A PRESENTATION ON ARTS FOR LIFE: THE ROLE OF THE NURSE AT THE ANNUAL NURSES ASSEMBLY EVENT BY LAGOS STATE MINISTRY OF HEALTH HELD AT ADEYEMI BERO HALL ALAUSA IKEJA ON 17TH FEBRUARY 2020
• Humanity has evolved in many dynamic ways that requires complex approaches to attend to its emerging needs especially in the area of global health systems. The role nurses play in this regard, based on APPG report Triple Impact (2016) will: enhance global health security, improve quality of life, reduce gender inequality and build stronger economies both globally and locally as they constitute 80% of health workers.
• Healthcare, after all, is an industry immersed in scientific findings. Various Nursing theorists have examined the concepts of the holistic man, his environment and the intricacies of nursing care. While it takes an intellectual to master the science of nursing, there is also an art to caring for patients. The role of the nurse bridges both. Capturing this will help us appreciate the context and humanness of the world and what we do as healthcare professional.
• Similarly, the Lagos State Government through the Honourable Commissioner for Health, Prof. Akin Abayomi has inaugurated the Art4Life Steering Committee’ to oversee the use of art to create a soft and compassionate environment to aid the process of healing for patients in health facilities.
Tilda Shalof spent 28 years as an ICU nurse treating critically patients in Toronto General Hospital. Through those years she gathered drug caps and lids, IV tubes and syringe covers that she turned into 4ft x 9ft mural which hangs in the hospital now.
WHAT IS ART? WHAT ARE THE BENEFITS OF ARTS IN HEALTH CARE? DO NURSES HAVE A ROLE? HOW CAN NURSES MAKE A HUGE DIFFERENCE IN PATIENTS’ CARE THROUGH ARTS?
WHAT IS ART?
• Art is a diverse range of human activities skillfully creating visual, auditory or artworks, that expresses the author’s imagination in order to convey beauty, a message or an emotional effects.
• Arts activities can involve aesthetic engagement, involving imagination, sensory activation, recreation of emotion and cognitive stimulation. Depending on its nature, an art activity may also involve social interaction, p
hysical activity, engagement health modalities and interaction with health-care settings.
WHAT ARE THE BENEFITS OF ARTS IN HEALTH CARE?
•There are over 700 studies that demonstrate the imparts arts have on healthcare in various situations: how they promote wellbeing and reduce stress, reduce hospital stay, reduce medication use, reduce complaints, reduce maintenance costs, create improved working conditions and staff retention, increase positive public awareness of issues around health and mental health, promote greater care for the environment and deliver increased service user and staff satisfaction. https://www.nbt.nhs.uk/fresh-arts/arts-health
• According to an inquiry report dated July 2017, the All-Parliamentary Group on arts, health and wellbeing presented a two-year evidence how arts-based approaches can help people to stay well, recover faster, manage long-term conditions, and experience a better quality of life http://www.artshealthandwellbeing.org.uk/appg
• Arts in health and care environments (hospitals, GP Surgeries, care homes, hospices): mental health recovery center co-designed by service users in Wales is estimated to save the NHS £300,000
• Visual and performing arts in healthcare environments help to reduce sickness, anxiety and stress: the heart rate of new born babies is calmed by playing a lullabies. The playing live music in neonatal intensive care unit leads to considerably reduced hospital stay. http://www.artshealthandwellbeing.org.uk/appg
•Participatory arts programme (group and or individual arts activities intended to improve and maintain health and wellbeing in health and social care settings and community locations): 79% of people in deprived communities ate more healthily, 77% engaged in more physical activities, 82% enjoyed greater wellbeing. http://www.artshealthandwellbeing.org.uk/appg
•The Built and Natural Environment: poor quality built of the environment have damaging effects on health and wellbeing.
• Arts therapies (drama, music and visual arts): music therapy reduces agitation and need for medication in 67% of people with dementia, helping people to recover from brain injuries and diminish the physical and emotional suffering of cancer patients and the side effects of their treatments.http://www.artshealthandwellbeing.org.uk/appg
•Clinician burnout symptoms are present in 35-54% of nurses and physicians, and 45-60% of medical/nursing students and residents.
• Mitigating clinician burnout and supporting professional well-being is essential to providing high quality patient care http://www.nationalacademies.org/hmd/Reports/2019/taking-action-against-clinician-burnout.aspx
• Consolidating Six sustainable goals: As much Arts in health will enhance SDG 3 good health and wellbeing, it will foster SDG 17 partnership, contributing to SDG 8 decent work, safer workplace for healthcare professionals and economic growth, promote SDG 12 responsible consumption and production of medical waste, facilitate SDG 9 by expanding the healthcare industry, infrastructure and stimulating innovation, and improving quality education and training of more healthcare professionals like nurses to imbibe art dynamics.
DO NURSES HAVE A ROLE?
• Betty Neuman: The System Model, focuses on the response of the client system to actual or potential environmental stressors and the use of several levels of nursing prevention intervention for attaining, retaining and maintaining optimal client system wellness. Neuman defines the concern of nursing is preventing stress invasion.
•Florence Nightingale: According to her, Nursing is the act of utilizing the environment of the patient to assist him in his recovery.” the dynamics that will ensure patient’s recovery (good health and wellbeing) lies in her ability to use her initiative to creatively configure environment settings appropriate for the gradual restoration of the patient’s health.
•This emphasizes that the Nurse is an essential factor necessary to ensure patient’s care through effective use of the environment.
HOW CAN NURSES MAKE A HUGE DIFFERENCE IN PATIENTS’ CARE THROUGH ARTS?
• Creative expression: helps in discovering new ways of thinking & problem-solving that engages the humanity of the patient
• Academic and Training Curriculum: inclusion of Humanities and Arts (visual arts) in their programme.
•Expand Social and inter-professional networks using the medium to advocate for all-inclusive healthcare interventions
• Research development on impact assessment of arts in health to update evidence-based care.
•Participation in arts programmes/events: ArtsinMedicine programme organized yearly by Tender Arts Nigeria, and be actively involved in the arts therapy engagement set to be launched by the Lagos state ministry of health.
• Advocating for healthcare facilities that provides a therapeutic environment in which the overall design of the building contributes to the process of healing and reduces the risk of healthcare-associated infections rather than simply being a place where treatment takes place.
• Nurses spend 24 hours with hospitalized patients, and they use their heads and their hearts. Each day, they face the challenge of caring for patients with physical injuries, psycological shock or trauma and fear of the unknown, all combined in one body, utilizing critical thinking to make sound judgments and selecting the best care solutions for these patients can be daunting.
•The art of nursing is intuitive, creative and informed. You can be skillful in all the medical science and technology, but if you don't understand how to engage your own in-born creativity/potentials, you're not going to provide the same level & quality of care.
• Nursing is both an art and a science — and in this field, one can't exist without the other. It's the human element that brings science into practice — and that's what makes the arts in nursing come alive, touching the very core of humanity.
The 21st century nursing is not just application of science, it is the application of science with arts in healing process of the ‘total man’.
All pictures used in this presentation are works done by Arts in Medicine projects a property of Tender Arts Nigeria.
Alo Oluwafemi Gideon RN RAEN PGDPH FAIMN
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