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Janice M. Brencick - Philosophy of Nursing: A New Vision for Health Care

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Using the philosophical lens of universality and singularity in combination with nursing practice, Janice M. Brencick and Glenn A. Webster explore the complex relationship between science and technology, on the one hand, and the care of unique and complex individuals on the other. Through carefully crafted conversations between a nurse and many respected philosophers from Plato to Whitehead, the book reflects on spirituality, caring, and God or the One. The authors unique perspectives--Brencick is a nursing clinician; Webster, a philosopher--provide a profound and fascinating look at the modern health care system and a new vision for health care in the twenty-first century.

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title Philosophy of Nursing A New Vision for Health Care author - photo 1

title:Philosophy of Nursing : A New Vision for Health Care
author:Brencick, Janice M.; Webster, Glenn A.
publisher:State University of New York Press
isbn10 | asin:0791443809
print isbn13:9780791443804
ebook isbn13:9780585276427
language:English
subjectNursing--Philosophy.
publication date:2000
lcc:RT84.5.B74 2000eb
ddc:610.73/01
subject:Nursing--Philosophy.
Page iii
Philosophy of Nursing
A New Vision for Health Care
Janice M. Brencick
and
Glenn A. Webster
Page iv Published by State University of New York Press Albany 2000 - photo 2
Page iv
Published by
State University of New York Press, Albany
2000 State University of New York
All rights reserved
Production by Susan Geraghty
Marketing by Anne Valentine
Printed in the United States of America
No part of this book may be used or reproduced in any manner whatsoever without written permission. No part of this book may be stored in a retrieval system or transmitted in any form or by any means including electronic, electrostatic, magnetic tape, mechanical, photocopying, recording, or otherwise without the prior permission in writing of the publisher.
For information, address State University of New York
Press, State University Plaza, Albany, N.Y., 12246
Library of Congress Cataloging-in-Publication Data
Brencick, Janice M.
Philosophy of nursing : a new vision for health care / by Janice
M. Brencick, Glenn A. Webster.
p. cm.
Includes bibliographical references and index.
ISBN 0-7914-4379-5 hc: alk. paper.ISBN 0-7914-4380-9 pb:
alk. paper
1. NursingPhilosophy. I. Webster, Glenn A. II. Title.
RT84.5.B74 1999
610.73'01dc21 99-11409
CIP
10 9 8 7 6 5 4 3 2 1
Page v
To Tony Puopolo II
who has the training of a physician
and the heart of a nurse
Page vii
Contents
Acknowledgments
ix
Chapter 1
Introduction
1
Chapter 2
Narrative
11
Chapter 3
Universality and Singularity in Nursing Practice As Illuminated by Imaginary Discussions with Greek, Medieval, and Early Modern Philosophers
25
Chapter 4
Universality and Singularity in Nursing Practice As Illuminated by Imaginary Discussions with Modern and Contemporary Philosophers
77
Chapter 5
From Jean Watson's Theory of Caring to a Philosophy of Caring
127
Chapter 6
A Philosophy of Nursing
159
Chapter 7
Conclusion
199
Notes
207
Bibliography
229
Index
235

Page ix
Acknowledgments
Janice Brencick acknowledges the dedication and assistance of her original dissertation committee whose encouragement and support helped to make this book possible: Francelyn Reeder, Jean Watson, Sally Phillips, Denise Webster, and Mark Tanzer.
Page 1
Chapter 1
Introduction
Description of the Problem
Nursing makes use of knowledge from science and technology for healing the individual patient. Nursing is concerned with the relationship between universals, known through the sciences, and unique individuals, known by direct acquaintance. The problem for nursing is how to increase and apply its repertory of universals, while at the same time respecting the unique individuality of the patient and the unique individuality of each nursing occasion. Nursing gathers its generalizable knowledge from experience with unique individuals, from the sciences, and from other sources such as everyday nonscientific knowledge, yet nursing always returns to the individual for the application of its knowledge. Hence, nursing continually travels in a circle between universals and irreducibly unique individuals.
Extant nursing theories, largely derived from fields other than nursing practice, such as physics, anthropology, or cybernetics, are only partially successful in developing an adequate concept of nursing. There are at least two reasons for this.
First, because fields other than nursing practice are often tilted in the direction of universals. They are theoretical sciences interested in the generalizable. Consequently, they do not address the tension between the aspects of universality and singularity which are combined in every individual. This is because the sciences are not interested in singularity. Singularity, if it is addressed at all, is regarded as noise, spoiling the perfect replicability of experiments.
On the other hand, nursing practice is richer than the fields from which it draws some of its knowledge. Nursing practice embraces the totality of human experience from before birth through death in a most human and intimate manner. Because of the intimate relationship of nurse and patient, nurses are closely involved in the unique moments of human tragedy and human triumph. It is nurses at the patient's bedside who attend the patient at a time when the patient is most vulnerable, when the patient's needs are critical for survival. It is the nurse who attends the patient's needs in a manner that preserves the patient's dig-
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