While the work of several scholars has influenced our understanding
(e.g., Gadamer, 1989; Van Manen, 1990; Ray, 1994; Reeder, 1988),
Macdonald's (1975) interpretation from the field of humanistic
education is especially meaningful. He explains hermeneutic knowing
methodologically as "circular rather than linear in that the
interpretation of meaning in hermeneutic understanding depends on a
reciprocal relation" (p. 286) rather than on a fixed normative reference
point. The hermeneutic circle models the idea of reciprocal relation,
but Macdonald goes further to call for a self-reflective science that
will "transcend problems of monological and hermeneutic meaning" (p.
287). The nature of nursing as expressed in the Nursing as Caring theory
is a reciprocal relation, one characterized by its grounding in person
as caring, and as persons connected in oneness in caring. Sciencing in
nursing from this perspective must go beyond linearity to encompass the
dialogic circling involved in the nursing situation. This places the
discipline of nursing among the human sciences, and calls for methods
of inquiry that assure the circle or dialogue, and further, fully
accommodate that which can be known of nursing.
Nursing is properly catalogued as one of the human sciences for
many reasons. The most basic reason is that the discipline and the
disciplined practice of nursing directly involve persons in the fullness
of their humanness. From our perspective, this means person as caring.
Person as caring implies person in community, connected in oneness
with others and with the universe, person freely choosing the living of
values which are expressions of caring. This nursing ontology requires
an epistemology consonant with human science values and methods. To know
of, through and with nursing necessitates methods and techniques that
honor freedom, creativity, and interconnectedness.
In Chapter 4, we asserted that nursing knowledge is created and
discovered within and from within the nursing situation. (Nursing
situation, you may recall, is understood as a shared lived experience
in which the caring between the nurse and the one nursed enhances
personhood.) Therefore, because the locus of nursing inquiry is the
nursing situation, the systematic study of nursing calls for a new
methodology that recognizes that fact.
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