The maintenance of a caring concern by the care-giver

Abstract

The question the researcher set out to answer during this research is: How is a caring concern maintained by the (student nurse) as caregiver? It stemmed from unresolved plausible hypotheses stated during a previous qualitative study into the phenomenon caring, from media reports on the "poor care" rendered in health institutions in South Africa, and a concern about the Tylerian rationale in nursing education. The theory generation required was achieved through Wertz's Empirical Psychological Reflection and existential phenomenology. Heidegger's theory of"Care as the essence of being" constituted a central concept in this research. A linguistic epistemology and expanded definition of the term empirical were also pertinent in this research. The literature review focussed on the methodology, ontology (caring and maintenance) and epistemology, serving a purpose towards bracketing. A purposive sample of informants was extracted according to students' performance on the Personal Orientation Inventory (POI). Sixteen qualitative research interviews were conducted. Analysis was conducted through open coding, categorisation and axial coding. At the idiographic level, twelve individual psychological profiles were constructed serving the purpose of imaginative variation. At the nomothetic level four major themes emerged, namely: The Caring Phenomenon (Contextualisation); Factors Eroding a Caring Concern; Factors in the Maintenance of a Caring Concern; and Core Experiences. The dialogue among the four intra-psychic processes of Care, will, meaning attribution and conscience accounts for all events encountered in the data. This dialogue results in either reason or intuition, displaying caring and the maintenance of a caring concern. Positing will and conscience as thesis and antithesis, the resulting synthesis postulates the basic ethical concepts of autonomy, authority, responsibility and accountability as existentially inherent to being and existence, and to the maintenance of a caring concern. The final manifestation of the object ofintention, maintenance, is proposed as an anthropological model. When extended to the fields of (nursing) education, human motivation and the teaching of (nursing) ethics, emotional intelligence, social intelligence, the self-science curriculum and life-skills training become imperative to (nursing) curricula. It is also proposed that human caring be studied as a manifestation of human motivation.