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Challenging a reductionistic paradigm as a foundation for nursing

N Drew, K Dahlberg

Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association

|December 1, 1995

Summary

This study outlines a philosophy of caring in nursing, emphasizing the caregiver-patient encounter. It integrates humanistic caring with analytic tools for holistic nursing practice.

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Area of Science:

Nursing Philosophy
Humanistic Science

Background:

Nursing historically grounded in natural sciences' objective philosophy.
Caring, a humanistic concept, is now central to nursing essence.
Paradoxically, caring-based practice still uses natural science tools like nursing process and diagnosis.

Purpose of the Study:

To outline the foundation for a philosophy of caring in nursing.
To explore the central aspect of the caregiver-patient encounter.
To integrate humanistic caring with analytic tools in nursing practice.

Main Methods:

Philosophical inquiry into the nature of caring in nursing.
Elaboration of concepts: openness, nonreductionism, immediacy, and meaning.
Emphasis on caregiver self-awareness and personal growth.

Main Results:

A framework for a philosophy of caring is presented.
The caregiver-patient encounter is identified as central.
Holistic nursing requires caregiver self-awareness and personal growth.

Conclusions:

A philosophy of caring prioritizes the caregiver-patient relationship.
Analytic tools can be incorporated without depersonalizing effects.
Holistic nursing practice is achievable through this humanistic approach.

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