Locsin Chapter 19 Knowing the Person and Technology as Medium. To quote our esteemed colleague June Kikuchi in her 1999 paper on clarifying the nature of conceptualizations about nursing, there can be no presuppositionless conceptions. Language is itself a symbol and is synonymous with culture. The phoenix touches us with wonder. Most significant was the growth in nursing programs within schools of higher education, including the community college movement spawned by the work of Mildred Montag in the early 1950s.
Advances in Nursing Science, 18 1 , 1—13. Sotejo Medallion of Honor: Lifetime Achievement Award University of the Philippines, Nursing Alumni International Inc. And although the centrality and even the value of the idea of nursing as a sequential process are widely disputed, I think we must acknowledge that our literature continues to proclaim nursing process as central to the meaning of nursing. Because these developments occurred during the latter half of the 20th century, they are examined within the context of the medical thought of the time, and their influence on changing ideas in education, especially concerning curriculum. Joint Commission on the Accreditation of Healthcare Organizations 1999. In this chapter, we will explore an idea about a new pattern of knowing that may open new horizons for your nursing practice and research.
Postcolonial theory originated in the 1960s in the aftermath of formal European colonialism. The curriculum field in retrospect. . This poses a problem in that all identified patterns are of value, but when ways that are context dependent or of a narrower focus are aligned among the four fundamental patterns, the dynamic relationship and unity among the original patterns lose balance and coherence. Center Nursing Press, Sigma Theta Tau International Honor Society of Nursing, Indianapolis, Indiana. Carper rightfully declared then, and other nurse scholars continue to follow suit now, that other ways of knowing may exist.
It is not unusual to hear that the central project of nursing is communication—the act of becoming one with—whether in discursive or nondiscursive forms, verbal or nonverbal. Language is itself a symbol and is synonymous with culture. The disciplines he uses to explicate the synoptic realm are history, religion, and philosophy. Concurrently, the study of curriculum came into existence as a specialized field of study and as a process rather than a focus on specific content or structure. A growing emphasis on the inclusion of experiential learning, self-awareness, and personal relating in nursing education supports the view that nurse educators value this realm of meaning too. Mitchell Chapter 7 Knowing Persons as Whole: Bearing Witness to Unfolding Mystery. American Journal of Nursing, 89 12 , 493—495.
The Chronicle of Higher Education, 43 1 , 48. Ida Jean Orlando Pelletier : Nursing process theory. Purnell This page intentionally left blank Philosophical, Theoretical, and Historical Perspectives of Knowing I This page intentionally left blank Phoenix Arising: Synoptic Knowing for a Synoptic Practice of Nursing 1 Marguerite J. Ray Chapter 13 Decision Making and Knowing in Nursing: The Essentiality of Meaning. We have even postulated that without the caring between, there is no true nursing. Meaning in knowing is experienced in the moment. Caregiving, itself a nursing process, is regarded as a path to knowing the patient and learning about other nursing processes of healing and well-being.
At the conclusion of that process, she and her colleague, Anne Boykin continued to study and develop an understanding of caring in nursing that led to the 1993 publication of the theory of Nursing As Caring, with an updated version in 2001. Savina Schoenhofer, who have been colleagues of conscience in our efforts to stay true to our underlying beliefs and values centered in caring. The emergence of guidelines for patient management based on scientific evidence and expert opinion was another impetus to the development of a nursing classification system, or at least a more systematized approach to nursing knowledge. Persons are viewed as collections of parts, a process that begins when medical consultation is first sought. When discussing the selection of a nursing intervention, Bulechek and McCloskey 1999 suggest that a variety of factors come into play, although they do cite the desired patient outcome as the most important p. The old becomes the new, and knowledge is not lost in change, but becomes change.
As an educator, her extensive experience in caring practice has served to stimulate and mentor students across the spectrum. Patterns of symbolic knowing and synoptic knowing in nursing, therefore, are merely two different expressions of the same knowing, rather like a double helix, between which 13 14 Part I: Philosophical, Theoretical, and Historical Perspectives of Knowing patterns of knowing such as personal, empiric, aesthetic, ethical, sociopolitical, and unknowing come into view and reveal their unique characteristics. As human beings, our knowing and intentionality are more complex and wonderful than we have ever dreamed, yet we have hardly begun. New York: National League for Nursing Press. Knowledge workers are attempting to transcend currently dichotomous philosophies of nursing science, and although the call for triangulation and blending is not working well, its failure is demonstrating that transcendent thinking is needed. Additionally, our international colleagues struggled to meet challenges of time zones and technology.
We now turn our attention to the realm that Phenix calls synoptic, which presents a paradox for consideration. The discussion, perhaps, should center on whether all patterns together should have the capacity not only for mutual inclusion, but also for being mutually inclusive—a somewhat different premise. Ethics has to do with personal conduct based on free, responsible decision. An experience in basic nursing education. In addition, far from being written in stone, medical diagnostic categories and therapeutics frequently morph or change into new modes of being. The interchange between the words knowing and knowledge contributes to this thinning: Meaning from knowledge must be inferred and is somewhat removed from immediacy.
This text addresses this highly relevant issue, and provides a wealth of insight on how to care for the patient on a personal level, while still professionally administering clinical treatment. It is thus we turn our thoughts to nursing as a discipline, to the uniqueness of its knowledge, to our knowing and how we know what we know, and to informed courage in surrendering to necessary change. From a systems perspective, things are placed in categories and then are considered as reflecting a particular single category. Building bridges: Affirming health and culture in nursing. Locsin and Purnell stress the importance of knowing the patient, and differentiating the person from the disease. This gives knowing the life and fullness of meaning distinctive to nursing. Nursing interventions: Treatments for nursing diagnoses.