Tuesday, June 23, 2015

How do patterns of knowing in nursing emerge from this movie?

If we look at "knowing" in the context of "clinical judgment," Wit and the character of Susie Monahan provide great insight into how nurses "know." In the film, Vivian Bearing's character is consistently degraded by her literal cancer treatment and the treatment by the physicians attending to her. Her physicians are purely clinical and have no real regard for her quality of life. Contrasting this treatment is the treatment she receives from her nurse, Susie Monahan. Susie does not operate on a purely intellectual or clinical level; rather, her quality of care is dictated by her own beliefs as a healthcare provider and as a human being. Susie is an incredibly powerful character in the film because of how she advocates for Vivian and how her "knowing" is less dictated by clinical judgment and cognitive theory than by experience and an innate humanness.
Ultimately, this is symbolic of the consistent debate in the medical community as to how to provide the best clinical care. On one side, there is the idea of "academic" medical care, which functions as a way to provide treatment purely based on data, scientific theory, and so on. On the other side is medical care rooted in experience. In Experience in Nursing Practice, Benner, Tanner and Chesla argue that expert nurses hold the ability to understand abstract clinical concepts and balance them with past experience to provide a greater sense of "knowing." This enables nurses not only to treat their patients and provide positive healthcare outcomes, but to connect with their patients and provide the best quality of care. Susie Monahan does this throughout the film, as she is not an intellectual or an abstract theorist as the physicians are, but a caregiver and a nurse, a profession which requires skill, but also an innate human care.

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