What Science Leaves Unsaid: A Reconsideration in 2 Voices.

At a time when new and veteran nurses are fleeing the profession and the term resilience is as worn out as the workers it is meant to inspire, scholars and educators must excavate the intuitive and creative core of nursing. Science addresses facts but lacks language for nuance. This article asserts that nursing, which lags behind medicine in appreciating the value of its stories, must recognize the essential diversity the humanities bring to our understanding of the human condition. As workforce deficits, moral distress, and vicarious trauma proliferate, a consilience between the art and science of nursing and a reminder of their ability to potentiate one another are overdue.

To sing the songs of pride: Creating an anthem of inclusion.

In this season of public health crises and profound social unrest, we can draw inspiration from those who survived hard times and celebrated the American spirit. Here three students in an accelerated nursing program, poised for graduation in the coming year, join their insights and observation on the challenges facing this country with that of the famed troubadour of the Great Depression, Woody Guthrie. As nurses and public health practitioners, we commit to anthems of inclusion and justice for all.

Seeking justice rooted in truth, reconciliation and forgiveness.

This paper presents an overview of the philosophy and implementation of restorative justice practices, the challenges and accomplishments of which we examine across the arc of the twentieth and emerging twenty-first century. Restorative justice, we argue, is both counterintuitive and pragmatic in its application. We examine truth and reconciliation hearings, intentional peace communities, and other paragons of the restorative justice model from a macroscopic perspective. A case study offers a microscopic lens to the conflict-ridden communities in Chicago, IL, ground zero for the epidemic of handgun violence in the U. S. We conclude with a discussion of what pragmatic hope restorative justice practices might offer to embattled landscapes which stretch from foreign lands to our own communities.

The View From Anne's Shoulders: Preserving and Honoring the Legacy of Our Leaders.

In 2016, students and faculty at the University of Illinois at Chicago recreated and celebrated the life of nursing leader, Anne Larson Zimmerman (1914-2003). Students conducted archival research and oral histories. Faculty transformed their findings into a script recreating Zimmerman's life. Following months of rehearsals, 22 nursing students, directed by 2 theater students, offered 3 performances of While I am Here: The Life and Legacy of Anne Zimmerman. Audiences included Zimmerman's family, the general public, students, and nurses. Through their engagement in the project, students discovered in Zimmerman a role model for social justice leadership and deepened appreciation of nursing history's relevancy.

In a Spirit of Restoration: A Phenomenology of Nursing Practice and the Criminal Justice System.

Conditions within jails and prisons are a public health crisis, necessitating critical reform measures. An innovative collaboration between a Midwestern College of Nursing and Cook County Department of Corrections provides students with the opportunity to develop health education for both those detained in the jail and the corrections officers. A phenomenological approach, recognizing the importance of intuitive and cognitive understanding, is offered as a framework for practice in complex environments. Principles of restorative justice provide a bridge between primary, secondary, and tertiary prevention and the nursing practice possible within these institutions of incarceration and the communities to which people return.

A New Kind of Nursing: Walking the labyrinth of Cook County Jail.

This paper examines the application of public health nursing education with an emphasis on the social determinants of health within a correctional facility. The innate tension between public health practice and the punitive nature of correctional confinement is discussed through the perspective of student involvement. Exemplars of unexpected contingencies endemic to this practice setting are provided as are insights gleaned from this pilot collaboration between a college of nursing and a county correctional system.

The role of public health in the prevention of war: rationale and competencies.

In 2009 the American Public Health Association approved the policy statement, "The Role of Public Health Practitioners, Academics, and Advocates in Relation to Armed Conflict and War." Despite the known health effects of war, the development of competencies to prevent war has received little attention. Public health's ethical principles of practice prioritize addressing the fundamental causes of disease and adverse health outcomes. A working group grew out of the American Public Health Association's Peace Caucus to build upon the 2009 policy by proposing competencies to understand and prevent the political, economic, social, and cultural determinants of war, particularly militarism. The working group recommends that schools of public health and public health organizations incorporate these competencies into professional preparation programs, research, and advocacy.

Nursing, unionization, and caste: the lessons of local 6456.

A recent union drive by the faculty at the University of Illinois at Chicago sparked controversy among academic nurses in the College of Nursing. Background on the union drive and the history of nursing labor organizing is provided to demonstrate the fit of union representation for nurses in all settings today, including academia.

Perceptions of effective and ineffective nurse-physician communication in hospitals.

PROBLEM: Nurse-physician communication affects patient safety. Such communication has been well studied using a variety of survey and observational methods; however, missing from the literature is an investigation of what constitutes effective and ineffective interprofessional communication from the perspective of the professionals involved. The purpose of this study was to explore nurse and physician perceptions of effective and ineffective communication between the two professions. METHODS: Using focus group methodology, we asked nurses and physicians with at least 5 years' acute care hospital experience to reflect on effective and ineffective interprofessional communication and to provide examples. Three focus groups were held with 6 participants each (total sample 18). Sessions were audio recorded and transcribed verbatim. Transcripts were coded into categories of effective and ineffective communication. FINDINGS: The following themes were found. For effective communication: clarity and precision of message that relies on verification, collaborative problem solving, calm and supportive demeanor under stress, maintenance of mutual respect, and authentic understanding of the unique role. For ineffective communication: making someone less than, dependence on electronic systems, and linguistic and cultural barriers. CONCLUSION: These themes may be useful in designing learning activities to promote effective interprofessional communication.

Extending computer technology to hospice research: interactive pentablet measurement of symptoms by hospice cancer patients in their homes.

We aimed to determine the acceptability and feasibility of a pentablet-based software program, PAINReportIt-Plus, as a means for patients with cancer in home hospice to report their symptoms and differences in acceptability by demographic variables. Of the 131 participants (mean age = 59 +/- 13, 58% women, 48.1% African American), 44% had never used a computer, but all participants easily used the computerized tool and reported an average computer acceptability score of 10.3 +/- 1.8, indicating high acceptability. Participants required an average of 19.1 +/- 9.5 minutes to complete the pain section, 9.8 +/- 6.5 minutes for the medication section, and 4.8 +/- 2.3 minutes for the symptom section. The acceptability scores were not statistically different by demographic variables but time to complete the tool differed by racial/ethnic groups. Our findings demonstrate that terminally ill patients with cancer are willing and able to utilize computer pentablet technology to record and describe their pain and other symptoms. Visibility of pain and distress is the first step necessary for the hospice team to develop a care plan for improving control of noxious symptoms.

Massage for Cancer Pain: A Study with University and Hospice Collaboration.

Conducting scientific research within a clinical practice area presents a variety of challenges. When the specialty area is hospice and palliative care, the collaborative task is particularly daunting. In this paper, we describe an ongoing study being conducted as a partnership between the University of Illinois at Chicago and a large metropolitan hospice organization. Our research is focused on engaging patients and their caregivers in a study measuring the effects of massage on cancer pain. The purpose of this paper is to describe both the lessons learned and the benefits accrued from collaboration between hospice practitioners and academic researchers. We present these process findings as guideposts for others considering end-of-life or palliative care research. Upon completion of the study in 2009, we will disseminate outcome findings in future papers.

Florence: one month later.

A reflection on time spent in Florence which precipitated memories of an extraordinary woman whom the author had met during her first year or professional nursing. In this essay the author introduces the reader to the work of Carol Bowman, an imaginative scholar who created a bridge which spanned the study of humanities and the treatment of addictions.