Fundamental Patterns of Knowing Reaction Paper

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Patterns of Knowing

This nurse's experience does provide evidence of the fundamental patterns of knowing. There are overarching patterns in knowing: empiric (through the senses), ethics (obligation), personal, aesthetics (relating to the art of nursing), and emancipatory knowing (Chinn & Kramer, 2008). There are five dimensions to the knowledge process: critical questions, creative processes, formal practice of knowledge and knowing, integrative practice of knowledge and knowing, and authentication processes (Chinn & Kramer, 2008). To some degree, all of the overarching patterns in knowing and their related dimensions were in evidence in the nurse's story.

One element from the reading that seemed extremely relevant to the nurse's story was the idea that "as the scientific worldview gained dominance, so did the idea that human progress would be achieved by harnessing science to create technology for the achievement of human ends" (McEwen & Willis, 2007).

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The nurse in question wanted to go right into medical surgical nursing, but did not find that type of position. Instead, she was assigned to deal with an older gentleman who had received a terminal diagnosis. She began working with him with a negative personal attitude. She feared death and did not think that she would be able to help her patient. Moreover, he had a very negative and gruff attitude, which made him seem intimidating. Initially, the barriers between them made it seem like, as a nurse, she would not be able to help him. She could not offer him medical assistance through scientific advances, and she did not yet believe she had the experience necessary to treat him compassionately and ease him from life to death. Their relationship was transformed, not through any application of technical nursing skill, but because of.....

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