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29 September 2020 | Story Dr Lynette van der Merwe | Photo Supplied

There is no doubt that 2020 will be a year to remember.  A pandemic, national lockdown, social isolation, health risks, economic and academic disruption, and uncertainty, loss of control, fear, and panic due to information flooding are all ingredients in the perfect storm of the unprecedented ‘new normal’.  Due to COVID-19, we have become sensitised to the need to protect mental health and well-being among all members of society – not least, our caregivers.  The plight of healthcare workers in the front lines has focused our attention on the threat of burnout (defined as emotional exhaustion, depersonalisation, and a sense of low personal accomplishment) as a result of increased stress, as well as the risk of depression and anxiety disorders. 
 
Focus on becoming more agile and adaptable

But do we need to stick to the prescribed script that dooms us to global resignation of merely trying to survive?  Is there an alternative response that uncovers unique strengths? Can we flip the narrative to resilience?  

In the destructive wake of this global crisis, we could instead focus on how we have become more agile and adaptable. We could notice the coping strategies of those who do not succumb to despair, victimhood, or expedience.  We could reimagine a world where the problems of the day do not define us; a world where we respond with intention, drawing on resilience forged in the fire of adversity, resolutely using our prior-established values to guide us.

Resilience helps us to not merely survive, but to recover, regroup, and reach new heights.   Diane Coutu described the characteristics of resilient people:  stoic acceptance of tough situations, creating meaning despite the current overwhelming circumstances, and an astonishing ability to improvise.  The notion was reinforced in a recent perspective published in the New England Journal of Medicine.  The authors eloquently pointed out that during the uncertainty of the COVID-19 pandemic, a sense of altruism and urgency seemed to catalyse restored autonomy, competency, and relatedness – three pillars considered supportive of intrinsic motivation and psychological well-being.  

Adaptive coping strategies

Research among students and staff in the UFS Faculty of Health Sciences has shown that higher resilience (and lower burnout) is associated with adaptive coping strategies.  Strength and growth through hardship were foundational to dealing with endemic stress and inevitable personal, academic, and financial challenges. 

So, what are some of the qualities, skills, or resources that help us bounce back and grow our resilience, resulting in the crisis of the day (aka COVID-19 and its nasty sequelae) causing a (temporary) bruise, rather than a (permanent) tattoo?
Have hope.  Far from blind, naïve optimism, it is instead a sober realism about reality, balanced by finding strength in the belief that in the end, you will overcome (the Stockdale Paradox). This ties closely with acceptance, allowing emotions a seat at the table of our lives but not giving in to their attempts at a hostile takeover.  It happens when we choose to respond, rather than react, leaving space to be flexible enough to adjust our expectations from immediate gratification to the perseverance to sit out the discomfort.  

Stay kind.  In the face of extreme hardship, humans reveal the truth about themselves.  Treating others with compassion, patience, and respect may not make the crisis disappear – but when we look back, are we not most inspired by those who have created meaning through extraordinary humility and sacrifice?  When all is said and done, what story would you like to tell about the kind of person you were during the pandemic? 

Be brave

Be brave anyway.  Approaching the sixth month of the pandemic means that most of us are tired.  Despite trying to be safe, innovative, and wise, there are no apparent solutions or a clear end in sight.  This is the time to be insanely courageous, to step into the arena to find answers and offer alternatives, despite naysayers (often anonymous) criticising your best efforts. This is the moment in history when we need to overcome our fear with the kind of courage that shows up even when legs shake, the voice trembles, and the heart palpitates.

When we look back on 2020, may we do so knowing that we continued hoping (even while accepting the tragic reality), that we stayed kind (creating meaning in the midst of turmoil), and that we were brave (overcoming seemingly insurmountable difficulty with exceptional creativity).  We have much to offer if we allow our resilience to stand this test of time. May COVID-19 change us for the better.


News Archive

UFS School of Nursing opens new frontiers at 40
2009-11-16

The opening of the virtual facility of the School of Nursing at the University of the Free State (UFS) and a gala dinner to celebrate the School’s 40th year of existence took place on the Main Campus in Bloemfontein this week. At the opening were, among others, from the left: Prof. Jonathan Jansen, Rector and Vice-Chancellor of the UFS; Dr Oluseyi Oyedele and Ms Viona Munjeri, both from The Atlantic Philanthropies; and Prof. Anita van der Merwe, Head of the School of Nursing at the UFS.
Photo: Leatitia Pienaar

All eyes in the nursing profession in South Africa were turned to the University of the Free State (UFS) when the School of Nursing opened a state-of-the-art virtual health training and learning facility and celebrated its 40th year of existence with a gala dinner on the Main Campus in Bloemfontein this week.

The lustrous events were attended by dignitaries from all spheres of the health-care fraternity in South Africa.

The new virtual facility, The Space, is made possible by a grant of R16 million from The Atlantic Philanthropies and R1 million from the UFS. The Atlantic Philanthropies organisation is an international philanthropic organisation that is going to inject R70 million into nursing in South African over the next four years. The initiative will enhance nursing education and step up the quality of health-care delivery in South Africa. Four major grants were made to universities in South Africa, of which the UFS is one.

With the facility at the UFS School of Nursing, nursing education is propelled into the future. Prof. Anita van der Merwe, Head of the School of Nursing, says, “The virtual learning facility is a very new way of thinking and teaching. At the moment, theory and practice are separated, as theory is often taught in the mornings, followed by practical settings later in the day. Learner nurses then also go to clinical facilities for their practicals where the quality of care is declining and human resources are a problem.

“We believe that with new technologies such as e-learning and high-tech computer-mediated equipment we can use the ‘virtual world’ to bridge the theory-practice gap in the same location.”

Prof. Van der Merwe says the project is essentially about transformation: taking a stand against stagnation in nursing education and practice and daring to be different.

In the new virtual facility nurses will have the best of three worlds – the expertise of the facilitator/educator, simulation technology, and a vast selection of on-line and off-line software, exposing them to blogs, broadcasting and enhancing computer literacy. This will attract both the new “millennial” generation, which tends to be technologically competent, as well as the older learner because of the unthreatening learning environment.

The core space will accommodate 40 to 60 students and is designed to encourage informal, collaborative learning and practice simultaneously. It will have a demarcated area for “patients” (such as advanced adult and baby patient simulators) and a “clinic space” allowing for role play.

At the gala dinner, Prof. Jonathan Jansen, Rector and Vice-Chancellor of the UFS commended nurses in South Africa for their caring role, but also expressed his concern that South African has lost its deep sense of care. South Africa is at a critical point and the country can be changed if a deep sense of care can be embedded again.

About forty nursing educators from all over South Africa attended an exploratory workshop in the facility today and the last meeting of the Forum of University Deans in South Africa (FUNDISA) also coincided with the festivities at the School of Nursing.

Media Release
Issued by: Lacea Loader
Assistant Director: Media Liaison
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@ufs.ac.za
13 November 2009
 

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