In the complex landscape of modern healthcare, the nursing profession frequently finds itself both in the limelight and in the shadows. The recurring question—”Do we matter?”—is an artifact of a broader conversation about the true value and recognition of nursing. At times it seems that the rhetoric of the worth of nursing is about monetary compensation structured within a capitalist system, but we have to more past that to meaningfully understand the social, political, and yes, economic worth of nursing and nurses. Often celebrated in grand, yet simplistic terms, nursing is framed through an idealized lens that emphasizes sacrifice and selflessness, rather than acknowledging the profession’s depth and essential role within the health care system. This discussion is particularly pertinent in the context of historical and contemporary challenges faced by nurses.

The Angelic Trope: Historical Underpinnings and Modern Implications

Nursing has a long history of conceptualization drawing on an aura of angelic benevolence. This image, while appealing, has limited strengths, especially in a nursing has expanded to be inclusive of all genders, moved out of the non-secular place, and became a scientifically based discipline along other health care discipline. The angel trope often reduces the complexity and professional expertise of nursing to mere tropes of virtue and sacrifice. Historically, this idealization can be traced back to the 19th century with figures like Florence Nightingale, who, despite her groundbreaking contributions to nursing practice and public health, also became emblematic of the self-sacrificing caregiver.(1,2) This narrative, while significant, has a double-edged sword: it elevates nursing to a pedestal but simultaneously undermines its professional and scientific dimensions.

In Canada, the legacy of this romanticized view continues to influence how nursing is perceived and valued. While nurses are frequently celebrated for their unwavering commitment, this often translates into expectations of selflessness rather than recognition of their critical role and expertise. This dichotomy is problematic, because it obscures the need for structural and systemic changes to support the nursing workforce effectively.

Historical Continuity: Lessons from Past Pandemics

The historical context of nursing during pandemics reveals a recurring theme: the profession’s pivotal role in managing public health crises. The Spanish Flu pandemic of 1918 was a defining moment for nursing, showcasing the leadership and resilience of nurses. This significant historical event offers valuable insights into how nursing emerged as integral to public health, this was most recently evident during the COVID-19 pandemic.

The parallels between past and present highlight an enduring truth: nursing is central to managing health crises. However, the contemporary narrative relies on idealized notions of selflessness rather than examining and understanding the impact of professional and systemic issues. As we collectively navigated the ongoing challenges posed by COVID-19, it was essential to remember and reflect on the lessons from past pandemics and to appreciate the complexities of the nursing role beyond the lens of self-sacrifice. As we emerge in a post-COVID-19 pandemic world we have to vigorously embrace this.

The Realities of Risk and Professionalism

The idealized image of nursing as an inherently selfless profession does not align with the real-world risks and challenges faced by nurses. The COVID-19 pandemic spotlighted these issues, revealing the high levels of exposure to infectious diseases that nurses endure. It was shockingly apparent that this was not merely a theoretical risk but a daily reality that impacted nurses’ physical and mental well-being. Perhaps more than ever, we can see the necessity of shifting society understanding of nursing. Nurses must be at the forefront of the charge.

Research conducted by the Canadian Nurses Association (CNA) underscores the heightened risks faced by nurses and the pressing need for systemic support. The pandemic exacerbated existing challenges, such as staffing shortages, burnout, and mental health strain. Addressing these issues requires a shift away from viewing nursing through a purely altruistic lens and towards a recognition of the profession’s intrinsic value and the need for substantial support and resources (Canadian Nurses Association, 2021).

Reconceiving Nursing’s Value: Towards Professional Empowerment

To truly honor and support the nursing profession, it is imperative to move beyond superficial accolades and embrace a more nuanced understanding of its value. This involves acknowledging the critical role that nurses play in healthcare and advocating for systemic changes that address the profession’s unique challenges.

In Canada, initiatives from organizations like the CNA have highlighted the need for improved working conditions, fair compensation, and better support for nurses.(3) Reports and research emphasize the importance of addressing workforce issues, including burnout and staffing shortages, to ensure that nurses can continue to perform their vital roles effectively.(3) Recognizing nursing as a profession with its own set of demands and challenges is essential for fostering an environment that supports and values its practitioners.

Moving Forward: A Call for Systemic Change

The COVID-19 pandemic illuminated many systemic issues within healthcare systems, including those affecting the nursing workforce. This period of crisis presents an opportunity to reassess and redefine the role of nursing, moving away from outdated tropes and towards a more empowered and respected profession.

According to the Canadian Institute for Health Information (CIHI), addressing the challenges facing the nursing workforce requires a comprehensive approach that includes investing in education, improving working conditions, and supporting mental health. By adopting these strategies, we can create a more supportive environment that acknowledges the true value of nursing and ensures that the profession is equipped to meet the demands of modern healthcare.(4)

What Next?

The nursing profession undoubtedly matters, but its significance should be understood beyond the superficial narratives of selflessness and sacrifice. By recognizing the historical context, addressing real-world risks, and advocating for systemic changes, we can move towards a more equitable and supportive environment for nurses. The lessons from past pandemics, coupled with contemporary challenges, underscore the need for a reimagined understanding of nursing that appreciates its critical role and ensures its ongoing relevance and effectiveness.

References

1.            Stokes‐Parish J, Elliott R, Rolls K, Massey D. Angels and heroes: the unintended consequence of the hero narrative. J Nurs Scholarsh [Internet]. 2020 Sep [cited 2022 Jan 8];52(5):462–6. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jnu.12591

2.            Bates R, Greenwood A. Could Nightingale get cancelled? The rise, endurance, and possible fall of Florence Nightingale in British historical culture since 1854. Womens Hist Rev [Internet]. 2022 Nov 10 [cited 2024 Aug 18];31(7):1080–106. Available from: https://doi.org/10.1080/09612025.2022.2045110

3.            Canadian Institute for Health Information. The state of the health workforce in Canada, 2022 [Internet]. 2022 [cited 2024 Aug 18]. Available from: https://www.cihi.ca/en/the-state-of-the-health-workforce-in-canada-2022

4.            Baumann A, Crea-Arsenio M. The Crisis in the Nursing Labour Market: Canadian Policy Perspectives. Healthcare [Internet]. 2023 Jul 6 [cited 2024 Aug 18];11(13):1954. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10340563/