Nurses encounter a variety of perceptions during a single patient interaction. Understanding each patient and their situation centers around understanding those perceptions. Perception is a way of regarding, understanding, or interpreting something; a mental impression. This paper will outline the main tenants of regarding, understanding, or interpreting.
Defining the Topic In the field of nursing, a mental impression can be defined by our senses, selecting information and bringing that information to our brain. The brain maps out the information that has been received and begins to tell a story. Each story is unique and according to The Art of Possibility (Zander & Zander, 2000) the story told by each human being is “all invented”
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In The Art of Possibility (Zander & Zander, 2000) dealing with perception can be done through twelve practices (p.26). These practices help to lead and work with all relationships in life, both professional and personal. I am just going to cover the practices that can be the greatest benefit in the nursing career. One of those practices is called “giving of an A” (Zander & Zander, 2000, p. 26). An “A is not an expectation to live up to, but a possibility to live into.” (Zander & Zander, 2000, p. 26) This allows for connection through possibility instead of judgment. The giving of an A approach essentially places the individual’s strongest points first and weaknesses second. (Zander & Zander, 2000, p.26) This also helps change the way individuals regard themself. When an individual feels empowered, they feel better about themselves. R.S. Zander (2000), the author of this book, specifically speaks of a relationship with her own father. He was not present in her life. She tried throughout adulthood to have a relationship with him. He took his own life when she was only 22. Zander constantly questioned why her father didn’t love her. Only when she was finally able to switch her way of thinking to giving him an A could she identify her father wasn’t able to love her as a result of not being able to love himself. From there, she was able to feel compassion for her father (p.29). Another practice of Zander and Zander’s (2000) writes
Many things influence one’s personal perceptions of the great profession called nursing. According to the American Nurses Association, nursing is defined as “protection, promotion, and abilities, prevention of illness and injury,
After previously writing about Caper’s (1978) pattern of knowledge defined as personal knowledge I started to reflect back up on each day of what had previously occurred? What had led to the situation? And what could have I done differently to have bettered my relationship with patients? Searching for these answers during my daily practice has opened self-exploration into what nursing means to me. Within this paper I will discuss my philosophy of nursing, my personal definition of nursing, and what guided me towards becoming
I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,
The knowing addresses how nurses understand the knowledge. The doing of nursing entails the actions of nurses, bringing both knowledge and practice together (Butts and Rich, 2015). The four patterns of knowing, developed by Carper, include empirics. ethics, aesthetics, and personal knowledge. Empirical knowledge is the scientific aspect of knowing. It is based on general knowledge, and usually shared with other disciplines such sociologists and psychologists. Ethical knowledge involves morals and judgement. This is used when determining right or good acts in nursing practice, ensuring that the best decision is made and is right for the patient. Aesthetic knowledge, the art aspect of nursing, involve of the nurse’s understanding and acknowledgment of other’s living experiences. Showing empathy and respect to patients as they experience their life’s journey. Personal knowledge entails self-awareness and others, and interpersonal skills. These four patterns of knowing shows that nursing practice consist of holistic patient care, and not being solely scientific
The nurse also has to be aware of the nature of the nurse-patient relationship, the environment in which it takes place in, as well as an understanding of the context and the moment of the interactions in order to share a meaningful experience. Finally, nurses have to be passionate about his or her career. Nurse’s care and tend to the patients’ needs because nurses are passionate about the career. Even though the fundamental pattern of personal knowing, it provides a holistic nature of knowing. Many humanistic theories and models of nursing have been derived from personal knowing such as Peplau’s interpersonal relation theory, Kolcaba’s comfort theory, and Jean Watson’s theory of caring.
Carper (1978) identified four fundamental patterns of knowing which are (1) empirics, or the science of nursing; (2) personal knowledge; (3) esthetics, or the art of nursing; and (4) ethics, or the moral component of nursing. The purpose of this discussion is to explain how each pattern of knowing affects this author’s practice, and to identify the author’s preferred paradigm and provide justification for choosing this paradigm.
Story Theory is a middle-range theory put forward by Mary Jane Smith and Patricia Liehr in 1999. They believe that stories are an essential part of nursing practice. They believe that stories are just as important to diagnose and treat as the physiologic bodily responses of the patient. In fact, often it is the stories that clarify and give meaning to the measurements of physiologic response. Smith and Liehr posit that all nursing encounters take place within the framework of a story.
This paper explores Carper’s four fundamental ways of knowing, including its relationship and application to nursing theory. Carper (1978) identifies four ways of knowing as empirical, personal, ethical, and aesthetic. Each is individually important to nursing, but cannot adequately address the fundamental principles of nursing alone. This paper examines each pattern as expressed herein and ensures that all the relevant areas of nursing are attended to in the most professional, competent, and ethical manner.
In the nursing profession we are able to use multiple ways of knowing. We may not use them all at the same time and some more than the others, but we do use them. “Four fundamental patterns of knowing have been identified from an analysis of the conceptual and syntactical structure of nursing knowledge” (Reed & Crawford Shearer, 2012, p. 200). The four patterns of knowing include: empirical, esthetics, personal, and ethical.
Throughout the development of theory in the discipline of nursing there are concepts of knowledge that are fundamental. Four of these patterns of knowing were first explored by Carper (1978) which included: empirical knowing, ethical knowing, personal knowing, and aesthetic knowing. Later, an additional facet was added by Chinn and Kramer (2008) which introduced emancipitory knowing. While all of these forms of knowledge are critical for holistic nursing care, this paper will place an emphasis on personal knowledge and how it contributes to the development of knowledge within nursing and the roles of advanced care practitioners.
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
This report aims to discuss the communication observed between the Nurse and Patient portrayed in the video. There are two scenarios in which the Nurse addresses the patient’s concerns. The patient’s response is influenced by the Nurse’s approach. In a health care setting, a personal, empathic yet professional approach is most effective in communication from Nurse to Patient. Furthermore this report assesses the therapeutic techniques used by the Nurse to effectively interact with the patient.
When looking at Nursing as a profession, it is important to identify the body of knowledge which pertains to its profession. According to Carper (1978) the body of knowledge that serves as a rationale for nursing practice has patterns, forms and structure. Understanding these patterns is essential for the teaching and learning of nursing as a profession. Carper (1978) identifies four fundamental patterns of knowing and are known to be empirics, ethical, aesthetics and personal knowledge. Chinn & Kramer (2008) added the fifth pattern to knowing called Emancipatory knowing to address the issues of equality and justice. This essay will explain the five ways of knowing and show how it relates to my nursing practice.
So I bring up this controversial topic again, about both mental and physical health and how important it is to take some time out of our crazy busy lives as nurses just to sit with our patients for a few minutes to discuss their pain. By pain, I mean both mental and physical pain. The purpose of this paper is to discuss a situation I was involved in as a nursing student in the clinical setting and how I can critically analyze this situation using Carper’s Fundamental Patterns of Knowing in Nursing (1978). This model has helped many practitioners to consider what they learn throughout reflection on their experience within a holistic way.