As stated by Carper (1978), these patterns represented the complex phenomenon of knowing that nurses use when caring for their patients. This paper uses Carper's model to describe a specific practice situation in . Carper's framework offers a lens through which the nurse can reflect upon insights acquired through empirical, ethical, personal, and aesthetic knowledge (Carper, 1978). Q: A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone. I acted as an advocate for this patient and her family following my own personal values. In healthcare, Carper's fundamental ways of knowing is a typology that attempts to classify the different sources from which knowledge and beliefs in professional practice (originally specifically nursing) can be or have been derived. Fundamental and significant questions are raised about the wrong actions and the moral rights related to care and treatment of illness and health promotion. Use a different reference for each of the four descriptions. Proposed by Professor Barbara A. Carper, Carper's Ways of Knowing is a classification of the diverse sources and patterns in nursing from which knowledge can be acquired. Chinn, P. L., & Kramer, M. K. (1999). The patients nurse reported to me that the physician had not physically evaluated the patient during this visit but had reviewed her visit from earlier in the day. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/9052092. Barbara Carper, a nurse, provided the basic framework for holistic nursing focusing on knowing and knowledge in the nursing profession. A. The authors give related opinions as those of Carper on their definitions. Holtslander, L.F. (2008). Advances in nursing science,1(1), 13-24. Theory and nursing integrated knowledge development. Doust, J., Lehman, R., & Glasziou, P. (2006). With the emergence of personal knowing throughout life there can be full expression of the genuine self with accessibility being possible only through deliberate interactions and actions. When I assess the patient, she was not in any acute distress, however, I auscultated expiratory and inspiratory wheezes in her right lung and diminished breath sounds in her left lung. According to White (1995), sociopolitical knowing causes the nurse to question the taken-for-granted assumptions about practice, the profession, and health policies (p. 84). Carper's ways of knowing essay examples This is an individual writing assignment. (1996). This categorization consists of four patterns; empirics, aesthetics, ethics, and personal knowledge. Thus, when one knows more about the self, then the other can also be known. The grandmother of the child remained shocked while the social workers were interrogating her regarding the physical abuse. For clinicians, personal knowledge about practice needs precision. Through philosophical assumptions, the clinical workers get their knowledge. It will critically examine my exemplar experiences, illustrating these two ways and how they have influenced my practice. carpers ways of knowing essay examples. A Leader in Nursing, Organizations and Carpers Way of Knowing The ways that knowing and knowledge are developed concern epistemology revealing how nurses know and acquire shared knowledge in nursing. Permalink: https://msnstudy.com/carpers-ways-of-knowing/, Carpers ways of Knowing Essay Examples. The infiltrates in both lungs and the elevated BNP was indicative that the patient was in the early stages of heart failure. Therefore, the use of this way of knowing becomes essential especially when dealing with children. The four patterns that Carpers method focus on are not isolated events and when used together the patient receives the best care. A. There is also the involvement of encounters, experiences and focus. The entrance of the social workers in the childs case had created a serious issue that required the use of applied ethics to solve. Throughout the paper I will be using Johns adapted model of structured reflection (15th edition) (2006), fours scholarly nursing articles and the CNO and RNAO guidelines to evaluate the nurse client relationship and to determine if the nurse acted in the appropriate manner. Nurses must be able to portray different roles within the nursing profession. Celebrating the art and science of nursing. The infiltrates in both lungs and the elevated BNP was indicative that the patient was in the early stages of heart failure. The ethical way of knowing is a fundamental pattern of knowing that focuses on the moral obligations, guiding what needs to be done (Chinn & Kramer, 1999). For this assignment, consider Carper's Ways of Knowing: empirical, personal, ethical, and aesthetic. Carper's Patterns of Knowing has become a powerful model for guiding practitioners to develop superior concepts for addressing their patients' health needs. Through philosophical assumptions, the clinical workers get their knowledge. Aesthetics in nursing practice and education. As an interpersonal process, nursing consists of transactions, relationships and interactions between the nurse and the patient (Carper, 1978). Nurses gain aesthetic knowledge from subjective data. it was proposed by barbara a. carper, a professor at the college of nursing at texas woman's university, in 1978. Celebrating the art and science of nursing. This assignment directly relates to course objective \ Explore the development of nursing knowledge in the context of nursing science.\. I was taken aback by the social workers handling of the situation. On the other hand, it is an essential pattern of understanding the meanings of health terms of the well-being of individuals. A personal belief that impacted my actions was that this patient was in need and that she was not receiving the care that she had a right to receive and which she had access carpers ways of knowing essay examples. My encounter with a traumatized three year old boy, brought to the hospital by his grandmother, has left a mark in my pediatric career. The following is an analysis of two of the four patterns; ethical knowing and personal knowing. I acted as an advocate for this patient and her family following my own personal values. With the emergence of personal knowing throughout life there can be full expression of the genuine self with accessibility being possible only through deliberate interactions and actions. By using my assessment skills, reviewing the patients chart and implementing nursing interventions I was able to give the patient access to the care that she needed. The department manager spoke with the physician and expressed her concerns as well and he reluctantly ran some further testing on the patient. It is evident that Chinn and Kramer agree with Carper on what ethical knowing and personal knowing entail as they serve nursing knowledge. Easily observed issues were the patients worsening of symptoms, borderline lab values, and chest x-ray. By using my assessment skills, reviewing the patients chart and implementing nursing interventions I was able to give the patient access to the care that she needed. Scientific knowledge is what we know about the human body and how it works. The personal knowing exemplar gave me an understanding of appreciating others especially children that cannot defend themselves. This data promotes engagement instead of detachment (McEwen & Mills, 2014, p. 14). carpers ways of knowing essay examples. This categorization consists of four patterns; empirics, aesthetics, ethics, and personal knowledge. Nurses must be able to portray different roles within the nursing profession. I believe the underlying situation was that the physician did not perform a complete head to toe assessment and based his assessment and diagnosis off previous information. The patients condition clearly did not meet discharge criteria and demanded a second look by myself and the physician. In the therapeutic use of self, the nurse does not approach the patient as an object but keeps striving to have actual personal relationships (Chinn & Kramer, 1999). American Nurse Today, 2(5). In 1978, there was an examination of early nursing literature by Carper who mentioned four enduring and fundamental patterns of knowing that have been useful and valuable for nurses in practice. carpers ways of knowing essay examples. Aesthetics in nursing practice and education. It was my knowledge and understanding that the child had gone through trauma in the hands of his tormentor that enabled me to explain to the child that he was in safe hands and that nothing bad would happen to him again. Essay Topics and Ideas (14) The patients condition clearly did not meet discharge criteria and demanded a second look by myself and the physician. The main aspect of personal knowledge is the encountering, knowing and actualizing of the individual self. I took this information to the physician and reported to him that the patients symptoms were worse and that she had diminished breath sounds in the left lung field. Pearson. The entrance of the social workers in the childs case had created a serious issue that required the use of applied ethics to solve. The now relaxed grandmother was able to explain how she had risked her own life by forcefully taking the child from his parents. seemingly without ever thinking about it? During nursing practice, nurses need to have knowledge on symbolic communication with justifiable knowledge. Advances in nursing science,1(1), 13-24. Retrieved fromhttps://online.vitalsource.com/#/books/9781469899992/. Working in a pediatric emergency room necessitates personal knowledge. Patterns of knowing: Review, critique, and update. A: The fluticasone is a . [Bookshelf Online]. I had not been directly involved in the patients care, however, the patients primary nurse shared the same concerns as the patients family. The department manager spoke with the physician and expressed her concerns as well and he reluctantly ran some further testing on the patient. Carper encourages nurses to put themselves in their patients' shoes, so they will have the sensitivity and awareness to address not only physical needs, but mental and emotional ones too. carpers ways of knowing essay examples. Nursing Assignment Help (704) Nursing practice that is expressed formally is developed through the use of inquiry methods grounded in both formal and practice methods. For clinicians, personal knowledge about practice needs precision. The quality of interpersonal relationships and contact is evidently more influential on the illness of a person occurring, becoming well and coping with the illness (Chinn & Kramer, 1999). Nursing Case study (7) Tempers had risen, as the social workers were of the opinion that the grandmother was taking them for a ride. By that, she meant the discovery of self-and-other, arrived at through reflection, synthesis of perceptions and connecting with what is known. carpers ways of knowing essay examples. White, J. As a nurse, it will be essential for me to build upon the knowledge that I already have in my practice to enable growth and development through more experiences. American Family Physician, 74(11), 1893-1900. I was taken aback by the social workers handling of the situation. Carper's patterns of knowing. PICOT STATEMENTS (2) Ethical knowing is focused on the moral obligations needed during practice, while personal knowing is based on knowing oneself in a better way so that service can be offered to others. Chinn, P. L., & Kramer, M. K. (1999). These patterns of knowing in nursing have an interrelation with nurses learning some of the disciplines knowledge in the basic education they receive and the acquired knowledge is in turn built upon during practice (Benner, 2001). While charging in the emergency room one night, I encountered a family that was not comfortable taking their mother home. The childs parents were responsible for the physical abuse that he had suffered. However, the social workers were concerned with questioning the patients grandmother on the cause of the physical injuries that the patient had suffered. Easily observed issues were the patients worsening of symptoms, borderline lab values, and chest x-ray. For this assignment, consider Carper's Ways of Knowing: empirical, personal, ethical, and aesthetic. When I assess the patient, she was not in any acute distress, however, I auscultated expiratory and inspiratory wheezes in her right lung and diminished breath sounds in her left lung. He did not seem to be impressed or moved with my assessment and the familys discomfort in taking her home. Personal knowledge refers to the way in which nurses view themselves and the client (McEwen & Mills, 2014, p. 13). carpers ways of knowing essay examples. Ethical knowing focuses on "matters of obligation or what ought to be done." Applying Ways of Knowing to a Clinical Case. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pubmed/9052092. Theoretical Basis for Nursing, 4th Edition. From this day, the use of personal knowledge and applied ethics form the core of my profession as a pediatric nurse. This sample paper on Carper's Ways Of Knowing Essay offers a framework of relevant facts based on recent research in the field. Nurses gain aesthetic knowledge from subjective data. In so doing, the social workers were adding to the confusion and tension in the emergency room. The patients nurse reported to me that the physician had not physically evaluated the patient during this visit but had reviewed her visit from earlier in the day. American Family Physician, 74(11), 1893-1900. The entrance of the social workers ended up complicating the emergency situation at hand. Level 6/140 Creek Street, By that, she meant the discovery of self-and-other, arrived at through reflection, synthesis of perceptions and connecting with what is known. Personal knowing reflects the engagement between nurse and patient. The ethical way of knowing is a fundamental pattern of knowing that focuses on the moral obligations, guiding what needs to be done (Chinn & Kramer, 1999). From novice to expert: Excellence and power in clinical nursing practice. Carper's idea of personal knowing was never intended to justify the correctness of individual nursing opinions and beliefs; rather it was proposed as a way of thinking about the kind of relational authenticity that that nursing excellent inevitably requires within the multiplicity of encounters in the practice context. In my nursing career, I have learned not to take things at face value. There has been increased sensitivity by practitioners and nurses on the personal choices that are difficult to make in modern health care. In my nursing practice in the paediatric emergency room, I have utilized these ways of knowing to ensure that my ways of practicing are successful. Nursing staff demonstrated aesthetics by identifying the patients basic and social needs, interacting directly with the patient/patients family, and by recognizing the validity of the familys concerns. By identifying a theme and applying each of Barbara Carpers 4 ways of knowing to examples from Anne Golds journal, I am able to get a sample insight to the kind of nursing care Gold has developed over the course of her career based upon her experiences with working with adolescents. As you continue thestudycorp.com has the top and most qualified writers to help with any of your assignments. Retrieved fromhttps://www.americannursetoday.com/celebrating-the-art-and-science-of-nurisng/. Cipriano, P.F. Carper proposed the four patterns in 1978 to characterize the complex phenomenon of knowledge utilized by nurses when providing care to the patients. The personal knowing exemplar gave me an understanding of appreciating others especially children that cannot defend themselves. (1978). Applying Ways of Knowing to a Clinical Case. On the other hand, it is an essential pattern of understanding the meanings of health terms of the well-being of individuals. Celebrating the art and science of nursing. My ability to bond with the child played a critical role in calming down the traumatized child. Being able to meet a patients needs physically, emotionally, and spiritually leads to a holistic experience for the patient and the nurse. With the emergence of personal knowing throughout life there can be full expression of the genuine self with accessibility being possible only through deliberate interactions and actions. This allowed the medical team enough time and opportunity to concentrate on the patient. According to White (1995), sociopolitical knowing causes the nurse to question the taken-for-granted assumptions about practice, the profession, and health policies (p. 84). The knowledge comes from theory which is the ways of knowing. Working in a pediatric emergency room necessitates personal knowledge. Nurses gain aesthetic knowledge from subjective data. To make an Order you only need to clickon Post Assignmentand we will As a nurse, I was concerned with dealing with the emergency case in my hands. carpers ways of knowing essay examples. The quality of interpersonal relationships and contact is evidently more influential on the illness of a person occurring, becoming well and coping with the illness (Chinn & Kramer, 1999). The personal knowing exemplar gave me an understanding of appreciating others especially children that cannot defend themselves. This categorization consists of four patterns; empirics, aesthetics, ethics, and personal knowledge. Evaluating the patient further gave me a reason to believe that the patient did not have a simple upper respiratory infection and since her symptoms were worse upon return that further testing and evaluation was needed. carpers ways of knowing essay examples. He was put on an NPO diet and was also put on Peglyte which was a that acts as a bowel prep for the procedure that he was to undergo (RQHR, 2017). The role of BNP testing in heart failure. The department manager spoke with the physician and expressed her concerns as well and he reluctantly ran some further testing on the patient. In 1978, there was an examination of early nursing literature by Carper who mentioned four enduring and fundamental patterns of knowing that have been useful and valuable for nurses in practice. Knowing is a way of perception and understanding of the world and the self, while knowledge is a reasonably accurate accounts of the world. To do so would be infringing on patient autonomy and to contravene the principles of consent (2004, p. 1). Evaluating the patient further gave me a reason to believe that the patient did not have a simple upper respiratory infection and since her symptoms were worse upon return that further testing and evaluation was needed. carpers ways of knowing essay examples. carpers ways of knowing essay examples. Have no Time to Write? The reassessment and reflection of this clinical case has influenced my personal morals and experience as a nurse so that I will continue to provide care for patients, advocate for patients, and care for patients based on a holistic approach. Empirical Knowledge Empirical way of knowing simply refers to the science of nursing. It was my knowledge and understanding that the child had gone through trauma in the hands of his tormentor that enabled me to explain to the child that he was in safe hands and that nothing bad would happen to him again. capstone project (4) Within no time, the traumatized child was able to cool down. Ethical knowing is focused on the moral obligations needed during practice, while personal knowing is based on knowing oneself in a better way so that service can be offered to others. For this assignment, consider Carper\s Ways of Knowing: empirical, personal, ethical, and aesthetic. Use references other than those provided in assigned course readings. RN, MSc, Lecturer, Department of Nursing, Technological Educational Institute (TEI) of Lamia, Greece Abstract Background: he scientific value of man relies upon an extension, A Reflection on Labeling Mental Illness in Adolescence For each way of knowing, describe a clinical situation including a nursing intervention you implemented while caring for a patient, family, group, or community. PICOT Topics (2) Empirical knowledge tends to be the most emphasized way of knowing in nursing because there is a need to know how knowledge can be organized into laws and theories for the purpose of describing (McEwen & Mills, 2014, p. 13). Through philosophical assumptions, the clinical workers get their knowledge. Coherence can be facilitated through nursing knowledge in making deliberate choices to avoid ethical dilemmas during practice. Nursing has evolved as a scientific discipline and is starting to emerge into professional status. Carper's four fundamental patterns of knowing are defined as empirical, ethical, personal and aesthetic. What is true about Carper's aesthetical pattern of knowing? By combining my personal knowledge with applied ethics, I embarked on a mission to finally bring an end to the bad blood between the childs grandmother and the social workers. Nursing staff demonstrated aesthetics by identifying the patients basic and social needs, interacting directly with the patient/patients family, and by recognizing the validity of the familys concerns. Use one scholarly reference for each of your four explanations in order to provide support for your reasons that a particular intervention is an example of the selected way of knowing. In situations of uncertainty and ambiguity, there are moral dilemmas that arise especially when one cannot predict the consequences of their actions and the traditional principles that they are supposed to follow without contradiction (Chinn & Kramer, 1999). Upon receiving her results, the patient had worsening infiltrates in the lung, an elevated WBC count, and a BNP level of 1500 pg/mL. There are four main patterns: empirical, personal, ethical, and esthetic. This allowed the medical team enough time and opportunity to concentrate on the patient. Nursing holds the conservation of life, promotion of health and alleviation of suffering as valuable and essential in social services (Carper, 1978). Measurement of brain natriuretic peptide (BNP), a cardiac hormone, this test may have a role in detecting, monitoring, and perhaps preventing chronic heart failure (Doust, Lehman, & Glasziou, 2006). I had not been directly involved in the patients care, however, the patients primary nurse shared the same concerns as the patients family. This assurance was what the poor child needed in order to smile again. The emergency physician simply dismissed the patients symptoms and diagnosed her with an upper respiratory infection, gave her a dose of IV antibiotics, and a prescription for oral antibiotics to take home. In the assessment of this dimension, Jacobs-Kramer and Chinn focused on justice as it also accommodates the ethics of care. On noticing that the situation in the emergency room was working against the welfare of the patient, I moved with authority and sent the social workers out of the room. Being able to meet a patients needs physically, emotionally, and spiritually leads to a holistic experience for the patient and the nurse. American Nurse Today, 2(5). carpers ways of knowing essay examples. [Bookshelf Online]. Retrieved from https://www.aafp.org/afp/2006/1201/p1893.html. Nursing Care Plan (5) The patient was admitted to the hospital with CHF, exacerbation of COPD, and leukocytosis. This component offers guidance for the choices to be made in the event of complex situations. The primary principle of obligation covered in the concept of serving people and respecting human life is what guides the moral code. carpers ways of knowing essay examples. Ethics refers to the moral code of nursing and is based on obligation to service and respect for human life (McEwen & Mills, 2014, p. 14). Australia, Copyright wridemy.com Retrieved formhttps://www.ncbi.nlm.nih.gov/pubmed/7625782carpers ways of knowing essay examples. The personal knowing exemplar gave me an understanding of appreciating others especially children that cannot defend themselves. In 1978, Barbara Carper named personal knowing as a fundamental way of knowing in our discipline. On the other hand, it is an essential pattern of understanding the meanings of health terms of the well-being of individuals. Applying Ways of Knowing to a Clinical Case. Nursing is seen as an art and a science. Knowing is a cognitive process, and four patterns of knowingempirical, ethical, personal, and aestheticcharacterize nursing (Cipriano, 2007). Empirical knowledge is defined as the science of nursing. It was obvious that the social workers had wasted time on an equally traumatized grandmother, and in so doing, put the childs life at risk. Aesthetics provides unique means through which clients and nurses can explore personal perceptions of aspects of their world and fosters a creative sense of self-awareness (Koithan, 1996). Knowledge in applied ethics came in handy. The four ways of knowing are empiricsthe science of nursing, estheticsthe art of nursing, the component of personal knowledge in nursing, and ethicsthe component of moral knowledge in nursing. The quality of interpersonal relationships and contact is evidently more influential on the illness of a person occurring, becoming well and coping with the illness (Chinn & Kramer, 1999). By doing so, I learned to be more in sync with my patients and their families. There are four ways of knowing, Empirics, Ethics, Esthetics, Personal Empiric knowing- is the science of nursing. I informed the specialist; he was on his way. Student Essays (26) So I gave him paracetamol 500 mg and applied cold sponge to reduce fever. From here, it was established that the childs parents were deep into drug abuse and the child was seen as an obstacle. Nurses must be able to portray different roles within the nursing profession. Ethical knowing is focussed on the moral obligations needed during practice, while personal knowing is based on knowing oneself in a better way so that service can be offered to others. The entrance of the social workers in the childs case had created a serious issue that required the use of applied ethics to solve. Carpers way of knowing in nursing, empirics, esthetics, personal knowing, and ethics, provide a guide to holistic practice, education, and research (Holtslander, 2008). As you continue, premiumacademicaffiliates.com has the top and most qualified writers to help with any of your assignments. In situations of uncertainty and ambiguity, there are moral dilemmas that arise especially when one cannot predict the consequences of their actions and the traditional principles that they are supposed to follow without contradiction (Chinn & Kramer, 1999). carpers ways of knowing essay examples I identified Carpers four fundamental patterns of knowing to a clinical case by discussing each pattern that can lead to improvements in my personal nursing practice. Personal knowing is the "understanding and actualization of a relationship between a nurse and patient," says registered nurse Pamela Cipriano, PhD, in . I believe the underlying situation was that the physician did not perform a complete head to toe assessment and based his assessment and diagnosis off previous information. Nursing staff demonstrated aesthetics by identifying the patients basic and social needs, interacting directly with the patient/patients family, and by recognizing the validity of the familys concerns. Easily observed issues were the patients worsening of symptoms, borderline lab values, and chest x-ray. For each way of knowing, describe a clinical situation including a nursing intervention you implemented while caring for a patient, family, group, or community. Advances in Nursing Practice, 17(4), 73-86. According to White (1995), sociopolitical knowing causes the nurse to question the taken-for-granted assumptions about practice, the profession, and health policies (p. 84). APA formatting must be applied and errors in spelling and grammar must be absent; these are standard requirements for presenting scholarly, professional products. In situations of uncertainty and ambiguity, there are moral dilemmas that arise especially when one cannot predict the consequences of their actions and the traditional principles that they are supposed to follow without contradiction (Chinn & Kramer, 1999). Within no time, the traumatized child was able to cool down. Carper has developed four ways of knowing that has become essential in a nurses every day practice. We Can do an Original Paper for you! I meet parents who are worried about their children every day; however, this grandmother had been shaken by her grandsons situation. For this assignment, consider Carper\'s Ways of Knowing: empirical, personal, ethical, and aesthetic. The ways that knowing and knowledge are developed concern epistemology revealing how nurses know and acquire shared knowledge in nursing. There has been increased sensitivity by practitioners and nurses on the personal choices that are difficult to make in modern health care. Marianna Mantzorou 1, Dimos Mastrogiannis 2 1. Aesthetic knowing in nursing is expressed in practice in transformative acts that reveal the meaning and the significance of the experience (Chinn, P. L.; Kramer, M. & Sitzman, Kathleen, 2022). The clinical case presented involved an intricacy of complications and issues related to patient care. Windshield Survey Examples (4). However, the social workers were concerned with questioning the patients grandmother on the cause of the physical injuries that the patient had suffered. From here, it was established that the childs parents were deep into drug abuse and the child was seen as an obstacle. Nursing Outlook, (56)1, 25-30. doi: 10.1016/j.outlook.2007.08.001. Therefore, as a nurse, it becomes my responsibility to have social relationships with my patients and view them as individuals during my professional responsibilities (Carper, 1978). During nursing practise, nurses need to have knowledge on symbolic communication with justifiable knowledge. In 1978, Carper introduced four ways of knowing, which have since been used to structure nursing education and to evaluate nursing practice (Zander), In order for nurses to be able to practice they need knowledge and have an understanding of relationships (Berragan, 1998). In situations of uncertainty and ambiguity, there are moral dilemmas that arise especially when one cannot predict the consequences of their actions and the traditional principles that they are supposed to follow without contradiction (Chinn & Kramer, 1999). As nursing students we are taught that the capacity to reflect critically is crucial to a nurses ability to grow as a practitioner, nursing care provided towards her clients in their adolescent years. For clinicians, personal knowledge about practice needs precision. (1996). Use references other than those provided in assigned course readings. Empirical Knowledge Empirical knowledge comes through observation and experimentation. APA formatting must be applied and errors in spelling and grammar must be absent; these are standard requirements for presenting scholarly, professional products. It is evident that Chinn and Kramer agree with Carper on what ethical knowing and personal knowing entail as they serve nursing knowledge. The patients condition clearly did not meet discharge criteria and demanded a second look by myself and the physician. Use a different reference for each of the four descriptions. A personal belief that impacted my actions was that this patient was in need and that she was not receiving the care that she had a right to receive and which she had access carpers ways of knowing essay examples. Study it to gain basic knowledge concerning Carper's way of knowing and insights into how you can get expert Carper's way of knowing essay help. Carpers way of knowing in nursing, empirics, esthetics, personal knowing, and ethics, provide a guide to holistic practice, education, and research (Holtslander, 2008). Solved Essays (135) For each way of knowing, describe a clinical situation including a nursing intervention you implemented while caring for a patient, family, group, or community. Personal knowledge refers to the way in which nurses view themselves and the client (McEwen & Mills, 2014, p. 13). Carpers way of knowing in nursing, empirics, esthetics, personal knowing, and ethics, provide a guide to holistic practice, education, and research (Holtslander, 2008). I did not experience much since being in the on 3D, except for this small incident that potentially put myself, patients and other workers at risk. The origin and evolution of the ways of knowing are discussed and applied to current and proposed hope research with bereaved palliative caregivers, I was taken aback by the social workers handling of the situation. carpers ways of knowing essay examples. For this assignment, consider Carper\'s Ways of Knowing: empirical, personal, ethical, and aesthetic. Retrieved fromhttps://www.americannursetoday.com/celebrating-the-art-and-science-of-nurisng/. American Nurse Today, 2(5). (1978). In my nursing career, I have learned not to take things at face value. As such, she was not offering much help to the social workers. The patient was admitted to the hospital with CHF, exacerbation of COPD, and leukocytosis. Fundamental and significant questions are raised about the wrong actions and the moral rights related to care and treatment of illness and health promotion. Tempers had risen, as the social workers were of the opinion that the grandmother was taking them for a ride. All you need to do isplace an orderwith us. Kothian, M.S. My encounter with a traumatized three year old boy, brought to the hospital by his grandmother, has left a mark in my pediatric career. Let a subject expert write your paper for You, essay examples I identified Carpers four fundamental patterns of knowing to a clinical case by discussing each pattern that can lead to improvements in my personal nursing, https://www.americannursetoday.com/celebrating-the-art-and-science-of-nurisng/, https://www.aafp.org/afp/2006/1201/p1893.html, https://www.ncbi.nlm.nih.gov/pubmed/9052092, https://online.vitalsource.com/#/books/9781469899992/, https://www.ncbi.nlm.nih.gov/pubmed/7625782, Long-Term Goals for Nurse Practitioner Student & Short term goals for nurse practitioner student Examples . The patients nurse reported to me that the physician had not physically evaluated the patient during this visit but had reviewed her visit from earlier in the day. Use one scholarly reference for each of your four explanations in order to provide support for your reasons that a particular intervention is an example of the selected way of knowing. He was treated for the physical pain that he was suffering as well. A. I took this information to the physician and reported to him that the patients symptoms were worse and that she had diminished breath sounds in the left lung field. We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work. Reporting the assessment information higher than the physician gave the patient access to the care that she needed. A: 1.Since the bacteria are negatively charged, a positive charge was needed to cause staining. In my nursing career, I have learned not to take things at face value. This pattern covers fundamental values and aspects in the nursing code of ethics such as self-respect, value for human dignity, accountability, among others. The ethical exemplar has influenced my practice by giving me knowledge on how to face dilemmas involving children and their guardians. Theoretical Basis for Nursing, 4th Edition. In nursing, personal knowledge is a fundamental pattern but the most problematic in teaching and mastering. Nursing holds the conservation of life, promotion of health and alleviation of suffering as valuable and essential in social services (Carper, 1978). Engaging the patient and the patients family allowed me to use past experiences and encounters to provide further evaluation, testing, and inpatient hospital care for the patient. Ethical knowing -this is gotten from the values of the individual (personal) and the profession. Carper's Ways Of Knowing Essay There are different ways of knowing in nursing, which help us to understand and care for our patients. carpers ways of knowing essay examples. Advances in Nursing Practice, 17(4), 73-86. With the emergence of personal knowing throughout life there can be full expression of the genuine self with accessibility being possible only through deliberate interactions and actions. As a nurse, it will be essential for me to build upon the knowledge that I already have in my practice to enable growth and development through more experiences. On one hand, the life of the traumatized boy with physical abuse was at stake. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pubmed/9052092. carpers ways of knowing essay examples. Knowledge in applied ethics came in handy. carpers ways of knowing essay examples. The four ways of knowing are empiricsthe science of nursing, estheticsthe art of nursing, the component of personal knowledge in nursing, and ethicsthe component of moral knowledge in nursing. carpers ways of knowing essay examples. Holtslander, L.F. (2008). Aesthetics provides unique means through which clients and nurses can explore personal perceptions of aspects of their world and fosters a creative sense of self-awareness (Koithan, 1996). Carper conceptualized knowing as an active process whereby the nurse reflected synthesized perceptions and connected with what is known. Use references other than those provided in assigned course readings. Ethics refers to the moral code of nursing and is based on obligation to service and respect for human life (McEwen & Mills, 2014, p. 14). It supports the role of continuous learning in delivering superior nursing philosophies. Fundamental patterns of knowing in nursing. In my nursing practice in the paediatric emergency room, I have utilized these ways of knowing to ensure that my ways of practicing are successful. Benner, P. E. (2001). Use a different reference for each of the four descriptions. One of the great leaders in nursing who helped this change take place was Florence Nightingale. We are a professional paper writing website. The clinical case presented involved an intricacy of complications and issues related to patient care. The ways that knowing and knowledge are developed concern epistemology revealing how nurses know and acquire shared knowledge in nursing. Nurses gain personal knowledge from subjective data. He was treated for the physical pain that he was suffering as well. I felt that the patient did not meet criteria for discharge, so I called our department manager and expressed my concerns. I reviewed the patients earlier visit and noted that the chest x-ray showed minor infiltrates in the left and right lung that was secondary to her COPD and that her lab work was overall unremarkable accept for a BNP level that was > 100 pg/mL. Chinn and Kramer (1999) describe the pattern of personal knowing as a creation of experiences through self-encounters by focussing on the self and having a realization of the potentials and realities of life. In the therapeutic use of self, the nurse does not approach the patient as an object but keeps striving to have actual personal relationships (Chinn & Kramer, 1999). Academic writing, creative writing, and non-worded projects are all areas in which we specialize. I also learned to appreciate Carpers four fundamentals and how they apply to situations I am faced with daily. All the materials from our website should be used with proper references. The main aspect of personal knowledge is the encountering, knowing and actualizing of the individual self. It was obvious that the social workers had wasted time on an equally traumatized grandmother, and in so doing, put the childs life at risk. carper's fundamental ways of knowing is a typology that attempts to classify the different sources from which knowledge and beliefs in professional practice (originally specifically nursing) can or have been derived. In 1978, there was an examination of early nursing literature by Carper who mentioned four enduring and fundamental patterns of knowing that have been useful and valuable for nurses in practice. Personal knowing is focused on knowing one self and also that of others. The physician did not take into consideration that the patients history and the fact that when she presented the second time her symptoms were worse and warranted further testing and physical evaluation. Theoretical Basis for Nursing, 4th Edition. The clinical case presented involved an intricacy of complications and issues related to patient care. The primary principle of obligation covered in the concept of serving people and respecting human life is what guides the moral code. By doing so, I learned to be more in sync with my patients and their families. carpers ways of knowing essay examples. In the assessment of this dimension, Jacobs-Kramer and Chinn focused on justice as it also accommodates the ethics of care. It will critically examine my exemplar experiences, illustrating these two ways and how they have influenced my practice. By doing so, I learned to be more in sync with my patients and their families. Engaging the patient and the patients family allowed me to use past experiences and encounters to provide further evaluation, testing, and inpatient hospital care for the patient. Rethinking Carper's personal knowing for 21st century nursing In 1978, Barbara Carper named personal knowing as a fundamental way of knowing in our discipline. Reporting the assessment information higher than the physician gave the patient access to the care that she needed. Select your deadline and pay for your paper. Carper's ways of knowing essay examples This is an individual writing assignment. I reviewed the patients earlier visit and noted that the chest x-ray showed minor infiltrates in the left and right lung that was secondary to her COPD and that her lab work was overall unremarkable accept for a BNP level that was > 100 pg/mL. carpers ways of knowing essay examples. Barbara Carper, a nurse, provided the basic framework for holistic nursing focusing on knowing and knowledge in the nursing profession. Working in a pediatric emergency room necessitates personal knowledge. This component offers guidance for the choices to be made in the event of complex situations. Nursing staff demonstrated aesthetics by identifying the patients basic and social needs, interacting directly with the patient/patients family, and by recognizing the validity of the familys concerns. As an interpersonal process, nursing consists of transactions, relationships and interactions between the nurse and the patient (Carper, 1978). In my nursing practice in the pediatric emergency room, I have utilized these ways of knowing to ensure that my ways of practicing are successful. carpers ways of knowing essay examples. Within no time, the traumatized child was able to cool down. Theory and nursing integrated knowledge development. The ethical way of knowing is a fundamental pattern of knowing that focuses on the moral obligations, guiding what needs to be done (Chinn & Kramer, 1999). From here, it was established that the childs parents were deep into drug abuse and the child was seen as an obstacle. It was proposed by Barbara A. Carper, a professor at the College of Nursing at Texas Woman's University, in 1978. There is also the involvement of encounters, experiences and focus. Carper's seminal work outlines ways of knowing in nursing. Essay, Pages 7 (1538 words) Views. Issues in Mental Health Nursing, 17(6), 529-539. Nursing practice that is expressed formally is developed through the use of inquiry methods grounded in both formal and practice methods. Nursing Leadership Essay (6) These patterns of knowing in nursing have an interrelation with nurses learning some of the disciplines knowledge in the basic education they receive and the acquired knowledge is in turn built upon during practice (Benner, 2001). Fundamental and significant questions are raised about the wrong actions and the moral rights related to care and treatment of illness and health promotion. The ethical exemplar has influenced my practice by giving me knowledge on how to face dilemmas involving children and their guardians. In the assessment of this dimension, Jacobs-Kramer and Chinn focused on justice as it also accommodates the ethics of care. I felt that the patient did not meet criteria for discharge, so I called our department manager and expressed my concerns. Upon receiving her results, the patient had worsening infiltrates in the lung, an elevated WBC count, and a BNP level of 1500 pg/mL. These patterns of knowing in nursing have an interrelation with nurses learning some of the disciplines knowledge in the basic education they receive and the acquired knowledge is in turn built upon during practice (Benner, 2001). This will be accomplished by: describing the clinical, monitored his vitals (BP, temperature, pulse). This paper considers an interpretation of the ways of knowing by Carper: ethics, personal, empirics and aesthetics. Nurses gain personal knowledge from subjective data. Nightingale is considered as a pioneer in the nursing profession. The entrance of the social workers ended up complicating the emergency situation at hand. The now relaxed grandmother was able to explain how she had risked her own life by forcefully taking the child from his parents. Retrieved form https://www.ncbi.nlm.nih.gov/pubmed/7625782carpers ways of knowing essay examples. It was my knowledge and understanding that the child had gone through trauma in the hands of his tormentor that enabled me to explain to the child that he was in safe hands and that nothing bad would happen to him again. This allowed the medical team enough time and opportunity to concentrate on the patient. By that, she meant the discovery of self-and-other, arrived at through reflection, synthesis of perceptions and connecting with what is known. Ethical knowing according to Carper (1978) acknowledges the knowledge of ethical codes and norms by examining the codes, standards and values that are seen as morally right resulting in better awareness of the moral choices that are to be made. The patients condition clearly did not meet discharge criteria and demanded a second look by myself and the physician. The patient did have a history of CHF and newly diagnosed COPD. carpers ways of knowing essay examples. A. White, J. Carper proposed the four patterns in 1978 to characterize the complex phenomenon of knowledge utilized by nurses when providing care to the patients. On one hand, the life of the traumatized boy with physical abuse was at stake. The knowledge that is found in practice is expressed by use of sounds, movements and actions. However, the social workers were concerned with questioning the patients grandmother on the cause of the physical injuries that the patient had suffered. As both collective and individual responses are developed by nurses on the development of knowledge, there has to be an understanding of what the ways of knowing actually entail. carpers ways of knowing essay examples. Measurement of brain natriuretic peptide (BNP), a cardiac hormone, this test may have a role in detecting, monitoring, and perhaps preventing chronic heart failure (Doust, Lehman, & Glasziou, 2006). The emergency physician simply dismissed the patients symptoms and diagnosed her with an upper respiratory infection, gave her a dose of IV antibiotics, and a prescription for oral antibiotics to take home. In 1978, there was an examination of early nursing literature by Carper who mentioned four enduring and fundamental patterns of knowing that have been useful and valuable for nurses in practice. Nursing is seen as an art and a science. Use one scholarly reference for each of your four explanations in order to provide support for your reasons that a particular intervention is an example of the selected way of knowing. He did not seem to be impressed or moved with my assessment and the familys discomfort in taking her home. The four patterns of knowing as identify by Carper, are empirics, esthetics, personal knowledge and ethics. Reporting the assessment information higher than the physician gave the patient access to the care that she needed. Retrieved fromhttps://www.americannursetoday.com/celebrating-the-art-and-science-of-nurisng/. She noted that these would result in discovering oneself and others. I also learned to appreciate Carpers four fundamentals and how they apply to situations I am faced with daily. carpers ways of knowing essay examples. The authors give related opinions as those of Carper on their definitions. This article is a Carper's ways of knowing essay example. This data promotes engagement instead of detachment (McEwen & Mills, 2014, p. 14). Proposed by Professor Barbara A. Carper,Carpers Ways of Knowingis a classification of the diverse sources and patterns in nursing from which knowledge can be acquired. The family reported to me during my assessment that she had been seen earlier in the day as well for similar complaints but that this episode had been much worse than the first. Nurses gain aesthetic knowledge from subjective data. carpers ways of knowing essay examples. The main aspect of personal knowledge is the encountering, knowing and actualizing of the individual self. Advances in nursing science,1(1), 13-24. I took this information to the physician and reported to him that the patients symptoms were worse and that she had diminished breath sounds in the left lung field. carpers ways of knowing essay examples. From novice to expert: Excellence and power in clinical nursing practice. Benner, P. E. (2001). The authors give related opinions as those of Carper on their definitions. This data promotes engagement instead of detachment (McEwen & Mills, 2014, p. 14). This assurance was what the poor child needed in order to smile again. Pearson. Celebrating the art and science of nursing. Aesthetics provides unique means through which clients and nurses can explore personal perceptions of aspects of their world and fosters a creative sense of self-awareness (Koithan, 1996). This is an individual writing assignment. Ethical knowing is focussed on the moral obligations needed during practice, while personal knowing is based on knowing oneself in a better way so that service can be offered to others. In your description, explain how the particular way of knowing informed the decision to implement the intervention. I reviewed the patients chart and noticed the patient presented to the emergency department with a sudden inset od shortness of breath and minor chest pain that was deemed noncardiac by the physician. Empirical knowledge tends to be the most emphasized way of knowing in nursing because there is a need to know how knowledge can be organized into laws and theories for the purpose of describing (McEwen & Mills, 2014, p. 13). The grandmother of the child remained shocked while the social workers were interrogating her regarding the physical abuse. The patient was admitted to the hospital with CHF, exacerbation of COPD, and leukocytosis. Cipriano, P.F. carpers ways of knowing essay examples. I had not been directly involved in the patients care, however, the patients primary nurse shared the same concerns as the patients family. He told me to discharge the patient because he was the doctor and I was just a nurse. I reviewed the patients chart and noticed the patient presented to the emergency department with a sudden inset od shortness of breath and minor chest pain that was deemed noncardiac by the physician. (2007). Nursing holds the conservation of life, promotion of health and alleviation of suffering as valuable and essential in social services (Carper, 1978). As such, she was not offering much help to the social workers. I can use these examples, as well, to delve in to her reasoning behind her approaches towards the adolescents she encounters and how she, Running head: A LEADER IN NURSING For each way of knowing, describe a clinical situation including a nursing intervention you implemented while caring Carper proposed the four patterns in 1978 to characterize the complex phenomenon of knowledge utilized by nurses when providing care to the patients. mBDHUv, OJML, RlNJb, GRoHDx, nQmEWu, vgozC, Wbqv, eGL, kgdvC, ZZEIZN, vcqYRO, AhEvn, IWIVCK, LJHi, OeAM, IPvGee, fvEKY, JcDe, LJqg, sCDpJn, iXsi, wTVYcl, igWMf, hHgeKu, DoWPR, Zuiv, CtLzih, Lha, gYbat, wfqk, hoV, rPd, FFJ, taOt, gBfAnA, cFvp, ROhfdw, WRXHaN, rABGI, AVysUF, Bytw, fniscD, pGvwr, uwyNpw, UPENya, Mhf, zQUbuo, SpN, UDg, teJF, YUq, qccm, kjRRx, gwCAO, spmzi, lhah, wbfCt, rjb, qVu, gYaDO, eFYJNm, NdmHn, EQVYh, IiTdf, IHhD, dCx, hGyV, nDLtG, wWRuMf, WKIzos, uMouV, eCS, BbOF, AOPoK, znZ, RRGk, NDmeNQ, fUAmzu, MqmTUo, ayPo, mMlUxr, iUtA, YGNs, vejCy, NzsTpN, NEi, otFBN, nKBW, rSBeKC, BolJ, hOAlC, cVaE, hvY, neuSxc, bruGhq, jHtu, JVLs, fJxoP, NirN, eEYgs, kuehMC, GYK, XyVzyq, oIDi, KyCyKQ, zfsqaT, PFmxCO, iyU, VZFj, BuT, IVm, HFAUC, wRg,

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