Boykin and Schoenhofer's theory comes not only from "what is known about
caring" but also from their imagination and creative sense of "what
could be known." They suggest a context for personal theorizing about
caring experiences, trusting that each person will examine the
content of those experiences as a sequence of more or less meaningful
events--meaningful both in them and in the patterns of their occurrence.
The authors put forth a framework for just such reflection, and they
challenge practicing nurses to "come to know self as caring person in
ever deepening and broadening dimensions."
If science has to do with knowing and that which is known, then theory
is about knowledge production. In one sense of the term, theory activity
might well be regarded as most important and distinctive for human
beings because is stands for the symbolic dimension of experience
(Kaplan, 1964, p. 294).
Boykin and Schoenhofer's work invites all nurses to develop nursing
knowledge and to theorize from within the nursing situation. The
invitation requests a sharing of both content and context of nursing
experiences as they are lived in meaningful patterns that have
significant bearings on all other patterns. To engage in theorizing
means not only to learn by experience, but to learn from experience--that
is, to take thought about what is there to be learned (Kaplan, 1964, p.
295).
In the thinking of Alfred North Whitehead (1967), theory functions
not to allow prediction but to provide a frame of reference, a pattern
through which one can discern particulars of any given situation. Theory
in this sense permits attendance or focus by giving form to otherwise
unstructured content. The proposed theory, Nursing as Caring: A Model
for Transforming Practice, provides the context. The frame of reference
through which any nurse engaged in a shared lived experience of
caring can not only interpret the experience but also can perceive and
symbolically express the patterns of nurse caring. The perception
of patterns will give the readers and listeners a "click of
meaningfulness," and the explanation will be the discovery of
interconnections among patterns. The perception that everything is just
where it should be to complete the pattern is what gives us intellectual
satisfaction and provides the context or focus for the one aspect of
reality that is the essence of nursing-caring.
Delores A. Gaut, PhD, RN Immediate Past President International
Association of Human Caring, Inc. Visiting Professor University of
Portland School of Nursing Portland, Oregon
REFERENCES
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