Nursing School, Prayer, and Avoiding Burnout

I'm teaching a new Nursing 101 course at Saint Mary's College. It's designed to help sophomores in their transition from classroom to clinical next year. Recently I solicited anonymous feedback from my students, which resulted in this (edited) online announcement.

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A few of you turned in notes with comments and questions the other day, and I intend to follow up accordingly. However, two of the notes are worth addressing sooner rather than later, for they overlap and concern our theme for next week. 

The first concerns prayer. "I'm trying to be patient and respectful," one of you wrote, "but I don't understand why we are praying at the beginning of every class." That's a fair question, especially if you haven't yet encountered prayer in the classroom at Saint Mary's. 

But, as you know, SMC is a Catholic institution, and so one can expect that the culture on campus, both in and out of the classroom, will reflect Catholic values and practices to one degree or another. Obviously, there are many at SMC (students, faculty, staff) who aren't Catholic (or even Christian, or religious in any way), and it goes without saying that they are all valued members of the community. Be assured that there will never be pressure or incentive for anyone to become Catholic or adopt Catholic perspectives on anything, in my class or any SMC class.

Nonetheless, a majority of SMC students are Catholic, and they've come to SMC, in part, because it's Catholic. They (and their parents) anticipated that an SMC education would include an integrated Catholic vision of various subjects of study among other, often competing visions, and that there would be room and even encouragement to experience growth in the Faith. The faculty who aren't Catholic might provide less of those things, but it's reasonable that your Catholic faculty would provide more. 

That's what Pope St. John Paul II meant when he wrote that while all professors at Catholic colleges are to be inspired "by the principles of an authentically human life," Catholic professors are called to a higher standard: "Christians among the teachers are called to be witnesses and educators of authentic Christian life, which evidences attained integration between faith and life, and between professional competence and Christian wisdom" (Ex Corde Ecclesia, #22).

I know I don't do it perfectly, but that's what I'm striving to do, and prayer is at the heart of it.

Which brings me to the second note: "What are some ways to prevent nurse burnout," somebody asked. "I am worried since this is always a topic of conversation in healthcare." True enough, which is why we'll be talking about "self-care" next week, strategizing for how to build up your emotional and mental reserves as you head into clinicals next year and your nursing career after that. Prayer can play a key role in that regard. In fact, for those who follow a faith tradition, I'd say it's absolutely vital.

Indeed, I know our guest speaker next week will be talking about prayer along with meditation and other self-care practices, but it's also good to keep in mind that many of your patients may actually seek your prayerful support, which can be an important part of spiritual care. "Regardless of the faith tradition or practices of the patient, family, or nurse," suggest the authors of an article in RN Journal, "the moments taken to pray may provide comfort and renewal for all present."

So, by all means, pray along with me when we pray in class if you wish, or else use it as an opportunity to learn about SMC's Catholic heritage and the ways in which Catholics express their faith. For further conversation about this matter (or anything else), please don't hesitate to make an appointment or come by during my office hours. I'd love to hear from you!

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Why I Had a Mass Offered for Janis Joplin

“It is therefore a holy and wholesome thought to pray for the dead,

that they may be loosed from sins” (2 Mc 12.46).

 Read more...

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Invocation at a Nursing Pinning

Holy God, we are gathered here to honor You through honoring these nursing graduates.

We all know how hard they’ve worked to get here, but no one knows it better than You.

And so, we ask for Your blessing—both on our celebration here today, and on the graduates themselves as they go forth to serve You as nurses.

Father God, Creator of all, You are the Author of Life.

Give these nurses courage to be defenders of life in a culture—and an industry—that too often sees death as a solution to difficult problems.

Make them warriors on behalf of the vulnerable, the weak, the defenseless, particularly the unborn and the elderly.

Lord Jesus, You are the Savior of the world.

Give these nurses a passion for the Gospel—for witnessing to their faith in both word and deed.

Make them bridges in their encounters with patients, families of patients, and co-workers—bridges to You and the salvation You offer the whole world.

Holy Spirit, You animate the church with love.

Give these nurses a capacity to love those whom the world despises—the diseased, the dying, the poor, the enemy.

Make them vehicles of Your infinite love, Holy Spirit, and cause them to be transparent in compassion and selfless in charity.

We honor and adore You, Holy God, Father, Son, and Holy Spirit. Amen.
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Offered on April 28, 2007, at Bethel College, Mishawaka, Indiana.

Sand, Oceans, and Kneeling

Point Pleasant on the Jersey coast was a frequent summer destination when I was a kid. I had an aunt and uncle there, and cousins, and heading down to the shore was a way of connecting with family while taking advantage of the nearby beach.

So it is that the ocean looms large in my childhood memories. Even now, landlocked in the Midwest, and decades since I've visited a coastline, I can close my eyes and see the surf, smell the Coppertone, hear the gulls, and taste the saltwater taffy.

And I can feel the sand—the hot sand burning my feet as I bolt from the station wagon toward the water, heedless of my mother's admonition to put on sandals. I wanted to feel that heat and that grittiness. It was what I looked forward to as much as the Atlantic itself. The sand presaged an encounter, an event, and it was always eagerly anticipated—the hotter, the better! And if we chose an access point that was more boardwalk than beach? Somehow, the ocean was diminished when we got there—smaller somehow, less majestic.

Kneeling is like that I think, and it's the best part of getting to Mass early. With seven kids in tow, making it to Sunday Mass before the Gospel reading can itself be a stretch, so getting there on time is a treat, let alone arriving early. But when it does happen—like for the "Big Liturgies," requiring early arrival to reserve seats, or when I'm on my own during the week—kneeling before Mass is like feeling that sand push up through my toes. It announces, “Get ready. Something huge is ahead. Like an ocean.”

My affection for kneeling goes back to my first encounters as a Presbyterian with Catholic liturgy, and the revelation that kneeling could be—ought to be—incorporated into the very act of worship itself. Real Presence and Transubstantiation were both mind-boggling and appealing, but my first infatuation with the Mass was its incorporation of posture into public prayer. "At the name of Jesus every knee should bow and every tongue confess," St. Paul declares. The confessing part I knew as a born-again Christian. The knee-bowing thing? In church, for real, and not just in the abstract? That was a revelation. 

Joos van Wassenhove, The Institution of the Eucharist (1473-1475)

It was also a revelation that the call to kneel, while explicit in Scripture and the rubrics, was profoundly implicit in the solemnity and sacredness of the liturgy itself. The incense and candles, the vessels and vestments, the choreographed movements and the Canon—it was all overwhelming in its numinous opacity, and kneeling came as a relief. As a young Catholic-wannabe, I became utterly convinced that if any of it was true, and God really was making an appearance there, then I was glad for the invitation and permission to kneel—if not to fall prostrate.

So, unlike many post-conciliar churches that abandoned kneelers and kneeling, I can’t get enough of it. This is all the more important as I age and grow in my awareness of the luxury of kneeling—at least on the knees God gave me. I'm a nursing instructor, and my students and I care for plenty of folks following their total knee replacements. Consequently, I'm regularly reminded of how transient kneeling on our own joints can be.

Given that, I’ve even taken to skipping the padded kneelers altogether whenever convenient. Instead, I like to kneel directly on the floor—whether carpeted, wood, or stone. I saw a friend of mine do this once, and the thought of direct knee-to-ground contact appealed to me. Yet I was reluctant to follow his example for a long time out of fear of appearing overly pious—like a Pharisee broadening his phylacteries for all to see. 

But then I remembered the beach, and the pleasure of direct contact with that gritty heat and its accompanying shiver of anticipation as the waves beckoned. Give me the floor, I say, as long as I’m able. And I can't even count it as a small gesture of penance or self-denial for the suffering souls. It’s too enjoyable to be a real sacrifice—I look forward to it with relish every day.

God is an ocean of mercy, and the Mass, our Sacramental shoreline. Kneeling, then, is like a stretch of sand. While we are able, let’s kick off the sandals and run!

A version of this story appeared on Catholic Exchange.