In the humanistic perspective the nurse also is viewed as a human
person, as a being in a body rather than merely as a function or a doer
of activities. Conscious recognition of this fact opens many areas for
exploration. Obviously, the nurse's actions (her being with and doing
with), that affect the patient's world, are expressed through her body.
How is nurturance communicated and actually effected through nursing
activities? From the other side, consider the nurse as being affected by
the world through her body. What depths of "nursing content" could we
fathom if we accepted the existential dictum that "the body knows?"
Would we dismiss so lightly those gems of clinical wisdom nurses
attribute disparagingly to "gut reaction," "unscientific intuition," or
"years of experience"? Would we value serious exploration and extraction
of these natural resources in the nursing world?
The framework suggests, further, the possibilities of exploring the
development of human potential, both patient's and nurse's, as it occurs
in the unique domain of nursing's intersubjective transactions. What
human resources are called forth in the shared situations during which
nurses coexperience and cosearch with patients the varied meanings of
being and becoming over the entire range of life from birth to death?
How does it occur? What is the process? What promotes well-being or
becoming more when facing life, suffering, death? For the patient? For
the nurse? What knowledge gained through the study of nursing, a
particular form of the human situation, could be contributed to the
general body of human sciences?
Finally, within this framework, all the phenomena experienced in the
nursing situation could be explored in relation to their attributes of
time and space. More specifically, from an existential perspective, the
focus would be directed toward the significance of lived time and space,
that is, time and space as experienced by the patient and/or the nurse,
and as shared intersubjectively. For example, waiting, silence,
chronicity, emergency, positioning a patient in bed, moving through
space in a wheelchair, crutchwalking, pacing, could be considered from
the standpoint of the patient's experienced space and time, or from the
nurse's, or as a shared event. Explorations of this kind could provide
valuable insights into important nursing phenomena, such as, presence,
empathy, comfort, timing. {20}
The human situation, then, is the ground within which nursing takes
form. As such, it provides a framework for approaching the study and
development of humanistic nursing. As an angular view, it holds the
focus on the basic question underlying nursing practice: Is this
particular intersubjective, transactional nursing event humanizing or
dehumanizing?
CONCLUSION
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