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Nursing Paradigms

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Submitted By tammara1
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In 1978 Barbara identified four fundamental patterns of knowing in the nursing field. The fundamentals are classified as empirical, personal, ethical, and aesthetic. Empirical knowing is knowledge that is derived from science and verifiable fact based information. Personal is knowledge and attitudes derived from personal understanding and empathy, including having the thought of, “what if this were me”. Ethical knowledge is derived from an ethical framework, including an awareness of moral questions and choices. Aesthetic knowledge is being aware of the patient and focusing on the here and now.

When I made the decision to become a nurse 20 year ago I didn’t think of nursing being an art or science. I viewed nursing as providing care to the sick when they were unable to care for themselves. As I have furthered my career and increased my knowledge I have learned nursing is both. Nurses provide care based on evidence based practice, what has shown to be successful in treating a specific illness. Nurses also provide care based on what is right. The art of nursing is what I practice every day. The compassionate, non-judging, hand holding empathy is what I love about my job. It breaks my heart to go to the ethical meetings and listen to how a family wants to put a peg tube in a 90 year old patient. I want to scream. There is just not enough knowledge about palliative care these days. As a nurse I focus on the quality of life and decreasing the suffering of patients and families. As a student I enjoyed reading about Florence Nightingale. As a nurse Florence Nightingale put the patient and their needs at the center of attention. This was not scientific; it was genuine care and concern. As a true patient advocate I still practice like Florence Nightingale. I keep the patient at the center. I encourage my clinical staff to always treat the patient the way they would want

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