Man has the inherent capacity to respond to other man as other man. Only
each unique nurse faced with the chaos of her alternatives in a
situation can then choose either to relate or not to relate and how to
relate in-her-nursing-world to others. Choosing to and how to relate or
respond cannot be superimposed on man from the outside by another. A
person, to a degree, can be coerced to behave outwardly in a certain
way. For example, physically, in a spatial {6} sense, a nurse can be
ordered into parallel existence with another. Being existentially and
genuinely present with another is different. This human mode of being is
chosen and controlled by the self. It takes responsible self-ordering
that can arise only in the spirit of one's own disciplined being.
Value--Nonvalue
To offer genuine presence to others, a belief must exist within a person
that such presence is of value and makes a difference in a situation. If
it is a value for a nurse, it will be offered in her nursing situation.
Libraries, concrete buildings bursting with words of great thinkers,
support the value of genuine presence and authentic dialogue between
persons. Consider the literary works that have conveyed or reflected
this message throughout the existence of intellectual man. Plato,
Rousseau, Goethe, Proust, Nietzsche, Whitehead, Jung, May, Frankl,
Hesse, de Chardin, Bergson, Marcel and Buber effortlessly come to mind.
Many nurses are genuine presences in the nursing situation. Some have
tried to share their experiences; some have not. And, there are those
who are not genuine presences in the nursing situation. One wonders if
this has influenced the distinctions nurses have made over the years
with certainty when considering their nurse contemporaries. Often one
hears, "she is a good nurse, a natural." These positive critics are
often up against it when asked, "why, how, what?" Descriptive literary
conceptualizations of nursing that reflect this quality of nurse-being
(presence, intersubjectiveness) call for nurses willing to search out
and bring to awareness, the mysteries of their commonplace, their
familiar, and to appreciate the unique ideas, values, and meanings
fundamental to their practice. Conceptualization of these qualities by
practicing nurses is basic and necessary to the development of a science
and an actualized profession of nursing.
PHENOMENOLOGICAL DESCRIPTION
Phenomenology directs us to the study of the "thing itself." The
existential literature, descriptions of what man has come to know and
understand in his experience, has evolved from the use of the
phenomenological approach. In the humanistic nursing practice theory the
"thing itself" is the existentially experienced nursing situation. Both
phenomenology and existentialism value experience, man's capacities for
surprise and knowing, and honor the evolving of the "new."
What Does Humanistic Nursing Practice Theory Ask the Nurse to Describe?
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