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By Richard McMahon (auth.), Richard McMahon, Alan Pearson (eds.)
Over the earlier 20years, nursing has all started to rediscover a few of its easy 'truths' that have develop into obscured a result of upward thrust in know-how and clinical wisdom this century. this kind of simple 'truths' is the worry of this publication - that clever, delicate nursing does make a distinction to the shoppers of future health care. Like such a lot crucial truths, this turns out virtually too seen to be said. however, many nurses became more and more conscious of a usually held view that ,getting greater' or staying fit is essentially based upon the intervention of or tracking by means of scientific practitioners and paramedical therapists including the know-how they use and that nurses simply perform the orders of such employees and hold issues so as. An apt analogy, usually used, is that of the air trip. the purpose of the adventure is to get from A to Band is basically dependentupon the aeroplane (i.e. the know-how in well-being care) and the group within the cockpit (i.e.
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1987) Educating the Reflecting Praciitioner, [ossey Bass, San Francisco, Shotter, J. (1974) 'What it is to be human', Armistead, R. ), Reconstructing Social Psychology, Penguin, Harmondsworth . Urban, H . and Ford, D . (1971) 'Some historical and conceptual 42 Reflection and the evaluation 0/ experience perspectives on psychotherapy and behaviour change', in Bergin, A. and Garfield, S. , New York. Wittgenstein, L. (1974) Philosophical lnuestigations, Trans. M . Basil Blackwell, Oxford. Chapter 3 A search for the therapeutic dimensions of nurse-patient interaction STEVEN ERSSER This chapter will introduce the issues, method and in terim findings of the first stage of fieldwork from an ongoing study designed to explore the views of nurses and patients on how the nursing provided is believed to affect the welfare of patients in hospital.
This can be difficult in practice, where the reality of a busy ward with the many demands on the nurse' stirne, make it easy für the nurse to take a dominant role. Being able to build on the knowledge base by both conventional and experiential means must also be a key factor in sound practice. The ever-changing nature of nursing and the individuality of the situations within nursing mean that those who do not leam are left behind, and are likely to be increasingly ineffective as carers, as weIl as possibly unfulfilled and dissatisfied employees.
However, nurses have in the past shown great ability to develop and to put major innovations in to practice, so these stumbling blocks are not insurmountable . It may be that reflective practice develops slowly but those nurses who aspire to therapeutic practice will recognise the need to learn from experience, and the help that reflective techniques can provide. Possibly in the future, a new epistemology of practice will be the result. REFERENCES Argyris, C. and Schon, D. (1974) Theory in Practice: Increasing Professional Effectiveness, Addison Wesley, Massachusetts .