Abstract

The English Patient, a novel by Michael Ondaatje (1993), is a romantic drama set in the chaos of Europe at the end of World War II. In the ruins of an Italian church, a terribly burned man is being tended to by Hana, a young nurse too traumatised from her own war experiences to return home. Ondaatje’s acclaimed novel contains rich imagery, complex characters and interactions, as well as a story that weaves back and forward in time. The novel is a writerly text; the meaning needs to be unravelled by the reader and, due to this feature, it also makes for interesting reading about nursing. Too often texts about nursing are reductionist and stereotyped – nurse characters are often angels or lovers, sometimes villains and sleuths. Rarely are they portrayed as a wounded healer – an ancient, intriguing and illuminating myth. Within this paper, Hana’s struggles are read as a metaphor for those that similarly confront many nurses. She is a vulnerable young person thrust, because of the nature of her work, into the harsh realities of adulthood. She aspires to a kind of nursing that is attendant and gentle, and able to meet all of her patient’s needs. Yet the world she is forced to work in is chaotic, unpredictable and stripped of resources. The patient she tries to comfort is moribund and he endures agony and loss. In her interactions with him she learns about love, beauty, humility and, ultimately, resilience. In this way the written, literary narrative connects to a cultural narrative that at once embodies a profession’s struggles and illuminates more general transcendence. Image of Michael Ondaatje CC by Attribution 2.0 Generic. Photo by Tulane Public Relations 2010

Highlights

  • Alberto Manguel has argued powerfully about the power of books and reading: Books may not change our suffering, books may not protect us from evil, books may not tell us what is good or what is beautiful, and they will certainly not shield us from the common fate of the grave

  • Books grant us myriad possibilities: the possibility of change, the possibility of illumination (2009: 231-2). It is with the novel The English Patient by Michael Ondaatje (1993), and its film adaptation (Minghella 1996)

  • Recognising the way that Hana transforms, can show nurses that change is possible and beneficial, and that self-awareness can help return a sense of the authentic self, wherein one’s ideals can be reclaimed. Texts such as the novel and film of The English Patient could be inspirational for nurses if they are given a chance to analyse their metaphors and meaning

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Summary

Introduction

Alberto Manguel has argued powerfully about the power of books and reading: Books may not change our suffering, books may not protect us from evil, books may not tell us what is good or what is beautiful, and they will certainly not shield us from the common fate of the grave. Ondaatje has said that he began writing this novel with a single image of a plane crash in his mind, which activated his imagination to allow characters and stories to evolve (O’Malley 2016) He wrote episodes involving rescuers, suffering, memories, and patient and nurse interactions that are replete with rich imagery, mystery, romance and emotion. Nursing has featured in numerous fictional stories, such as One Flew Over the Cuckoo’s Nest (Kesey 1963), Misery (King 1988), Promise not to tell (McMahon 2007), The Nightingales of Troy (Fulton 2009) and Billionaire Doctor, Ordinary Nurse (Marinelli 2009). The exploration may resonate for readers who relate to taxing emotional work and offers hope that they can reclaim fulfilment and effectiveness

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