Nursing as Caring was one of four caring theories included in a
comparative analysis reported by McCance, McKenna and Boore (1999). That
analysis was based on a number of factors, including origin, scope
and key concepts of the theory, definition of caring, description of
nursing, the goal or outcome of nursing from the perspective of the
theory, and simplicity of the internal structure. Findings of the
analysis were developed in terms of utility of the theory in practice.
Smith (1999) analyzed concepts from the literature on caring in nursing
in an effort to uncover points of congruence between that literature and
the theoretical perspective of the Science of Unitary Human Beings.
The theory of Nursing as Caring figured prominently in Smith's concept
clarification, contributing to four of the five synthesized constitutive
meanings of caring: manifesting intentions, appreciating pattern,
attuning to dynamic flow and inviting creative emergence (Smith, 1999).
RESEARCH METHOD DEVELOPMENT
In Chapter 6, Theory Development and Research, we envisioned an
approach that "would include a phenomenological aspect which goes beyond
description to an hermeneutical process, within an action research
orientation" (Boykin & Schoenhofer, 1993, p. 97). Two research
approaches have been developed within the context of studying Nursing as
Caring, one focusing on discovering the lived meaning of everyday caring
and the second directed toward understanding the value experienced in
nursing situations.
There is relatively little literature that deliberately sets out to
describe the multitude of ways of human caring. However, most if not
all human text does reflect uniquely personal ways of caring, and
can profitably be studied for this purpose. In an effort to provide a
knowledge base of the variety of human caring ways, one of the authors
(Schoenhofer) innovated a group phenomenology approach in which research
participants not only generated data in group settings, but also led the
synthesis of meaning (Schoenhofer, Bingham, & Hutchins, 1997). The
group approach to data generation was chosen for several reasons--one
was efficiency, but the primary reason was a belief in the synergistic
potential of the group process experience. The group approach to data
synthesis was added to the design based on the assumption that persons
living the phenomenon being studied and generating the data may be most
well qualified to intuit meaning across examples. The series of studies
of everyday caring may best be understood as general foundational human
science, rather than as nursing science per se. Results of the studies
produced knowledge that has potential to enlighten nursing practice,
rather than producing direct knowledge of nursing practice.
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