Caring expressed in nursing is personal, not abstract. The caring that
is nursing cannot be expressed as an impersonal generalized stance of
good will, but must be expressed knowledgeably. That is, the caring
that is nursing must be a lived experience of caring, communicated
intentionally, and in authentic presence through a person-with-person
interconnectedness, a sense of oneness with self and other. The nurse is
not expected to be super-human, superficial, or naïve. Rather, a genuine
openness to caring and a formed intention of knowing the other as caring
person are required. In this sense, and referring back to patients with
whom an expression of empathy is problematic; liking may be understood
as a less personally committed form of caring or loving. In other words,
liking is superficial and may not require the devotion needed to know
other as caring. When the nurse truly connects with the other, liking
the other becomes a moot issue.
Stories nurses tell about their nursing bring to light the sustenance
they find in the nursing situation. Lived experiences of practice,
recounted to crystallize the essential meaning of nursing, contain the
tangible seeds of awareness of self as caring person. However, the nurse
may not be fully aware of self as caring person until the nursing
story is articulated and shared. When the practicing nurse can begin
to describe practice as the personal expression of caring with and for
another, possibilities for living nursing as caring emerge.
Here is one nurse's response to the invitation to tell a story that
conveys the beauty of nursing. The authentic presence of the nurse in
the following nursing situation focuses on honesty as an expression of
self as caring person.
HONESTY
As Jason came through the door to RAC, a young black man lying
lifelessly on a stretcher of pale green linen, the surgeon came towards
me telling me not to tell Jason that his biopsy was positive.
I felt inner terror. A man, less than 18 years old, was going to come
close to the "truth" of living today. Yet the terror inside me was
really fueled by the becoming moral issue I was going to face soon.
Jason was surely going to ask of the results upon waking from
anesthesia. "They always do." Going to sleep unknowing demands
waking-to-know. "Honesty."
Honesty as a lived precept of caring requires that I, nurse, must always
and ever regard the person nursed from a position of love. I must enter
all nursing activity with the sole purpose of using truth, only and
ever, to promote the spiritual growth of the person nursed. In this
climate of openness to myself and to the other, we can begin to
experience freedom from fear.
Jason inevitably opened his eyes only seconds or minutes later--I was so
concerned with the surgeon's directive that I lost perception of time.
My choice? The surgeon's choice? Jason's choice?
All too soon, before I could decide "how" to act, Jason had arrived at
our moment of honesty versus dishonesty.
Public-domain text, read in full here on John Shaqi.
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