The concept of profession is involved in the practice of nursing as
caring. With the advent of the information and action technologies
of the twenty-first century, the present concept of professions as
repositories of esoteric knowledge employed by social elites is rapidly
becoming outdated. As many nurses will attest, the patient often teaches
the nurse about new medical technologies and about the management of
them. In this regard, what will it mean, in the next century, to profess
nursing? A renewed commitment to professional caring means that nurses
would seek connectedness in all collegial relationships as nurses are
open to discovering the unfolding meaning of human caring, with persons
valued as important in themselves. Therefore, nurses forfeit assuming
authoritative stances toward each other, the persons nursed, and other
participants in the health care enterprise. More than ever, it will mean
that nurses will, in relation with others, live out the value of caring
in everyday life. Thus, the organized nursing profession would assume
responsibility for developing and sharing knowledge of nurturing persons
living caring and growing in caring.
The following story of a nursing situation, told in the form of a
poem, exemplifies the reconceptualization called for in the practice of
Nursing as Caring. In this situation, the nurse carried out a medically
prescribed treatment, not as a form of medicine but as a form of
nursing. The nurse communicates a knowing of the other as caring person,
living courage and hope in the face of pain and fear. This example
illustrates the meaning of knowing as a caring ingredient (Mayeroff,
1971), in the connectedness of the nurse with the patient.
The nurse's knowing both forms the intention to nurse and is formed by
the intention to know other as caring person and nurture caring. A
more typical recounting of this situation would focus on the specific
procedure of the treatment being applied, in terms of the condition of
the wound. In this poem, the nurse renders the meaning of nursing.
Heating--HIV +
Your wounds weeped
Purulent with the discharge of our
Pain and fear.
They tried to hide, only to reappear.
The treatment gentle, slow
A warm, loving balm to your soul.
Your stomach was fed the comfort
Food of your youth
And your lips drank in deeply all
You knew and understood.
The memories sweetened each moment
You stood, face to face with terror of
What might be mistook.
All inside shifted as slowly it came,
A gradual awakening; embracing of pain
As you conquered your demons
A lightness appeared
To stay forever and
Abolish all fears. (Wheeler, 1990)
NURSING SERVICE ADMINISTRATION
Public-domain text, read in full here on John Shaqi.
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