there is no time for the little things. Believe me, I can relate! But again I pose the question, has the "art of nursing" been lost?

Specializes in neuro/ortho med surge 4.
I haven't lost it, it's either in you or not.

The corporate bottom line stole it.

I love this!!!!!! Compassion is not efficient....

Specializes in neuro/ortho med surge 4.
Too many laws and Cover YOUR A$$.

Exactly. I really enjoy my patients (most of them) and have precious little time to spend with them because of the exact statement above. I feel very sad over this.

Specializes in Public Health, TB.

A great deal of my time is spent making sure providers are doing their job, taking me away from the bedside. Poor pain control, I'll page your doc, no K+ replacement with 40 of lasix q8hr, no warfarin on discharge with new afib, what ED thought was sinus brady is really 2 degree HB, you do or don't want to be DNR, does this test need to be done tonight-the tech is leaving, oops you didn't sign you orders, can't read your writing, etc.

And it really chaps my hide when I am supposed to page a hospitalist with lab/imaging results when they have the same computer access as me. All the time I looking up, paging, and waiting a call back and repaging is time I could spend with a patient.

Hey we're all busy, but it all rolls down to the nurse and bedside time is often what is sacrificed.

Specializes in ICU/PACU.

If that's the art of nursing then no it's not lost I see it on a daily basis.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Nurses are no longer trained, they're educated. I think with advancing education and higher involvement in research, nurses are and should be more of decision makers and thinkers. In other words, more science and less touchy feely stuff...

But it is the touchy feely stuff that is what being a bedside nurse is all about in addition to the clinical expertise we bring to the bedside.

I was educated ADN trained as a nurse. Today I find that while nurses may be educated about nursing they are not trained to be one.

The wonderful thing about nursing is that there are many different areas of expertise to fit each and every personality. There is a purpose and a place for the bedside nurse that is respected and necessary.

Who would want their loved one go to a facility when there would be no one to care for their needs.

Not me.

Specializes in ACNP-BC, Adult Critical Care, Cardiology.
A great deal of my time is spent making sure providers are doing their job, taking me away from the bedside. Poor pain control, I'll page your doc, no K+ replacement with 40 of lasix q8hr, no warfarin on discharge with new afib, what ED thought was sinus brady is really 2 degree HB, you do or don't want to be DNR, does this test need to be done tonight-the tech is leaving, oops you didn't sign you orders, can't read your writing, etc.

And it really chaps my hide when I am supposed to page a hospitalist with lab/imaging results when they have the same computer access as me. All the time I looking up, paging, and waiting a call back and repaging is time I could spend with a patient.

Hey we're all busy, but it all rolls down to the nurse and bedside time is often what is sacrificed.

That's where things need to change. A lot of what's wrong with healthcare now is poorly designed processes. In this age of computerized medical records there should not be any reason why providers couldn't be looking up labs themselves. There shouldn't also be any reason why providers could not write specific orders for medications depending on the situation that warrants its indication.

I am a nurse practitioner and as a provider, the biggest pet peeve I have is getting paged in the middle of the night by a bedside nurse calling me about a panic lab value. The conversation would go like this:

Nurse: "got a call from lab about an ABG, pCO2 is 70".

Me: "do you have the rest of the numbers, you know his pCO2 has always been in the 70's because of his high ventilatory deadspace from ARDS, how's the pH, should I be worried?".

Nurse: "that's all the lab gave me and I should call you about this to cover me that I informed a provider".

Why is it that nurses are made to act like robots in the guise of covering their behinds?

Specializes in PCCN.

Joint commission- Thank them..........:madface:

Specializes in Med Surg, Parish Nurse, Hospice.

Scripted hourly rounds... as long as you say the magic words, that's all that counts. Pain control, HOURLY ROUNDS, side effects. The decline in the art of nursing is what is driving so many nurses in my age group crazy. An example of a lost art, is shaving male pt's facial hair. I'm talking about the confused 80ish year old man. I hate when they have a 4 day growth. More often I hear, I don't do that. I will often take the time as I know it makes the pt and his family feel just a little better.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
That's where things need to change. A lot of what's wrong with healthcare now is poorly designed processes. In this age of computerized medical records there should not be any reason why providers couldn't be looking up labs themselves. There shouldn't also be any reason why providers could not write specific orders for medications depending on the situation that warrants its indication.

I am a nurse practitioner and as a provider, the biggest pet peeve I have is getting paged in the middle of the night by a bedside nurse calling me about a panic lab value. The conversation would go like this:

Nurse: "got a call from lab about an ABG, pCO2 is 70".

Me: "do you have the rest of the numbers, you know his pCO2 has always been in the 70's because of his high ventilatory deadspace from ARDS, how's the pH, should I be worried?".

Nurse: "that's all the lab gave me and I should call you about this to cover me that I informed a provider".

Why is it that nurses are made to act like robots in the guise of covering their behinds?

I have the hardest time getting the senior providers to comply....lets say they are spoilt in the community setting.

Why is it that nurses are made to act like robots
because they are losing the "art" part of nursing.....they no longer use their brains nor the education given to them. A perfect example that just because one has more education it doesn't automatically parlay into application at the bedside.

AND.....Joint Commission requirement of quality control markers of notification of critical values within x amt of time to hold less involved providers accountable. The JC make these decisions base on an accumulation of reports from sentinel events across the country to see a trending of patient outcomes and untoward events and how to prevent or improve them.

Extremely well said! I will add that RNs are shown disrespect by the both the corporations AND the patients. Until I read this article I had NO IDEA that a nurse had ever done a "backrub".

To expand I'd say that "we" alive today did not create the behemoth corporate America so much as our predecessors, who empowered their formation hru their political & economic choices. Political forces molded the environment we labor in, this was set in motion decades ago. So when I hear a very old patient complain bitterly about how "impersonal" healthcare feels, I sometimes ask them what they did in their life to help it NOT become this way.

Specializes in Pediatrics, Emergency, Trauma.
To expand I'd say that "we" alive today did not create the behemoth corporate America so much as our predecessors who empowered their formation hru their political & economic choices. Political forces molded the environment we labor in, this was set in motion decades ago. So when I hear a very old patient complain bitterly about how "impersonal" healthcare feels, I sometimes ask them what they did in their life to help it NOT become this way.[/quote']

Agreed...especially on the pt's part as well :yes:

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