Response to "The Power of Human Caring: Early Recognition of Patient Problems"

作者: Kristen M. Swanson

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摘要: Recognizing early changes in patient status is an essential aspect of excellent clinical practice. Minick's investigation suggests that the capacity providers to recognize subtle client well-being closely tied caring occurs between provider and client. Minick posits translates into connections nurse client, which enhances nurses' motivation assess minuscule harbingers impending decline. Also proposed sets up make important decisions from almost "gut level" (intuitive, tacit, embodied knowing) grasp situation. While I believe informed enhanced wellbeing. take a slightly different tack Minick. am struck "making connections" more than just per se. "Making complex process can best be described as "nexusconstruct." Included this multifaceted construct are: assumption about notion client/personhood; deployment several fonns knowing, nurturing way relating/practicing (i.e.. caring). will start by recalling Jean Watson's (1985) claim having clear articulation on what it means person, according personhood each nurses practice such preseives dignity well-being. The exemplars offered manuscript suggest who were able see actually motivated commitment their clients families valued persons/people. Alternatively, those "missed portrayed cutting themselves off getting too close persons. Of particular intrigue was suggestion missed also seemed have cut their-own work. In many ways they removed own job; hence, both caregiver reduced only hnctional roles embedded "nexus construct" are types knowledge underlie nursing Barbara Carper (1978) suggested expert

参考文章(5)
KRISTEN M. SWANSON, Empirical development of a middle range theory of caring. Nursing Research. ,vol. 40, pp. 161- 166 ,(1991) , 10.1097/00006199-199105000-00008
Kristen M. Swanson, Nursing as Informed Caring for the Well‐Being of Others Journal of Nursing Scholarship. ,vol. 25, pp. 352- 357 ,(1993) , 10.1111/J.1547-5069.1993.TB00271.X
Barbara A. Carper, Fundamental Patterns of Knowing in Nursing Advances in Nursing Science. ,vol. 1, pp. 13- 24 ,(1978) , 10.1097/00012272-197810000-00004
Alistair Ross, Making connections ,(1984)