14 20 • 9 - - - - 0 me u 376 Vol - - - - Volume 09 sublime, nursing, nursing practice, phenomenology, Jean sublime, nursing, nursing practice, phenomenology, bly close, to what normally remains at a distance. Or we may mo bly close, to what normally remains us and so close to mentarily discern what has always been before us that it has never before been truly differentnoticed. nurs Two ing situations show how meaningful, yet ineffable the sublime in articulate to is it difficult how and evoked is it when be can practice aesthetic dimensions of nursing practices without covering them the expe consider knowledge. We over with theory and theoretical - breath when suddenly severe rience of taken for granted breathing to be to those in extremis, lessness appears. What is it to be present close to the inside workings of human bodies? Using Jean-Luc Nancy’s (1993) understanding of the sublime, we consider how the of can be existentially revelatory experience of a patient’s breath nursing practice. Keywords Luc Nancy Abstract: Abstract: close, incredi may be brought In sublime moments in practice we berta. Her research focuses on reducing health disparities for mar focuses on reducing berta. Her research com settings through ginalized populations in local and global Her originary work munity based participatory action research. delineating philosophical focuses on delineating also focuses on of nursing in the practices understandings of nursing as revealed hermeneutic phenomenology. through is a Professor Emerita in the Faculty of Nursing, University of Al Emerita in the Faculty of Nursing, University of is a Professor is a doctoral candidate in the Department of Secondary Education of is a doctoral candidate in the Department Manager at NorQuest at the University of Alberta and the Research include aesthetic experience, health interests College. Her research and practice, and the phe ethics, images in teaching, research, care nomenology of practice. quarterquarter

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The Sublime In Nursing Practice The Sublime Air Hunger Air Hunger Brenda L. Cameron Brenda Erika Goble

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Brenda L. Cameron Brenda Volume 09 , come to the fore. Later in the paper, we see the Later in the paper, , come to the fore. élan vital The nurse’s specific practices evoked inresponse to the episode Below an experience of severe breathlessness is presented. Here, Here, is presented. breathlessness Below an experience of severe Breathing, quite simply, is a primal human activity. We must must We is a primal human activity. quite simply, Breathing, of severe breathlessness, hold sway over theory and theoretical no over theory and theoretical hold sway breathlessness, of severe The of health professions. in the discourses tions often prevalent dis of physiological processes, young student nurse, well aware objective to anatomy and physiology than is more covers there new dimensions woman reaches knowledge alone. The breathless inquiry science human Here episode. mortal a living through of to student’s response a nursing, yields insight into the lifeworld of (1993) understanding of the sublime, we consider how the experi (1993) understanding of the sublime, of nursing be existentially revelatory can ence of a patient’s breath practice. into this particu the possibility of death and mortality erupts as see qualities of nursing expressed lar world, so too does nursing. We of the life-force in the practices of this nurse as well as the incredible person, the during of a young nurse when faced with an internal organ response organ internal functioning a to present Being procedure. surgical a her that is both unexpected and revealing. from draws a response stopped by something else. And even then, the body’s rhythms re rhythms And even then, the body’s stopped by something else. desperately trying to pull in the forcefulness, now with a appear, much-needed oxygen. tomean it does what And then, does it mean? to live. What, breathe to someone who cannot breathe? for another in their breathing, care as it can appear we consider the power of the breath In this essay, drawn are The accounts presented in the nurse-patient relationship. according research hermeneutic phenomenological previous from nurs of dimension aesthetic the on (1993/2007) Manen van Max to Using Jean-Luc Nancy’s 1998; Goble 2009). ing practice (Cameron, Introduction is something we do daily, Breathing to breathe? What does it mean Although we to our attention. is it brought yet rarely continuously, up a hill or, we run of our inhalation as the force might cough from our feeling long we can hold our breath, test how like children, lungs burn, only to gasp when we finally cannot hold our breath these moments pass quickly any as longer, the ebb and flow of our our notice. Indeed, we can again slips from and once returns breath it is for longer than a few minutes, unless not stop our breathing quarter

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Brenda L. Cameron Brenda Volume 09 This goes on for a seemingly endless time. The nurse coach The nurse bends over to Gwen. She seeks eye contact. SheThe nurse bends over to Gwen. She and gently guides these limbs to stillness. Gwen allows the stillness. Gwen allows to gently guides these limbs and instructions. nurse to do this and begins to follow the nurse’s breathe upright, encourages her to es, supports Gwen sitting from where her hand is placed. “Breathe down here Gwen, push my hand out, it, that’s really good, now another one.” I the stand the bed across nurse. from I look for signs of muscle flaccidity and fatigue to indicate a worsening condition. I see other staff on the unit. I look back at Gwen and her nurse. I move in close to the other side of the bed. speaks softly but firmly and tells Gwen how to breathe with As she speaks she places her hand over simple directions. to her words. Her other diaphragm to give emphasis Gwen’s hand supports Gwen on her back and upper shoulders, gently upright position. She alternately pushes her forward to a more legs, hand goes to Gwen’s Her supports the spine. and strokes flexed anxiousness; her in down and up jerk reflexively which strokes nurse The chest. her to again flexed leg, extended knee, Her lips are not pink anymore. Her chest heaves and retracts Her chest heaves and retracts anymore. not pink Her lips are with the effort of breathing. I know as a nurserecently cum arrest. respiratory to a close perilously is that Gwen researcher side, speaks to her whileHer nurse immediately moves to her with a mask her nasal oxygen prongs for and replacing reaching and increasing the oxygen Becauseflow. I am new to this agency I scan the room for the equipment and other elements for dealing with respiratory and cardiac arrests. I look for a the location of the crash cart andsuction apparatus in the room; emergency medications. I check how large the vein is that currently has an IV running in it. I look out the window for Gwen cannot breathe. Her attempts to suck in gasps of air are Gwen cannot breathe. her mouth. surrounds pale circle A audible. Her color is poor. a health situation, and a person’s experience of lost breath. For the breath. and a person’s experience of lost a health situation, (1989) Bergum as Vangie as the reader, well as here, researchers writes, phenomenological “re may take on the notion of a studies of mortality in (p. 48) as we stand in the presence drama” search the world.serting itself into Air Hunger quarter

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Brenda L. Cameron Brenda Volume 09 Later I ask Gwen about this. She tells me:“I knew what she what knew me:“I tells She this. about Gwen ask I Later Later I ask the nurse, “what were you thinking when I sawI when thinking you were “what nurse, the ask I Later “Gwen has metastases to her lungs, she has fluid on her “You know if she had progressed to respiratory arrest and Iand arrest respiratory to progressed had she if know “You The soothing tones of the nurse’s voice, her stroking, and voice, her stroking, of the nurse’s The soothing tones I know as clear as the dawn that a less experienced nurse ity to overcome it and I wanted to give her a chance. She was and control she knew about breath a ballet dancer you know, techniques all her life.” bodily relaxation and panic, it was too was asking me to do but with little breath the it, be finally might just this maybe if wondered I and hard dying. Her hand was rubbing my back, I remember that. It’s hard to just explain. something It’s I felt. She helped me grab might happen. I didn’t want her ‘tubed’ (intubated) with eve want her ‘tubed’ might happen. I didn’t rything else that is going on for her.” made you hesitate to call the arrest? what you assessing her, What made you able to act in this way?” She speaks of theory to here material new no and breathlessness; research of and me. But then she says: so severe lungs, her haemoglobin is very low right now, than is to be expected. Mind you that was more breathlessness abil the had she knew also I But know. I breathlessness severe would have called an arrest. Gwen would have been intu would have called an arrest. bated, and would now I be know on too a that respirator. this nurse brought her through with her finely tuned nursing dur observed I what nurse my tell I break coffee At judgment. replies: She ing the ‘near arrest.’ go could it where moment fine the point, that at was she know either way, I would have acted then as per the protocol for happened it before that about worry to But arrests. respiratory the actual moment. Getting would have taken me away from what thought not treating my foremost it was her through them. The arrest is near yet nurse Gwen’s continues. I stand to invoke the code. in readiness only are envelops nurse and patient. There her utter calmness breathing Gwen’s before as, and even Yet two in this universe. slowly returns to slightly approximating normal, I feel a calmness arrest respiratory not be a will envelop me too. There Gwen breathes. here. quarter

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sensible presenta Brenda L. Cameron Brenda Volume 09 my ballet body, I couldn’t have done it by myself, I was past too so she taught me a few things helping myself. Afterwards She I knowscan it recognize coming on and it control better. myself sometimes.” me better than I know is really the question of presence. He warns that if an experience the question of presence. is really With these thoughts in mind, is it possible to understand what With It is difficult to escape representational modes of thought; they was happening between Gwen and her nurse? It is a strange situa witnessing the even to the experienced nurse-researcher tion really nurse- the takes it long how is strange most perhaps And event. pro to get out of the comfortable safety of the standard researcher sodiscourse risk and safety hegemonic the in steeped are We tocol. how this falls we also recognize Yet today. in health care prevalent those suffering. short in the face of those in extremis, anecdote above, momentarily rising up and then fading away, we up and then fading away, anecdote above, momentarily rising can how to show this event? We come up against the question of cover through be approached think of many ways that this could But constructs. representational ing over the whole episode with Van lost. be would being human the of strength the and nursing un that writes He further. this understand us helps (2007) Manen derstanding what happens in practice is mainly an issue of intelli too easily involve to practice approaches “Constructionist gibility. reifying what escapes reification, thematizing what cannot be the objectivistic of reach the within practice bringing and matized, technological thought” (van Manen, 2007, p. 18). takes us there immediately? How is it that rather than attending to immediately? How is it takes us there our eyes, we in nursing would the experience happening before discourse of a represented rather embrace a discourse that valorizes 2006). Nancy apply (Cameron, concepts and theories to preplanned understood as (1993) writes that aesthetics, when tion, and a modality that originates representation, over by covered is indeed nonsensible.operates mainly in thought, this is practice disciplines over several dec in many have been prevalent moments in practice come to be, as seen in the When ades now. The Sensible Presentation to breathlessness Gwen’s severe How is it that it takes a moment like live in a state of fragility? Why ourselves that human beings remind is it that we must fight so hard to stay in the present yet the breath quarter

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die Unbe Brenda L. Cameron Brenda Volume 09 . (original italics, p. 35) that takes place on the border of the limit, and thus ) limited, or more exactly of “the unlimitation” ( limited, or more grenztheit on the border of presentation a particular kind of presentation, [such as] the presenta the as] [such presentation, of kind particular a presentation the of matter a not is It ... infinite. the of tion pres the beside placed infinite, the of nonpresentation or an with accordance in construed and finite the of entation it is a matter – and this is some analogous model. Rather, thing completely different – of the movement of the un According to Jean-Luc Nancy (1993), the sublime is not to Jean-Luc According The nurse too knows the limit is incredibly near but does not al incredibly The nurse too knows the limit is representa moves beyond her frenetic As the nurse-researcher In this account, what we see is a situated expression of nursing we see is a situated expression In this account, what see the nurse’s attentivenessAt the beginning of the episode we Nancy (1993) writes that the apprehension of the sublime arises like Nancy (1993) writes that the apprehension a figure against a ground. In a this nursing way, practice moment map to be done in a care forms; it is not mandated by a prescribed is at hand. The beauti to what but rises up in response certain way, tional modality, calmness tional comes modality, over She her. finally sees what is turns her full attention to serv itself in the moment. She presenting It is a moment of the sublime. ing as witness to what is happening. to Gwen, and standing exuding near, a calmness that is difficult to Inter breathlessness. severe achieve if you have ever experienced out pitched sounds as breathing linked bodies, eerie high and low in, both silent and audible becomes as impossible as breathing to deteriorate suddenly and progress Things room. the fill coaching from the limit approaching; sees The nurse-researcher no breath. death unless some action is taken. until now on things will progress in the room. ter the act that is now fully has formed and present But she does not. She waits.Rationality insists she call a code. practice that forms in response to severe breathlessness. It is not It is not breathlessness. to severe in response practice that forms is dying. Proto that Gwen is very ill. Indeed, she unexpected given involving intuba a highly invasive intervention col would suggest have much wants Gwen to be able to And yet her nurse very tion. a conscious death in as fully her movement toward time to continue this and, in the nurse’s prevent way as possible. Intubation would for the final breath. not yet ready her family are Gwen and view, quarter

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Brenda L. Cameron Brenda Volume 09 But too, the breath collects what is going on in the world around collects what is going on in the world around But too, the breath But where in this is the sublime? We might say that the beautiful in this is the sublime? We But where And what of Gwen in this final moment ofrecovering some ing together in synchronicity. open to the outside world. the only internal organ us. The lungs are in tension or noxious odors sometimes breathing If one breathes these out becomes difficult. The air becomes entrapped. If no air out, then no one, or air cannot be breathed around can be gathered of living, of possibilities, exist. Life too becomes rigid atmosphere and fixed. the possibility of Gwen’s own unlimitation. Gwen comes alongsidethe possibility of Gwen’s own unlimitation. body Her cancer-riddled the nurse in this exquisite movement. Gwen breathes body wherein gives way to her beautiful dancer Unlimitation Towards Breath and the Movement and ef is our most fundamental openness to life. In free Breathing fixed no with space communicative our create we breathing, fortless expansive, contractive, full of The lungs are and rigid structures. also a takes place. The lungs are of corporeality space as the rhythm have breathed in the air that others breathe communal space. We others; bodies work to that of our breath often synchronize out. We cording to protocol, is breached. is breached. to protocol, cording moment the nurse-research a decisive at sublime becomes gesture It is the lib care. is in fact exquisite that this ‘breach’ er recognizes forms. Nurs representational the bounds of eration of nursing from from withdraws It practice. generous and fluid a as itself shows ing moves The sustained nursing gesture what it is in representation. ges the of presentation the sublime; the into limits its beyond itself 1993). movement beyond its limits (Nancy, ture’s the limit, the nurse seems to open up In daring to approach breath? ful, he writes, “reveals itself in extreme fragility” (p. 32). The beauti fragility” itself in extreme ful, he writes, “reveals is immediately understood by and appears in the nurse’s gesture ful of the structure of it “is intermingled with the Gwen. The meaning in the room. (1962, p. 186) that has arrived world” (Merleau-Ponty with the the beautiful arrives. It appears the limit of But eventually, (1993), Nancy to According death. and life between border nearing The limit of the view. from this limit, it fades if we try to capture atten sustained of gesture nurse’s what it is, the simply is beautiful ac practice,’ which ‘safe at the border fragility, extreme tiveness to quarter

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[the pa Brenda L. Cameron Brenda Volume 09 sensible presentation . You’ll . pass You’ll out.” I force myself to look away, now Without Without even knowing it, I begin to breathe in time with It is extraordinary. The lung, captured in the basket of the of basket the in captured lung, The extraordinary. is It tient] acutely conscious of the unconscious rhythms of my I body. try to focus on the retractor and technicalities of what I am supposed to be doing, but I cannot forget how this moment away. has taken my own breath am told to scrub up for butthe I offirst am the surgery day, theas watch I me. of required be will what certain really not and prepped, chest area patient is put under anesthetic, his scrub primary the When incision. first the makes surgeon the nurse hands me a basket retractor that is when I discover guiding the hands of the surgeon With is to be. what my role lungs. one of the patient’s around mine, I place the retractor the while way the of out lung the keep gently is do to am I All is performed. surgery One morning, I was assigned to the neuro-thoracic theatre. I theatre. neuro-thoracic the to assigned was I morning, One tient, while I am holding the other end. There I am, holding hands. of life in my the breath in… out… in… out… Until we breathe the lung. Deeply, with him breathe the doctor interrupts, “Don’t instrument, moves in and out with each breath of the pa each breath instrument, moves in and out with Breath and breathing can serve as a meditative focus in nursing can serve as a meditative breathing and Breath There are moments in practice that can catch us unexpectedly. moments in practice that can catch us unexpectedly. are There of the extraordinariness These moments bring to our awareness circumstanc what we do. While they may happen during extreme attending at birth or death, es, in crises or instances when we are maymoments. They common everyday more in also arise they may in the middle of attending a surgery Andrea, as it did for occur, holding an she is simply doing what she is told: carefully where actions. In that aside so that it does not impede the surgeon’s organ practice. They can draw us back into the nursing moment that the draw us back into the nursing practice. They can aboveAs we see in the cause us to forget. of our work may routine invite us to attend to the can anecdote, breath be it can danger in this appearance: a is there yet, And practice. tells of an in Andrea and all consuming. powerful, overwhelming, while she was still a student nurse: years ago cident that occurred quarter

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Brenda L. Cameron Brenda Volume 09 . This is both the most banal and most miraculous of realizations. miraculous of realizations. This is both the most banal and most And yet, the aliveness that shows itself slowly pulsating with We often assert that we are more than our bodies, implying the more that we are often assert We With this recognition, the body that she touches and attends to the body that recognition, this With life as we know it and as we live in and through it. It is not the life it. It is not the life as we know it and as we live in and through to when we ask our friends, “How is life?” Or the life we we refer or thathave succeeded when we us through surge exuberantly feel stops us short when we have failed. It is not even the life we know joyfully and artlessly playing. of children when we see a group Rather it is that which makes all these things possible. It is the life existenceour of moment every infusing us, to present always is that bodies. It may show itself in its incomprehensible aliveness. bodies. It may show itself in its incomprehensible thatAnd we know alive. living human beings are all know that We even though we may debate the dead, not alive, we are if we are alive know that we are exact boundary between life and death. We at bed into children our when we tuck to the store, go when we know that all of these night, and when we talk to colleagues. We make what we commonly call ‘living’ and instances combined are to as ‘life.’ up that which we refer unlikemuch very seems lung the of contraction and expansion each importance of the person we are within and beyond that body. But body. that beyond and within are we person the of importance the viscera, blood, and than much more our bodies are in truth The body is not a collection ofbones that we suppose them to be. that some call the an animating force parts joined together through [its] speech” [its] gestures, than even “[its] glances, soul. It is more 2002, (Merleau-Ponty, one person to another that serves to reveal an incarnation, that we rare p.62). Our bodies have a pre-existence, maywe – momentarily only if – do we when But grasp. fully ever ly by it. It may appear unlike any be amazed, awed, and even shaken our daily encounters with despite thing we have ever encountered moment, she is struck abruptly by the miraculousness and incom abruptly moment, she is struck to which she is a witness. of that prehensibility it appear as a seems to change. No longer does with nursing hands can be operated on of the body so that the rest lung to be held aside medical(the cured and treated be to body a as or body) sick (the as the body of her patient re body). It may even cease to appear within holding herself finds she Instead, comfort. and care quiring her hands something alive quarter

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it presents itself it presents Brenda L. Cameron Brenda that Volume 09 body, pulling in and body, breathing . The body of Andrea’s patient may be a broken broken patient may be a Andrea’s . The body of breath-taking it presents itself…” (Nancy, 1993, p. 37). In this instance, 1993, p. 37). In this instance, itself…” (Nancy, it presents as Yet, in those rare instances when the sublime does break through, through, instances when the sublime does break in those rare Yet, However, this apprehension of the mystery of being alive is brief. alive being mystery of of the apprehension this However, And yet, what is Andrea encountering? She sees the body and encountering? Andrea And yet, what is Most everyday, we are both the closest to this aliveness and the both the closest to this aliveness we are Most everyday, “habit rises like a flood of slime along the scale of values and … it would Andrea ongoing exposure, swallows all values” (p. 53). With fad a experience also may but competence practical gain only not of and paradox Such appears the nature ing away of her wonder. yet far too given to be noticed. existence: it is both remarkable it can be body for the moment but it is a living, alive, and that may be what makes its aliveness so remarkable and its aliveness so remarkable alive, and that may be what makes sublime is “the fact What is incomprehensible. and sees existence. Andrea Fleeting and fragile, it can be easily overlooked – it is overlooked by isinstances when it rare And in those every day. of us nearly each Andrea’s if may wonder habituate to it. We noticed, we can readily sur neuro-thoracic in career her spent she wane if wonder would yet another body part to those lungs simply become gery? Would be effectively and efficiently managed? Flusser (2002) writes that: ing present to our aliveness, itself. It may be the body that no long to our aliveness, ing present disclose the body’s sub er appears as a body that can momentarily the fact of the body organ, out of the vital limity: that it exists. From apprehended. beyond the everyday body is momentarily it is alive. But she may be also grasp that the lung. She apprehends it is given but not necessitated.ing that its aliveness is contingent; she may be witnessing that use Nancy’s (1993) own phrase, To In (p. 35) of the living body. of the limit” which traces “the border simultaneously arises with theits movement of unlimitation that that it need not have beenlung’s appearance, she may be intuiting and yet nearly always overlooked because of how close it is, how overlooked because of how and yet nearly always us.enmeshed it is in is the most our aliveness it. When whole and hearty, furthest from of our exist yet often the least attended to aspect given to us and with a broken be only when confronted it may ence. Paradoxically, exposed and partitioned, withbody – a body cut open, the interior so inhuman, so body, a body so unlike our normal face covered, the everydayness of life to be through other – that we may break quarter

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Brenda L. Cameron Brenda Volume 09 . Online Etymology Dic , wherein it is purified by expo sublimation , 2014), “lifted up” and “delivered” to us in its purest of state. of purest its in us to “delivered” and up” “lifted 2014), , Such knowledge, however, can come at a cost – a pro sometimes Such knowledge, however, We may be so drawn to the body before us that, like Andrea, we Andrea, us that, like drawn to the body before may be so We hibitively high one. It can interrupt our practical relation to the to the our practical relation hibitively high one. It can interrupt world and may cause us to momentarily cease to be practitioners. her nurse and loses is a novice Andrea that should not forget We She must be called her. lung before nursing-ness to the breathing in the This is worrying experienced practitioner. back by the more nurse fosters the ar On the other hand, Gwen’s middle of surgery. rival of the sublime to extend Gwen’s life. She also acknowledges afor called and shifted have could situation the instant, an in that, be doing and who we should be at that moment: an attending nurse.be doing and who we should be at The Ineffability of Nursing Practice close, incredi we may be brought In sublime moments in practice, maywe rather, Or, distance. a at remains normally what to close, bly to us and so close always been before momentarily discern what is everydaythe if as is It noticed. truly been before never has it that us of a process undergoes element (sublimation, v to an extreme sure tionary ancing, its life draws forth our own. Breath matches breath, partak matches breath, Breath ancing, its life draws forth our own. In its converge. rhythms the same world. Bodily ing of the same air, revealed. aliveness, our aliveness is poignantly As if lulled into its movements. may unknowingly begin to mimic are we that sense the lose to us cause may it sleeps, of deepest the conscientiousbe longer no may we moment, that in And separate. aside brush quietly and interrupt may sublime The practitioners. we could not have maintainedthat mode of existence, a mode that even if we wanted. are brieflyWe nothing but being, feeling, alive. called back to what we should called back to awareness, Until we are expelling out the air of this world, her world, our world. Even in air of this world, her world, our expelling out the to call to ours. Its body seems this breathing her anecdote, reading before flesh the in stands Andrea As response. our for calls aliveness another’s flesh, we too are there. Such arecognition can take our breath. of the body may become our The breath away. own breath and are touched by it; hold it simultaneously touch it and are We As we see this our existence. held by it. Its existence may become with our own body – recognizing body living, somehow we know As if in some bodily bal with this body. – the mystery that we share quarter

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, (C. Smith, , (C. Smith, . J. Morse (Ed.), Brenda L. Cameron Brenda , 23, 1/4, pp. 16-28 Volume 09 (trans. Oliver Davis). Philosophy Today Phenomenology of Perception (Andreas Ströhl, editor). University of Ströhl, editor). University of (Andreas The World of Perception of Perception The World Congress on Law and Mental Health Mental and Law on Congress st pp. 23-35. Writings Minnesota Press: Minneapolis.MI Minnesota Press: 31 the from ceedings p. 68. York, Routledge: London. Trans.). Routledge: New York. pp. 43-57. Incomplete reference than he understood himself. nursing: Some nursing philosophical considerations. 7, Philosophy, Alberta, Edmon published doctoral dissertation. University of ton, AB. translator). tative Nursing Research: A Contemporary Dialogue A tative Nursing Research: In health care, any given situation can go a myriad of ways. The situation can go a myriad of any given In health care, Goble, E. 2009. Encountering the Sublime in Practice. In the M. 1962. Merleau-Ponty, M. 2002. Merleau-Ponty, Cameron, B. 2006. Towards understanding the unpresentable in in the unpresentable understanding B. 2006. Towards Cameron, Un practices. its and nursing Understanding 1998. L. B. Cameron criterion. (Erik Eisel, aesthetic 2002. Habit: The true V. Flusser, Bollnow, O. 1979. What does it mean to understand a writer betterwriter a understand to mean it does What 1979. O. Bollnow, this prevents us from falling into what Bollnow (1979) describes as falling into us from this prevents in which a certainty of under ourselves to those objects “restricting but (rather) by ventur nature, standing is guaranteed by their very meant and in to grasp what is ing out into the uncertain, trying (p. to full expression” yet brought tended… even if it has not been to understand how practice both25). Only in this way will we begin itself. conceals and reveals References In researcher. 1989. Being a phenomenological V. Bergum, code and she would go there. Gwen’s nurse demonstrates a respon Gwen’s nurse demonstrates go there. code and she would had not Andrea to the happenings in practice that sive attentiveness yet developed. two vastly different nursing situations presented above show how meaningful, yet ineffable the sublime in practice can be.Moreover, escapes us—as it should. Nursing in its it, it when we try to capture understanding and interpretive practices is always incomplete; acceptingand Understanding way.’ the ‘on always are judgments quarter

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Brenda L. Cameron Brenda [Accessed 14 May [Accessed Volume 09 The ground of the image The ground Of the Sublime; Presence in Of the Sublime; Presence Online Etymology Dictionary. Online Etymology Dictionary. Althouse Press: London, ON. London, Althouse Press: Researching Lived Experience: Human Sci Human Experience: Lived Researching http://www.etymonline.com/ . (Jeffrey S.Trans.). Librett,York: New State University Question ence for an Action Sensitive Pedagogy. of New York Press. pp. 25-53. Press. York of New Press: University Fordham ed.), edition (Second Trans.). Fort, (J. pp. 438-456. York. New at Available 2014]. Van Manen, M. 1993/2007. M. Manen, Van Nancy, JL. Nancy, 1993 The sublime offering. In forbidden representation. J. 2005. The Nancy, 2014. Online Etymology Dictionary, quarter

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