Struggling with the term "ambivalence" involved and interested me in
concept development. During this phase I overcame my fear of exposing my
thoughts, I took the risk, and my courage had the upper hand.
Nevertheless, another choice had to be made since now I was not willing
to invest this much time on conceptualizing "ambivalence" as so relevant
to nursing. Perhaps this signified that my own ambivalence had
dissipated. And again, I faced the question, what term would I want to
develop as a synthetic construct?
The next question that occurred to me was, what term would indicate why,
as a nurse, I am in the clinical health-nursing situation? Did I view my
value mainly as growth, health, freedom, or openness promotion? I worked
for a while with each of these terms and eventually discarded them. Some
long-hospitalized persons with whom I was working on a demonstration
psychiatric unit to prepare them for a more independent and appropriate
form of community living would never be stably balanced in health,
growing, freedom or openness. For many, these could be only flitting
memorable beautiful moments. Still I believed I was very much there in
the nursing situation for these persons, as well as for those who moved
into the community and found work and social satisfactions. Something
occurred between all of these 15 patients and myself--and that was
nursing.
COMFORT: WHY
While considering what construct to conceptualize, I was in the process
of recording my three-hour, twice a week interactions in the
demonstration unit. I reflected on these interactions and waited for the
data to reveal to me the major value underlying my nursing practice.
Then the term "comfort" came {99} to mind. Perhaps at this point I
became comfortable in this unit, or perhaps the unit, itself, became a
more comfortable setting. When I had first begun my experience with this
demonstration unit, it was still being planned and the hospital was new
to me. However, the term "comfort" has long been associated with
nursing. One can find it as a historical constant throughout the
professional nursing literature. The term had been used recently in an
ANA publication.[2] When I considered the idea of comforting in nursing
practice I felt such experiences had fulfilled and satisfied me, made me
feel adequate. I could recall specific experiences that went back to my
initial nursing practice settings. I could conceive of comfort as an
umbrella under which all the other terms--growth, health, freedom, and
openness--could be sheltered. Some of my contemporaries scoffed and
viewed this term as much too trivial.
Now, again reviewing my months of gathered clinical data, I sorted out
12 nurse behaviors that I viewed as aiming toward patient comfort. They
were:
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