Place is a kind of lived space. It is personalized space. One says, for
example, "Come to my place" meaning to my home. Or even more personally,
it relates to where I feel I belong or am, for instance, "he put me in
my place; I felt put down." The patient may feel "out of place" in the
health care setting, while it may be commonplace to the nurse. There may
be areas in the setting that the patient experiences as his territory,
for example, his bed, his room, his ward; while other areas are "theirs"
or "restricted to authorized personnel." So a nurse and a patient may be
in a place together, yet one feels at home and the other does not. For
the nurse to be really _with_ the patient involves her knowing him in
_his_ lived space, in his here and now.
Lived space is interrelated with lived time. Patients hospitalized for a
long time often express a proprietary attitude toward the hospital. The
same holds true for personnel. With time and familiarity a feeling of
reciprocal belongingness grows. The person belongs in the place and the
place belongs to the person. On the other hand, when a person finds
himself in a new place he may feel the discomfort of not belonging. This
is as true for the nurse in an unfamiliar setting as for the patient.
Again in this regard, the lived nursing dialogue is enhanced by the
nurse's awareness of not only her own experience of space but the
patient's as well.
CONCLUSION
This chapter explored the basic view of humanistic nursing as a
phenomenon in which human persons meet in a nurturing, intersubjective
transaction. Beginning with the central intuition that nursing is lived
dialogue, the examination turned to its existential source, the nursing
situation as it is lived. Reflection on actual experience clarified the
phenomena of meeting, relating, presence, and call and response as they
occur in humanistic nursing. Dialogical nursing was then reconsidered in
broader perspective as it actually evolves in the real world of men and
things in time and space.
As scientific advances multiply in the health field, nursing is swept
along in the tide. Continuous technological changes, ever increasing
specialization, emphasis in nursing education and research on scientific
methodology all have marked influence on the development of nursing.
Science (with a capital S) colors the nursing world. At every turn it
permeates the nurse's being with and {36} doing with the patient. It
offers a certain security by providing a consistent and effective
approach to some problems and questions, and, in some cases, results in
general laws to guide practice. At the same time, in the lived nursing
world the nurse experiences a reality that is not open to the scientific
approach, a reality not always verifiable through sense perception, a
reality of individuality. The uniqueness of individuality (her own as
well as the patient's) pervades the nursing dialogue.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account