When the nursing dialogue is genuinely intersubjective, it has a kind of
_synchronicity_ that is evident in the nurse's being with and doing with
the patient. This kind of timing is related to the transactional
character of nursing and to its goal of nurturing the development of
human potential. It is experienced in openness, availability, and
presence, as well as in nursing care activities. The nurse feels in
harmony with the rhythm of the dialogue and, sensing the timing of its
flow, she paces her call and response to patient's ability to call and
respond in that moment. So, as a nurse, you may find yourself almost
unconsciously or intuitively waiting, holding back, anticipating, urging
the patient. This kind of synchronization or timing is intersubjective
for the clues or reasons for encouraging or waiting are not found solely
in the patient's behavior nor only in the nurse's knowledge or
experience. "Good" or "right" timing somehow involves the "between." It
implies that nurse and patient share not only clock time but private,
lived time.
Space
By exploring the dialogue of nursing as it is lived in the real world
the factor of space becomes apparent. Here again the dialogue is
influenced by space as it is measured and space as it is experienced by
nurse and patient. When thinking of health care facilities, "space" may
be synonymous with such things as beds, waiting rooms, interview rooms,
treatment areas, size of patient's room, visiting areas, a quiet place,
a private place. Naturally, the physical setting, whether in a hospital,
home, anywhere in the community, can serve to enhance or impede the
nursing dialogue. However, the person's experience of the space may be
even more important.
Space is lived in terms of large and small, far and near, long and
short, high and deep, above and below, before and behind, left and
right, across, all {35} around, empty, crowded. These perceptions and
experiences of space may be influenced by the effects of illness, for
example, changes in vision or locomotor ability. Thus, a patient's
spatial world may change, expand or diminish, become unmanageable or
manageable day by day. Furthermore, a patient's attitude toward and
experience of a particular place may be affected by his mental
association to it (for example, oncology ward, psychiatric unit), his
previous experience in it (for example, emergency room, operating room),
or a desire to be somewhere else (for example, "This is a nice hospital
but I'd rather be home").
Public-domain text, read in full here on John Shaqi.
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