Chan’s journey in nursing has always included care for the marginalized populations and care for the caregivers themselves, and she has committed her life to working for social change. Early in Chan’s career she was the Nurse Manager at the County Hospital in East Los Angeles, and she is proud to have been part of creating an award-winning unit in the face of low/no funding and minimal basic necessities (no clean water to drink, no air conditioning in the hottest months). Her work with this unit transformed them into a team that was called on to train other teams across the country. “It all started with a large piece of butcher paper hung on the wall with one question: What would you like to learn?” Chan said. “I was thinking they would answer with skills they wanted to learn, but the nurses took the question broader and wrote all kinds of things on this large piece of paper.” Chan went on to say, “Once this happened, and I saw that there was a lot of valuable information written down, they began to trust me, and we began to listen to each other and talk to each other. No one had ever asked them for their thoughts and ideas before, and I opened the flood gates. Talking and listening to each other matters!”
Chan has continued to broaden her “lane” from patient care, to nurse care, to teaching nurses about advocating for patients and being present to patients in a way that only nurses have the opportunity for and considering nursing as a vocation with breadth. She did all of this through her work as an Assistant Professor at Michigan State University in the College of Nursing. She tried to convey her experiences in such a way that the students who were training to become nurses didn’t miss the beauty, complexity, and importance of their role as caregiver. “As nurses we get to be in situations that are very intimate with patients when it comes to wound care and care for their bodies and our presence in their time of need.” Chan got misty-eyed as she tried to convey this complex idea of presence and continued by saying, “I could sit for days and days and think of one beautiful, powerful, meaningful exchange after another. It has been such a privilege to be with people in this way. In our medical model today, the newest nurses could miss this beauty, and I don’t want them to miss it—to overlook the things that remind us that we are all connected.”
After six years at MSU, Chan has finished her time in this role. In reflecting on the things that she is really proud of accomplishing at MSU, she cites examples like how she used innovative and creative methods to teach integral processes for patient care and the medical team approach. She started a holistic student retreat that gave the students the building blocks for not only patient care, but key ingredients and encouragement for self-care. She used her love of, and extensive experience with, drumming circles to teach the students the “Team Steps” process for calling out when they recognize that something isn’t going right in a patient care process.
The drumming circle gives them practice in making “a big noise stop and using their own voice to name what they see is happening.” In a drumming circle, even though the students felt silly sometimes, she had them all (30 plus students at a time) on drums, drumming together, making a big noise and then one by one, they made a grand gesture with their arms or their vocal voice to make the sounds stop. Then, to get the sound restarted they shared a rhythm on their drum that they have made up (representing their own voice), everyone repeats that rhythm before continuing around the circle, giving each student practice to stop the loud noise and start with their own “voice” (drum). Because the students mentioned her name repeatedly, it peaked the Dean’s interest enough to seek out Roxane and ask about her creative teaching methods. This gave Chan comfort and lifts her heart when reflecting on her time at MSU. It is confirmation that the students were understanding her message. She has been glad to be a voice in the MSU program. She has been told that she is “too creative” on more than one occasion. Chan takes that as a compliment.
As she contemplates this time of transition, Chan feels a new wave of work rising, which she calls “Warrior Nurses.” She doesn’t see this as a training, but more of a movement—a movement that, in her minds-eye, has thousands of nurses wearing Warrior Nurses T-shirts and showing fierce compassion for themselves, their patients, their fellow nurses, and society as a whole.
In the workplace, a Warrior Nurse would take the time that they need to eat, go to the bathroom (there are many circumstances where nurses go long periods of time without ever relieving themselves), and the time needed to be present with each patient—fully present. Warrior Nurses would meet difficult circumstances with compassion and be present to themselves and others more fully. “Holding a space of peace is much harder than war or conflict.” Chan is a Mindfulness Self Compassion (MSC) trainer and sees this as key to not only caring for patients, but caring for ourselves. “Acceptance, or meeting people where they are, can only happen because I can meet myself where I am.”
Chan says that “the connections of past experiences with current moments are often surprising. Seemingly random opportunities come back to be meaningful in a current experience.” Navigating transition times takes a lot of energy when done with integrity and intention. She is opting to, as she said, “Go back to the building block skills of first things first” and ask herself the question,“What do I need to do right now?” over and over again.
Chan marvels at all of her years of nursing care and at her evolution as a nurse, mother, teacher, mentor, companion, and sponsor. A clear path doesn’t necessarily mean a direct path. In Dr. Roxane Chan’s life, the only clear path was in nursing, which helped her move from dysfunction to wellness, from the shifting sands of a life in an unstable home to the foundation-building experiences from which she will launch into her next endeavor. She is a Warrior Nurse on a clear path to changing the world one encounter at a time.
Roxane Raffin Chan, PhD, RN, AHN-BC is currently working at Cristo Rey Community Organization as program director and is a member of an eight-person CREDO faculty team providing wellness conferences for Episcopal clergy through the Episcopal Church Pension Group. Chan also maintains her own practice, Chan Body Energy, LLC, where she works teaching mindfulness and self-compassion workshops with individuals and groups in the community. Find out more about Dr. Roxane Chan, and her offerings, at chanbodyenergy.com
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