Phase I: Preparation of the Nurse Knower For Coming to Know

This method engages the investigator as a risk taker and as a "knowing

place." Risk taking necessitates decision. Decision imposes confronting

ambivalence in one's self. The ambivalence of wanting to be

"all-at-once" responsible and dependent. Superimposing an already

accepted and acceptable structure on data is safe feeling. Approaching

the situation or data openly, letting the structure emerge from it, not

deciding what to look for, being willing to be surprised, give feelings

of excitement, fear, and uncertainty. There exists the possibility that

our humanness may include the dilemma of our not being able to perceive

the messages of our data, that we will not be able to merge with it and

become more. The question arises, Are we knowing places that can relate

to otherness and intuitively synthesize knowledge? This process of

accepting the decision to approach the unknown openly is experienced as

an internal struggle and we become consciously aware of our rigidity and

satisfaction with the status quo. Conforming to the usual, in this case

positivism, gives a security that is not easily relinquished despite the

advantages of actualizing our unique responsible freedom.

Russell's metaphorical phrase, "windows always open to the world,"

depicts the sought state of mind. His elaboration on this phrase gives

the flavor of the process of preparing the mind. He says, "Through one's

windows one sees not only the joy and beauty of the world, but also its

pain and cruelty and ugliness, and the one is as well worth seeing as

the other, and one must look into hell before one has any right to speak

of heaven."[12] Pain, cruelty, ugliness, hell seem appropriate words to

convey seeing our {71}long-cherished ideas and values, our security

blankets, as only false gods. Nietzsche in speaking of confrontation of

one's values said, "And now only cometh to him the great terror, the

great outlook, the great sickness, the great nausea, the great

seasickness."[13] So this human methodology seeks a condition of being

in the investigator. The investigator must be aware of her own angular

view and democratically open to giving the angular views apparent in the

data, the called for representation.

The first phase of this method of research correlates well with the

struggle experienced by me in clarifying my approach to patients in

public health, medical-surgical, and psychiatric mental health

situations. In these situations, one truly has to struggle with

democratically keeping one's windows open to the world. And this is a

continual process. Having experienced this struggle in clinical nursing

made this approach to research valid and meaningful to me.

Preparing the mind for knowing in clinical or research endeavors may be

accomplished by several means. One means is by immersing one's self in

dramatic and literary works and contemplating, reflecting on, and

discussing them as they relate to the knower's already known, in this

case, nursing practice. In clinical or research nursing the selection of

literary works to stimulate the opening of one's human view is based on

their presentation, depictions, and descriptions of man's nature. In

literature authors share their thoughts as men and present possible ways

men may view and relate to their worlds.

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