Intersubjective Transaction

Looking again at the phenomenon of nursing as it occurs in the real

lived world, obviously it is always an interhuman event. Whenever

nursing takes {13} place two (or more) human beings are related in a

shared situation. Each participates according to his own mode of being

in the situation, that is, as a person nursing or as a person begin

nursed. Since one is nursing and the other is being nursed, it follows

that the essential character of the situation is "nurturance." In other

words, the phenomenon of nursing involves nurturing, being nurtured, and

a relation--the "between" in which or through which the nurturance

occurs.

On reflection, it is obvious that nursing is an intersubjective

transaction. Both persons, nurse and patient (client, family, group),

necessarily participate in the proceedings. In this sense, they are

_inter_dependent. Yet, they are both subjects, that is, each is the

originator of human acts and of human responses to the other. In this

sense, they are _in_dependent. The intersubjective transactional

character of nursing cannot be escaped when one is experiencing the

phenomenon, either as nurse or as patient. Consider for example, some of

the most common nursing activities, such as, feeding and being fed,

comforting and being comforted, giving and taking medications. Although

this intersubjectivity is unmistakably known in experience, it is

extremely difficult to conceptualize and convey it to others. It rarely

is found in descriptions of nursing, and to the unfortunate extent that

it is missing, the descriptions are not true to life.

In real life, nursing phenomena may be experienced from the reference

points of nurturing, of being nurtured, or of the nurturing process in

the "between." For instance, the nurse may describe comfort as an

experience of comforting another person; the patient, as an experience

of being comforted. However, while each has experienced something within

himself, he also has experienced something of the "between," namely, the

message or meaning of the "comforting-being comforted" process. This

essential interhuman dimension of nursing is beyond and yet within the

technical, procedural, or interactional elements of the event. It is a

quality of being that is expressed in the doing.

Humanistic Nursing · 第 30 / 202 题