JNPD
Journal for Nurses in Professional Development & Volume 30, Number 2, 70Y75 & Copyright B 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Presence Putting the Art of Nursing Back Into Hospital Orientation Carol Toliuszis Kostovich, PhD, RN
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Pamela S. Clementi, PhD, RN-BC
Nursing presence, the ‘‘doing for’’ and ‘‘being with’’ patients, embodies the holistic work of the registered nurse. However, nursing presence is seldom reflected in hospital orientation curricula. Programs traditionally orient nurses to policies and psychomotor tasks but exclude emphasizing how to ‘‘be with’’ patients. This article describes how one Midwestern academic medical center incorporated both the art and science of nursing into orientation.
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ursing orientation programs typically center on teaching newly hired nurses hospital-specific policies, equipment use, and psychomotor skills. These tangible tasks reflect the ‘‘science’’ of nursing practice. Rarely do these orientation programs focus on the ‘‘art’’ of nursing practice, the human connection experienced between nurse and patient. To exclude the art of nursing from orientation programs diminishes the fact that nurses provide holistic patient-centered care. The art and science of nursing can be equated to what Paterson and Zderad (1976) identified as nursing presenceVthe ‘‘being with’’ and ‘‘doing for’’ patients. The purpose of this article is to describe how one Midwestern academic medical center incorporated nursing presence into the nursing orientation curriculum.
BACKGROUND In 2010, the Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the InstiCarol Toliuszis Kostovich, PhD, RN, is Research Health Scientist, Edward Hines Jr., Veterans Affairs Hospital, Hines, Illinois, and Associate Professor, Marcella Niehoff School of Nursing, Loyola University, Chicago, Illinois. Pamela S. Clementi, PhD, RN-BC, is Nurse Manager, Department of Nursing Education, Loyola University Medical Center, Maywood, Illinois, a Member of CHE Trinity Health, Livonia, Michigan. Dr. Kostovich received support for this paper from the Department of Veterans Affairs, Health Services Research and Development/Office of Academic Affiliations Post-doctoral RN Fellowship TPN 42-002. The views expressed in this paper are those of the authors and do not necessarily reflect the position and/or policy of the Department of Veterans Affairs or the U.S. Government. The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article. ADDRESS FOR CORRESPONDENCE: Carol Toliuszis Kostovich, PhD, RN, 2160 S. First Avenue, Maywood, IL 60153 (e
Journal for Nurses in Professional Development & Volume 30, Number 2, 70Y75 & Copyright B 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Nursing Presence Putting the Art of Nursing Back Into Hospital Orientation Carol Toliuszis Kostovich, PhD, RN
ƒ
Pamela S. Clementi, PhD, RN-BC
Nursing presence, the ‘‘doing for’’ and ‘‘being with’’ patients, embodies the holistic work of the registered nurse. However, nursing presence is seldom reflected in hospital orientation curricula. Programs traditionally orient nurses to policies and psychomotor tasks but exclude emphasizing how to ‘‘be with’’ patients. This article describes how one Midwestern academic medical center incorporated both the art and science of nursing into orientation.
N
ursing orientation programs typically center on teaching newly hired nurses hospital-specific policies, equipment use, and psychomotor skills. These tangible tasks reflect the ‘‘science’’ of nursing practice. Rarely do these orientation programs focus on the ‘‘art’’ of nursing practice, the human connection experienced between nurse and patient. To exclude the art of nursing from orientation programs diminishes the fact that nurses provide holistic patient-centered care. The art and science of nursing can be equated to what Paterson and Zderad (1976) identified as nursing presenceVthe ‘‘being with’’ and ‘‘doing for’’ patients. The purpose of this article is to describe how one Midwestern academic medical center incorporated nursing presence into the nursing orientation curriculum.
BACKGROUND In 2010, the Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the InstiCarol Toliuszis Kostovich, PhD, RN, is Research Health Scientist, Edward Hines Jr., Veterans Affairs Hospital, Hines, Illinois, and Associate Professor, Marcella Niehoff School of Nursing, Loyola University, Chicago, Illinois. Pamela S. Clementi, PhD, RN-BC, is Nurse Manager, Department of Nursing Education, Loyola University Medical Center, Maywood, Illinois, a Member of CHE Trinity Health, Livonia, Michigan. Dr. Kostovich received support for this paper from the Department of Veterans Affairs, Health Services Research and Development/Office of Academic Affiliations Post-doctoral RN Fellowship TPN 42-002. The views expressed in this paper are those of the authors and do not necessarily reflect the position and/or policy of the Department of Veterans Affairs or the U.S. Government. The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article. ADDRESS FOR CORRESPONDENCE: Carol Toliuszis Kostovich, PhD, RN, 2160 S. First Avenue, Maywood, IL 60153 (e
