Phase II: Nurse Knowing of the Other Intuitively

Bergson conceives of man knowing through a dilatation of his imagination

getting inside of, into _le durée_, into the rhythm and mobility of the

other. Living the rhythm of the other he believes results in an

absolute, intuitive, inexpressible, unique knowledge of the other. He

says:

"... an absolute can only be given in an intuition, while all

the rest has to go with analysis."

"... from intuition one can pass on to analysis, but not from

analysis to intuition."

"... fixed concepts can be extracted by our thought from the

mobile reality; but there is not means whatever of

reconstituting with the fixity of concepts the mobility of the

real."[14]

The known, clinical nursing practice, gave meaning to the above for me.

Over the years in nursing conferences I had been told my grasp of

nursing situations was intuitive. Most times this was offered rather

disparagingly although the nursing outcomes were most times successful.

Along with having {72} the attribute of intuition assigned to me

persons often asked, "Why are you so fascinated with other persons'

situations?" Together these relate to Dewey's view of intuition. He

views intuition as a mulling over of conditions and a mental synthesis

that results in true judgments since the controlling standards are

intelligent selection, estimation, and problem solution.[15] In nursing

practice research knowing the other and how he experiences and views his

world is viewed as the problem.

Knowing intuitively, as described by Bergson, is comparable to Buber's

considerations of man's necessary mode of becoming through "I-Thou"

relation. The criteria Buber describes as characteristic for "I-Thou"

relation are subscribed to in my approach to nursing practice and in

this human or phenomenological nursology approach.[16] Buber held as

prerequisite for intuitive type knowing of the other, or imagining the

real of his potential for being, a knower, and "I," capable of distance

from the other, able to see the other as a unique other, one who turns

to the other, makes his being present to the other, and allows the other

presence. The knowing, "I," in this case the nurse, responds to the

other's uniqueness, does not superimpose, maintains a capacity for

surprise and question, and is with the other, as opposed to "seeming to

be." This kind of relating cannot be superimposed on a nurse clinician

or researcher. It must be personally responsibly chosen and invested in.

The approach then of the second phase of this method and of the

transactional phase of nursing when nurses are in the arena with others

is the same. This method proposes that to study nursing from outside the

arena for purposes of objectivity bursts asunder the very nature of

nursing practice. The studier is a part of that which is being studied.

Observations interpreted from outside the situation could be classified

only as projections.

Humanistic Nursing · 第 81 / 202 题