Article

Change

S&U interviews

War & peace

30 March 2023

5 min read

After the anniversary

Ukrainian musician Lyuba Reznichenko reflects on the war’s anniversary and on the aid given in so many ways. Interview by Peter Robertson.

Peter Robertson

Peter Robertson is Christian Aid's senior humanitarian journalist.

A woman sits on a chair in a field holding a large stringed musical instrument.

Lyuba Reznichenko playing her bandura.

Christian Aid.

Christian Aid first met Lyuba Reznichenko in July 2022 after the then-25-year-old had fled her home, and her studies at the music academy in Dnipro, for a remote village in western Ukraine. She was sharing a bungalow with three families, including a friend from her church in Dnipro.

Her parents, brother and three sisters were still in Kherson, under Russian occupation - they were safe but Lyuba could not get to them. She spoke about her worries and said she missed playing music but was enjoying the nature around her.

I caught up with Lyuba, in Lviv, via a Zoom interview. She updated us on the liberation of Kherson but explained her parents were under constant shelling from the Russians.

Lyuba plays the bandura – the national instrument of Ukraine. Her father advised her to take her bandura with her when she escaped, so if she ended up with nothing, she could still busk. She has since staged performances in Lviv city centre to raise people’s spirits and talked about how emotional people get: “They all want peace and victory,” she said.

She also spoke about her faith, the work she has been doing helping refugees and the support she received from Christian Aid’s partner, Hungarian Interchurch Aid.

Lyuba said when she looks back at the past year, she gets frustrated:

“It sometimes feels like I am ready to succumb to all that. But I understand that we cannot do that. We must hope, we must pray. I do believe that God will help us and victory will be ours.”

What was your life like before the war?

I was studying at the Music Academy in Dnipro. Before that, I went to see my parents in Kherson during the New Year holidays… I was planning to go visit them again in March, but 24 Feb changed everything. I was in Dnipro and my entire family was in Kherson.

What did you feel when you learnt about the Russian invasion on 24 Feb?

Like the majority of Ukrainians, I started getting phone calls at 4am from my friends who were saying: “get up, the war has started.” It was horrible, I was very scared as we heard the first air raids and explosions. Horror is the only thing I remember about that day.

What happened next?

I stayed in Dnipro until mid-March. To avoid plunging into panic and depression and as a believer, I will be honest with you, I prayed a lot. I do believe that God supports, protects and helps. The church I used to go to opened a centre for the first wave of refugees from Kharkiv and Zaporizhzhya regions. As my own family was in the area under occupation and I could not do anything to help them, I decided to start helping those refugees.

Then I learnt of an opportunity to evacuate to western Ukraine in March, I grabbed it. This is how I ended up in Transcarpathian Region.

What’s your experience of interaction with Christian Aid?

I stayed with a very kind and hospitable family in a village there. They have many children and helped other refugees and I helped them every time I could. Then, in May I learnt of the Hungarian charity HIA, Christian Aid partner, and registered with them…

They supported me financially. As a student, I did not have any means. I could not ask my parents for helps as they were living under occupation and banks did not work there…

How did you stay in touch with your family?

It was a very difficult situation. There have been protracted periods, like a week, two weeks and a half, when I could not get in touch with them as there was no phone connection, no internet in Kherson. I was horrified by the news I read: a strike here, an explosion there. I was thinking about my family all the time.

But there were moments when I could reach them on a chat app. The connection was bad, but still, and when you hear the voice of your nearest and dearest, that’s a great relief…

How is your family now?

Kherson was liberated on 11 November… But then the situation only deteriorated because the Russians were shelling it from the right bank almost non-stop. My parents tell me that it is going on almost without interruptions.

When did you move to Lviv and return to Dnipro?

At the end of August, I moved to Lviv where I met other believers who were actively involved in charity work. I worked with them, too. We staged performances in the city centre. I played bandura and sang patriotic songs to raise people’s morale.

Then I returned to Dnipro to complete my studies… I continued cooperation with this organisation there… We were quite active there, too. We toured the region with performances, I played bandura a lot.

What is people’s reaction to your performances?

The reaction is abundant. People do react to my songs. They cry, too. They become very emotional. They all want peace and victory.

What do you feel about the first anniversary of the war?

It is all very difficult. When it all started, there was hope that it would end in a week or two. And then a month passed, another… Still there was hope that it will just come to an end.

When I look back at the year, I just become frustrated. It sometimes feels like I am ready to succumb to all that. But I understand that we cannot do that. We must hope, we must pray. I do believe that God will help us and victory will be ours.

What do you think about the UK charity organisations helping Ukrainians?

First, I want to thank you from the bottom of heart for supporting us all this time. This is an awful situation and many Ukrainians need help. Especially those living in eastern Ukraine, in hot spots, which have seen fierce fighting, the newly liberated territories where people have no place to live, where they lost loved one… Those people need more support.

I would like to say that more aid is directed there. Still, it is impossible to live there. It is not safe at all because of the non-stop raids and explosions. Those people who evacuated to the west of Ukraine need help. But they sometimes cannot get it because all the attention is focused on the east.

So if you can it would be good to distribute all the assistance among those staying in the east and those who moved here, to the west.

Article

Care

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.