It really is a wonderful life

Three reasons why everyone should watch It’s a Wonderful Life this Christmas.

Jon Kuhrt

Jon Kuhrt is CEO of Hope into Action, a homelessness charity. He is a former government adviser on how faith groups address rough sleeping.

A man stands one side of a bank counter while others, on the other side, look hopefully at him.

In my view, It’s a Wonderful Life is not the best Christmas film ever. It is simply the best film ever, full stop.

Released in 1946, the film focuses on the life of a man called George Bailey who lives in the small town of Bedford Falls. As a young man, George intends to “shake off the dust of this crumby little town” and get away to see the world and achieve great things. Yet through tragedy and his own sense of responsibility, he ends up spending his entire life in Bedford Falls running the building cooperative that his late father established.

He sacrifices a lot. He ends up giving the college money he has saved to his younger brother so he can go to university instead of him. During the depression he and his new wife give their honeymoon funds to keep the Building & Loan bank going. All the time he battles against the richest and most ruthless businessman in town, Henry Potter, who is determined to build his business empire at everyone else’s expense.

The film focuses on a Christmas Eve where George stands accused of fraud and faces scandal and jail. It’s all too much for him – the lost dreams, the feeling of insignificance and the heavy burdens he has carried for so long – crash in on him. Drunk and alone, he finds himself on a bridge, wishing he had never been born and preparing to commit suicide.

Yet at this lowest ebb, salvation comes. Through the visit of an angel, George is enabled to see what would have happened if he had never lived. He sees the impact that his life has had on so many people and on the whole town. He realises what a wonderful life he has had.

The film has a basic, raw message about living right. Our cynical age tells us that there is no point in trying to change things. But this is not true.

So why is it such a great film?

I love this film so much that, rather embarrassingly, I bought the DVD of it for my best friend two Christmases in a row. The main reason is because it has given me inspiration in my life and work.

Why? I think it’s for the following three reasons.

It’s realistic about the hardship of life. Mainly due to the final scene many now perceive it as quite a sentimental film, but when it was released, it was not popular because it was considered too dark. It’s because the film depicts the struggles that many ordinary people face – such as debt, low self-esteem and feelings of insignificance.

Also, in the character of Henry Potter, it sharply criticises the greed and self-interest of money-makers who don’t care about people. Henry Potter acts within the law but does not care about how people are affected by his money making. Profit overrides everything else.

In standing up to Potter, George Bailey is ‘sticking it to the Man’ and this is costly and tough. The renewal of community does not come without resistance against the powerful forces of greed and self-interest.

It shows that how we live does make a difference to the world. George Bailey’s life makes a massive difference to his town. Through unglamorous dedication he helps hundreds of people escape Potter’s slum housing and own their own homes. His bravery and leadership builds up his community and offers dignity and hope to others.

The film has a basic, raw message about living right. Our cynical age tells us that there is no point in trying to change things. But this is not true – we can make a difference if we have courage and commitment. George Bailey’s life shows the importance of how we live and the choices we make – we will invest simply in profits or will we invest in people?

But the key thing is that we will never really know the difference we are making. It’s a mystery beyond what we can grasp. We cannot avoid the need to have faith.

It’s about the love and grace of God. The opening scenes of It’s a Wonderful Life commences with George’s friends and family saying prayers for him because they know he is in trouble. And at the end of the film, with their prayers answered, together all of George’s friends sing ‘Hark the Herald Angels Sing’.

People who want to make a positive difference in our broken world don’t need lofty idealism or utopian dreams of naive optimism.

It’s significant that the film starts with prayers and then ends with a hymn – because essentially, it’s all about grace, redemption and salvation.

Too often words like this simply sound like religious jargon – as if they just refer to ‘getting into heaven when we die.’ But this is a damaging misunderstanding. Salvation is needed now – people are desperate in the face of meaninglessness, low self-esteem and suicidal thoughts. Also, people need redeeming from lives of greed and selfishness. Jesus meets people in these needs – he both comforts those who are disturbed – and also disturbs those who are comfortable.

God’s love and grace comes to us in the midst of real issues. This is the core message of Christmas: that God became human, in history. He came to earth to share the real struggles that humanity faces and to conquer them with his redeeming love.

People who want to make a positive difference in our broken world don’t need lofty idealism or utopian dreams of naive optimism. We know how damaged the world and its people are. But whether you are Christian or not, we all need inspiration, encouragement and hope to make a difference. And this is where It’s a Wonderful Life works a treat.

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.