The zeal of Simon Reeve

Is personal conviction enough to persuade others to change the world?

Steve Dew-Jones

Steve is news director of Article 18, a human rights organisation documenting Christian persecution in Iran.

An enthusiastic hiker stands in front of a view down a valley, smiling and holding his backpack straps.

Simon Reeve on his travels.

It wasn’t until I took my seat in Exeter’s Great Hall the other Friday that I noticed the title of the Simon Reeve show I had bought tickets for over a year prior - “To the Ends of the Earth” - and it was to prove apt.

The seemingly ageless TV presenter was his usual effervescent self as he regaled the audience with stories from some of his journeys to the distant place of the world - the Ends of the Earth.

We were taken from the hottest to the coldest places, the wettest to the driest; and alongside humorous and poignant anecdotes, there was also an almost evangelistic zeal in Reeve’s frequent pleas to “green” our money and time.

“Less screen time, more green time!” he revealed is a Reeve family motto.

And if he could give us one piece of advice, he said, it would be to “green” our pension - ensuring that the money invested goes to good causes that reduce our carbon footprint, rather than, say, to tobacco or oil companies.

It may not make us as much money, he said, but it would do more for the environment and reducing our carbon footprints than never getting onto another plane.

Food for thought.

Although, perhaps surprisingly, Reeve is actually somewhat of an advocate for tourism.

For despite the carbon footprint and potential to tarnish some of the best places on Earth, tourism also provides an important source of income and an economic reason to keep beauty spots special, he explained.

We can ask people as nicely as possible not to cut down trees or to look after wildlife, he said, but if they have an economic incentive, it’s likely to prove more persuasive.

Perhaps my biggest takeaway from the show was the passion with which Reeve spoke about the climate, “Mother Earth”, “Mother Nature”, “the natural world”, and “the spinning rock on which we live” - all phrases that he used.

At times, his language was almost spiritual.

But perhaps another motivator that could spur us on to action could be the knowledge that each of us have been charged by our Maker - another word employed by Reeve - with the responsibility to care for our world.

He talked about time in the great outdoors as being “good for the soul”. He even shared how on a recent visit to Greenland, it had made him - “as someone who is not religious” - consider whether there really might be a Creator, as it seemed as though the huge pool of ice there had been intentionally left there as a warning to the world not to melt it.

And as I reflected later on all I had seen and heard, I wondered whether, without a religious conviction, we may be lacking a persuasive motivation for people to stop destroying our planet ever further.

Humanists may argue that there's a shared humanity to fight for, but if we are just living for this one life, isn’t the most logical course of action to look out only for one’s own immediate interests?

Might we need another incentive, in the way Reeve explained that money can encourage people to look after their local habitats?

I wondered whether Reeve had known when he chose the title of his show that he was quoting the last words of Jesus, when he said his disciples would be his witnesses in Judea, Samaria, and “to the ends of the Earth”.

In the case of lovers of the planet like Reeve, perhaps their witness to the ends of the earth is the message of just how wonderful our planet is - and this is certainly a very valuable message.

It is to be hoped that the many thousands who will have heard Reeve’s message on this tour and on the screen will do their own bit to make our planet a better place.

I certainly find it a motivating factor.

And in spite of all our faults, Reeve said that the real highlight of all his travels has been the people he has met, and this has also always been my experience.

You can find such love in our species, he said - “the best species that there has ever been on our planet” - and I would agree, even if we reached the same conclusion based on a contrasting set of overriding beliefs.

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.