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Carper (1978)
Ethics Personal knowing Aesthetics Empirics
Focus is on:
Matters of obligation, what ought to be done Right , wrong and responsibility Ethical codes of nursing Confronting and resolving conflicting values, norms, interests or principles
Personal reflection
Informed by the response of others
Openness to experience
Personal knowing
Personal knowing needs to be integrated or reconciled with professional responsibilities Personal Knowing is the basis of the therapeutic use of self in the nurse patient relationship
Expressed through:
Actions, bearing, conduct, attitudes, narrative and interaction Knowing what to do without conscious deliberation
Involves:
Deep appreciation of the meaning of a situation Moves beyond the surface of a situation Often shared without conscious exchange of words Transformative art/acts Brings together all the elements of a nursing care situation to create a meaningful whole
Aesthetic knowing
Based on the assumption that what is known is accessible through the physical senses: seeing, touching and hearing.
Reality exists and truths about it can be understood
A pattern of knowing that draws on traditional ideas of science Expressed in practice as scientific competence
Competent action grounded in scientific knowledge including theories and formal description Involves conscious problem solving and logical reasoning
Empirical knowing
Positivist science
Knowledge is systematically organised into general laws and theories
Emancipatory knowing addresses the social and political context of nursing and healthcare and critiques the four fundamental patterns of knowing It recognises serious social barriers to health and well-being Emancipatory knowing requires an understanding of the nature of knowledge Praxis is the process of emancipatory knowing. It requires both critical reflection and action
Ethical
Emancipatory
Personal
Aesthetic
Clinical Supervision
An exchange between practicing professionals to enable the development of professional knowledge and skills