Intervention

From books to cinema: here's why the imagery around the nurse can and must change

The positive case of the film 'Last Shift', a very realistic cinematic reflection just released in Italian cinemas on being a nurse in an increasingly ageing western society

4' min read

4' min read

Does the dress make the man? The old adage that the image that a person, a professional, offers of himself can be judged irrelevant compared to the content he expresses, leaves one perplexed when one goes from the surface to the depths. That decorum and professional image that the nursing team still struggles so hard to achieve, both within the professional enclave and outside it, is demonstrated and confirmed by the faintly contoured perception that society reveals.

The imagery emerging from books

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"I have never received so many messages, at most a couple a week, someone passing through Milan or Cristina, a chubby girl from Martina who is studying to be a nurse in Milan and with whom I have gone a couple of times to Thursday night parties. "Why do you study to learn how to give an injection?" "Much more than to stay as one" ('È proibito amare' by Mario Desiati). Although there is profound confusion in society's imagination about the role, skills and course of study that nursing professions undertake, writers all seem to have very clear ideas on the subject. The fact is that the term nurse in the story includes everyone who is not elected to the rank of doctor. Everyone, but really everyone. It seems almost necessary then, for many writers, to describe a certain corporeity for nurses, implying the indispensable requirement of physicality to carry out a 'job' that requires powerful arms and sometimes some cognitive skills.

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"Nurse Maria, however, looked exactly like Nurse Maria. Fat and motherly, cheerful and chatty, she clattered in her rubber clogs and, speaking in a voice that was always too loud, she immediately made that horrible situation seem normal' ('Gli occhi di Sara' by Maurizio De Giovanni). If the imaginary overpowers the image, the problem becomes even more relevant and generates confusion and misunderstanding, contributing to some extent to make the low attractiveness of the nursing professions even more concrete. The figure of the paramedic (neither a doctor nor a nurse, but a technical figure) then emerges from the American television or literary scenes to confuse matters, and for Italian translators, the choice of terminology to be used has never been an arzigogolo, given the hands-down use of the word 'paramedici'.

The representation of the nurse between big screen, small screen and TV series

But the media representation of nurses and, above all, nurses, does not live by paper alone. Film and television have drawn heavily on the world of healthcare to connote - positively or negatively - a series of characters who have gone down in history. Personalities that are sometimes so strong that they almost make one forget the profession they were in.

The co-star of the famous Someone Flew Over the Cuckoo's Nest, together with the immense Jack Nicholson, was Nurse Mildred Ratched, a figure who embodies the concept of rigid and dehumanising authority. A character that has recently lived a life of its own thanks to the Netflix TV series entitled, precisely, Ratched, which tells of the origins of Mildred, a nurse who arrives in Northern California in 1947 with the hope of being able to work in a prestigious psychiatric hospital where new (and disturbing) experiments on the human mind are carried out.

At the antipodes of this icy depiction is the iconic 1980s animated saga of Candy Candy, an orphan who becomes a nurse in Chicago during the War, a strong and determined character who faces numerous personal and professional challenges with courage and resilience. A series that had a great cultural impact and helped shape the image of nurses for many people and inspired many young people to consider the profession as a life choice.

In the same years - it seems unbelievable, but it is true - between the perfidious Mildred and the loving Candy, the stereotype of the sexy nurse emerged in Italy, brought into vogue by the trend of low-budget, sinister comedies, with a plot always similar to itself, with the camera spying through the keyhole of hospitals and barracks. Nothing strange, then, if at the dawn of the 1990s, Antonio Ricci invented the sexy nurse Angela Cavagna to cheer up the editions of Striscia la notizia, well before the phenomenon of the voyeurs.

The case of "The Last Shift": a realistic cinematic reflection

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Of a completely different depth, and we are now in the present day, is the very solid and realistic cinematic reflection that has just been released in Italian cinemas on being a nurse in an increasingly elderly, pathological western society, besieged by physical and moral ills. The problem is not our profession, it is our circumstances is the title of the essay-romance by the young German nurse Madeline Calvelage from which Petra Volpe's film L'ultimo turno, the only case of an authorial feature film entirely dedicated to the nursing profession, from the first to the last frame, takes its cue. It is a film shot in Zurich, with a Swiss-German cast and production. However, the Swiss setting cannot be ignored. Those very clean, quiet, orderly, hyper-technological hospitals are often described as 'The Mecca' for nurses from all over Europe, due to a better organisation of work and salaries twice as high as the average in, for example, Italy. Favourable circumstances, which do not alleviate the suffering of a profession. And the documentary-like pace of the film describes very well the dynamics, internal and external, of a hard night shift. And this time there is no room for bets, jokes or shenanigans. By the end credits, the audience's empathy is definitely on her side, despite the fact that her constant race against time also causes her to make some serious mistakes. But one does not empathise with the nurses out of pity, out of compassion, out of a charitable attitude. The phrases and data that the director brings out after the last poignant shot leave no room for doubt: the problem of the nurses is the problem of an entire community.

A small story that contains a huge question posed to each of us: is it right that the caring professions are so under-reported and under-valued, in a world that will need them more and more?

* Journalist, communications manager of the National Federation of Nursing Professionals

** Nurse, teaches ethics and professional ethics in the School of Law of the Alma Mater Studiorum of Bologna and in the School of Medicine of the University of Bari

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