World of Change: Reflections within an educational and health care perspective in a time with COVID-19

Int J Soc Psychiatry. 2022 Feb;68(1):177-182. doi: 10.1177/0020764020979025. Epub 2020 Dec 10.

Abstract

Background: Besides handling the physical impacts of COVID-19 there is more than ever a need to understand what can help when mental health is challenged. Within this context our practical wisdom - our ability to understand and recognise when 'the other', for example the patient, is feeling lonely or anxious is particularly important.

Aim: This article aims to contribute to the understanding of how the competence of health professionals may be advanced by helping them develop the self-understanding essential to being wise practitioners.

Method: The article is based on a discussion informed by reflections (written in Danish and translated into English) by Masters students (and registered nurses) participating in a university programme "Patient and user focused nursing".

Findings: The first part of the article considers a student nurse's reflection on understanding herself and one of her patients. The second part considers reflections on the contemporary world of change from a student nurse trying to engage with a world she experiences as falling apart. The third part addresses the impact of resonant places and encounters on developing self/other understandings; encounters that may also be produced through songs and lyrics. The final part draws conclusions on how it is possible to reach understandings of oneself and others as student health practitioners in time of a pandemic.

Conclusion: In the process of developing understanding and recognition, competence built on self-understanding is central for helping form health professionals into 'wise practitioners'. It is concluded that the existential implications of the COVID-19 pandemic, paradoxically, may direct many people's awareness to a more sensitive, resonant, attitude towards the other. For some, this may produce a more humanized world and perception of others. Within this perspective the arts may help us develop self-understanding and recognition of 'the other'.

Keywords: Education; change; practical wisdom; resonance; sensory approach; understanding.

MeSH terms

  • Attitude of Health Personnel
  • COVID-19*
  • Delivery of Health Care
  • Female
  • Humans
  • Pandemics
  • SARS-CoV-2
  • Students, Nursing*