It is necessary now to look again at dialogical nursing in a broader
perspective, for by limiting the exploration to the nurse, the patient,
and their between, the previous discussion grossly oversimplified the
way the dialogue actually evolves in real life. In the above, it was as
if nursing were a drama acted out by two characters on a specially
designed stage where precisely placed props lay ready to serve the
actors and the passage of time is controlled by the chiming of a clock
or the dimming of lights. As it is actually lived, the nursing dialogue
is subjected to all the chaotic forces of real life. Nursing takes place
in a real world of men and things in time and space. In many cases, it
is a special world, a health system world, within the everyday world.