'No more heroes': The ILC Oxford Statement on fundamental care in times of crises.

AIM: To outline the International Learning Collaborative (ILC) Oxford Statement, explicating our commitment to ensuring health and care systems are equipped to meet patients' fundamental care needs during times of unprecedented crisis. DESIGN/METHOD: Discussion paper. The content was developed via a co-design process with participants during the ILC's international conference. KEY ARGUMENTS: We, the ILC, outline what we do and do not want to see within our health and care systems when faced with the challenges of caring for patients during global pandemics and other crises. Specifically, we want fundamental care delivery to be seen as the minimum standard rather than the exception across our health and care systems. We want nursing leaders to call out and stand up for the importance of building fundamental care into systems, processes and funding priorities. We do not want to see the voices of nursing leaders quashed or minimized in favour of other agendas. In turn, what we want to see is greater recognition of fundamental care work and greater respect for the people who do it. We expect nurses to have a 'seat at the table' where the key health and care decisions that impact patients and staff are made. CONCLUSION: To achieve our goals we must (1) ensure that fundamental care is embedded in all health and care systems, at all levels; (2) build on and strengthen the leadership skills of the nursing workforce by clearly advocating for person-centred fundamental care; (3) co-design systems that care for and support our staff's well-being and which foster collective resilience rather than overly rely on individual resilience; (4) improve the science and methodologies around reporting and measuring fundamental care to show the positive impact of this care delivery and (5) leverage the COVID pandemic crisis as an opportunity for transformational change in fundamental care delivery.

The art of nursing: Perceptions, experiences, and interpretation of value among practicing registered nurses and senior baccalaureate nursing students

Background: The art of nursing is enjoying renewed interest due to changes in the healthcare reimbursement models in the U.S. Value-based reimbursement strategies utilize quality metrics to determine payments. Quality metrics are linked to the art of nursing. Purpose: The purpose of this study was to gather information about practicing nurses and senior baccalaureate nursing students' interpretation of the human, social, and economic value and their experiences and perceptions of the art of nursing. This information supports changes in practice, policy, and education. Theoretical Framework: Alligood's theory of the art of nursing (2002) is the theoretical basis for the study. The major concepts of this theory are respect, responsibility, and empathy. Methods: An interpretive phenomenological design was selected using semi-structured individual interviews. The sample was comprised of practicing registered nurses and senior baccalaureate nursing students. Results: Four major themes developed: nursing/caring behaviors including caring, compassion, empathy, human connection, communication, and the impact of COVID;perceptions of value including positive outcomes, negative influences, and understanding of economic value;the core of nursing identity including duty, being in the moment, and individual art;and learning the art of nursing including minimal didactic education, clinical observation, being learned in professional practice, and new nurses lacking art. Conclusions: This study demonstrates the need for further research regarding the value of the art of nursing and how nurses understand value. An evaluation of current curricula in nursing education is warranted. There is an opportunity for nurses and professional nursing organizations to lead public policy development and discussion. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

'A picture is worth a thousand words'-A photovoice study exploring health professionals' experiences during the COVID-19 pandemic.

AIM: To elicit the experiences and perspectives of health professionals working on the frontline in the COVID-19 pandemic. BACKGROUND: Although some qualitative studies have been carried out in health professionals during COVID-19 pandemic, to our knowledge, no study has used the Photovoice method. DESIGN: A qualitative descriptive study using Photovoice was carried out between March and June 2020. METHODS: A total of 20 health professionals were recruited from public and private healthcare services. The participants were invited to share photographs about their experiences while working during COVID-19 pandemic. Following the Photovoice method, audio-recorded interviews were conducted. The data were analysed using the 'SHOWED' mnemonic, with five questions answered about each photograph. The EQUATOR checklist has been used. RESULTS/FINDINGS: Three themes emerged: (1) Personal attitudes of health professionals; (2) Support from the community; and (3) Management of institutional resources. Despite the fact that health professionals in this study were exposed to major risks while caring for patients with COVID-19' they felt a strong sense of responsibility towards the community. In order to handle these stressful situations, they used coping mechanisms, good humour and leisure, but also received support from the population, who saw them as highly skilled health professionals. CONCLUSION: These findings highlight the essential role of health professionals in the COVID-19 pandemic and the tireless work they are carrying out to provided highly skilled care. RELEVANCE TO CLINICAL PRACTICE: These findings could contribute to raise awareness on the needs of health professionals during the pandemic, allowing managers to plan strategies to ensure the safety, and well-being of these professionals, as well as adopting similar strategies in their practice to create a space for critical reflection through participatory approaches.

Living the Art of Nursing: Lessons From a Pandemic.

Living the art of nursing during the challenging times of a pandemic has profound implications for the discipline of nursing. Opportunities and limitations coexist with persons who shelter in place while others continue to practice amid personal risk in institutions where vital healthcare services are provided. This article illustrates potential lessons to be learned for future nurse practice and the ethos or straight-thinking implications for living quality during a global health crisis.