Understanding patients' lived experiences: the interrelationship of rhetoric and hermeneutics

Nursing Philosophy : an International Journal for Healthcare Professionals
Linda P Finch

Abstract

Understanding each patient's situation or lived experience evolves from a nurse's sincere communication with the patient. Through rhetoric, the nurse's use of competent language and expressions is more likely to engage the patient in a dialogical discussion that brings forth an open, honest display of feelings and emotions. Through hermeneutics, the nurse gains an accurate understanding and interpretation of a patient's beliefs, values, and situations that supports explanations of meaning. Thus, with rhetoric being the words or expressions that give rise to hermeneutics or the interpretation, the blending of the two creates a rhetorical-hermeneutical relationship that provides accurate understanding of a patient's true lived experience. Consequently, knowing the patient depends upon the nurse's rhetorical competence and accurate assessment of each patient's authentic self. Nurses should seek to interpret and understand the lived experiences of patients in order to limit or prevent misunderstandings and inaccuracies in communication. The truth that emerges from the expressed rhetorical-hermeneutical interrelationship will enhance nurses' sensitivity to patient matters, produce relationship outcomes that emerge from a consistent ...Continue Reading

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Jun 1, 2007·Journal for Nurses in Staff Development : JNSD : Official Journal of the National Nursing Staff Development Organization·Cynthia C Barrere
Feb 8, 2006·Public Health Nursing·Debra Drew, Hilary Hewitt
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