The view of person as caring and complete is also intentional; it offers
a lens for a way of being with another that prevents the segmenting
of that other into component parts (e.g., mind, body, spirit). Here,
valuing and respecting each person's beauty, worth, and uniqueness is
lived as one seeks to understand fully the meaning of values, choices,
and priority systems through which values are expressed. The inherent
value that persons reflect and to which they respond is the wholeness
of persons. The person is at all times whole. The idea of wholeness does
not negate an appreciation of the complexity of being. However, from the
perspective of the theory Nursing as Caring, to encounter person as less
than whole involves a failure to encounter person. Un-il our view is
such that it includes the whole as complete person and not just a part,
we can not fully know the person. Gadow's (1984) contrasting paradigms,
empathic and philanthropic, are relevant to this understanding. The
philanthropic paradigm enables a relationship in which dignity is
bestowed as a "gift from one who is whole to one who is not" (p.
68). Philanthropy marks the person as other than one like me. Gadow's
empathic paradigm, on the other hand, "breaches objectivity" (p. 67) and
expresses participating in the experience of another. In the empathic
paradigm, the subjectivity of the other is "assumed to be as whole and
valid as that of the caregiver" (p. 68). These paradigm descriptions
facilitate our knowing how we are with others. Is the attitude expressed
through nursing one of person as part or person as whole? How do these
perspectives direct nursing practice?
Our understanding of person as caring centers on valuing and celebrating
human wholeness, the human person as living and growing in caring, and
active personal engagement with others. This perspective of what it
means to be human is the foundation for understanding nursing as a human
endeavor, a person-to-person service, a human social institution, and a
human science.
Our view enables the development of nursing as a discipline of constant
discovery and new knowing.
Like disciplines, professions have unique characteristics, as defined
by Flexner. Flexner (1919) initially identified as the most basic
characteristic of a profession that it addresses a unique and urgent
social need through techniques derived from a tested knowledge base.
Professions have their historical roots in those human services that
people provided for each other within existing social institutions
(e.g., tribe, family, or community). Thus, each profession, including
nursing, has its origins in everyday human situations and the everyday
contributions people make to the welfare of others. Flexner's founding
conditions for the designation profession are reiterated in the American
Nursing Association's 1980 Social Policy Statement, in which the idea of
a social contract is addressed.
Public-domain text, read in full here on John Shaqi.
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