Monday, January 28, 2019

Patterns of Knowing in Nursing Essay

Nursing education has shootd greatly over the years, in the mid-19th century, treat was seen as a mothering and homemaking role today oversee for has a more scientific base (Peplau, 1986). Nursing is much more than side by side(p) doctors orders and performing comfort aid. Nurses must be able to apply distinct aspects of companionship into their cargon in order to provide quality c atomic number 18 to their longanimouss. According to the American Nurses Association (2014), treat is the protection, promotion and optimization of wellness and abilities nursing includes the prevention of injury and alleviation of suffering d one(a) diagnosing and discourse, and advocate in the care of the individual, families and community. The purpose of this paper is to identify the quaternary patterns of knowing and the importance of implementing them into uncomplaining care.According to Carper (1978), there are quaternion fundamental patterns of knowing in nursing which are immanent for the teaching and requireing of nursing which involve critical analysis of what it mean to know, and the type of noesis that is most valuable in the discipline of nursing. The four patterns of knowing are empirics, ethics, personal companionship, and esthetics. Carper (1978) defines empirical knowledge as being factual, descriptive and ultimately aimed at developing abstract and hypothetical explanations. This type of knowledge would include the knowledge learned through supposition and application of scientific evidence which is learned through textbooks and classroom settings. companionship that is gained through empirical description can by formulated and in public verifiable. The ethical pattern of knowing focuses on matters of moralistic obligation which goes beyond the knowing of norms or ethical codes of discipline it includes voluntary actions which are delve and subject to judgment of right or wrong (Carper, 1978). Ethical knowledge guides how nurses confront and resolve conflicting issues and requires application of ethical reasoning. personalized knowledge is the pattern of knowing which is refer with encountering and actualizing of the individual self. Personal knowing is concerned with becoming self-aware and having personal verbal expression when affectionateness for the patient (Carper, 1978). Personal knowing is the most problematic and sticky pattern to master since it requires having the world power to analyze an event from the perspective of another through the use of reflection (Nursing Pedagogy, n.d.). Esthetic knowledge involves application of empathy, perception, and acknowledgement of the value of everyday experiences lived by individuals. Esthetic knowledge involves the art in nursing. Esthetic knowledge is gained through experience and includes the use of intuitions (Berragan, 1998).Application of the four patterns of knowledge is essential to the professed(prenominal) nurse in order to provide quality care. E mpirical knowledge in nursing theory refines and enhances the structural foundation in the nursing curriculum thus enhancing the viewpoint of the science of nursing in a global perspective (Kalofissudis, 2007). Ethical knowledge for the professional nurse involves matters of moral obligation, the use of the ethical code of nursing, and application of social justice when caring for their patients. Nurses apply personal knowledge through personal reflection and are able to demonstrate to patients that the nurse learns what they may be going through and can help interpret some of their decisions and experiences in such a way that can aid in the patients understanding of a difficult situation (Nursing Pedagogy, n.d.). The aesthetic pattern of knowledge is considered the art in nursing as it is based on the skill of the nurse in a given situation and transpires in the effectiveness of the nurse-client relationship (Peplau, 1988). Without a confident(p) nurse-client relationship the nur se may face many barriers in attempting to care for their clients.Reflecting on how the use of aesthetic knowledge was used in my nursing experience I am able to realize how important having a positive nurse-client relationship is. I had a patient who was newly diagnosed with diabetes and tally to his chart he was noncompliant with his diet and medications. In interviewing he patient I learned that he did not have a computable understanding of what the diabetic diet entailed, he mentioned that he didnt understand why his sugar would be elevated if he was not ingest that much and avoided candy. I sat down with the patient and we made a food log of what he had consumed over the last two days, he mentioned he would have a small breakfast which included bacon and blank toast, he stated he usually would not have luncheon and his dinner included fried chicken with macaroni and cheese. I explained to the patient how managing his rent sugar was not only avoiding sugar, but also bal ancing proteins and carbs and feeding throughout the day.I gave him a booklet with diet recommendations and encouraged him to discover a log of what he ate. This patient mentioned how I was the first one to take the time to sit with him and explain how diabetes works. From then on his treatment was more effective and his hemoglobin A1c had decreased from eight to six at bottom three months. I was able to use my intuition in acknowledging that this patient was not purposely being noncompliant but rather had knowledge deficit on how to manage his new disease. As nursing continues to evolve into a more autonomous field, nurses must be aware of, and be able to apply all four patterns of knowing into their practice. As mentioned by Idczak (2007), science provides the nurse with knowledge on which to base decisions but it ashes for the arts and humanities to direct the nurse to examine the value of his or her practice. .ReferencesAmerican Nurses Association (2013). What is nursing. Re trieved fromhttp//www.nursingworld.org/especialyforyou/what-is-nursing Berragan, L (1998). Nursing practice draws upon several contrasting ways of knowing. Journal OfClinical Nursing,7(3), 209-217Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in NursingScience, 1(1), 13-23.Idczak, S. E. (2007). I am a nurse Nursing students learn the art and science of nursing. Nursing Education Perspectives, 28(2), 66-71. Kalofissudis, I. (2007). The theory of nursing knowledge. health Science Journal, 1(4) Retrieved from http//www.hsj.gr/volume1/issue4/editorialkalof.pdf Nursing Pedagogy.(n.d.). Introduction to nursing pedagogy. Retrieved from http//nursingpedagogy.com/intro.htmlPeplau, H. E. (1988). The art and science of nursing Similarities, differences, and relations. Nursing Science Quarterly, 1(1) 8-15.APA 6th reading ChecklistReview this checklist prior to submitting document in NURS 300. Students are responsible for correct format. Review APA 6th Edition Manual or on the various websites, such as Purdue snout http//owl.english.purdue.edu/owl/section/2/10/

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