This speech discusses how the professorship intends to support practitioners in the nursing domain and contribute to shaping nursing leadership and each person's professional individuality. The title of the speech, “Notes on Nursing 2.0,” is particularly intended to emphasize the need for these changes in the nursing domain. Not by assuming that nothing has changed in care and nursing since Nightingale's time. There has. Being educated in the professional domain is not only a given but a requirement. The knowledge domain of care and nursing has developed far and wide in nursing diagnostics and standards. Nursing science research, which Nightingale once started as the first female statistician in the British Kingdom, has firmly established itself in education and practice. Wanting to be of significance to others out of compassion is still the professional motivation, but there is no longer a subservient servitude (Cingel van der, 2012). At the same time, wholehearted leadership is not yet taken for granted in daily practice and optimal professional practice falters due to an equality principle of differently educated caregivers and nurses that has been held for too long. That is the need for change to which this 2.0 version “Notes on Nursing” and the lectorate want to contribute in the coming years. Chapter 1, through the metaphors in the story “The Cat Who Looked at the King,” describes the vision of emancipatory action research and the change principles that the lectorate will deploy. Chapter 2 contains the reason, mission and lines of research that are interrelated within the lectorate. Chapters 3 and 4 address the themes of identity and leadership, discussing their interrelationship with professional practice and developing a research culture. In addition, specific aspects that influence practice and work culture today are addressed, and how the lectorate contributes specifically to the development of nursing leadership and the formation of professional identity in the relevant domain is described. Chapter 5 contains a summary of the principles on which the research program is based, as well as information on current and future projects. Chapter 6 provides background information on the lector and the members of the knowledge circle.
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Most nurse leadership studies have concentrated on a classical, heroic, and hierarchical view of leadership. However, critical leadership studies have argued the need for more insight into leadership in daily nursing practices. Nurses must align their professional standards and opinions on quality of care with those of other professionals, management, and patients. They want to achieve better outcomes for their patients but also feel disciplined and controlled. To deal with this, nurses challenge the status quo by showing rebel nurse leadership. In this paper, we describe 47 nurses’ experiences with rebel nurse leadership from a leadership-as-practice perspective. In eight focus groups, nurses from two hospitals and one long-term care organization shared their experiences of rebel nurse leadership practices. They illustrated the differences between “bad” and “good” rebels. Knowledge, work experience, and patient-driven motivation were considered necessary for “good” rebel leadership. The participants also explained that continuous social influencing is important while exploring and challenging the boundaries set by colleagues and management. Credibility, trust, autonomy, freedom, and preserving relationships determined whether rebel nurses acted visibly or invisibly. Ultimately, this study refines the concept of rebel nurse leadership, gives a better understanding of how this occurs in nursing practice, and give insights into the challenges faced when studying nursing leadership practices.
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Purpose In the Netherlands, the prevalence of visual impairments is the highest among the subgroup of nursing home residents. Over 40 percent are estimated to have visual impairments1. Older adults experience visual problems due to biological aging or eye disease2. These problems can affect several visual functions as well as daily functions in general3,4. Providing appropriate lighting of sufficient intensity and color temperature (CT), and making use of capabilities of the visual environment in the nursing home4 is one of the tasks for professional carers.Light conditions were measured in order to find out to what extent older adults live with the proper lighting conditions. With these data, we wanted to enhance the awareness among care professionals of how light conditions affect the daily lives of the nursing home residents. Moreover, care professionals and technical staff could make the right improvements to the nursing home environment based on the outcomes. Method We assessed light conditions (Konica Minolta chromameter CL-200) in seven nursing homes in the Netherlands. Light conditions were measured in places where residents spend most of their time during the day. In total, 59 living rooms and corridors were assessed in this study. Horizontal and vertical illuminances as well as CT were measured and compared to the values given in a guideline by the Dutch Society for Illumination5. The study was performed between October 2009 and the end of March 2010 at daytime between 10:00 and 15:00 hours. By measuring in autumn, winter and early spring, the contribution of daylight to the indoor illuminance levels was kept at a minimum. Results & Discussion In general lighting conditions encountered in the nursing homes were poor. Four-fifths of the measured illuminances in the common rooms were below the 1,000 lx threshold. Illuminances in the corridors fell below the 200 lx threshold in at least three quarters of the measurements. This means that nursing home residents may have difficulty carrying out tasks and could fall during transfers. The CT of light to which nursing home residents were exposed, fell below the reference value for daylight of 5,000 K with median scores of 3,400 to 4,500 K. High CT of light, in combination with higher illuminances, may positively affect the biological clock, resulting in better sleep quantity and quality.Nursing home staff should be aware of these data in order to arrange better light conditions. Technical staff should be aware that lighting guidelines are not specifically developed for older adults. Special attention should be paid to the fact that older adults need more light than younger persons to perform Activities of Daily Living (ADL).
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