# data[].attributes.attachment_caption
Van Gogh is said to depict the view from his asylum window.

# data[].attributes.headline
Artifact 1: Starry Night by Vincent Van Gogh

# data[].attributes.subject
Artifact 1: Starry Night by Vincent Van Gogh

# data[].attributes.body
Rationale: The rationale for using Starry Night by Vincent van Gogh as a representation of mental health struggles and resilience lies in its profound emotional depth and historical context. Painted during Van Gogh’s stay in an asylum, the artwork reflects his lived experience with mental illness. The swirling sky, vibrant contrasts, and dreamlike quality of the piece evoke both turbulence and beauty, symbolising the complexity of mental health. Its posthumous recognition further underscores the societal tendency to overlook or undervalue individuals struggling with mental illness during their lifetimes. By connecting the painting to mental health awareness, it serves as a powerful visual metaphor for the inner experiences of those facing mental health challenges, while also highlighting the resilience and creativity that can emerge even in the midst of adversity. Choosing this painting invites reflection on how art can foster empathy, reduce stigma, and encourage open conversations about mental health.

# data[].attributes.headline
Artifact 2: A playlist of songs addressing mental health

# data[].attributes.subject
Artifact 2: A playlist of songs addressing mental health

# data[].attributes.body
Link: https://www.youtube.com/watch?v=36tggrpRoTI&list=PLi3uLT4sG_eF3ZWP1RCRoWRHJwrsfo95M

Rationale: The playlist of songs addressing mental health, such as "1-800-273-8255" by Logic and "In My Blood" by Shawn Mendes, reflects societal efforts to destigmatize mental health struggles and foster open dialogue. These songs address themes of vulnerability, resilience, and hope, resonating with individuals experiencing similar challenges. For example, Logic’s song directly references the National Suicide Prevention Lifeline, offering a message of support and raising awareness about suicide prevention resources. Similarly, tracks like "Head Above Water" by Avril Lavigne and "Praying" by Kesha convey powerful messages about overcoming adversity and finding strength. By combining emotional storytelling with widely accessible media, the playlist demonstrates how art and popular culture can reduce stigma, validate experiences, and inspire action. It serves as both an educational tool and a source of comfort for those grappling with mental health challenges, emphasizing the role of creative expression in promoting awareness and support.

# data[].attributes.body
Rationale: The "trolley problem" serves as a powerful metaphor for the complex and often conflicting decisions nurses face in maternal-child and mental health settings. The trolley problem, a classic ethical dilemma, challenges individuals to choose between two difficult options, each with significant consequences. In nursing, similar situations arise when balancing competing priorities such as patient autonomy versus safety, or individual rights versus public health considerations. This artifact visually represents the weight of these decisions, emphasising the nuanced and morally challenging nature of ethical practice. In maternal-child health, for instance, nurses may need to navigate situations where a mother’s preferences conflict with medical recommendations for the baby’s well-being. In mental health settings, decisions might involve balancing respect for a patient’s autonomy while ensuring they do not pose a danger to themselves or others. By reflecting the inherent uncertainty and complexity of ethical decision-making, this artifact encourages critical thinking, empathy, and the application of ethical principles in practice, guiding nurses to make thoughtful, patient-centered choices.

# data[].attributes.attachment_caption
An old picture of a mother breastfeeding her child.

# data[].attributes.body
Rationale: This photograph visually captures the complex relationship between cultural norms and healthcare promotion. It highlights how breastfeeding is not only a biological and health-focused practice but also a culturally influenced behavior. In many societies, breastfeeding is celebrated and normalized, reflecting its importance in maternal-child health and its alignment with healthcare recommendations like those from the WHO. However, in other contexts, breastfeeding—particularly in public—can be stigmatized or misunderstood, creating barriers for mothers trying to follow best practices. This artifact underscores the role of healthcare providers in bridging cultural divides, promoting breastfeeding as a natural and beneficial practice, and addressing societal attitudes that may hinder its acceptance. By showcasing the interplay of tradition, advocacy, and public health, the image invites reflection on how nurses can support breastfeeding through culturally sensitive care and education.

# data[].attributes.headline
Artifact 2: The WHO Breastfeeding Recommendations/Statistics

# data[].attributes.subject
Artifact 2: The WHO Breastfeeding Recommendations/Statistics

# data[].attributes.body
Rationale: A visual representation of the WHO breastfeeding recommendations or statistics provides an evidence-based foundation for understanding why breastfeeding is central to maternal-child health. These recommendations, grounded in global research, emphasize the significant health benefits for both mother and child, such as reducing infant mortality, enhancing immune function, and fostering maternal recovery postpartum. The visual format makes the data accessible and impactful, clearly illustrating the critical role breastfeeding plays in achieving optimal health outcomes. This artifact also helps dispel myths and counter misinformation by presenting scientifically validated guidelines, such as exclusive breastfeeding for the first six months and continued breastfeeding alongside complementary foods for up to two years or beyond. By connecting this evidence to nursing practice, the visual reinforces the importance of advocacy, patient education, and culturally sensitive support in promoting breastfeeding as a public health priority. It serves as a reminder that nurses play a key role in bridging evidence-based recommendations with individualised care.

# data[].attributes.body
Rationale: The quote, “Breastfeeding is not always easy, but it is always worth it,” encapsulates the duality of breastfeeding—its challenges and profound rewards. It acknowledges the physical, emotional, and societal hurdles that many mothers face, such as pain, latching difficulties, or lack of support, while highlighting the immense benefits for both mother and child. For nurses, this quote serves as a reminder of the critical role they play in supporting breastfeeding families. It reflects the need for empathy, patience, and tailored education to help mothers overcome obstacles and feel empowered in their breastfeeding journey. Additionally, it underscores the importance of addressing systemic barriers, such as workplace accommodations or cultural stigma, that can make breastfeeding more difficult. This quote resonates with the nursing practice by promoting perseverance, celebrating small victories, and reinforcing the life-long health advantages that make the effort worthwhile for mothers and their children.

# data[].attributes.headline
Artifact 1: A Traditional Birthing Symbol

# data[].attributes.subject
Artifact 1: A Traditional Birthing Symbol

# data[].attributes.body
Link: https://pmc.ncbi.nlm.nih.gov/articles/PMC10226235/

Rationale: A traditional birthing symbol, such as an image of a water birth setup, represents the rich diversity of practices and values that shape childbirth experiences worldwide. Water births, for example, are rooted in the belief that immersion in warm water during labor can provide physical and emotional benefits, including pain relief, relaxation, and a more natural transition for the baby into the world. This practice reflects how cultural values, such as minimizing medical intervention and fostering a calm, supportive environment, influence birthing preferences. By showcasing a water birth setup, this artifact emphasizes the importance of understanding and respecting these diverse practices as healthcare providers. It also highlights how nurses can integrate cultural sensitivity with evidence-based care, adapting their support to align with the patient's values and preferences. Ultimately, this artifact serves as a reminder that birthing practices are deeply personal and shaped by unique cultural, historical, and individual contexts.

# data[].attributes.headline
Artifact 1: A Photograph of a Diverse Healthcare Team

# data[].attributes.subject
Artifact 1: A Photograph of a Diverse Healthcare Team

# data[].attributes.body
Rationale: This photograph symbolises the foundational goal of equitable and inclusive healthcare. This image reflects the importance of representation in creating an environment where individuals from all cultural, racial, and socioeconomic backgrounds feel seen, respected, and valued. Diversity within healthcare teams improves patient outcomes by bringing varied perspectives, fostering cultural competence, and ensuring that care is tailored to meet the unique needs of different populations. Similarly, a diverse patient representation in such imagery emphasizes the universality of healthcare and the need for systems that address disparities and barriers to access. For nurses, this artifact serves as a reminder to champion inclusivity in their practice, advocate for equity in healthcare policies, and remain attentive to the individual stories and experiences of their patients. Ultimately, this visual represents a shared commitment to a healthcare system that honors diversity and works toward equitable treatment for all.

# data[].attributes.headline
Artifact 3: Infographic/chart about mental health service gaps

# data[].attributes.subject
Artifact 3: Infographic/chart about mental health service gaps

# data[].attributes.body
Rationale: The infographic on mental health service gaps highlights critical disparities in accessing care, providing a visual representation of how stigma intersects with systemic barriers. It underscores that stigma—whether societal, institutional, or self-imposed—remains a significant obstacle, deterring individuals from seeking help or receiving adequate support. For example, many people fear judgment or discrimination, which can prevent them from openly discussing their mental health struggles or pursuing treatment. Additionally, stigma can perpetuate funding disparities, leaving mental health services under-resourced and inaccessible in many regions. By illustrating these gaps and their impact, the infographic not only raises awareness but also calls for action to address the structural and social changes needed to bridge these inequities. This artifact serves as a critical educational tool, helping healthcare providers and policymakers recognise the urgent need for equitable mental health care systems.

# data[].attributes.headline
Artifact 2: A news article discussing a recent ethical dilemma in healthcare 

# data[].attributes.subject
Artifact 2: A news article discussing a recent ethical dilemma in healthcare 

# data[].attributes.body
Rationale: This illustrates the real-world ethical challenges that nurses encounter in clinical practice. The article highlights the implications of legal and political changes on healthcare access, particularly how the reversal of Roe v. Wade has created barriers to reproductive rights for many individuals. This situation presents ethical dilemmas for nurses who must navigate their professional responsibilities to provide compassionate care while working within legal and institutional frameworks that may conflict with their personal values or the needs of their patients. The article exemplifies how external factors, such as changes in healthcare policy, can complicate ethical decision-making in nursing, especially when it comes to issues of patient autonomy, rights to care, and the balance between legal obligations and moral responsibilities. By engaging with such a real-world example, nurses can better understand how these broader societal and political forces influence their ethical practice and the ways they advocate for patients within those systems.

# data[].attributes.headline
Artifact 3: A personal reflection from about grappling with ethical challenges this term

# data[].attributes.subject
Artifact 3: A personal reflection from about grappling with ethical challenges this term

# data[].attributes.body
When reflecting on grappling with ethical challenges this term, one instance that stands out is navigating a situation where patient autonomy clashed with clinical recommendations. During a clinical placement, a patient expressed a decision that seemed to counter their best medical interests. This situation required balancing respect for their autonomy while addressing concerns for their well-being. The ethical tension revolved around how much influence healthcare providers should exert without overstepping boundaries. As a nursing student, I had to deeply consider the CNA Code of Ethics, which emphasises respecting patients' informed choices while advocating for their health. Collaborating with my clinical instructor, we approached the patient with empathy and provided clear, evidence-based information to help them make an informed decision without imposing our views. This experience taught me the importance of active listening, clear communication, and maintaining a nonjudgmental stance, even when faced with choices that challenge my own values or training. It reinforced the need to stay grounded in ethical principles while honouring the complexities of individual care.

# data[].attributes.body
Rationale: The quote, “Of all the forms of inequality, injustice in health is the most shocking and inhumane,” by Dr. Martin Luther King Jr., underscores the profound ethical and moral responsibility of addressing racial disparities in healthcare. This statement points to the critical reality that access to quality healthcare is not only a basic human right but also a determinant of life and well-being. Racial disparities in healthcare are deeply rooted in systemic inequities, leading to disproportionate health outcomes for marginalised communities. For nurses, this quote serves as a call to action, reminding them of their role as advocates for health equity and their duty to confront biases, whether at the individual or institutional level. It also emphasises the importance of addressing social determinants of health, such as poverty, education, and housing, which often intersect with race to perpetuate healthcare inequalities. By reflecting on this quote, healthcare professionals are encouraged to view health equity not just as a goal, but as a moral imperative driving their practice.

# data[].attributes.headline
Artifact 3: Photo From My Art Gallery Project

# data[].attributes.subject
Artifact 3: Photo From My Art Gallery Project

# data[].attributes.body
Rationale: My Art Gallery Project can serves as a visual representation of how art can transcend barriers to communicate the universal importance of race and equity in healthcare. Art has the unique ability to evoke emotions and provoke thought, making complex social issues like systemic racism and healthcare inequities accessible and relatable. By reflecting shared human experiences, the project emphasizes that, despite our differences, we all face struggles, challenges, and moments of resilience that connect us. This artifact illustrates how art fosters empathy and creates opportunities for dialogue about difficult topics, encouraging viewers to confront biases and consider the lived experiences of others. For healthcare professionals, it symbolizes the necessity of integrating equity into practice by acknowledging shared humanity and striving for inclusive care that addresses disparities. The project reinforces that confronting issues of race and equity in healthcare is not only about understanding statistics or policies but also about connecting on a personal and emotional level to drive meaningful change.

# data[].attributes.headline
Artifact 2: A quote from Barbara Katz Rothman

# data[].attributes.subject
Artifact 2: A quote from Barbara Katz Rothman

# data[].attributes.body
Rationale: The quote by Barbara Katz Rothman, “Birth is not only about making babies. Birth is about making mothers—strong, competent, capable mothers who trust themselves and know their inner strength,” highlights the transformative and empowering nature of the birthing experience. This perspective shifts the focus beyond the physical act of childbirth to the profound psychological and emotional journey of becoming a mother. It underscores how birth can cultivate self-confidence, resilience, and a deep sense of capability in mothers. The rationale for this quote connects to the role of nurses in fostering empowerment during birth, emphasizing the importance of creating a supportive, respectful, and patient-centered environment. By acknowledging the mother's agency and inner strength, this perspective aligns with nursing principles of advocacy and holistic care. It also highlights how culturally and individually sensitive birthing practices can contribute to not only safe outcomes but also a positive and empowering transition into motherhood.

# data[].attributes.body
Reflecting on birthing practices from both clinical and cultural perspectives has deepened my understanding of how childbirth is shaped by different traditions, values, and healthcare approaches. In clinical settings, the emphasis is often on safety, medical interventions, and evidence-based protocols, ensuring optimal outcomes for mother and baby. However, cultural practices remind us that childbirth is also a deeply personal and spiritual experience. For instance, traditions such as home births, the presence of doulas, or rituals honouring the birthing process highlight the importance of respecting individual and cultural preferences. Witnessing this interplay in practice has taught me to approach birthing care with cultural humility, ensuring that my nursing interventions honour the patient's values while promoting safe and equitable care. This perspective will guide me in creating holistic and inclusive care plans as a future nurse.

# data[].attributes.body
Andrade, G. (2019). Medical ethics and the trolley problem. Journal of medical ethics and history of medicine. https://pmc.ncbi.nlm.nih.gov/articles/PMC6642460/

Human rights crisis: Abortion in the United States after Dobbs. Human Rights Watch. (2023). https://www.hrw.org/news/2023/04/18/human-rights-crisis-abortion-united-states-after-dobbs

# data[].attributes.body
Murrell, D., & Newton, K. (n.d.). The starry night by Van Gogh | Meaning, Aesthetic & Analysis - Lesson | study.com. Study.com. https://study-com.translate.goog/academy/lesson/van-goghs-starry-night-description-analysis-facts.html?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc

Mental health: Trends & future outlook. NIHCM. (n.d.). https://nihcm.org/publications/mental-health-trends-future-outlook

# data[].attributes.body
Reviriego-Rodrigo, E., Ibargoyen-Roteta, N., Carreguí-Vilar, S., Mediavilla-Serrano, L., Uceira-Rey, S., Iglesias-Casás, S., Martín-Casado, A., Toledo-Chávarri, A., Ares-Mateos, G., Montero-Carcaboso, S., Castelló-Zamora, B., Burgos-Alonso, N., Moreno-Rodríguez, A., Hernández-Tejada, N., & Koetsenruyter, C. (2023). Experiences of water immersion during childbirth: A qualitative thematic synthesis. BMC pregnancy and childbirth. https://pmc.ncbi.nlm.nih.gov/articles/PMC10226235/

# data[].attributes.body
Sheehan, A., Gribble, K., & Schmied, V. (2019). It’s okay to breastfeed in public but... - international breastfeeding journal. BioMed Central. https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-019-0216-y

World Health Organization. (n.d.). Breastfeeding. World Health Organization. https://www.who.int/health-topics/breastfeeding#tab=tab_2

# data[].attributes.body
Stanford, F. C. (2020). The importance of diversity and inclusion in the healthcare workforce. Journal of the National Medical Association. https://pmc.ncbi.nlm.nih.gov/articles/PMC7387183/

Sigafoos. (2021). Continuing Martin Luther King Jr.’s fight for Health Care. News. https://news.lafayette.edu/2021/01/18/continuing-martin-luther-king-jr-s-fight-for-health-care/#:~:text=%E2%80%9COf%20all%20the%20forms%20of,Rights%2C%20still%20rings%20true%20today.