In responding to the nursing call, the nurse brings an expert (expert
in the sense of deliberately developed) knowledge of what it means to be
human, to be caring, as a fully developed commitment to recognizing and
nurturing caring in all situations. The nurse enters the other's world
in order to know the person as caring. The nurse comes to know how
caring is being lived in the moment, discovering unfolding possibilities
for growing in caring. This knowing clarifies the nurse's understanding
of the call and guides the nursing response. In this context, the
general knowledge the nurse brings to the situation is transformed
through an understanding of the uniqueness of that particular situation.
Every nursing situation is a lived experience involving at least two
unique persons. Therefore, each nursing situation differs from any
other. The reciprocal nature of the lived experience of the nursing
situation requires a personal investment of both caring persons. The
initial focus is on knowing persons as caring, both nurse and nursed.
The process for knowing self and other as caring involves a constant and
mutual unfolding. In order to know the other, the nurse must be willing
to risk entering the other's world. For his or her part, other person
must be willing to allow the nurse to enter his or her world this to
happen, the acceptance of trust and strength of courage needed, person
in the nursing situation can be awe-inspiring.
It is through the openness and willingness in the nursing situation that
presence with other occurs. Presence develops as the nurse is willing to
risk entering the world of the other and as the other invites the nurse
into a special, intimate space. The encountering of the nurse and the
nursed gives rise to a phenomenon we call caring between, within which
personhood is nurtured. The nurse as caring person is fully present
and gives the other time and space to grow. Through presence and
intentionality, the nurse is able to know the other in his or her
living and growing in caring. This personal knowing enables the nurse
to respond to the unique call for nurturing personhood. Of course,
responses to nursing calls are as varied as the calls themselves. All
truly nursing responses are expressions of caring and are directed
toward nurturing persons as they live and grow in the caring in the
situation.
In the situation, the nurse draws on personal, empirical, and ethical
knowing to bring to life the artistry of nursing. When the nurse, as
artist, creates a unique approach to care based on the dreams and goals
of the one cared for, the moment comes alive with possibilities. Through
the aesthetic, the nurse is free to know and express the beauty of the
caring moment (Boykin & Schoenhofer, 1991). This full engagement within
the nursing situation allows the nurse to truly experience nursing as
caring, and to share that experience with the one nursed.
Public-domain text, read in full here on John Shaqi.
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