This was an exhausting visit to J's home, yet it was even more
energizing because of the multiple caring moments I experienced with J.
and her family. I have come to believe that caring moments are unique
to each nursing situation and evolve naturally from the mutuality of
authentic presence as the fullness of the nurse's personhood blends
with the fullness of the other's personhood. Together they transcend the
moment. The caring moment is connectedness between nurse and other and
both experience moments of joy. (Kronk, 1992)
To characterize this nursing situation with a nursing diagnosis and to
portray it as a linear process driven by the diagnosis or problem to be
addressed with a pre-envisioned outcome would be to rob the situation
of all the beauty of nursing. Because a story of a nursing situation
is narrative, there is a temporal structure. However, this structure
supports rather than destroys the "lived experience" character of the
situation. The story of the nursing situation conveys the "all-at-once"
as well as the unfolding. This approach permits us to conceptualize as
well as contextualize the knowledge of nursing the story tells. Through
story, the meaning for this nurse of knowing herself as caring person,
as entering into the world of other(s) with authentic presence, is
understood. The nurse knows other as caring person, and in that knowing
attends to specific calls for caring with unique expressions of caring
responses created in the moment.
The Nursing as Caring theory, grounded in the assumption that all
persons are caring, has as its focus a general call to nurture persons
as they live caring uniquely and grow as caring persons. The challenge
then for nursing is not to discover what is missing, weakened, or
needed in another, but to come to know the other as caring person and to
nurture that person in situation-specific, creative ways. We no longer
understand nursing as a "process," in the sense of a complex sequence of
predictable acts resulting in some predetermined desirable end product.
Nursing is, we believe, processual, in the sense that it is always
unfolding and that it is guided by intention.
Public-domain text, read in full here on John Shaqi.
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