The patterns of knowing in nursing ultimately presents a tool for developing abstract and theoretical thinking in the classroom. It serves as the perfect introduction to the conceptual framework of the nursing discipline through the patterns of knowing (Carper, 1978). Every semester, I share this experience with my students. I am currently an adjunct professor, teaching nursing fundamental to first year students. Aesthetic KnowingĪesthetic knowing is what makes possible knowing what to do and how to be in the moment, instantly, without conscious deliberation (Chinn & Kramer, 2018). Smith peacefully took her last breath with poise and dignity. I slipped it into her hand and whispered in her ear, “use this for your bus fare, it’s going to be fine.” I felt her tight squeeze as she received the quarter, and less than five minutes later, Ms. I thought for a second, what could I do to alleviate her suffering at this moment? I searched in my pocket and found a quarter. I reminded myself that I needed to stay on course to help fulfill her wish of an undisturbed, smoothed transition. I knew this day would come but still I was becoming emotional. She opened her eyes for the first time since I entered her room and mumbled, “they wouldn’t let me, I don’t have money to pay for it.” I was devastated at the thought of that. I finally approached her and asked why she was not able to get on the bus. She was becoming restless and continued to repeat this for about an hour. She kept on saying something about not being able to get on the bus. As I was helping her take her prescribed medications, she appeared to be hallucinating. She seemed agitated however, she immediately became calm at the sound of my voice, telling her that it was going to be okay. It was already afternoon when I rushed into Ms. She and I developed a bond and maintained a caring nurse-patient relationship that encompassed understanding, trust and compassion. She confided in me and shared many of her life and death expectations, which included the minute details of her imminent death and funeral wishes. She looked forward to the days I was at work, and I would always stop by her room for a chat whenever I had the chance. I would play her favorite songs, encourage her to eat, to bathe, and to take her medications, before her pain became unbearable. I also enjoyed her company and spent many hours of my free time listening to her joys and regrets about life. Although she had many other disciplines assigned to her care, she seemed to gravitate more towards me. Her only living relative was a nephew who visited occasionally. Her cancer had metastasized to other adjacent organs of her body, and treatment was no longer a viable option. Her overall health and well-being had since deteriorated. Smith was a 75-year-old widow who moved about 7 months ago to the hospice unit where I worked as a charge nurse. Smith had been asking to see me since yesterday, and it was her nephew whose desperate call I had moments earlier ignored. According to Nancy, the Director of Nursing, Ms. Smith’s situation took a turn for the worse her condition had weakened overnight. did I forget to enter a note on the computer, or have I failed to sign the medication sheet? When I picked up the phone, the Director of Nursing at the subacute nursing facility I worked for was on the line. Ten minutes later, I heard the same familiar ringtone of my phone. I glimpsed at the phone screen and noticed that it was a number I was unfamiliar with, so I decided to skip the call and told myself that they can always leave me a voice message if it is important. I was pleased to finally have a few days of rest from work and was already planning how I was going to spend my second day off, when I heard the ring tone from my phone. It is aesthetic knowing that allows us to navigate when faced with nuanced situations. Here, the pattern of aesthetic knowing is demonstrated through the actions, comportment, thoughts, behaviors and exchanges of the nurse’s relationship with the patient. The four patterns are classified logically to elucidate aspects of empirics, personal knowledge, ethics and aesthetic knowing in nursing. Carper (1978) identified four fundamental patterns of knowing for an understanding of the conceptual structure of nursing knowledge. It is fluid, and it is internal to the knower (Chinn & Kramer, 2018).
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