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Ways of Knowing

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Ways of Knowing
D. Boone

Ways of Knowing What are the four patterns of knowing fundamental to the professional nurse? Unlike many other professions, the nursing profession has many distinct and unique components. Nurses’ knowledge is acquired from many different sources and life experiences. Although hands on clinical skills are necessary, these skills are not usable alone. The ways of knowing is much more than the educational components of a college degree and licensure. Barbara Carper established four patterns of knowing which are needed in order to learn and apply nursing knowledge. The purpose of this paper is to discuss the four patterns of knowing, describe its relation to professional nursing and reflect upon these patterns in personal practice. Barbara Carper was a nurse pioneer who developed the four fundamental patterns of knowing in nursing. According to Carper (1978), “Understanding these patterns is essential for the teaching and learning of nursing” (P. 13). Carper identified four fundamental patterns of knowing which she classified as empirical, esthetic, personal and ethical. Carper (1978) states “The four patterns are distinguished according to logical type of meaning and designed as: (1) empirics, the science of nursing; (2) esthetics, the art of nursing; (3) the components of personal knowledge in nursing; and (4) ethics, the component of moral knowledge in nursing” (P. 14). Nursing knowledge goes beyond factual information. According to Peplau (1988) the art of nursing was previously limited to bathing, bed making, and housekeeping. Currently, nursing is acknowledged for consisting of a balance between science and an art. Experience is of great importance in nursing. Nurses rely heavily upon observed phenomena when making decisions. Nurses view patients in a holistic manner with a focus on mind, body and spirit. Carper

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