In conclusion to this stage of development of a synthetic construct of
comfort as an aim of psychiatric nursing I can say: Comfort is an aim
toward {103} which persons' conditions of being move through
relationship with others by internalizing freedom from painful
controlling effects of the past. These effects have inhibited their
self-control, realistic planning, and prevented them from being all that
they could be in accordance with their potential at any particular time
in any particular situation. I would project this as an aim for nursing
in all situations although the data for constructing this
conceptualization were gathered in a clinical psychiatric setting.
CLINICAL: HOW
As a component of my doctoral examinations I was faced with having to
rewrite a clinical paper. This led to my deliberately and personally
choosing to conceptualize a synthetic construct of "clinical." This was
my decision. It speaks well for the value of having had the experience
of conceptualizing "comfort." Often it is said that man repeats that
which he finds as meaningful and good. This choice also signifies a real
overcoming of my resistance and ambivalence toward synthetic construct
development in a year's time.
"Clinical" was developed as a synthetic construct in 1968. It was a
conceptualized response to a dialectical process within myself. If I am
a clinician, then "how" I am in the health-nursing situation would
equate to "clinical." In conceptualizing this construct I teased out of
my lived-nursing-world the "how" of my working toward my own and others'
comfort.
Confusion, over what was meant when persons casually and currently
popularly attributed the term "clinical" to situations and persons,
called forth this conceptualization. It grew out of comparing and
contrasting two nursing consultation experiences in the
psychiatric-mental health area. Beginning this conceptualization I would
have referred to both these experiences as "clinical." At the
termination of the conceptualization they were both "clinical." They
were very different experiences for me, and yet of equal value in my
advancement toward my more of being. Prior to this conceptualization
because my attending emotions were so disturbing and unacceptable to me
in relation to one of these experiences, automatically I repressed part
of them and found reasons to suppress the rest of them. Unfortunately,
all else that was of value to me in having lived this experience was
integrally enmeshed with these emotions. This, too, became unavailable
to my conscious awareness. Conceptualization made recall and reflection
a necessity. Clinical includes inherently a process of experiencing
awarely and then recalling, looking at, reflecting on, and sorting out
to come to knowing.
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