Nursing implies a special kind of meeting of human persons. It occurs in
response to a perceived need related to the health-illness quality of
the human condition. Within that domain, which is shared by other health
professions, nursing is directed toward the goal of nurturing well-being
and more-being (human potential). Nursing, therefore, does not involve a
merely fortuitous encounter but rather one in which there is purposeful
call and response. In this vein, humanistic nursing may be considered as
a special kind of lived dialogue.
NURSING VIEWED AS DIALOGUE
These considerations of the dialogical character of nursing will be more
fruitful if they are related to some concrete nursing experience.
Reflect for a moment on your daily nursing practice. Recall an
encounter, a specific interaction with a patient (client). Try to
remember the details. Where were you? What time of day was it? Who was
present? What was your state of being--what were you feeling, thinking,
doing? How did the interaction begin? What happened between you? What
was felt, said, done? What was left unsaid, undone? How did the
interaction end or close? How long did the flavor last? Now keep this
concrete instance of your lived nursing reality in mind and let it raise
its questions in the following exploration.
Meeting
The act of nursing involves a meeting of human persons. As was noted
above, it is a special or particular kind of meeting because it is
purposeful. Both patient and nurse have a goal or expectation in mind.
The inter subjective transaction, therefore, has meaning for them; the
event is experienced in light of their goal(s). Or in other words, the
living human act of nursing is formed by its purpose. Its
goal-directedness colors the attributes and process of the nursing
dialogue.
When a nurse and patient come together in a nursing situation, their
meeting may be expected or planned by one or both or it may be
unexpected by one or both. In any case, the goal or purpose of nursing
holds. Even in a spontaneous interaction where they have met only by
chance, in a health care facility or any place where one is identified
as patient and the other as nurse, there is an implicit expectation that
the nurse will extend herself in a helpful way if the patient needs
assistance. If the meeting is planned or expected, this factor
influences the dialogue. Each comes with feelings aroused by
anticipation of the event, for example anxiety, fear, dread, hope,
pleasure, waiting, impatience, dependence, hostility, responsibility.
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