Love is easy to say but hard to live

Love is not a one-time event. It is a practice.

Elizabeth Wainwright

Elizabeth Wainwright is a writer, coach and walking guide. She's a former district councillor and has a background in international development.

A man stands and looks at a neon sign reading 'need love and... '

Chester Wade on Unsplash.

Over Easter, Christians contemplate the love that the cross represents. But what does love mean now, in the world as it is – and how do we live it?

Love is one of those words that feels easy to say but hard to live. Like interdependence, like justice, like forgiveness. It is a word that can quickly get bent out of shape – mistaken for romance, twisted into desire, flattened into niceness, reduced to an emotion or a feeling. Still, we reach for it, or an approximation of it. We know we need it; we know it is a good and important thing. And yet for something so important we are never taught how to do it. Author and critic bell hooks (sic) said, “schools for love do not exist. Everyone assumes that we will know how to love instinctively.”

The times we live in, though, are calling out for people who know how to love – for people who love well and who love much and who love like it has the power to heal and guide us – because the times we live in ask a lot. The forces and systems and ways of being that we’re so entangled with now are, I think, strengthened by lovelessness. Never-enough consumption, divisive politics, ruthless economics are all bolstered by lovelessness — by loneliness and othering and fear and greed. Still, like hooks, I think we “yearn to end the lovelessness that is so pervasive in our society.” She goes on: “To open our hearts more fully to love’s power and grace we must dare to acknowledge how little we know of love in both theory and practice…”

Sometimes though, it seems Christians are as clueless about how to love as anyone.

Christians should know something of love in theory and in practice. In the Bible, love is a command, love overcomes death, love serves, love lays down its life, love is God. Love is the cornerstone of all of it. Jesus calls another world into being when he tells his followers to not only love their neighbours, but to love their enemies too. He was consistently community-oriented in his teaching and living and loving, demonstrating love for his closest companions as well as for strangers and social outcasts. Love in the gospel is practical, unromantic, beautiful.

Sometimes though, it seems Christians are as clueless about how to love as anyone. If non-believers see judgement, infighting, division, or other signs of lovelessness when they look at the church and its members — when we Christians feel these things ourselves — then we know there is work to do. There is of course always work to do, even when we love well, because love is not a one-time event; it must keep flowing, it is a way of being, it is a practice.

A couple of the churches I went to early on in my Christian journey made me feel unwelcome. They were glossy, wealthy – not necessarily bad things in themselves, but here they felt like a silent sifter of belonging. Once, someone only half-jokingly corrected me for cutting the ‘nose’ off a wedge of cheese at a church event. I never felt relaxed, never myself. This was partly me, too – I realise lately that I have declined many invitations to belong. But the church we go to now is what I think perhaps an ideal church looks like. It’s an eclectic, scrappy group of people who tolerate some big differences in opinion and belief because they believe that love is bigger than those differences. There is no cancel culture, no shutting people out, though often it would be easier to do that than to stay, to keep coming back. A few weeks ago, I gave a sermon and in it, referenced the fact that over 30,000 people had been killed in Gaza, 70 per cent of whom were women and children. I said that if we were led by love – which is not selective, which is not reserved only for people we like the look of, which is never on the side of war and oppression – perhaps we might be doing what we could to make this dying stop: rage, protest, petition, pray. As I expected, the Minister had a complaint – that church shouldn’t be political, that I had been one sided, and so on. This is not an essay about that topic, but the reason I share this is because I knew some people would disagree with me, and I knew that would make me furious, and yet I also knew that our church holds the space for all this. I knew we would still all keep showing up, keep living alongside each other, keep encountering each other and being together in our unity, even when we infuriate each other.

In the age of the individual, healing and development has become a personal mission, peddled as products by distant companies that do not really care about our hearts and souls and lives.

There are other fault lines in our church – political, theological, economic, creative. But, just as fault lines on the Earth cause violent earthquakes yet still enable the plates to move and exist alongside each other, shaping and reshaping and evolving this one shared planet, so I think do the fault lines in church, in community, in the world. Perhaps they provide edges along which we can encounter each other, along which we can shape and reshape humanity. Fault lines can bring quakes and tremors, but they can also bring new shapes, new realities, if we’re willing to do the work. Rather than turn away, perhaps these fault lines offer the chance to choose to stay, to be curious, to encounter, to listen — to practice love.

bell hooks again – she speaks so thoughtfully on the topic of love – said: “I am often struck by the dangerous narcissism fostered by spiritual rhetoric that pays so much attention to self-improvement and so little to the practice of love within the context of community.” I am struck by this too — in the age of the individual, healing and development has become a personal mission, peddled as products by distant companies that do not really care about our hearts and souls and lives. In our church though, and in the similarly infuriating and beautiful town it is in, I see – not always but often – how love blazes brightest in the context of relationships and community. It is a commitment, a deeply practical virtue that fosters togetherness, even along fault lines if we believe it can. Love lives in relationships that nurture us and challenge us, that shape us. And I think that is how the kingdom comes — not through grand gestures and money and tech, but person-by-person, through the everyday and lifetime work of love.

Love asks – no, demands – that we root it in practice. It demands that we really see each other, that we encounter each other even along our messy and many fault lines. It demands that we listen, make space for dialogue and difference, seek to understand and be compassionate. This feels countercultural in a time when it can be easier to turn away than to stay. Love demands that we coexist together in our differences so that we are better able to see and unite against our real adversary — lovelessness, and all of its friends. This is holy work, I think, in the sense that it is about wholeness and that it really is work.

At Easter, the cross we reflect on is a symbol of love, and it is also a critique of lovelessness, of empire, of religion that pretends to be about God and love. It is a looking glass, showing us who we are, and who we could yet be if we sought to embody the radical love that Jesus demonstrated even in his final moments, praying for his crucifiers “father, forgive them, for they know not what they do.” Love, I think, wants us to let it take more weight than we do – to trust it, to use it, to wield it like others wield weapons and hatred and judgement. This Easter and beyond, I am reflecting on what love really means in the world right now, and I am praying that we open ourselves more fully to its reality, its concreteness, its demands, its power, its practice. Finally, I am reading again the familiar but ever-challenging verses in St Paul's letter to a church in Corinth:

Love is patient, love is kind. It does not envy, it does not boast, it is not proud. It does not dishonour others, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. Love does not delight in evil but rejoices with the truth. It always protects, always trusts, always hopes, always perseveres. Love never fails.

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.