The key is to return again to the source, to look at the phenomenon of
nursing as it occurs in real life. From this perspective, the human
situation sets the stage where nursing is lived. The major dimensions of
humanistic nursing, then, may be derived from this situation.
Existentially, man is an incarnate being always becoming in relation
with men and things in a world of time and space. The nursing situation
is a particular kind of human situation in which the interhuman relating
is purposely directed toward nurturing the well-being or more-being of a
person with perceived needs related to the health-illness quality of
living. The elements of the frame, based on this view of humanistic
nursing, would include incarnate men (patient and nurse) meeting (being
and becoming) in a goal directed (nurturing well-being and more-being)
intersubjective transaction (being with and doing with) occurring in
time and space (measured and as lived by patient and nurse) in a world
of men and things. In other words, the inexhaustible richness of lived
nursing worlds could be explored freely, imaginatively, and creatively
in any direction suggested by the dimensions of this open framework. It
allows for a variety of angular views.
For example, in terms of man as incarnate, it is certainly not new for
nurses to focus on man's bodily existence. Naturally, one of nursing's
basic concerns always has been care of people's physical needs. To view
nursing from the perspective of the human situation, however, is to see
beyond physical care, {19} beyond the categorization of man as a
biopsychosocial organism. The focus is on the person's unique being and
becoming in his situation.
Every man is inserted into the common world of men and things through
his own unique body. Through it he affects the world and the world
affects him. Through it he develops his own unique personal private
world. When a person's bodily functions change during illness _the_
world and _his_ world change for him. The nurse needs to consider how
the patient experiences his lived world. Ordinary things which nurses
simply take for granted, such as, hospital noises or odors, touching,
bathing, feeding, sleep or meal schedules, may have very different
meaning for individual patients. They may or may not be experienced as
nurturing in a particular person's lived world.
Public-domain text, read in full here on John Shaqi.
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