IN NURSING AND HEALTH SCIENCES

ISSN 2328.854X

www.JAANHS.org

Volume 4, Number 2, SPRING 2018 IN NURSING AND HEALTH SCIENCES

ISSN 2328.854X

www.JAANHS.org

Charlotte D. Barry, PhD, RN, NCSN, FAAN

EDITOR

Beth M. King, PhD, ARNP, PMHCNS-BC, PMHNP-BC María de los Ángeles Ordóñez, DNP, ARNP, GNP-BC, PMHNP-BC

ASSOCIATE EDITORS

Anne Boykin, PhD, RN Dean Emerita, College of Nursing Director, Anne Boykin Institute for the Advancement of Caring Florida Atlantic University Boca Raton, Florida, USA

Rozzano C. Locsin, PhD, RN, FAAN Professor Emeritus Florida Atlantic University Boca Raton, Florida, USA

Marilyn A. Ray, PhD, RN, CTN, FAAN Professor Emerita Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

EDITORIAL ADVISORY BOARD

Savina O. Schoenhofer, PhD, RN Professor of Nursing – Retired Jackson, Mississippi, USA

Gail Mitchell, RN, BScN, MScN, PhD Professor School of Nursing Faculty of Health York University Toronto, Canada

Marlaine Smith, PhD, RN, AHN-BC, FAAN Dean and Professor Helen Karlenia Persson Eminent Scholar Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

Zane Robinson Wolf, PhD, RN, FAAN Dean Emerita and Professor School of Nursing and Health Science La Salle University Philadelphia Pennsylvania, USA

Marguerite J. Purnell, PhD, RN, AHN-BC Emeritus Professor and Editor Emeritus Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

Mission: The Journal of Art and Aesthetics in Nursing and Health Sciences provides a forum for the expression of caring through the mediums of art and aesthetics and their preservation.

Journal of Art and Aesthetics in Nursing and Health Sciences (ISSN: 2328-854X) is a peer reviewed journal

published two times per year by the Christine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, Florida, 33431. There is no subscription fee.

rights reserved. No part of this journal may be reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews. Requests to reprint material should be directed to the Editor, Journal of Art and Aesthetics in Nursing and Health Sciences, Christine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, Florida 33431. www.JAANHS.org

Copyright and Permissions: Copyright 2017 by Christine E. Lynn College of Nursing, Florida Atlantic University. All

Confidentiality: The Journal of Art and Aesthetics in Nursing and Health Sciences is protective of the persons who may be

the inspiration for the creative works inside this issue. For this reason, any names or identifying information have been changed or removed from the creative work prior to review and publication. Any resemblance, therefore, to a person either living or dead is purely coincidental.

Graphic Design: Shawn Marie Pennell

Front Cover Art: Title “Heartsong in Ink” by Kathleen Laura Sitzman, PhD, RN, CNE, ANEF, FAAN. See page 26.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

INTERNATIONAL REVIEW PANEL

Cora A. Anonuevo, PhD, RN Professor College of Nursing University of the Philippines Manila, Philippines

Raymond C. Barfield, M.D., PhD. Associate Professor Pediatrics and Christian Philosophy Duke University, North Carolina, USA

Alan Barnard, BA, MA, PhD, MRCNA Senior Lecturer, Faculty of Health School of Nursing Queensland University of Technology Brisbane, Queensland, Australia

Elizabeth Baua, PhD, RN Dean, School of Nursing St. Paul University Philippines Tuguegarao City Cagayan Valley, Philippines

Pall Biering, PhD, RN Associate Professor Faculty of Nursing University of Iceland Reykjavik, Iceland

Cynthia Brown, DNS, RN, AHN-BC Assistant Professor College of Nursing University of Georgia Georgia, USA

Erlinda Castro-Palaganos, PhD, RN Professor College of Nursing University of the Philippines Baguio Baguio City, Philippines

Aranya Chaowalit, PhD, RN Dean and Associate Professor Faculty of Nursing, Prince of Songkla University, Hat Yai, Thailand

W. Richard Cowling III, PhD, APRN-BC, FAAN, FAANP Vice President, Academic Affairs Chamberlain College of Nursing Arlington, Virginia, USA

Cortney Davis, MA, RN, CFCP Writer, Consultant Redding, Connecticut

Patrick J. Dean EdD, RN; MStJ Clinical Assistant Professor University of Minnesota Rochester, Minnesota

Charlotte Delmar, PhD, MSc, Nursing Professor Aalborg Hospital Science and Innovation Ctr Aalborg, Denmark

Zana C. Wolf DeProspo, MS, MBA, BSN, RN Architectural Historian, AECOM Clinical Nurse, Heart and Vascular ICU Penn Presbyterian Medical Center Philadelphia, Pennsylvania, USA

Terry Eggenberger, PhD, RN, CNE, CNL, NEA-BC Associate Professor Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

Gabriella Engstrom, PhD, RN Professor, Mälardalen Högskola Västerås, Sweden, and Visiting Professor, Christine E. Lynn College of Nursing, Boca Raton, Florida, USA

Ingegerd Fagerberg, PhD Professor Department of Health Care Sciences Ersta Skondal University College Stockholm, Sweden

Nancey France, PhD, RN Associate Professor Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

Dawn Freshwater, PhD, BA(Hons), FRCN, RN, RNT Professor and Pro-Vice Chancellor University of Leeds West Yorkshire, Leeds, UK

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱1

INTERNATIONAL REVIEW PANEL continued

Jacinto Garrido, DNP, ARNP, ANP-BC, FAANP, FAAN Associate Graduate Faculty Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA Letty Kuan, EdD, RN, RGC Professor Emerita University of the Philippines, Manila College of Nursing Manila, Philippines

Bernadette Lange, PhD, RN Holistic Consultant Hobe Sound Florida, USA

Donna Linette, DNP, RN, NEA-BC Chief Nursing Officer Correct Care, LLC, South Florida State Hospital Pembroke Pines, Florida, USA Amandu Gerald Matua, RN, BSN, MNSc, DLit et Phil Lecturer College of Nursing Sultan Qaboos University, Muscat Sultanate of Oman

Ruth McCaffrey, ND, DNP, ARNP Professor Emerita Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

Mei Che Samantha Pang, PhD, RN Professor School of Nursing Hong Kong Polytechnic University Kowloon

Tim Porter-O’Grady, EdD, APRN Senior Partner Tim Porter-O’Grady Associates Georgia, USA

Jennifer Reich, PhD, MA, RN, NC-BC Nurse Coach, Poet, Storyteller Faculty (Part Time), School of Nursing Northern Arizona University Flagstaff, Arizona, USA

Brenda Roe, PhD, RN, RHV, FRSPH Professor of Health Research Faculty of Health and Social Care Edgehill University Lancashire, UK

Setiawan Setiawan, PhD Faculty of Nursing University of Sumatera Utara, Indonesia

Steven Staudenmeyer, PhD Professor Candler, NC, USA

Elizabeth Susan Vista Suarez, PhD Professor College of Performing and Visual Arts Silliman University, Dumaguete City 6200 Philippines

Tetsuya Tanioka, PhD, RN, FAAN Professor Faculty of Health Sciences University of Tokushima, Kuramoto-cho, Tokushima, Japan

Theris A. Touhy, CNS, DNP, DPNAP Professor Emerita Christine E. Lynn College of Nursing Florida Atlantic University Boca Raton, Florida, USA

2︱ Journal

of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 JOURNAL OF ART AND AESTHETICS IN NURSING AND HEALTH SCIENCES

ISSN 2328.854X

Volume 4, Number 2, SPRING 2018

TABLE OF CONTENTS

5 Picking up the Mantle (with audio) Charlotte D. Barry, PhD, RN, NCSN, FAAN

FEATURES

6

Breath of Prayer...............................................................................................................Kevin P. Hanaway Poem, with audio

EDITORIAL

9 Meditation...............................................................................................................................LaTricia Perry Poem, with audio

10

12

13

Hope and Trust....................................................................................................................Regina Holliday Painting, acrylic

Taking a Stand.....................................................................................................................Regina Holliday Painting, acrylic

More Than That........................................................................................................... Laurel Gail Ostrowt Essay

20 Holding Sacred Space ...................................................................................................Joseph Giovannoni Photography, reflection 23 The Wheals on the Bus......................................................................................................Regina Holliday Poem

25

26

Turkey Sandwich..............................................................................................................Genna Hergerton Short story

Heartsong in Ink....................................................................................................Kathleen Laura Sitzman Cover art, painting

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱3 AFTERWORDS 28 Looking With Joy To The Future María de los Ángeles Ordóñez, DNP, ARNP, GNP-BC, PMHNP-BC Associate Editor

29 Mirando Al Futuro Con Alegría María de los Ángeles Ordóñez, DNP, ARNP, GNP-BC, PMHNP-BC Associate Editor 30 Living My Commitment Beth Marie King, PhD, ARNP, PMNCNS-BC, PMHNP-BC Associate Editor

34

38

39

ISSUE CONTRIBUTORS

ANNOUNCEMENTS AND CONFERENCES

CALL FOR SUBMISSIONS

INFORMATION FOR AUTHORS

4︱ Journal

of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

Editorial

EDITORIAL

PICKING UP THE MANTLE

Charlotte D. Barry, PhD, RN, NCSN, FAAN

LISTEN

The Journal of Art and Aesthetics in Nursing and Health Sciences has been unfolding as a public forum, an open meeting place for contemplation and discussion, and a repository of aesthetic re- presentations of beauty in nursing and the health sciences. Under the leadership of Dr. Purnell, my friend and colleague, the Journal has flourished and become a hallmark for artistic imaginations that give meaning to the sacred work of caring for others. Opening the pages of an issue draws the reader into the wonder of discovering the beauty in a dance, a song, a poem, an essay, a painting, a photo, a sculpture, or other artistic creations. We are introduced to the artist and the artist’s meaning that sparks our own unique understanding and meaning.

The Journal of Art and Aesthetics in Nursing and Health Sciences provides an opening, a place in the heart and mind, to unpack meaning in stories from practice re-presented in an art form. In this issue we present several nurse artists’ works and invite you to turn to the aesthetic. You may look, listen, hear, feel, engage in, and always be yourself in finding meaning. Aesthetics is the realm of opening in which we can fully engage in finding meaning from the sacred works of the heart.

It is with humility that my co-editors Dr. Beth King, Dr. María de los Ángeles Ordóñez and I pick up this mantle and don it gracefully and lovingly, continuing and creating anew opportunities for publishing sacred works from the heart.

After many years of teaching graduate students advanced practice grounded in caring, Dr. Purnell and I wrote about our experiences with students studying nursing from a different lens, a lens of caring science. It seemed to us that this open space was the first time students were given time to think and reflect. We invited them to slow down from the warp speed of day-to-day practice and engage in a process of uncovering meaning in stories from practice. We called it “unpacking and turning to the aesthetic.”

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱5 BREATH OF PRAYER

Kevin P. Hanaway

Abstract

The Breath of Prayer reflects a nursing situation that transcended the moment and was filled with joy. Bill (a pseudonym) has End-Stage Pulmonary Fibrosis and struggles to breathe with a mechanical ventilator. The sound fills the room. His wife and I, his nurse, encircle and prayerfully attend to him as he lives out his remaining moments. To present this nursing situation, I draw upon my training as a Catholic priest. I have been trained in the rubrics of prayer and use of accoutrements of sacerdotal practice that enhance experience. Monastic prayer for over two thousand years to this day has a prose, experience, and rhythm, and while no longer in Latin, points to the transcendent. The Breath of Prayer is not of any religion, but is essentially spiritual. I draw upon a rubric of ancient prayer that speaks to the spirit, yet is woven throughout with a repetitive refrain that grounds the prayer in actual experience with the ambient sound of the ventilator. The reality of the moment of caring is present in the hearts of Bill, his wife, and me as we transcended the moment and dwelt in joy.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 BREATH OF PRAYER

Kevin P. Hanaway

The ventilator bellows breathe in and breathe out and offer up unvoiced prayers In reverence in that sacred place The spirit of God hears Bill… I am so glad to see you I am doing well I can’t breathe but I hope for better I need the vent but just for now

And the bellows breathe in and breathe out

Bill’s wife… You held my husband’s hand No one is doing that I don’t want him to suffer Some blame me letting him stay on this vent

LISTEN

And the bellows breathe in and breathe out

He seems worse today His breathing is more labored He has an infection The images aren’t good

And the bellows breathe in and breathe out

The nurse… I am a nurse I can just feel love permeate the room Bill’s eyes bright blue, full of joy He seems not aware of a different future

And the bellows breathe in and breathe out

How can I help, I am a nurse The science is clear The prognosis is grim I can care for him

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱7 And the bellows breathe in and breathe out

He wants to live I am the nurse, here to support you I am the nurse, here to support him He is such a courageous and loving man

And the bellows breathe in and breathe out As the prayers rise up and away…

Selah.

8︱ Journal

of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

Meditation

MEDITATION

LaTricia Perry

In the stillness of my breath, I find myself struggling… Thoughts swirling, tormenting, and consuming my mind. If I stop long enough to think about me, what will I find, who will I be?

LISTEN

In the stillness of my breath, I find myself scared… There’s no time to stop thinking and no time to practice self-care. If I stop too long, I would be thinking about me and what kind of nurse would I be if I stopped to care only about me.

In the stillness of my breath, I find myself contemplating… Am I good at what I do, and how could I be even better? Am I pleasing others? Am I leaving a legacy? If I stop for now, I may not leave my mark on this Earth; I may not be successful and I may not be known.

In the stillness of my breath, I find fear and anxiety… Is the World passing me by? Am I living my purpose? Am I a contributor to society? If I stop for now, I can’t accomplish all that I am meant to be. I can’t change the World. I am nobody.

In the stillness of my breath, I find solace even for a moment… Could it be that I recognized an inner peace that feels amazing, even if for a fleeting moment in time? If I stop for now, I might acknowledge my worth and my value and I might…just might, love me.

Abstract

While attending a six-month course toward becoming a Certified Caritas Coach, I found myself challenged by the self-care act of meditation. It was difficult to allow myself to become introspective. Meditation brought me peace and love for myself that I had not understood prior to exploration in this area. My personal journey to Caritas has resulted in my desire to create sacred space for other professionals to gain insight into their own personal and professional practices.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱9

Regina Holliday

REGINA HOLLIDAY

Abstract

Patient rights activist, artist, author and speaker, Regina Holliday, is a patient advocate who uses paintings as a catalyst for change. She is the founder of the Walking Gallery, a patient rights movement focused on positive change in healthcare. The gallery consists of healthcare providers and advocates who wear patient story paintings on the backs of business attire. Paint and patients, pills and policy all come together within the Walking Gallery of Healthcare.

Regina was an invited speaker and Artist-in-Residence at the 2017 Anne Boykin Summer Academy and there created two acrylic paintings showcased in this Journal issue. The focus of the Academy was inter-professional partnerships grounded in caring science. The artist’s passion, dedication, and free-ranging thought are captured in Hope and Trust (p.11), and Taking a Stand (p.12). As you turn the pages and reflect upon the paintings, immerse yourself in her lively re-presentations that resonate with healthcare professionals and patients alike. Take away meaning behind each brush stroke that resonates with you. Regina’s third artistic expression is a poem titled, The Wheals on the Bus (p.23), composed after passage of major healthcare legislation.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

Taking a Stand

Taking a Stand Holliday, Regina Medium: Acrylic 24"x18”

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱11

Hope and Trust

Hope and Trust Holliday, Regina Medium: Acrylic 24"x18”

12︱ Journal

of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 MORE THAN THAT

Laurel Gail Ostrow

Abstract

Malawi is sometimes called “The Warm Heart of Africa,” and after a year spent living in Malawi in 2014- 15, I found this to be true. More often than not, I was greeted with a smile and wishes for a safe journey or a blessed day. I was a member of the nursing faculty at Mzuzu University School of Nursing and Midwifery in Mzuzu, Malawi. I was also a Peace Corps volunteer and a volunteer with a private organization called SEED Global Health. This collaboration seeks to promote nursing and medical education across Africa by providing US volunteers to resource limited settings. I particularly enjoyed working with Mzuzu University’s nursing students in clinical settings. This story of one patient and my nursing students shows the universal application of principles of healing around caring science.

Malawi is sometimes called “The Warm Heart of Africa,” and after a year living there, I found this to be true. More often than not, I was greeted with a smile and wishes for a safe journey or a blessed day.

I was not there when Ruth was admitted to the female medical ward in the local hospital. She had experienced major head trauma as the result of a traffic accident. I wondered if she fell off the very back of a small truck, pushed imperceptibly by the sway of others behind her. Or maybe one of the large vehicles I’d seen full of dozens of people had swerved to avoid a cluster of children walking to school, and she, clinging to the back, had been thrown out, to fall head first onto the pavement. In Malawi, poverty and the state of transportation play into this tragedy, but thinking of that now is not helpful to the young woman lying in a hospital bed.

I had missed the flurry of uncertainty, vital signs, the obligatory intravenous of D5W solution. She was unconscious then, but started mumbling and gesturing a few hours after admission, her eyes swollen and nearly closed from her injuries. Now she is semi-conscious, but able to swallow, a positive sign for head injury patients. The left side of Ruth’s face is crushed, the skin abraded. She seems to be trying to open her eyes, and she moans softly, like wind through old trees. She does not respond meaningfully to verbal cues. Her speech when it comes is agitated and my students tell me her words are not decipherable in her native language. She moves her limbs about without apparent volition. Clinicians and nurses have ruled out internal injuries; her vital signs continue to be stable.

Her father is a wizened man, 50 or 70, hard to tell. His eyes are sorrowful in the ways of sorrow that are constant and unending, but now deepened to this horror of his daughter, a road traffic accident victim, lying in a bed at the Central Hospital. He and Ruth’s mother feed Ruth with her head slightly tipped up, her back supported in a half sitting position. The ubiquitous national dish, nsima, is a soft food, white corn ground fine and boiled until it becomes a mash, a familiar and no doubt comforting food for Ruth. Though she is rigid and seems to struggle against this forced feeding, she eats what they bring to her mouth on their fingers.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱13 There are no brain scans because this equipment does not exist at the hospital. There are only bandages, Brufen, a form of mild analgesic, vital signs, and the intravenous. As I have seen before, resignation that fate will take its course seems to permeate the attitude of Ruth’s staff nurses. They have seen too much and sometimes being hopeful costs them too much pain. We have spoken of the despair of losing patients one after the other. They are familiar with death, more than I am. With them, I have also experienced the quiet joy when patients go home healed and return to their families much as they were before, after successful surgeries or antibiotic regimens or the initiation of antiretroviral or anti-malarial drugs. Even though days are not always gloomy on the female medical ward, the nurses know that death happens too frequently here.

The head nurse Samuel, often light-hearted and smiling, is today grim speaking with us about Ruth. “These accidents are too many,” he says sadly. “We will do our best. Thank you for being here.”

Being here. The purpose of my placement here is to be a resource, a nursing educator at the local school of nursing. I work in the classroom, teaching the care of medical surgical patients, patients at the end of life, medical ethics, and rehabilitation after surgery. Along with my colleagues in Tanzania and Uganda, I work with the U.S. Peace Corps and the Global Health Service Partnership to increase the number of physician and nurse educators in areas where there are not enough of either.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 Feeling helpless and ignorant is made worse by the expectation that I know more than I do. Coming from the West makes me no savior. A good heart and professed love of humanity propelling me to do good are not enough. A displaced person, I sometimes feel that my presence represents colonialism and condescension, elements of my person I cannot change except through personal relationships and hard-working days that may nudge those I touch toward an understanding of me that is less about expectations and more about partnership. Even then, the differences are great and the barriers to understanding discouraging. Knowing I will return home in a year’s time is always an emotional out for me and Malawians know this. We don’t speak of it much, except when they express sympathy for my being removed from my loved ones. No matter how much I love Malawian food, dance at weddings, work at the hospital, and speak a little of the languages, I will always be an outsider. That does not mean I feel unwelcome. In fact, the national greeting in English after “Hello,” is “You are most welcome.”

Sometimes I am unable to maintain the right amount of detachment and emotion to avoid collapsing under the weight of the daily tragedies that overshadow joys. Maintaining equanimity seems safer and more professional, even when I understand that each death represents an empty, painful space in the family and the community. It is never just another death. These are profound losses to the crowds who follow the gurneys to the mortuary, crying and wailing in a keen that haunts me later in my small, solitary house at the university. A mother, several mothers, dead after giving birth, a child of four with severe brain damage from a traffic accident, a 16-year old boy who died of mysterious causes, healthy a few days before. My nursing student wrapped this boy’s body in a light blue shroud, securing his hands and limbs with strips of white cloth. That was my first experience with death in Malawi and I was uncertain how to express myself to the student afterward. Numbness took over where tears could have been. That student, only a few years older than the dead boy, had dignified his death as nurses around the world do, but at what emotional toll to his eighteen-year-old self?

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱15 I hope they know what I feel, though perhaps that hardly matters. How can I possibly feel what they do? This is not my country and that barrier is impenetrable. The nursing students struggle for balance in their caring, too. They tell me so in essays I assign for my lecture classes. There are essays about empathy and the devastation of losing a patient who didn’t have to be lost but was-because there was no way to help: no dialysis, no diagnostic machinery, no electricity at the wrong time, and no clean gowns, delaying surgery that may have saved someone’s life.

My group of students the day we meet Ruth is Chimwemwe, Peter, and Thoko. They speak to Ruth’s parents, take her vital signs, and wait for the surgeon to make rounds. I encourage them to practice their neurological assessment. Ruth fails most of the tests, and I feel I have failed too, in this ineffectual response to a tragedy reflected in the body language of Ruth’s parents, who sit on either side of the bed holding her hands. There is something more I am missing and I grasp at it and miss still, feeling empty in the hot fetid air of the ward.

Then Dr. Gondwe, the lead surgeon comes by; he examines Ruth. Knowing him as I do after months of collaboration, he comprehends the situation beyond her immediate injuries. He acknowledges her parents, the family pain of a potential loss like this. How do I know he is thinking of his country’s poverty and how the results of these deprivations have produced this one injured woman, anchored to a hospital bed by her parents? I know this man from hospital rounds and departmental meetings where he has spoken of resources and funding and commitment, have heard his angry speeches for groups of nurses when a patient wasn’t cared for properly and died. I know that his interactions with patients in any of the languages common to Malawi ease their minds and comfort their families.

This day Dr. Gondwe meets Ruth and speaks kindly to her parents in Chi Tumbuka. Their faces soften and relax. Is there a small smile of hope on her father’s face? Then the surgeon turns to us and speaks in fluent English, smiling gently. Dr. Gondwe doesn’t try to hide his fondness for nursing students and enjoys teasing them while making rounds. Today he is serious, as Samuel was.

“Get her up every day. Dress her and get her up every day and take her outside. Why am I saying this? What good will it do?” Chimwemwe answers timorously after a few respectful moments. “Stimulation promotes blood flow and oxygenation.” “Good, yes, but remember that it’s more than that.”

More than that. Yes, and what more it is begins, as the students and I dress Ruth. Even with her mother’s help, it is difficult. This intimate act involves pulling her skirt over her flaccid limbs, slightly ripping the fabric. The students lift her, bracing her arms and shoulders for the dressing. We pull on her blouse and button it modestly. The patterns on the nylon blouse is of red roses on a navy background. I have seen many such blouses and patterns in the market selling premade clothes at cheap prices, many of them previously used by others. Once Ruth is dressed, four of us lift her into the wheelchair where her head lolls until we support it with pillows, setting her back up straight against the chair. Ruth moans slightly when Peter, unasked, massages her. He starts with her hands, moving up to her arms and shoulders. Ruth’s naked feet propped against the pedals he raises gently, carefully massaging the balls of her calloused foot and each toe. Then he rubs her calves rhythmically, up to and slightly above her knees.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 We watch, I watch, moved by Peter’s spontaneous acts of nursing care. I follow them out to the courtyard of the hospital which is filled with families and visitors and other patients, some in the shade and some basking in the bright Malawi sun.

Peter picks a shady spot where the sun touches only Ruth’s legs and the bright sun lightens the shade, illuminating the darkness under the tin roof. I tell him he has done well. He smiles only slightly, commensurate with his modesty about his place and mine. I want to tell him barriers and hierarchy mean nothing and that what he has done for Ruth is the work of healers all over the world. He will not understand and would find my praise overblown and perhaps even false, so I leave well enough alone and sit with them awhile.

For days, we work with Ruth. Peter continues the massaging and sometimes even sits with Ruth wordlessly as long as he can, just keeping her company in the half sun. Each day, too, her parents feed her with her head tipped back and supported, the nsima which she has always been fed.

A couple of weeks pass. I have students in different wards in the hospital, but I check in often at the female medical ward. Ruth's father is always there, sitting in a chair by her bedside. Ruth’s condition seems the same and the students report to me that they have been getting her up, massaging her as Peter had initially done even when Peter is not in the hospital. Perhaps, Thoko suggests, Ruth’s eyes flutter more and stay open longer. Perhaps there is more volition in her arms and legs, a slight movement without assistance that has not been there before. The muttering and moaning has ceased, but she still isn’t speaking coherently.

“Her head wound is healing well,” Chimwemwe says hopefully.

The work of the hospital goes on 24 hours a day. I am there in the morning until early afternoons and only occasionally on weekends. I lecture in the mid-afternoon. I didn’t ask the students about Ruth. The students do not report to me in class about what is happening with Ruth her. It’s the work of the hospital, not academics, and they have been taught confidentiality.

I have been gone for the weekend and work in the male surgical ward early in the week. As I enter the female ward, the perpetual floor mopping is taking place, swirls of red muddy water in a bucket spread around with overused mops in an effort to keep the floors as clean as possible. These workers block my way to the main hospital room full of beds. I wait to enter the room and when I do, I take in the gut wrenching sight of an empty bed where Ruth has lain for weeks. The many shrouded figures I’ve seen over the months come to mind in searing images. There is a hemorrhaging woman who died three months after childbirth within an hour of reaching the hospital, a young man whose father hovered near while my colleague and I pushed medications and performed resuscitation, the 16 year old cancer patient who told me she loved to learn English and for whom I bought notebooks and pencils and who died as her mother keened, the burn patients, some who survived with amputations and scar patterned faces and some who died and were shrouded like the rest in light blue cloth tied with white frayed strips.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱17 But this day it is something different. The bed is empty but Ruth is sitting a few beds away with her parents. She is upright, eating porridge, dressed in a bright chitenje that could be new. Her hair has been re-braided and there are tiny plastic barrettes fastened there. I hesitate by the empty bed because the other patients are all looking at me, some of them smiling and one pointing at the bed where Ruth and her parents sit. Hope spreads in a large ward like this. Women in hospital rooms commune just as they do in the fields or in coffee shops or classrooms.

I smile then and walk over to the bed where Ruth and her parents sit. I do not speak enough of the native language to express what I want to say, especially at a time like this. But coherence comes through more than language and they know my feelings from my face. I stand here silently smiling for moments before saying “wonderful” in English. They know the meaning, if not the word.

Chimwemwe, Peter and Thoko wear plastic infection control aprons as they always do for their shifts, standing behind the desk of the nursing station. I wear my starched lab coat and dark navy uniform, signs of instructor and registered nurse status. I want to hug them, but know I will be violating infection control and that it will embarrass them. We exchange looks and I think I see them fully for the first time. They verge on hope and darkness, very young people pushing against a bulwark of sadness and frustration. Peter’s eyes are on me as I approach them after seeing Ruth. I stumble mentally to find the right words. What nursing, healing instinct moved Peter to those actions, which he then repeated for days after? What accounting system encompasses the work he’s done and the healing effects of human touch and caring?

“You did good work here,” I say, feeling redundant, my overused commendation not careless but incomplete. The students all smile, but look down and away. Are they embarrassed by my clear affection for them and my paucity of understanding of their country? They understand the work they have chosen will not always end this well. They have already seen this. Still, they persist and will continue to persist. What I say to them now is of no consequence compared to the reality of Ruth’s awakening. I have said all I need to. This is not my story, but theirs. “She’s better,” Thoko said rather shyly. “Her parents are so happy.”

As I go around the large ward and talk with other patients, I am newly struck by the rugged features of the older women, their dark lustrous eyes, and simple faded clothing. The young women, whether patients or family members sit on the beds, at the side of their aunts, mothers, brothers or sisters. Here is a woman bitten by a snake near her eye, but the swelling has gone down. Here is a woman in the end stages of melanoma from decades of working in the sunny farm fields of corn. Here is a woman with an obstructed bowel awaiting surgery with her grandson by her side. Here is a woman who had waited decades to have a breast lump examined. Likely benign, its size makes me nonetheless slightly queasy as she jokes about it, possibly hiding her fear. Here is a young woman, an epileptic who has fallen in a fire during a seizure to lose one leg and severely damage the other.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 There is no way to know how my Malawian patients, colleagues and students experience their world and I don’t present this story to represent their truth but some part of my own. The more time I spent in Malawi, the more my own loving heart of caring awakened and the more I understood about the human condition, its ugliness and glory, its cruelties and redemptions. Mystery has a role in the stories we witness. We can never understand another person completely, but each person’s experience, each lovely face, has the fire of life within it. The longing to survive and live well is present in these women and in these health care providers that can be recognized and reflected by others around the world.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱19 HOLDING SACRED SPACE TO BE IN ALIGNMENT WITH INFINITE LOVE

Joseph Giovannoni

Holding Sacred Space to be in Alignment With Infinite Love Giovannoni, Joseph 2015. Photograph. Taken with I-Phone 7. Lucca, Tuscany, Italy.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 Abstract Photography is an artistic, extraordinary, and profound visually creative channel of aesthetic knowing. I have used photography as a reflective practice to express my heart felt inner knowing that is in alignment with a higher level of consciousness that is multisensory. This photograph was taken in June 2017 during a walking meditation in the Tuscany countryside, Italy. I was attending an international nursing conference on human caring. The sunrise captured in the photograph embodied my experience of the expanded holographic consciousness of unity of mind. I was reminded of the universal light that nurtures and connects all humanity. This strengthened my resolve to embody the universal light of compassion and love to sustain healing and uplift the human spirit and hope for humanity. The picture triggered a kaleidoscope of emotions, a vision of how I am interconnected with everything. I saw the sun as life giving energy that sustains humanity, a reminder of Infinite Love, compassion, and unity of spirit.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱21 On our life journey, our five-sensory personality informs the ego with a divided perception rather than unity of mind. As a result, our perception is often one of division, and separation that can contribute to guilt fear, conflict, and judgment which contributes to negative human interactions. In my 50 years of nursing practice, I am mindful of the profession’s sacred covenant to sustain humanity during pain and suffering and the importance of daily reflection and self-care. What has sustained my work is the belief of unity of mind and that we are the extension of universal Love; we are the Presence of love.

In my complex forensic practice, pausing and taking time to walk in nature for self-care provides me with clarity and freedom from judgment. With each step, I breathe in love and breathe out fear, letting go of judgmental thoughts and beliefs that could interfere with extending compassion for self and others. A mindful visualization of this still photograph facilitates sacred space; I am able to embody a multisensory consciousness that facilitates authentic inner power. It brings the light to a higher consciousness that places me in alignment with infinite Love.

While holding sacred space, a walking meditation facilitates authentic inner power and wisdom for creative solutions as I continue my forensic work. It strengthens and empowers me to be present and bring the light of caring and compassion to my patients who are caught into the darkness of their divided fearful self. With challenging patients, I hold this life-giving image to sustain me in my evolution towards a higher level of consciousness. Holding sacred space to be present in the moment, to breathe, and to let go and forgive all judgments, releasing fear, guilt of the past, present, and future. The mindful practice of a walking meditation to connect with a blissful consciousness of compassion, and gratitude for self and others, is in alignment with the unity of infinite Love. This space in the heart is captured in my photograph.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 THE WHEALS ON THE BUS

Regina Holliday

The wheels, the wheels: they are a turning, And past abuses do impress upon this fight. And thoughts of riots, rights and rulings, Spin in circles in the shadows of my mind.

I go to sleep at night and think of coding. Is our savior high within the data cloud? Is access to our care, as great as knowledge? Where shall peacefulness be found?

Does freedom lie within a soup of letters? Do PHR’s and IEP’s and EKG’s and HIT Open doors to our gaining knowledge? Is ARRA an acronym, or is it a primal roar? Arghaa! Arise! An EPI pin, to stimulate The growth of understanding, That we are all Patients in the End.

Here, I take my stand. I can do no other; For past abuses do inform this time, And, two by two my Luther’s tell me To demand my data rights, To be resolute, that separate is not equal, And that no man, Should stand Between me and the Word.

Is 1135 a page in the Annals of Oncology about Kidney Cancer? Or is it Volume 113 of Pediatrics no. 5 in 2004: “The Genetics of Autism?” Or is 1135… simply, “JESUS WEPT.” I will see you in Galilee, Galilee, Galilee I will see you In the ring, the circle, the circuit, And the wheals they are returning….

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱23 The wheels on the bus go round and round, Round and round, And Rosa parked. She refused to give up her seat at the table. ICD-10, Do you intend, to save me from my coding? Do you entreat, that we retreat? And expect the patients, now informed and comprehending, To sit idly by awaiting your instructions?

Physician Heal thyself, And let empowered patients speak, And draw attention to those that seek A better and healthier tomorrow.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

Turkey Sandwich

TURKEY SANDWICH

Genna Hergerton

When I first began nursing in the intensive care unit, I cared for an elderly man named Bob who had fallen and fractured his hip. Bob was a sharp and witty 93-year old, and I spent a lot of time in his room, prepping him for surgery. I came to know Bob and his family well within a short period of time.

Bob had a beautiful wife whom he adored. While lying in the bed, he sang to her and made up songs about how wonderful she was. She just laughed at him. They reminded me a lot of my grandparents.

While I was preparing Bob for his procedure, he expressed his fears about the surgery and about how scared he was. He didn’t know what to expect, even though his surgery was to take place in two hours. I quickly called the surgeon to come and explain the surgery to him, and to allay his fears. Bob was also uncomfortable because he was on NPO and therefore unable to eat or drink anything. His lips were very dry and his stomach was rumbling with hunger. I gave him some ice to ease his parched mouth and rubbed Vaseline on his lips to ease the cracking.

I asked Bob what he wanted to eat after surgery, and he quickly replied, “A juicy turkey sandwich!” I answered him he would get the best turkey sandwich in the house! Soon the time came for surgery. His son called to wish him good luck, but the phone line was poor and they were unable to hear each other. I wheeled Bob into the pre-operation area and said good-bye. He hugged me.

The day was almost over and I realized Bob had not yet returned from surgery. I called down to the Operating Room to check on him. They told me Bob had coded during surgery and had died. I cried all the way home that night. I kept thinking about his wife and how devastated she must be, and about his son, who would never see his father again. The silliest thing made me even more upset – I couldn’t give Bob that juicy turkey sandwich that I had promised him.

The next morning I was still thinking about Bob. He was the first one of my patients to die. This experience shaped my nursing practice. I believe that small gestures of caring and compassion make a difference to a patient, and while I think that Bob would smile at me broadly if he were here, I still regret not being able to make him that juicy turkey sandwich.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱25 HEARTSONG IN INK

Kathleen Laura Sitzman

Heartsong in Ink Sitzman, Kathleen Laura Medium: Watercolor, pen and ink. 7” x 5 1/2”

When I attended the International Association for Human Caring Conference in Alberta, Edmonton, Canada in 2017, I did not anticipate having an opportunity to do an art project, but when I walked into a breakout session and saw all of the art supplies, my heart smiled. There are so many words to take in at a conference, and so few opportunities to absorb and process in non-verbal ways. I went right over to the supply table and collected paints, paper, and a purple pen. I had no idea what we were supposed to do with them, but I wanted to be prepared! The speakers talked about the importance of aesthetic expression in nursing and in caring, and asked us to create whatever we wanted.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 First I did a rainbow wash on the paper to represent the beauty and wonder of being in a room and a conference full of people who deeply valued caring. Then I started doodling whatever popped into my thoughts. The checkerboard on the right represents the linoleum tiles on the floors of the first hospital I ever worked in—a place where I first felt the joy and satisfaction of transpersonal caring relationships with patients and colleagues. Just below the checkerboard is a matrix where each circle represents a person and each person is connected to every other person through an intricate web of care and influence. The ovoid shape at the bottom center represents the microscopic processes inside each person, for they need caring too.

The bottom left section shows flow—flow of bodily fluids, electrical impulses, emotions, thoughts, feelings, time, energy, and caring-loving presence. Just above the flow on the left is the spired roof of a temple—the body’s temple and the temple of the spirit where love and caring reside. Directly above the temple shows the wrought iron gate of a garden I loved to visit as a child, where all beautiful and good things seemed possible.

In the center, winds of change represent my hope that caring and love will become increasingly important in my profession and in the world as hearts and minds awaken to the primacy of love. Just above the winds of change are non-linear paths towards deepened awareness of the importance of love and caring. The top left section contains possibilities yet to be fully explored. My initial appears at all four corners because there is no up or down, just floating holographic awareness. I pondered a poem by Rumi1 while I created: “Love is the whole thing. We are only pieces.”

Reference 1. Rumi JAD. The Essential Rumi. Transl. Coleman Barks. Harper, San Francisco:1995.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱27 AFTERWORD

LOOKING WITH JOY TO THE FUTURE

María de los Ángeles Ordóñez, DNP, ARNP, GNP-BC, PMHNP-BC Associate Editor

Last year, with reflective gratitude and a sense of wonder, I began serving as an Associate Editor of the Journal of Art and Aesthetics in Nursing and Health Sciences (JAANHS) family. I treasure that moment. I was being invited to a “whole new world,” a caring journey, and a magical place of heart and mind. What it was transparently clear to me was that this would be a transformative experience, and one in which my Hispanic heritage and professional global reach would play a vital role in expanding the Journal’s reach across cultures.

During my many years within the Christine E. Lynn College of Nursing, I studied caring science, its profound and sacred dimension, and committed myself to live it, day to day. An aesthetic affirmation of my passionate and unbroken vow to Nursing, studied and lived as caring, is the poem “Dance of Caring, Dance of Love” within the pages of an earlier issue of this Journal.1 The Journal of Art and Aesthetics in Nursing and Health Sciences provides a forum filled with such expressions of caring in living color and vibrant sounds, where time can be captured and memories can be re-lived, ultimately to be preserved for posterity in the Archives of Caring. From the perspective of the Journal, this is a sacred trust.

I therefore humbly continue my commitment to serve as Associate Editor of JAANHS, embracing and curating the artful stories and experiences of authors and readers that serve to inform, teach, and edify us all. I am looking forward with joy to what the future may unfold.

Reference

1. Ordóñez M. Dance of caring, dance of love. J Art Aesthetics Nurs and Health Sci. 2014;2(1):10-11.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

Ep�logo

EPÍLOGO

MIRANDO AL FUTURO CON ALEGRÍA

María de los Ángeles Ordóñez, DNP, ARNP, GNP-BC, PMHNP-BC Editora Asociadar

El pasado año, con gratitud reflexiva y sentido de admiración, empecé como Editora Asociada de la familia Revista de Arte y Estética en Enfermería y Servicios de la Salud (siglas en inglés, JAANHS). Valoro mucho ese momento. Fui invitada a “todo un mundo nuevo”, a un viaje de solidaridad y a un lugar mágico de corazón y espíritu. De lo que no me cabía duda es que sería una experiencia transformadora en la que mi herencia hispana y el alcance mundial de mi profesión jugarían un papel vital en la expansión de esta Revista a través de las culturas.

Durante mis muchos años en la Facultad de Enfermería Christine E. Lynn, estudié ciencias del cuidado, su dimensión profunda y sagrada, y me comprometí a vivirla día a día. Una afirmación estética de mi apasionada e inquebrantable devoción por la Enfermería, en los estudios y en la vida, es el poema “Un son de cuidados, un baile de amor” en las páginas de un número anterior de esta Revista.1 La Revista de Arte y Estética en Enfermería y Servicios de la Salud ofrece un foro lleno de expresiones de cuidado/solidaridad con colores vivos y vibrantes sonidos, donde el tiempo puede capturarse y los recuerdos pueden revivirse para, finalmente, preservarlos en los Archivos del Cuidado/Solidaridad para la posteridad. Desde la perspectiva de la Revista, es este un deber sagrado.

Por eso, humildemente continúo con mi compromiso como Editora Asociada de JAANHS (siglas en inglés) abrazando y conservando las ingeniosas historias y experiencias de autores y lectores que sirven para informarnos, enseñarnos y edificarnos a todos. Espero ansiosa y con alegría lo que el futuro nos aguarda.

Referencia

1. Ordóñez M. Un son de cuidados, un baile de amor. J Art Aesthetics Nurs and Health Sci. 2014;2(1): 10-11.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱29 AFTERWORD

LIVING MY COMMITMENT

Beth Marie King, PhD, ARNP, PMHCNS-BC, PMHNP-BC Associate Editor

It is an exciting time for this Journal. We are launching into 2018 under the leadership of our new Editor, Dr. Charlotte Barry, whose steady guidance continues to affirm and underscore the mission and goals of the Journal. In professional and disciplinary journals, both online and in hard copy, research regularly confirms the value and therapeutic benefit of the arts and aesthetic environments in healing and quality of life. The Journal of Art and Aesthetics in Nursing and Health Sciences is unique: the human acts of caring arising from life’s challenges, times of vulnerability, and hopes and dreams are documented and preserved. The poetry and works of art – including music and dance, that are so expressive of deeply held feelings, situate us in the timeless moment of the caring situation. Our aesthetic appreciation opens up new realms of understanding, and as Associate Editor, I join my colleagues in nurturing authors and bringing their aesthetic re-presentations to publication for the world to share and appreciate.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 ISSUE CONTRIBUTORS VOLUME 4, NUMBER 2, SPRING 2018

Joseph Giovannoni, DNP, MA, MSN, APRN, PMHCNS

Joseph Giovannoni, DNP, MA, MS, APRN has been a nurse since 1967. He earned his doctorate of Nursing Practice from Brandman University, Chapman University System in 2013. He earned a master’s in psychology from Roosevelt University in Chicago. He is a Watson Caring Science Institute volunteer associate faculty, postdoctoral scholar, and Caritas Coach. He is an Advanced Practice Nurse in private practice in Honolulu Hawaii. He provides holistic, compassionate, evidence-informed, patient- centered mental health treatment. He has integrated Jean Watson’s Theory of Human Caring into his forensic practice.

Kevin P. Hanaway, MSN, MA, MDiv, MBA, ARNP

Kevin P. Hanaway, MSN, MA, MDiv, MBA, ARNP, A-GPCNP, CCRN began his nursing career in 1994 when he earned an AAS in nursing. He earned a Master of Science in Nursing at FAU in 2012 and a Nurse Practitioner Certificate from University of Florida in 2014. Prior to becoming a professional nurse, he was ordained a Roman Catholic priest and earned a Master of Divinity (MDiv) from Christ the King Seminary. He is a former Fellow with the American College of Healthcare Executives and Administrative Director of Critical Care/ED/Med/Surg at Virtua Health System in New Jersey. During the past 10 years he has practiced at Boca Raton Regional Hospital (BRRH). Since becoming a Nurse Practitioner, he has been employed by the Pulmonary & Sleep Associates of South Florida. He is currently in the DNP program at FAU, on the Medical Staff at BRRH, and continues in pulmonary practice.

Genna Hergerton, RN, BSN

Genna Hergerton, RN, BSN specializes in Emergency Department nursing. She earned an Associate of Science at Broward College and then continued her education at Florida Atlantic University, earning her Bachelor of Science in nursing in 2014. She is now continuing her education toward a Doctor of Nursing Practice degree, and anticipates graduating in 2019.

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱31 Regina Holliday is a resident of Grantsville, Maryland. She is an activist, artist, speaker and author. Regina is a mother and a widow; she speaks about the benefits of health information technology and timely data access for patients due to her family loss. In 2009, she painted a series of murals depicting the need for clarity and transparency in medical records. This advocacy mission was inspired by her late husband Frederick Allen Holliday II and his struggle to get appropriate care during 11 weeks of continuous hospitalization at 5 facilities. Her paintings became part of the national debate on health care reform and helped guide public policy. She also began an advocacy movement called “The Walking Gallery.” The Gallery consists of medical providers and advocates who wear patient story paintings on the backs of business suits. Paint and patients, pills and policy all come together within The Walking Gallery of Healthcare. This "walking wall" of 330+ individuals who wear personal patient narrative paintings on their backs is changing minds and opening hearts. They are attending medical conferences where often there isn’t a patient speaker on the dais or in the audience. They are providing a patient voice, and by doing so, are changing the conversation.

Ms. Holliday was recently Artist-in-Residence and speaker at the 2017 Summer Academy of the Anne Boykin Institute for the Advancement of Caring in Nursing. Her paintings published in this issue of the Journal of Art and Aesthetics in Nursing and Health Sciences were inspired by caring dialogues of the Academy.

Regina Holliday

Laurel Ostrow, DNP, CNP, BA

Dr. Laurel Ostrow is a faculty member at the Minnesota State University. She teaches Health Promotion and Family and Societal Nursing, as well as a course in Courage, Caring and Teamwork. She is an adult nurse practitioner and has worked with adolescent, adult, and geriatric populations, often in community health settings. In addition, Dr. Ostrow has lived and worked internationally in Cameroon, Malawi and Japan. One of her main interests has always been collaboration with international partners in nursing and, in her original Peace Corps service, community development. This summer, she traveled to Fort Hare in East London, South Africa, to collaborate on sharing a class between family nursing students. Her adult children, her elderly mother and many friends are her marvelous support and she loves to read, walk in the woods, and write both fiction and non-fiction.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 LaTricia Perry, MSN, RN

LaTricia Perry, MSN, RN is the Director of Nursing, a Lecturer, and a Certified Online Instructor for the School of Nursing at Nevada State College in Henderson, Nevada. Ms. Perry is in her 21st year of professional nursing practice. Throughout her career, she has practiced in skilled nursing, labor and delivery, school nursing, and in academe. She recognized her passion for educating others early in her career and upon completion of a Master’s degree in 2010, she pursued her passion to formally educate others. Ms. Perry is currently a PhD student at Concordia University-Chicago studying Leadership and Gerontology. Her desire to further her education in the areas of leadership and gerontology has evolved out of her interest to empower others and to aid older adults in navigating a complex health care system.

Kathleen Laura Sitzman, PhD, RN, CNE, ANEF, FAAN is Professor, Undergraduate Nursing Science, at East Carolina University (NC). Dr. Sitzman has been a nurse since 1983 and has used her extensive experience to produce scholarly work that contributes to the nursing profession and body of knowledge on international, national, state, community, and local levels. She has been Co-PI or PI on ten research projects related to caring in digital settings. Dr. Sitzman has published more than 100 peer-reviewed articles, has co-authored two textbooks for Springer Publishing; Sitzman, K. & Watson, J. (2017), Watson’s Caring in the Digital World; Sitzman, K, & Watson, J. (2014), Caring Science, Mindful Practice: Implementing Watson’s Human Caring Theory, and has co-authored two textbooks for Jones and Bartlett: Sitzman, K. & Eichelberger, L. (2011) Understanding the Work of Nurse Theorists: A Creative Beginning (3rd Edition) and Judd, D., Sitzman, K. (2014). Nursing History: Trends and Eras (2nd Edition). She is a member of ANA, NLN, AAN, STTI, and IAHC.

Kathleen Laura Sitzman, PhD, RN, CNE, ANEF, FAAN

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱33

Anne Boykin Institute for the Advancement of Caring in Nursing

2018 Summer Academy

June 13-15, 2018

CARING HUMANOID ROBOTS: IS IT POSSIBLE??

(Wed. & Thurs. 9 a.m.- 4 p.m.; Fri. 9 a.m.- noon)

WHO SHOULD All health care professionals. Be among the vanguard of leaders ATTEND? in an exciting, leading-edge Academy on the intersection of healthcare robots and caring science.

Engage in spirited dialogue with scholars at the forefront of humanoid robot advances in the caring sciences. – Jason Hallstrom, Yoshihiro Kai, Rozzano Locsin, Tetsuya Tanioka, Aimee van Wynsberghe are among scholars who will stretch your horizons.

Dialogues will be organized around four guiding questions:

Valuing: How could caring serve as the moral framework for the creation of Humanoid Nurse Robots?

Thinking: What knowledge of caring is essential to creating caring Humanoid Nurse Robots?

Doing: If robots have the ability to express emotions and live caring, what will be the difference between human and humanoid?

Imagining: How does the design and development of caring humanoid robots influence the advancement of caring science?

TO BE HELD AT CHRISTINE E. LYNN COLLEGE OF NURSING Florida Atlantic University, Boca Raton, Florida

For more information contact: Dr. Anne Boykin at boykina@health.fau.edu www.nursing.fau.edu/abi

Registration open now at fauf.fau.edu/ABISummerAcademy2018

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

SAVE THE DATE!!

39th Annual International Association for Human Caring Conference

Join us in beautiful Minneapolis, Minnesota

KEYNOTE ADDRESS

David Freudberg

Award Winning National Public Radio Host

The social impact of caring science on health and healing.

May 30 – June 1, 2018

Caring from a Public Perspective

“Human Caring Meets Human Media"

Registration Open Now:

www.humancaring.org/

Don’t forget to check out our many scholarships!

www.humancaring.org/Scholarships

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱35 RESEARCHERS

The Archives of Caring in Nursing is now available for study!

www.nursing.fau.edu/outreach/archives-of-caring/index.php

Researchers, come and study at our Archives that are especially dedicated to advancing the study of caring in nursing! Designed with holistic principles and environmentally sensitive, the Archives space offers you a beautiful environment in which to pursue your search for caring knowledge. The Archives of Caring in Nursing is located in the heart of Boca Raton at the Christine E. College of Nursing, Florida Atlantic University.

Our collections are growing: In the temperature and humidity controlled Archive vaults are the scholarly papers of Anne Boykin, Delores A. Gaut, Madeleine M. Leininger, Carol L. Picard, Marilyn A. Ray, Sister M. Simone Roach, Savina O. Schoenhofer, Kristen M. Swanson, Marian Turkel, Kathleen L. Valentine, and Zane Robinson Wolf, and the archives of the International Association for Human Caring. Further collections of Marilyn Parker and Charlotte D. Barry are being added.

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 Accessing the Archives

The Archives contains books, pamphlets, and other bound materials; paper manuscripts, research notes and records, and correspondence; photographic and video materials in various formats; and audio recordings. Use of the materials is by appointment and on-site only. Please see the General Access Policies for further information. Select works will be digitized and offered for study in electronic format when they become available.

Access the Indexes to Collections at http://nursing.fau.edu/outreach/archives-of-caring/list-of-collections.php

The Archives of Caring in Nursing has as its mission preserving the history of caring in nursing; inviting the study of caring; advancing caring as an essential domain of nursing knowledge; and creating meaning for the practice of nursing.

We are committed to securing the papers of Caring scholars, and developing and maintaining the archives to provide access to primary sources. Dr. Marlaine Smith, Dean, invites you to consider contributing your work to the Archives. You may contact her at marlaine.smith@health.fau.edu or 561-297-3206.

The Christine E. Lynn College of Nursing is dedicated to caring: advancing the science, studying its meaning, practicing the art, and living it day-to-day.

For information about the Archives or use of archival materials in the Center, please contact:

The Curator Archives of Caring in Nursing Ph: (561) 297-3206 Email: nurarchives@health.fau.edu ~~~~~~~~ Christine E. Lynn College of Nursing Florida Atlantic University 777 Glades Road, NU-301C Boca Raton, Florida 33431

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱37 IN NURSING AND HEALTH SCIENCES

www.JAANHS.org

CALL FOR SUBMISSIONS

You are invited! We invite you to publish your expressions of caring in living color and vibrant sound in an online journal! The Editors of the Journal of Art and Aesthetics in Nursing and Health Sciences are accepting submissions!

The Journal is a forum for nurses, educators, social workers, physicians, philosophers, artists and those in related health care disciplines to share their artistic expressions of caring for others.

You may submit your aesthetic expressions of caring in such forms as: Poetry, Visual art, Sculpture, Original Music, Vignettes, Short philosophical essays, and Performance Art Please browse the website and check out the guidelines for authors at www.JAANHS.org. Submitting your creative work is easy – everything you need is right on the website.

Charlotte D. Barry, PhD, RN, FAAN

ISSN 2328.854X

Editor

Beth King, PhD, ARNP, PMHNP-BC

Associate Editor

About the Journal Journal of Art and Aesthetics in Nursing and Health Sciences is a peer reviewed journal that is published two times per year by the Christine E. Lynn College of Nursing, Florida Atlantic University, 777 Glades Road, Boca Raton, Florida 33431. The Journal reaches across disciplines and across the world. Members of our International Review Panel reflect this global diversity. Contact us at JAANHS@fau.edu for further information.

María de los Ángeles Ordóñez, DNP, ARNP, GNP-BC, PMHNP-BC

Associate Editor

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of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018 Purpose of the Journal: The primary focus of the journal is to provide nurses, educators, and persons involved in the care of others across disciplines, a forum to share their reflections on their caring of persons and the environment. Caring is illuminated and shared in poetry, art, philosophic or reflective essays, and aesthetic expressions that honor the relationship between the one caring and the one cared for. Articles sought for publication are those that reveal the extraordinary caring relationships occurring between persons in health and illness, as well as their nurturance of the environments in which they live.

Ethical and Legal Considerations: An item submitted for publication must be an original contribution not previously published in the whole or in the part, and must not be under consideration elsewhere. If accepted for publication in this Journal, it must not be published elsewhere in similar form, in any language or aesthetic representation, without the consent of Journal of Art and Aesthetics in Nursing and Health Sciences, Christine E. Lynn College of Nursing, Florida Atlantic University. While the Editors and designated referees make every effort to ensure the authorship and validity of the published items, the final responsibility rests with the submitting author, and not with the Journal or its editors.

INFORMATION FOR AUTHORS see www.Jaanhs.org for full details

Anonymity of Persons/Patients and Informed Consent: It is the author’s responsibility to ensure that all persons referred to, either in text, artwork, photo, or aesthetic representation, have their anonymity protected. Items submitted for publication showing individuals who are recognizable in any way must be accompanied by a signed release from that person or persons, explicitly granting permission to publish the representation.

Copyright: Each author must complete, sign, and date the Copyright Transfer Agreement of the Journal of Art and Aesthetics in Nursing and Health Sciences. You can download the Copyright Transfer Agreement form at the end of the Information for Authors. After signing, please upload with your submissions.

Author Information Form: Each submission must be accompanied by a completed Author Information Form. Upload the form with your submissions.

Review of Submissions: All manuscripts/items must be submitted electronically to the editors by uploading files in the Author Submission Center. Email or hard-copy submissions will not be accepted. The Journal editors will review all submissions to determine suitability for publication. In addition to the editors’ reviews, submissions will be sent to Editorial Review Panel members for blinded, peer review and recommendations. The editors may recommend that the item be revised or edited before being accepted for publication. The author may make revisions and the new version will again be reviewed.

Online Author Submission Center: The Author Submission Center for the Journal of Art and Aesthetics in Nursing and Health Sciences is located at: www.JAANHS.org Please note that email submissions will not be accepted.

Include all the following: completed Author Information form, abstract (100-300 words), and a 100-250 word biographical sketch of each author.

What to include in your Abstract: Your abstract should be double-line spaced and describe the origin of your creative work. Tell us about your creative process, and reason the poem, artwork, essay, or aesthetic representation was created (100 – 300 words).

GENERAL REQUIREMENTS FOR EACH SUBMISSION:

What to include in your Biographical Sketch: Please tell us a little about yourself and your professional role. For example: Are you a nurse, social worker, physical therapist, nursing home administrator, etc. Where were you educated? How long have you been caring for others professionally and what matters to you most about your caring practice. Is there anything else you would like us to know? (100 – 200 words).

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱39 In addition to General Requirements for submissions, following are specific requirements for your particular aesthetic creation, i.e., poetry, essays and vignettes, and visual art, music, and other aesthetic representations. If you are submitting multi media aesthetic expressions, please supply each of the requirements that are listed under the headings that apply to you. Separate files are required for each item so that blinded review may take place. If you submit all required information in one file, it will be returned to you for unbundling and re-submission.

1. POETRY Text must be typed in 12pt Times New Roman, with double-line spacing. An appropriate title for your poem is required. Your name must not appear on the poem in order to facilitate blinded, peer review.

ADDITIONAL INFORMATION REQUIRED

2. ESSAYS AND VIGNETTES Philosophic essays or vignettes that explore the meaning of caring in the human health experience should be no more than 1500 words maximum. The language should be rich, the content well organized, and the essay or vignette should resonate with readers. Please note that essays as a personal memoriam to family members or friends are not accepted for publication

3. VISUAL ART, SCULPTURE, ORIGINAL MUSIC, OR OTHER AESTHETIC REPRESENTATIONS A title for your artwork is required. The type of artwork must be appropriately described in your abstract. Your name must not appear on your artwork in order to facilitate blinded, peer review.

Please save the document in MSWord document format. PDF files are not accepted. If your poem is accompanied by an illustration, please scan it and save in TIFF 300 dpi or JPEG format. Photocopied material or material that has been graphically altered is not acceptable. Submit the poem file, and/or illustration file if applicable, Abstract, Author Information form, Biographical Sketch/es, signed Copyright Transfer Agreement form to the Editors by uploading in the Author Submission Center.

Artwork files must be submitted as a TIFF (tagged image file format) 300 dpi or jpeg. Scanned images must have a resolution of 300 dpi. Line art must have a resolution of 1200 dpi. PDF files are not accepted.

Please note that photocopied material or material that has been graphically altered is not acceptable. Submit the artwork file, Abstract, Author Information form/s, Biographical Sketch/es,signed Copyright Transfer Agreement form to the Editors, Author Submission Center.

After Uploading at the Author Submission Center: Upon successful uploading of your submission files www.JAANHS.org, you will receive an automated email confirming your submission. Your creative work will then be sent out for review.

The Review Process: The review process may take 4 – 6 weeks. At the conclusion of this process, you will be advised of acceptance or non-acceptance of your submission for publication. Creative work that is submitted after the issue deadline date will be scheduled for consideration in the next issue.

After Acceptance: Corresponding authors will receive electronic page proofs to check the typeset article before publication. It is the author’s responsibility to ensure that there are no errors in the proofs. Changes that have been made to conform to the journal style will stand if they do not alter the author’s meaning. Changes that are stylistic or are a reworking of previously accepted material will be disallowed. Proofs must be checked carefully and corrections emailed back to the Editors within 24-48 hours of receipt. The author/s will be included in this and future issue email notifications.

If you require further information prior to uploading your creative work, please email the Editors at JAANHS@fau.edu.

WHAT HAPPENS NEXT?

40︱ Journal

of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018

Postscript

POSTSCRIPT

We hope you have enjoyed this issue. Please write and let us know the meaning you have found within these pages. We will look forward to hearing from you. Please also think about contributing your own aesthetic expressions of caring. It is our hope that the life experiences shared so eloquently will serve to strengthen, inform, and shine a light on the caring that occurs most often in moments that are unseen and known only to the one caring and the one being cared for.

Thank you, The Editors jaanhs@fau.edu www.JAANHS.org

Journal of Art and Aesthetics in Nursing and Health Sciences, Volume 4, Number 2, Spring 2018︱41

Copyright 2017 Journal of Art and Aesthetics in Nursing and Health Sciences ISSN 2328.854X www.JAANHS.org