McFadden Alysha, Lynam M Judith, Hawkins Lorelei
UBC School of Nursing, The University of British Columbia, Vancouver, British Columbia, Canada.
Raven Wing, Elder in Residence, Stepping Stone Vision, Raycam Cooperative Centre, City of Vancouver Community Services, Vancouver, British Columbia, Canada.
Nurs Inq. 2023 Oct;30(4):e12574. doi: 10.1111/nin.12574. Epub 2023 Jul 27.
The profession of nursing has recognized the need for contextual and relational frameworks to inform knowledge development. Two-Eyed Seeing is a framework developed by Mi'kmaw Elders to respectfully engage with Indigenous and non-Indigenous knowledges. Some scholars and practitioners, however, are concerned that Two-Eyed Seeing re-instantiates dichotomized notions regarding Western and Indigenous knowledges. As dichotomies and binaries are often viewed as polarizing devices for nursing knowledge development, this paper explores the local worldviews in which Two-Eyed Seeing emerged, proposing that the onto-epistemological and axiological 'roots' of the framework are antithetical to divisiveness, paradoxically asserting space for the dichotomy to stand. Two-Eyed Seeing, if understood as a relational, decolonial praxis, could fundamentally change the way nursing scholarship and practice operate by facilitating space for diverse knowledges, ways of being, doing and relating. In this paper, considerations for nursing scholarship and practice, as well as recommendations to support the uptake of Two-Eyed Seeing are explored. The authors assert that conceptual divisiveness, dichotomization and exclusion can be mitigated if nursing is informed by contextual knowledge, seeks to enact accountable partnerships with Indigenous knowledge holders, and holds the Mi'kmaq worldview upon which the concept developed in positive regard.
护理行业已经认识到需要有情境和关系框架来为知识发展提供指导。“双眼看世界”是米克马克族长老们开发的一个框架,旨在以尊重的方式融合本土知识和非本土知识。然而,一些学者和从业者担心“双眼看世界”会重新强化关于西方知识和本土知识的二元对立观念。由于二元对立常常被视为护理知识发展的两极分化手段,本文探讨了“双眼看世界”所产生的本土世界观,提出该框架的本体认识论和价值论“根源”与分裂相对立,矛盾的是却为这种二元对立留出了存在空间。如果将“双眼看世界”理解为一种关系性的、去殖民化的实践,它可能会从根本上改变护理学术和实践的运作方式,为不同的知识、存在方式、行为方式和关系创造空间。本文探讨了护理学术和实践的相关考量,以及支持采用“双眼看世界”的建议。作者断言,如果护理以情境知识为依据,寻求与本土知识持有者建立可问责的伙伴关系,并对该概念所源自的米克马克族世界观持积极态度,那么概念上的分裂、二元对立和排斥就可以得到缓解。