The perspective of nursing presented here is notably different from most
conceptual models and general theories in the field. The most radical
difference becomes apparent in the form of the call for nursing. Most
extant nursing theories, modeled after medicine and other professional
fields, present the formal occasion for nursing as problem, need, or
deficit (e.g., Self-Care)
Deficit Theory [Orem, 1985], Adaptation Nursing [Roy and Andrews,
1991], Behavioral System Model [Johnson, 1980], and [Neuman, 1989.]
Such theories then explain how nursing acts to right the wrong, meet the
need, or eliminate or ameliorate the deficit.
The theory of Nursing as Caring proceeds from a frame of reference
based on interconnectedness and collegiality rather than on esoteric
knowledge, technical expertise, and disempowering hierarchies. In
contrast, our emerging theory of nursing is based on an egalitarian
model of helping that bears witness to and celebrates the human person
in the fullness of his or her being, rather than on some less-than-whole
condition of being.
REFERENCES
Boykin, A., & Schoenhofer, S. (1991). Story as link between nursing practice, ontology, epistemology. Image, 23, 245-248.
Gadow, S. (1984). Touch and technology: Two paradigms of patient care. Journal of Religion and Health, 23, 63-69.
Johnson, D.E. (1980). The behavioral system model of nursing. In J. Riehl & C. Roy (Eds.), Conceptual models for nursing practice (2nd ed.). New York: Appleton-Century-Crofts.
Leininger, M.M. (1988). Leininger's theory of nursing: Cultural care diversity and universality. Nursing Science Quarterly, 1, 152-160.
Meleis, A. (1985). Theoretical nursing: Development & progress. Philadelphia: J.B. Lippencott.
Neuman, B. (1989). The Neumans systems model. Norwalk, CT: Appleton & Lange. Orem, D.E. (1985). Nursing: Concepts of practice (3rd ed.). New York: McGraw Hill.
Roy, C., & Andrews, H. (1991). The Roy Adaptation Model: The definitive statement. Norwalk, CT: Appleton & Lange.
Watson, J. (1985). Nursing: Human science and human care. A theory of nursing. Norwalk, CT: Appleton-Century-Crofts.
[Illustration: Button]
CHAPTER III -- NURSING SITUATION AS THE LOCUS OF NURSING
The concept of nursing situation is central to every aspect of the
theory of Nursing as Caring. We have claimed that all nursing knowledge
resides within the nursing situation (Boykin & Schoenhofer, 1991). The
nursing situation is both the repository of nursing knowledge and the
context for knowing nursing. The nursing situation is known as shared
lived experience in which the caring between the nurse and the one
nursed enhances personhood.
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