We have said in Chapter 1 that the domain of a discipline is that which
its members assert. The statement of focus that directs the study of
nursing from this theoretical perspective is that of nurturing persons
as they live caring and grow in caring. The study of nursing is
approached through the use of nursing situations. The knowledge of
nursing resides in the nursing situation and is brought to life through
study. The nursing situation is a shared lived experience in which the
caring between the nurse and the one nursed enhances personhood or the
process of living grounded in caring. These situations, like the many
cited in earlier chapters, become available for study through the use of
story (recounting the situation in ways that convey the essence of the
lived experience). These stories create anew the lived experience of
caring between the nurse and the nursed, and bring to life the basic
values described in Chapter 1.
Story then becomes the method for studying and knowing nursing. Carper's
(1978) four patterns of knowing serve as an organizing framework for
asking epistemological questions of caring in nursing. Those patterns
include personal, ethical, empirical, and aesthetic knowing. Each of
these patterns comes into play as one strives to understand the whole of
the situation. Personal knowing centers on knowing and encountering self
and other, empirical knowing addresses the science of caring in nursing,
ethical knowing focuses on what "ought to be" in nursing situations,
and aesthetic knowing is the integration and synthesis of all knowing
as lived in a particular situation. The poem, "Intensive Care," a
representation of a nursing situation, is given here to illustrate the
organization of sample content.
INTENSIVE CARE
(centered)
Public-domain text, read in full here on John Shaqi.
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