Chapter 1 presents a discussion of key ideas that ground and
contextualize nursing as caring. The most fundamental idea is that
of person as caring with nursing conceptualized as a discipline. Our
understanding of this foundation has been seasoned both from within
nursing and from outside the discipline, but always with the purpose of
deepening our understanding of nursing. When we have gone outside the
discipline to extend possibilities for understanding, we have made an
effort to go beyond application, to think through the nursing relevance
of ideas that seemed, on the surface, to be useful. Chapter I and
subsequent chapters draw on Mayeroff's (1971) caring ingredients,
including:
* Knowing--Explicitly and implicitly, knowing that and knowing how,
knowing directly, and knowing indirectly (p. 14).
* Alternating rhythm--Moving back and forth between a narrower and a
wider framework, between action and reflection (p. 15).
* Patience--Not a passive waiting but participating with the other,
giving fully of ourselves (p. 17).
* Honesty--Positive concept that implies openness, genuineness, and
seeing truly (p. 18).
* Trust--Trusting the other to grow in his or her own time and own way
(p. 20).
* Humility--Ready and willing to learn more about other and self and what
caring involves (p, 23).
* Hope--"An expression of the plentitude of the present, alive with a
sense of a possible" (p. 26).
* Courage--Taking risks, going into the unknown, trusting (p. 27).
In Chapter 2, we present the theory in its most general form. We have
resisted the temptation to include examples in this chapter for two
reasons: first, because an example always seemed to lead to the need to
further explain and illustrate; and second, because we wished to have
a general expression of the theory, undelimited by particulars, and
available to facilitate further theory development.
Chapter 3 elaborates on the idea of the nursing situation, and
illustrates the practical meaning of the theory in a range of particular
nursing situations. This chapter will probably be most satisfying to
the reader whose everyday nursing discourse is that of nursing practice.
Some might find it useful to read this chapter first, before reading
Chapters 1 and 2.
In Chapter 4, we explore the practice of nursing as caring and discuss
nursing service administration from the perspective of the theory.
Chapter 5 addresses issues and strategies for transforming nursing
education and nursing education administration based on nursing as
caring.
Our understanding of nursing as a human science discipline is the
central focus of Chapter 6. In this chapter, we discuss the necessity
of transforming models of nursing inquiry to facilitate the further
development of nursing knowledge in the context of the theory of Nursing
as Caring. We also share our commitment to the ongoing development
of nursing as caring and directions we wish to take in living that
commitment.
Public-domain text, read in full here on John Shaqi.
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