When approaching a situation from this perspective, we understand each
person as fundamentally caring, living caring in his or her everyday
life. Forms of expressing one's unique ways of living caring are limited
only by the imagination. Recognizing unique personal ways of living
caring also requires an ethical commitment and knowledge of caring. In
our everyday lives, failures to express caring are readily recognized.
The ability to articulate instances of noncaring does not seem to
take any particular skill. When nursing is called for, however, it
is necessary that nurses have the commitment, knowledge, and skill to
discover the individual unique caring person to be nursed. For example,
the nurse may encounter one who may be described as despairing. Relating
to that person as helpless recalls Gadow's (1984) characterization of
the philanthropic paradigm which assumes "sufficiency and independence
on one side and needy dependence on the other" (p. 68). The relationship
grounded in nursing as caring would enable the nurse to connect with the
hope that underlies an expression of despair or hopelessness. Personal
expressions such as despair, or fear, or anger, for example, are neither
ignored nor discounted. Rather, they are understood as the caring value
which is in some way present. An honest expression of fear or anger, for
example, is also an expression of vulnerability, which expresses
courage and humility. We reiterate that our approach is grounded in the
fundamental assumption that all persons are caring and the commitment
which arises from this basic value position.
It is this understanding of person as caring that directs professional
nursing decision making and action from the point of view of our Nursing
as Caring theory. The nurse enters into the world of the other person
with the intention of knowing the other as caring person. It is in
knowing the other in their "living caring and growing in caring" that
calls for nursing are heard. Of equal importance is our coming to
know how the other is living caring in the situation and expressing
aspirations for growing in caring. The call for nursing is a call for
acknowledgement and affirmation of the person living caring in specific
ways in this immediate situation. The call for nursing says "know me as
caring person now and affirm me." The call for nursing evokes specific
caring responses to sustain and enhance the other as they live caring
and grow in caring in the situation of concern. This caring nurturance
is what we call the nursing response.
NURSING SITUATION
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