The ever-present individual differences may be regarded as intractable
elements to be conquered for the sake of the efficiency of the system
(for example, fit the patient to the treatment program). Or they may be
valued as indicators of the inexhaustible richness of human potential to
be developed. In their daily practice, nurses are drawn toward the two
realities--the reality of the "objective" scientific world and the
reality of the "subjective-objective" lived world. This tension is lived
out in the nursing act. Doing with and being with the patient calls for
a complementary synthesis by the nurse of these two forms of human
dialogue, "I-It" and "I-Thou." Both are inherent in humanistic nursing
for it is a dialogue lived in the objective and intersubjective realms
of the real world.
In the highly complex health care system nurses experience many demands
from many directions. Their clinical judgments in daily practice must be
made within a continuous stream of decisions about priorities of
investment of their time and efforts. Sometimes, survival in the system
reduces the nurse to following the line of least resistance, that is,
responding to the immediate or to the loudest demands. However, even
with their total commitment this course of response does not guarantee
that nurses are making their greatest possible contribution to health
care. This can happen only if we are able to see demands and
opportunities in relation to our reason for being--nurturing the
well-being and more-being of persons in need.
Humanistic nursing, viewed as a lived dialogue, offers a frame of
orientation that places the center of our universe at the nurse-patient
inter subjective transaction. Insightful recognition of the lived
nursing act as the point around which all our functions revolve, could
require a Copernican revolution of orientation of some nurses. It does
provide, for all nurses, a true sense of direction that can be
actualized by each unique nurse through creative human dialogue. {37}
4
PHENOMENON OF COMMUNITY
Humanistic nursing creates, happens within, and is affected by
community. This chapter will discuss the abstract term "community." To
stimulate thought on a nurse's influence on community, consideration
will be given to three points: (1) my angular view of community and its
evolvement, (2) how man has considered community over time, (3) how a
human being comes to be through community.
MY ANGULAR VIEW
One can view members of a family, a student class, a hospital unit, a
hospital staff, several related hospital staffs, health services
organizations within a geographic area, a profession, a town to a world
or universe as community. Man's mind, my mind, determines where I
superimpose the limits or lift the limits or relate components. In _The
Republic_ Plato depicted a community as a macrocosm.[1] Its nature was
conditioned by the kinds of men, the microcosms, that composed it. The
macrocosm was a reflection of its microcosms.
Public-domain text, read in full here on John Shaqi.
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