Nurses perform a key role in national and international humanitarian efforts. This case study of a highly experienced Registered Nurse who has engaged in international humanitarian projects for more than 30 years provides unique insight into the way nurses care for underserved populations. This nurse constructed knowledge and derived meaning from her practice by utilizing Carper's Patterns of Knowing. Many previous studies have proposed that Aesthetic Knowing is the dominant form of knowledge most nurses use to synthesize their understanding. However, in her personal account, this nurse identified Ethical Knowing as the overarching framework she used to construct all her other forms of knowledge and to derive meaning from her experiences. Findings from this case study identify significant themes related to the role of nurses in humanitarian work, and provide new insight into prevailing Western theoretical frameworks and how nurses can address health disparities among marginalized populations.
AgnerJ. (2020). Moving from cultural competence to cultural humility in occupational therapy: A paradigm shift. The American Journal of Occupational Therapy, 74(4), 7404347010p1–7404347010p7. https://doi.org/10.5014/ajot.2020.038067
Campinha-BacoteJ. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181–184. https://doi.org/10.1177/10459602013003003
7.
CarnagoL.MastM. (2015). Using ways of knowing to guide emergency nursing practice. Journal of Emergency Nursing, 41(5), 387–390. https://doi.org/10.1016/j.jen.2015.01.011
DawsonS.JacksonD.ElliottD. (2021). Understanding the motivation of nurses volunteering for non-disaster humanitarian service. Collegian (Royal College of Nursing, Australia), 28(6), 645–651. https://doi.org/10.1016/j.colegn.2021.06.003
10.
GallardoA.DjalaliA.FolettiM.RagazzoniL.Della CorteF.LupescuO.ArculeoC.von ArnimG.FriedlT.AshkenaziM.FisherP.HreckovskiB.Khorram-ManeshA.KomadinaR.LechnerK.StalM.PatruC.BurkleF. M.IngrassiaP. L. (2015). Core competencies in disaster management and humanitarian assistance: A systematic review. Disaster Medicine and Public Health Preparedness, 9(4), 430–439. https://doi.org/10.1017/dmp.2015.24
HuntM. R. (2008). Ethics beyond borders: How health professionals experience ethics in humanitarian assistance and development work. Developing World Bioethics, 8(2), 59–69. https://doi.org/10.1111/j.1471-8847.2006.00153.x
13.
JohnsonK.IdzerdaL.BarasR.CamburnJ.HeinK.WalkerP.BurkleF. M. (2013). Competency-based standardized training for humanitarian providers: Making humanitarian assistance a professional discipline. Disaster Medicine and Public Health Preparedness, 7(4), 369–372. https://doi.org/10.1017/dmp.2013.10
14.
LalS.SpenceD. (2016). Humanitarian nursing in developing countries: A phenomenological analysis. Journal of Transcultural Nursing, 27(1), 18–24. https://doi.org/10.1177/1043659614536585
15.
Littleton-KearneyM. T.SlepskiL. A. (2008). Directions for disaster nursing education in the United States. Critical Care Nursing Clinics of North America, 20(1), 103–109. https://doi.org/10.1016/j.ccell.2007.10.008
16.
MantzorouM.MastrogiannisD. (2011). The value and significance of knowing the patient for professional practice, according to the Carper’s patterns of knowing. Health Science Journal, 5(4), 251–261. https://doi.org/10.3726/978-3-653-06131-4/1
17.
Martínez-RodríguezA.Martínez-FanecaL.Casafont-BullichC.Olivé-FerrerM. C. (2020). Construction of nursing knowledge in commodified contexts: A discussion paper. Nursing Inquiry, 27(2), Article e12336. https://doi.org/10.1111/nin.12336
18.
MishraS.DeyA. K. (2022). Understanding and identifying ‘themes’ in qualitative case study research. South Asian Journal of Business and Management Cases, 11(3), 187–192. https://doi.org/10.1177/22779779221134659
19.
NeSmithE. G. (2006). Defining “disasters” with implications for nursing scholarship and practice. Disaster Management & Response, 4(2), 59–63. https://doi.org/10.1016/j.dmr.2006.01.004
20.
ReynoldsN. (2022). The humanitarian crisis in Ukraine. Nurses around the world can and should unite to help. Revista Latino-Americana de Enfermagem, 30, e3661. https://doi.org/10.1590/1518-8345.0000.3660
21.
StevermerA. C. (2012). International disaster humanitarian assistance for nurses. Annual Review of Nursing Research, 30(1), 209–224. https://doi.org/10.1891/0739-6686.30.209
22.
ThorneS. (2020). Rethinking Carper’s personal knowing for 21st century nursing. Nursing Philosophy, 21(4), Article e12307. https://doi.org/10.1111/nup.12307
23.
TjoflåtI.KarlsenB.Sætre HansenB. (2016). Working with local nurses to promote hospital-nursing care during humanitarian assignments overseas: Experiences from the perspectives of nurses. Journal of Clinical Nursing, 25(11-12), 1654–1662. https://doi.org/10.1111/jocn.13182
VickersT. (2015). Grappling with power and inequality in humanitarian interventions. International Social Work, 58(5), 625–627. https://doi.org/10.1177/0020872815597417
ZinsliG.SmytheE. A. (2009). International humanitarian nursing work: Facing difference and embracing sameness. Journal of Transcultural Nursing, 20(2), 234–241. https://doi.org/10.1177/1043659608330351
