Using Narratives to Enhance Nursing Practice and Leadership: What Makes a Good Nurse?

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Abstract

Storytelling is an ancient practice that has functioned to maintain history, deepen empathy and understanding, and empower groups and individuals. Unfortunately, nurses are not encouraged to share their stories of contributions to patient care. In this article, 3 nurses share stories about learning to be good nurses, even while going against long-held nursing ideals. The authors argue that narratives can lead to a deeper understanding of nursing as a practice and discipline. The authors also contend that narratives facilitate the empowerment in nurses and patients using narratives; nurses recognize their power and facilitate their patients' recognition of power.

Section snippets

Narrative #1: What Makes a Good Nurse? Allow the Family to “Interfere” in Patient Care

The qualities of a good nurse depend on who gives the definition. During my first year as a registered nurse on a cardiac step-down unit, a good nurse, according to fellow staff nurses and hospital administration, was efficient, smart, organized, helpful, a team player, and compassionate (without being too compassionate). During my first year as a registered nurse, I had several role models who taught me valuable practical skills—how to start an iv, read a telemetry monitor, calm upset

Narrative #2: What Makes a Good Nurse? Value Each Other

As the sole registered nurse in an outpatient cardiac rehab program, I was responsible for conducting every intake, midterm, and concluding history and physical examination with each woman in our program. I enjoyed visiting with program participants in this quiet and relaxed setting. The hour-long appointment provided great insight into a woman's perspective, goals, and judgments about her ability to succeed in our exercise program. We spent a great deal of time discussing cardiac risk factors,

Narrative #3: What Makes a Good Nurse? Focus on the Patient

During my senior year as an undergraduate nursing student, I completed my public health clinical in rural South Dakota. One day, I had to drive through snow to an unfamiliar location. I was given a note card with a woman's name, diagnosis, and home address. Off I went with my public health black bag to visit a woman recovering at home from a fractured hip, the result of a car accident. To my surprise, I found the woman able to move about her home with crutches, although she was unable to stand

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