Shifting from preconceptions to pure wonderment

Nurs Philos. 2005 Jul;6(3):189-95. doi: 10.1111/j.1466-769X.2005.00225.x.

Abstract

The author reflects upon her role as a public health nurse striving to attain practice authenticity. Client assessment and nursing interventions were seemingly sufficient until she became curious about 'Who is this person sitting across from me?' and 'What are her experiences in the world as a lone parent living in poverty at the margins of society?' The author begins to think that she could shift from mere client investigation to pure wonderment about the Other by imagining herself as a researcher, an explorer of another's life world. Ultimately this process enables her to enhance the 'caring' in her practice with the knowledge gained of the perceptions and meanings impoverished clients assigned to their everyday lives. Jurgen Habermas' theory of communicative competence serves as the reference map guiding exploration. The author uses Habermas' theoretical principles of intersubjective mutuality--the validity claims of comprehensibility, truth, sincerity, and legitimacy. Comprehensibility embodies understanding, an attitude of unconditional acceptance, and care respect of another's individual person and self-defined reality. Intersubjective mutuality also requires that one dwell in the moment with the Other, satisfied that communication is founded on truth. Sincerity implies fostering the Other's expression of authentic self apart from oppressive distracters. Lastly, legitimacy reconciles the author's altruistic pursuit to know the Other's ontological truth with the reality of the present world.

MeSH terms

  • Empathy*
  • Female
  • Humans
  • Nurse-Patient Relations*
  • Poverty*
  • Psychological Theory
  • Public Health Nursing*
  • Qualitative Research
  • Single Parent*