title: Instrumental care and human-centered caring: rhetoric and lived reality.
abstract: This article explores the nursing discourse on relational caring as a context for examining the authors' recent lived realities with the health care system. Two narratives detail experiences of instrumental care and human-centered caring as the authors journeyed with a loved one who was dying. Commonalities across the stories are identified and caring analyzed using Halldorsdottir's ways of being with another. From weaving an analysis of the realities with the literature emerges a recognition of a critical turning point in nursing and health care.
authors: School of Nursing, York University, Toronto, Ontario, Canada. bradleyp@yorku.ca
authors: Patricia
authors: P
authors: Bradley
authors: Adeline
authors: A
authors: Falk-Rafael
mesh_terms: D000230:Adenocarcinoma / Q000451:nursing / Q000628:therapy; D000328:Adult; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D006801:Humans; D008175:Lung Neoplasms / Q000451:nursing / Q000628:therapy; D008297:Male; D009723:Nurse-Patient Relations; D009732:Nursing Care / Q000379:methods* / Q000592:standards; D013274:Stomach Neoplasms / Q000628:therapy; D013727:Terminal Care / Q000523:psychology*; D014481:United States