Certainly, we acknowledge that something useful for nursing can be
learned through existing methodologies, from both natural and human
science traditions. For example, an experimental design can produce
information about the effectiveness of a given clinical technique within
a specified range of use (e.g., placement of an oral thermometer). Such
information can be important and useful to the work of the nurse and
useful to the client of nursing. It tells us nothing, however, of
nursing. In fact, the central tenet underlying measurement in normal
science directly contradicts the central tenet of human science: created
versus creating. Thus, the fullness of the nursing situation is not
amenable to study by measurement techniques. Yet, aspects of the nursing
situation can be abstracted and studied as variables in relation to
other variables. This does not, however, yield knowledge of the nursing
situation in its fullest. At best, measurement approaches can call
attention to an aspect so that it can be considered within the
unfolding.
Phenomenology, on the other hand, offers an example of an orientation
and methodology that more closely approximates what is needed in a
nursing method of inquiry. Phenomenology is an orientation toward
inquiry that may be actualized through any one of a number of generic
approaches, but is generally understood as the study of lived experience
(e.g., Van Manen, 1990; Oiler, 1986). When the phenomenon conceptualized
for study is representative of the nursing situation, nursing may be
known. That is, new nursing knowledge may eventuate. New understanding
of the meaning of the shared lived experience of caring between nurse
and nursed enhancing personhood can be created.
Yet, for the purposes of nursing, phenomenology also has its limits.
For example, when phenomena which have been abstracted from a nursing
situation are selected for study (that is, when phenomena are taken out
of context), results of the inquiry cannot generate knowledge of nursing
proper. For example, the understanding that comes in developing a
description of the essential structure of what it is like for a nurse
to be called to nurse informs us about nurses, but not about nursing
directly. Similarly, an exquisite phenomenological description of what
it is like for a person to live grieving is helpful in understanding the
person. However, it should not be mistaken for knowledge of nursing, but
knowledge which illuminates the study of nursing when taken back to
the full context of the nursing situation. Further, the various
phenomenologies in the literature come from frames of reference that are
not nursing (e.g., existential psychology or educational psychology),
and thus impose a "silent" borrowed framework when used to study
nursing.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account