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¶ … Patterns of Knowing
This nurse's experience does provide evidence of the fundamental patterns of knowing. There are overarching patterns in knowing: empiric (through the senses), ethics (obligation), personal, aesthetics (relating to the art of nursing), and emancipatory knowing (Chinn & Kramer, 2008). There are five dimensions to the knowledge process: critical questions, creative processes, formal practice of knowledge and knowing, integrative practice of knowledge and knowing, and authentication processes (Chinn & Kramer, 2008). To some degree, all of the overarching patterns in knowing and their related dimensions were in evidence in the nurse's story.
One element from the reading that seemed extremely relevant to the nurse's story was the idea that "as the scientific worldview gained dominance, so did the idea that human progress would be achieved by harnessing science to create technology...
The nurse in question wanted to go right into medical surgical nursing, but did not find that type of position. Instead, she was assigned to deal with an older gentleman who had received a terminal diagnosis. She began working with him with a negative personal attitude. She feared death and did not think that she would be able to help her patient. Moreover, he had a very negative and gruff attitude, which made him seem intimidating. Initially, the barriers between them made it seem like, as a nurse, she would not be able to help him. She could not offer him medical assistance through scientific advances, and she did not yet believe she had the experience necessary to treat him compassionately and ease him from life to death. Their relationship was transformed, not through any application of technical nursing skill, but because of a bonding experience that…
Aesthetics generally were reserved for art. I find the proposition that nursing is also an art form rather charming. In their newest work (2008), Chinn and Kramer added emancipatory knowing to the other four ways of knowing in the profession. This means that a critical element is added to the way in which nurses work with their clients. Social and structural changes are in order to change what is perceived
It is the dimension of knowing that connects with human experiences that are common but expressed and experienced uniquely in each instance. It is ultimately the processes of envisioning and rehearsing nurture artistic expression (Chinn, Kramer, & Chinn, 2008). Empiric knowledge in nursing consists of knowledge development along with highlighting the role of conceptualizing and structuring ideas into knowledge expressions such as theories and formal descriptions. Theories and formal descriptions
Nurses can frame a personalized clinical plan accordingly. The plan can empower the patient as well as his nurse. By using a family-centered model approach, the nurse can collaborate closely with the patient's family, who knows his temperament better (Ranger & Campbell-Yeo). Clinical Case 1: Sciatica Mrs. J. K, aged 42, has had stiffness and aching in the lumbar region when rising or sitting down for six now (Boger 1994). Her
Emotions or feelings assume a fundamental part in our day-to-day social interactions (Scherer, 2003) and work as essential administrative and utilitarian capacities inside the body and mind, and emotions also encourage logical thinking and discernment. After thorough evaluation and assessment of hypotheses and methodology utilized in the field of emotional study, I considered different advantages and shortcomings in every one of them and decided upon an unbiased/neutral stance in my
Manage identification planning This chapter discusses the management and planning of change process within the clinical setting. Change management plan is very critical to the success of any healthcare unit. Change may be threatening to organizations, however, successful implementation of changes is very crucial for the success of an health organization. Failing to make a change move could lead to the consistence of medical errors among the medical staff and
Beyond the critical incident itself, which will be described and looked at as part of this report, I will also bring in a number of major themes and analysis methods. The two major tools that will be used in this report are Carper's Fundamental Patterns of Knowing and Gibb's Reflective Cycle. Each step and part of those two frameworks will be looked at in fairly strong detail. The essay