Page 173 - Nursing: The Philosophy and Science of Caring
P. 173

Fr o m  C a r at i v e   FaC to r   9   to  C a r i ta s   P r o C e s s  9
           one to “see with the heart’s eye,” “emphasizing the importance of
           being seen in such a way that one becomes significant to the one who
           sees” (Martinsen 2006:11).
              When considering basic needs and administering Caritas Nursing
           as a sacred act as opposed to a physical task alone, human beings are
           cared for in a loving, kind way in which they feel secure and safe and
           protected. The Caritas Nurse creates space and places for “dwelling,”
           whereby the “body inhabits the room in a good way . . . the body is
           able to embrace experiences as [dignifying] life sustaining, in the midst
           of pain and suffering; letting the human dwell” (Martinsen 2006:16).
              This  view  of  “dwelling,”  from  Foucault  (1975),  addresses  the
           hospital or sickroom, whereby the nurse helps another person move
           beyond the professional “gaze” (the “case” mentality) to the notion of
           creating an individual dwelling space for healing. This view is in con-
           trast to architecture and rooms in hospitals that possess “innumerable
           petty mechanisms, flawless instrumentations to objectify and control
           the individual’s totality, leaving them stripped and naked to the gaze of
           others [the professionals]” (Foucault quoted in Martinsen 2006:16).
              In  this  model  of  Caritas  Nursing,  one  makes  explicit  that  when
           touching another person, you are not touching just the body physical
           but also the embodied spirit. Indeed, when a nurse touches another per-
           son, she or he is touching not only the body but also the other’s mind,
           the other’s heart, and the other’s soul—the other’s very life source.
              From Nightingale forward, nursing and nursing leaders have long
           recognized that the physical body is not the “eternal aspect” of human
           nature but the “vehicle” of the spirit or soul essence of the human per-
           son that dwells within the body physical (Macrae 2001). Nevertheless,
           tending to the body physical has often become the focus of patient
           care. In this model the care needs and approaches of physical-non-
           physical  care  cannot  be  separated  from  the  web  of  other  relation-
           ships—social, environmental, ecological, systems, spiritual, and oth-
           erwise (Jarrin 2006).
              My original (1979) work related to this Carative Factor organized
           basic needs into lower- and higher-order needs, using Maslow’s theory
           as a template. However, this revised version of the book will not order
           this chapter using that outdated framework. I continue to organize


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