Abstract
The aim of this study was to explore the phenomenon of feeling unsure as viewed from the humanbecoming school of thought. The Parse research method was used to guide this study and answer the question: What is the structure of the lived experience of feeling unsure? The central finding of the study is: Feeling unsure is wavering irresolutely with discerning ponderings arising in venturing with trepidation, while revering alliances. The findings are discussed in relation to the humanbecoming school of thought and related literature.
Feeling unsure is a universal experience of health and quality of life. It is inherent in being human. People in all walks of life experience moments of feeling unsure while shaping envisioned undertakings in moving projects with determination and hesitation all-at-once. It is an ever present human way of being that shapes hopes and dreams as individuals move on. Feeling unsure as a universal phenomenon surfaces in giving birth to something of value in carving out health and quality of life.
General theoretical literature on unsureness, being unsure, and feeling unsure is sparse. While many articles addressed descriptions of feeling unsure in specific situations, no literature reported feeling unsure from a theoretical perspective. Closely related to the phenomenon feeling unsure is the concept uncertainty. Discussions of uncertainty from both the natural and the human sciences enhance understanding of the lived experience of feeling unsure.
In quantum physics, Heisenberg (1949) discussed the uncertainty of knowing simultaneously the momentum and position of subatomic particles, whereas Prigogine (1997) expressed the limits of determinism to explain the irreversibility and instability of dissipative structures in complex nonlinear systems. From sacred literature and theology uncertainty is concerned with faith, belief, and doubt. In philosophy it was related to faith, freedom, and language, addressed as a paradoxical tension of relations between reason and faith and human and the world, often described as doubt in cognition. From the discipline of psychology uncertainty was described as stressful apprehensions that surfaces with irrational beliefs regarding life’s hassles. In living uncertainty, humans use coping mechanisms to solve problems in order to perform effective and meaningful actions. Fromm (1947) stated, “The quest for certainty blocks the search for meaning. Uncertainty is the very condition to impel man [sic] to unfold his powers” (p. 45). Bandura (1997) explained, “problem-solving skills require processing of multifaceted information that contains many complexities, ambiguities, and uncertainties. The fact that predictive factors are usually related probabilistically to future events creates some degree of uncertainty” (p. 177). Anthropology scholars viewed uncertainty primarily in terms of risks. In psychological anthropology, Zabinsky (2008) argued for the necessity of acknowledging the dynamic and changing self as, a “fluxing person &in transit between positions” (pp. 201-202). Beck, Giddens, and Lash (1994) posited that fundamental ambivalence grasped by calculations of probability created through capitalism and wealth production leads to uncertainty and alienation of self in a risk society, whereas in cultural anthropology, Douglas and Wildavsky (1982) addressed risk as “ a point product of knowledge about the future and consent about the most desired prospects” (p.5). Morin (1999) suggested that the uncertain adventure of humanity is a source of collective creativity, learning, and transformation of potentials beyond the limits of self-knowledge through thoughtful decision-making, awareness, and elaboration of strategies.
In nursing theoretical literature, uncertainty is conceptualized from two distinct paradigmatic perspectives. From the totality perspective uncertainty is viewed as a process or changing states occurring in cyclical patterns (Mishel, 1990; Penrod, 2007; Hilton 1988; Morse & Penrod, 1999). Research findings on uncertainty confirmed a causal relation between the changing nature of uncertainty in illness in view of antecedents, appraisal, coping, and adaptation. From the simultaneity paradigm, specifically from the humanbecoming theory, uncertainty is an unfolding paradoxical rhythm of certainty-uncertainty lived all-at-once (Parse, 1998). Four research studies embedded with the ontology of the humanbecoming theory were conducted and the findings published on the phenomenon of feeling unsure, whereas eight studies were tangentially related to feeling unsure, unsureness, or being unsure.
Guided by the Parse research method (Parse, 2005), Bunkers (2004) studied the lived experience of feeling unsure with 10 Native American women. The finding of the study was the structure, “Feeling unsure is disquieting trepidation arising with pursuing endeavors, while joining with distancing affiliations” (p. 24). In another study with 10 homeless women, core concepts of feeling unsure emerged as, “despairing apprehensiveness,” “tormenting isolation,” and “prevailing endeavours amid the arduous” (Bunkers, 2006, p. 43). A third study on feeling unsure (Bunkers, 2007) was conducted with 9 women at end-of-life. The structure emerged as Feeling unsure is disquieting apprehensiveness arising while pressing on with intimate sorrows (p. 60). Morrow’s (2006) study with 10 persons living with chronic heart failure emerged with the structure, Feeling unsure is discomforting trepidation with assuredness-unassuredness, as vigilant anticipating with treasured alliances arises with moments of acquiescence (p. 92). Other research related to feeling unsure studied universal phenomena of health such as, feeling uncomfortable (Baumann, 1996); waiting (Bournes & Mitchell, 2002); and taking life day-by-day (Welch, 2007). All of these studies added to an understanding of feeling unsure and enhanced knowledge of humanbecoming.
Nursing Perspective
The humanbecoming school of thought (Parse, 1998, 2010a) consists of a specific ontology, epistemology, and congruent research methodologies. The ontology of the humanbecoming theory includes assumptions, postulates, principles, and concepts and paradoxes (Parse, 2010a). Humans structure meaning while configuring rhythmical patterns with emerging possibles. It is humanuniverse cocreating an indivisible, unpredictable, everchanging seamless symphony of becoming (Parse, 2010a). The postulates permeate these principles of the theory. They are: illimitability, paradox, freedom, and mystery. Illimitability pertains to humanly lived experiences surfacing with an unending expanding horizon. Feeling unsure involves countless ways humans choose to engage with the emerging now (Parse, 2010a). Paradox is “an intricate rhythm expressed as a pattern preference” (Parse, 2007, p. 309). It refers to one’s choices with cocreating with the moment. Feeling unsure weaves one’s expressed preference, while all-at-once incarnating a way of being otherwise. Freedom is “contextually construed liberation” (Parse, 2007, p. 309). Feeling unsure is an emergent continuously unfolding as humans live everyday connectedness with universe. Mystery is “the unexplainable, that which cannot be known unequivocally. It is puzzlement, an impenetrable” (Parse, 2007, p. 309). Feeling unsure is a bewildering indescribable that appears with ineffable glimpses of comfort-discomfort.
From a humanbecoming perspective, feeling unsure is an uneasy-easy puzzlement arising with opportunities-constraints amid anticipating possibilities. It surfaces with an unsettling-quiet daze as humans incarnate advantages and restrictive drawbacks, while envisioning projects. At the conceptual integration feeling unsure is originating in the enabling-limiting of imaging. Feeling unsure emerges as a way of living health and quality of life.
Health is incarnating chosen options with universe in unfolding seamless moments. It is the way humans cocreate with day-to-day activities. Feeling unsure emerges with preferred ways of being as humans shape incommensurable alternative life patterns. Quality of life is “what the person there living the life says it is” (Parse, 1994, p. 17). Feeling unsure is a human experience of quality of life.
Participant Selection and Protection of Participants
Approval for this study was obtained by a university Institutional Review Board (IRB) for the protection of human subjects. Participants were recruited through personal contact and an announcement posted in community dwellings. Participants were 10 persons over 18 years of age. Full disclosure of the study’s purpose, procedures, and intent were explicated to protect participants’ welfare and rights. Individuals agreeing to participate signed a consent form. Privacy, confidentiality, and anonymity were honoured at all times. All agreed to the audiotaping of the dialogues. Participants met with the researcher at a time and place convenient for both for private discussion.
Method
The Parse research method (Parse, 2005) is a phenomenological-hermeneutic method of inquiry. Lived experiences as described by participants provide the primary source of information and research findings are interpreted in light of the humanbecoming theory. “The purpose of the Parse research method is to discover the structure of universal lived experiences of health &through the processes of dialogical engagement, extraction-synthesis, and heuristic interpretation” (Parse, 2001, p. 189).
Dialogical Engagement
Dialogical engagement is unique to the Parse research method (Parse, 2005). It is a process where the researcher is in true presence with the participant. The researcher is “attentive to moment-to-moment changes in meaning as she or he bears witness to the person’s or group’s own living of value priorities” (Parse, 1998, p. 71). True presence is an unstructured dialogue between the researcher and the participant focused on the phenomenon under study. It is not an interview. Participants describe their experiences “with words, symbols, metaphors, poetry, photography, drawing, music, or rhythmic movements” (Parse, 2001, p. 167).
For this study, the researcher invited the participants to answer, “Please tell me about feeling unsure”. The researcher moved the dialogue with focused comments such as “Go on.” “Can you say more about your experience in light of feeling unsure?” or “Can you think about anything else that would help me understand your experience?” For this study, the audio taped dialogues lasted between 12 to 40 minutes until the participants had no more to share about feeling unsure. The audio tapes were transcribed to a typed format for the extraction-synthesis process (Parse, 2001).
Extraction-Synthesis
Extraction-synthesis is a creative process of sciencing that consists in dwelling with, conceptualizing, and inventing by moving the language of the participants’ descriptions across levels of abstraction (Parse, 2005). This process arises as the researcher is immersed with the transcribed dialogues and audio tapes by moving the levels of discourse to the level of science. Parse (2005) delineated six major processes occurring simultaneously during extraction-synthesis:
Synthesizing a story that captures the core ideas about the phenomenon of concern from each participant’s dialogue.
Extracting-synthesizing essences in the participant’s language from recorded and transcribed descriptions. These essences are succinct expressions of the core ideas about the phenomenon of concern as described by the participants.
Synthesizing-extracting essences in the researcher’s language. These essences are expressions of the core ideas conceptualized by the researcher at a higher level of abstraction.
Formulating the language-art from each participant’s essences. Language-art is an aesthetic statement conceptualized by the researcher synthesizing the core ideas from the essences in the researcher’s language. The essences arise directly from the participant’s descriptions.
Extracting-synthesizing core concepts from the language-art of all participants. Core concepts are ideas, written in phrases, which capture the central meaning of the language-art from all participants.
Synthesizing a structure of the lived experience from the core concept. A structure is a statement conceptualized by the researcher synthesizing the core concepts. The structure as evolved answers the research question (p. 298).
Heuristic interpretation furthers an understanding about the lived experience in the language of the humanbecoming theory of nursing.
Heuristic Interpretation
Heuristic interpretation includes the processes of (a) structural transposition, (b) conceptual integration, (c) metaphorical emergings, and (d) artistic expression (Parse, 2010b). Through structural transposition, the researcher states the structure of the phenomenon at a higher level of abstraction (Parse, 2005). The process of conceptual integration consists in moving the structure of the phenomenon to the concepts of the humanbecoming theory. Metaphorical emergings consist in identifying metaphors about the phenomenon under study as expressed by the participants (Parse, 2010b). The artistic expression is the cocreation of an art form that reflects the research process and the researcher’s transfiguring moments with the phenomenon of study (Parse, 2005).
Findings
This section includes the stories of three participants, the extraction-synthesis, the language-art for all the participants (see Table 1), the core concepts, the structure, the heuristic interpretation (see Table 2).
Language-Art of the 10 participants
Core Concepts across Levels of Abstraction
Alice’s Story
Alice said that feeling unsure is living in limbo. She said, “I don’t make any attempts. I have to wait and see what happens. I just get along day by day.” Feeling unsure is feeling insecure, and worried. It is feeling devastated in taking on anything new. Alice said, “I feel blocked. I can’t budge.” Alice said that feeling unsure is not knowing if she is doing things right in precarious situations. She said, “I am not confident if I am making the right decision. I just move forward, focus on being totally behind others, and protect myself by not getting involved. It is not easy.”
Essences: Alice’s Language
Feeling unsure is living in limbo. It is moving forward feeling devastated and blocked in taking on anything new.
Feeling unsure is feeling hesitant, insecure, and worried in precarious situations. It is being totally behind others, protecting by not getting involved.
Essences: Researcher’s Language
Disconcerting paralysis with innovation surfaces with the puzzlement of truncating venturing.
Wavering irresolutely arises with guarded alliances.
Language-Art
Feeling unsure is wavering irresolutely with guarded alliances, as disconcerting paralysis with innovation surfaces with the puzzlement of truncating venturing.
Martha’s Story
Martha said that feeling unsure is a stressful and worrisome feeling of “not being able to give up what is scary or allowing it to be.” It is not knowing what the future holds. Feeling unsure is a choice. Feeling unsure is a nagging conflict to fight challenging situations and to control feelings by reasoning and focusing on feeling “fine, healthy, strong, and calm.” It is asking for help and pursuing things together by choosing “to react or to pull back and run away and hide.” Martha said, “I can roll on in being scared.”
Essences: Martha’s Language
Feeling unsure is a stressful, scary, and worrisome feeling of not knowing what the future holds. It is focusing on being fine, healthy, strong, and calm.
Feeling unsure is a conflict of choosing to react or to pull back in asking for help and in pursuing things together.
Essences: Researcher’s Language
Frightening unexplored prospects surfaces with attending to contentedness.
Wavering irresolutely arises with risking venturing onward with alliances.
Language-Art
Feeling unsure is wavering irresolutely with risking venturing onward with alliances, as frightening unexplored prospects surface with attending to contentedness.
Sylvio’s Story
Sylvio said that feeling unsure is a frustrating and nervous feeling “a funny feeling in my stomach” associated with the stress of not knowing an outcome. He said that he questions, worries about, glides with other aspects of his life, and is less judicious in his choices. Sylvio said that he is inclined to completely put his work aside, not think about it, and escape from what is happening. He said that feeling unsure is withdrawing from friends and social contacts, as he needs a little space to enjoy outdoor activities. He said, “People are thinking about the value of what I am doing and it is difficult to separate from what people think about me.” Feeling unsure is a certain allurement that he enjoys by putting in effort, with “sweat and blood.” It is moving from a point of not understanding to learn something and to suffer the sense of uncertainty within the guidelines and restrictions placed upon him. Sylvio said that feeling unsure is not a particularly pleasant feeling when contemplating the possibility of failure. He said that feeling unsure is “that very specific incarnation of being sure – being unsure.”
Essences: Sylvio’s Language
Feeling unsure is stressful, worrisome, and frustrating. It is being less judicious when questioning and gliding with aspects of life, not knowing outcomes, but contemplating the possibility of failure.
Feeling unsure is an allurement in moving with effort within guidelines and restrictions. It is withdrawing from friends and social contacts, putting work aside, escaping from what is happening, and needing space to enjoy activities.
Essences: Researcher’s Language
Wavering irresolutely with trepidation surfaces with thoughtful anticipation of consequences.
Venturing with distancing alliances arises with circumscribed evasions.
Language-Art
Feeling unsure is wavering irresolutely with the trepidation of thoughtful anticipation of consequences, as venturing with distancing alliances arises with circumscribed evasions.
Discussion of Findings and Related Literature
The finding of this study is the structure: Feeling unsure is wavering irresolutely with discerning ponderings arising in venturing with trepidation, while revering alliances. The structural transposition is: Feeling unsure is incertitude in penetrating reverie arising in propelling with the arduous, while prizing involvements. The conceptual integration is: Feeling unsure is originating imaging in the powering of valuing connecting-separating. Each core concept of the structure of feeling unsure is discussed individually in light of humanbecoming.
Wavering Irresolutely with Discerning Ponderings
Wavering irresolutely with discerning ponderings is the first core concept of feeling unsure. It is as a vacillating while considering envisioned possibilities. All participants’ descriptions contained a statement related to feeling ambivalent, yet confident about possible options, while living situations with indefiniteness and clarity all-at-once. For example, Patrick said, “It is having more than one opinion about a situation and thinking about all the possibilities. It is not being able to bring yourself to choose and to settle on a viewpoint.” Nick said, “When I am teaching, I never know about my own approach and how information will be interpreted. I want to have more information to reflect on and have a clear picture about what I am doing.” Alice stated,
Before I do something, there is a hesitation. I start asking questions: ‘Is it the right thing? Is it the wrong thing?’ I feel very precarious. And this is just about with everything. I do not know. I do not have the guarantee. I do not want to make any kind of decisions. I just wait and see what happens.
This participant’s description points to a holding pattern of indeterminacy in not choosing without knowing with assurance, while all-at-once envisioning possibilities. These three descriptions address wavering irresolutely with discerning ponderings as a constituent of feeling unsure.
Wavering irresolutely with discerning ponderings was structurally transposed to incertitude with penetrating reverie. Incertitude with penetrating reverie was conceptually integrated as originating imaging. Discussion of wavering irresolutely with discerning ponderings in light of the construct originating imaging enhances understanding of the meaning of the concepts originating and imaging and adds further depth and clarity about the lived experience of feeling unsure.
Originating, from the third principle of humanbecoming, cotranscending with possibles, is “inventing new ways of conforming-not conforming in the certainty-uncertainty of living” (Parse, 1998, p. 49). It is creating new ways of being with assuredness-unassuredness in abiding with what is required, while struggling all-at-once in moving on with an unprecedented way of living value priorities. Imaging, from the first principle of humanbecoming, structuring meaning, is a “reflective-prereflective coming to know the explicit-tacit all-at-once” (Parse, 1998, p.36). It is a way humans live experiences thoughtfully and unpremeditatedly with distinctness and vagueness all-at-once. The construct originating imaging best captures the meaning of wavering irresolutely with discerning ponderings. Originating imaging is generating the envisioned. It is inventing new ways of conforming-not conforming in moving on with ambivalence and confidence, while all-at-once apprehending situations with indefiniteness and clarity without knowing consequences. Parse (1998) explicated originating imaging as living the paradoxical tension of conforming-not conforming in moving beyond with the struggle of living certainty-uncertainty, while structuring meaning in light of personal explicit-tacit knowings. For example, Sylvio said,
It is not a particularly pleasant feeling when I contemplate the possibility of failing at my work within the guidelines placed on me. I might not finish and need to prepare for that possibility. I get to a point where I am so unsure that I have to completely leave it aside. I worry about other aspects of my life and question what I think.
This description refers to originating imaging and reflects the participant’s description of feeling unsure as wavering irresolutely with discerning ponderings.
The core concept wavering irresolutely with discerning ponderings was not explicitly described in the extant literature on uncertainty, unsureness, and feeling unsure, but was consistent with some ideas discussed by various authors (Bournes & Mitchell, 2002; Bunkers, 2007; Hilton, 1988; Mishel, 1990; Morse & Penrod, 1999; Morrow, 2006; Penrod, 2007).
Core concepts similar to wavering irresolutely with discerning ponderings emerged from research guided by the Parse research method (Parse, 2005). From studies on feeling unsure, Bunkers (2007) discussed the core concept disquieting apprehensiveness, and Morrow (2006) explicated the core concept discomforting trepidation with unassuredness-assuredness. Bournes and Mitchell (2002) posited vigilant attentiveness surfacing amid an ambiguous turbulent lull in a study on waiting. While the core concepts in Bournes and Mitchell’s (2002) study were explicated as imaging and originating, both studies on feeling unsure (Bunkers, 2007; Morrow, 2006) emerged as a theoretical construct. Bunkers (2007) explicated the construct originating imaging as a paradoxical tension that humans generate while shaping a personal way of being, whereas Morrow (2006) discussed imaging originating as a way that humans picture possibles as a pattern preference. The findings of this study emerged with the construct originating imaging as in Bunkers’ (2007) study. Wavering irresolutely with discerning ponderings is distinct from disquieting apprehensiveness in that the idea of pondering is clearly stated, while the idea of wavering is similar to a disquieting feeling of “pervasive hesitancy concerning what is possible” (Bunkers, 2007, p. 60). The irresoluteness that emerged as a qualitative descriptor of wavering points to the precariousness of an “ambiguous &lull” (Bournes & Mitchell, 2002, p. 61). Wavering irresolutely addresses the indecisiveness of generating new ways of being, while incarnating the uncertainty of conventional ways in originating moving beyond (Parse, 2007). As uncovered in this study, it is the irresoluteness that arises with wavering feelings that expands originating and adds new knowledge to the construct originating imaging as a lived experience of feeling unsure. From the humanbecoming perspective (Parse, 2007), wavering irresolutely with discerning ponderings illuminated originating imaging as a paradoxical rhythm of conforming-not conforming in the certainty-uncertainty of feeling unsure, while explicitly-tacitly knowing all-at-once.
Venturing with Trepidation
Venturing with trepidation is the second core concept in this study. It addresses feeling unsure as moving on with turmoil. Venturing with trepidation in moments of feeling unsure was described by all participants as a disconcerting agitation that surfaces with fear while daring to take a leap. Maud said,
I feel nervous and panicky in having to take the plane. I take control of things by being at a certain place at a certain time before the moment I go to the plane &.You can try and do things by getting organized so that the panic goes away.
This description explicated venturing with trepidation as the risk of moving on with fear, while shifting with possibilities. Martha said, “The financial situation is a challenging situation that may be difficult and scary. I am more likely to go down the road of not having enough money to pay the bills.” This description pertains to the participant’s choice of living the tension of moving on with tumultuous hardship. Alice said,
It took me nine years for my patient’s rights to get to court because it was a battle. I will not go away. It is putting me in a situation where I can not budge. It is my decision. I will stick with it. This description captures the paralyzing strength of feeling unsure, as the participant audaciously pursued with determination. In these descriptions venturing with trepidation addressed feeling unsure as daring to take a leap with disconcerting agitation.
The core concept venturing with trepidation was structurally transposed to propelling with the arduous. Propelling with the arduous was conceptually integrated as powering. Powering, from the third principle of humanbecoming, cotranscending with possibles, is the “pushing-resisting process of affirming-not affirming being in light of nonbeing” (Parse, 1998, p. 46). Powering is the force of asserting, while all-at-once pulling back risking potential disregard. Powering in venturing with trepidation is daringly asserting reaching beyond, while at once moving with fright. It is living the paradoxical tension of pressing on—pulling back, while at once affirming-not affirming being.
The core concept venturing with trepidation was not explicitly described in the extant literature on uncertainty, unsureness, and feeling unsure, but was consistent with the ideas discussed by various authors (Baumann, 1996; Bunkers, 2007, 2009; Hilton, 1988, Penrod, 2007; Welch, 2007).
Core concepts similar to venturing with trepidation emerged from research guided by the Parse research method (Parse, 2005). Bunkers’ (2007) study on feeling unsure emerged with the core concept pressing on described as, “being immersed in earnest endeavors, while fearing not having enough time to do” (p. 60). Pressing on does not explicitly state the paradoxical tension of being-nonbeing which arose in venturing with trepidation. Venturing with trepidation expresses the idea of forging ahead, while at once drawing back, which is similar to the core concepts fortitude amid adversity (Doucet, 2008) and enduring with the burdensome (Welch, 2007). Doucet (2008) explicated fortitude amid adversity in the having faith study as, “pressing on dauntlessly amid the vicissitudes of life” (p. 350), whereas enduring with the burdensome (Welch, 2007) in the study on taking life day-by-day was described as, “assiduous struggles with the vicissitudes of day-to-day living” (p. 107). While these core concepts illustrate powering, venturing with trepidation further expands the theoretical concept by highlighting affirming being with disconcerting agitation in light of nonbeing.
Revering Alliances
Revering alliances was identified from the language-art of all participants as the third core concept of feeling unsure. Participants described revering alliances as treasuring relationships. It refers to bearing a “solemn regard for human presence (Parse, 2010a, p. 258). Revering alliances is venerating affiliations while upholding bonds with others, family members, and colleagues. The core concept revering alliances surfaced with fulfilling activities with esteemed others, while cherishing the preciousness of everyday situations with affiliations. For example, Serge said,
I want to be close to my wife, and when she goes away, I feel that I am apart from her. In my heart, it hurts not having somebody there. I would like to have somebody to hold, to be close. I would rather that she tells me that she wants to be with me.
Marc described revering alliances when stating, “In my job, there will be a colleague to call or there will be a boss to call when I am not sure about something fundamental.” These statements described revering alliances as a constituent of feeling unsure. They exemplify how the participants felt aggravated with situations, while all-at-once honoring the moment in moving away with a chosen alternative that surfaced with delight. These examples addressed revering alliances in feeling unsure as ways humans honor being with and apart from others, ideas, and activities in cocreating situations.
The core concept revering alliances was structurally transposed to prizing involvements. Prizing involvements was conceptually integrated as valuing connecting-separating. Discussion of revering alliances in light of the construct valuing connecting-separating expands understanding of the meaning of valuing and connecting-separating and adds further depth and clarity to knowledge about the lived experience of feeling unsure.
Valuing, from the first principle of humanbecoming, structuring meaning, is “confirming-not-confirming cherished beliefs in light of a personal worldview” (Parse, 1998, pp. 37-38). The core activities of valuing are: “choosing, prizing, and acting” (Parse, 1998, p. 38). Opting to proceed with the treasured, humans all-at-once incarnate choosings in relishing the valuable. From the second principle of humanbecoming, configuring rhythmical patterns (Parse, 2010a), Connecting-separating surfaces in all relating such that in separation there is a connection and in the connection there is a separation (Parse, 1998, p. 45). It is a way humans cocreate attending-distancing with the emerging now (Parse, 2007, 2010a). Connecting-separating surfaces in all relating, such that, “in the separation there is connection&and in the connection there is separation” (Parse, 1998, p. 45). The construct valuing connecting-separating illuminates the core concept revering alliances of feeling unsure. It is giving worth to what is meaningful as humans incarnate a preferred way of being, while prizing the unfolding of togetherness that surfaces with solitude.
The core concept revering alliances was not found explicitly in the extant literature on uncertainty, unsureness, and feeling unsure, but was consistent with ideas discussed by various authors (Clayton et al., 2006; Gil et al., 2006; Mishel, 1990; Morrow, 2006; Morse & Penrod, 1999). While findings in the Clayton and colleagues (2006) and the Gil and colleagues (2006) studies conveyed ideas similar to revering alliances, these researchers reported that participants’ uncertainty was correlated to not always feeling respected in interaction with health providers. This idea is different from revering alliances that connects with living paradoxical rhythms while honoring others, ideas, and situations.
Fifteen Parse research method (Parse, 2005) studies emerged with the construct valuing connecting-separating. Similar core concepts to revering alliances were reported such as, honoring affiliations in the persisting while wanting to change study (Kostas-Polston, 2007) and steadfastness with the cherished in unfolding alliances in the living with changing expectations study, (Yancey, 2004). While all core concepts described valuing connecting-separating in terms of cherishing, treasuring, or honoring and being with and apart from others, ideas, and activities, revering alliances sheds light on a profound admiration in being with others. In this study, revering alliances is distinct from “cherishing diverse relations, while struggling with choosing and owning choices” (Kostas-Polston, 2007, p. 129), yet similar to “holding on to the cherished, yet having to relinquish&in moving with ever evolving personal relationships” (Yancey, 2004, p.142). Revering alliances is further understood as related with bearing a “solemn regard for human presence (Parse, 2010a, p. 258).
Metaphorical Emergings
Metaphorical emergings enhance an understanding that connotes and denotes unfolding meanings of lived experiences. They evoke knowings that affirm the likeness of ideas with situations in human affairs. Metaphors disclose an immediate grasp of lived circumstances that offer personal clarifications about complex human experiences. Participants in this study described feeling unsure by using different metaphors. No one metaphor captured the core concepts of feeling unsure as uncovered in this study. For example, from the participants’ descriptions, the expressions, “It’s not carved in stone,” “Crossing the road,” “You find your way in thinking it through,” or “Steering my way out” referred to situations of feeling unsure. This alluded to wavering irresolutely with discerning ponderings. The expressions point to feeling unsure as humans dwell with ideas while shaping novel ways of being with situations. Venturing with trepidation was illustrated with the metaphor. “Living in limbo” and other expressions such as, “I can roll on in being scared.” The metaphor is directly related with venturing with trepidation as the participants expressed being suspended with life circumstances in living every day activities, whereas the expressions highlight the determination to move on with obstacles in feeling unsure.

Montagne Sainte Victoire (Cézanne, 1900)
Artistic Expression
An unforeseen distinct way of painting emerged as Cézanne struggled to capture “L’instant du monde” with multiple sketches and paintings of Montagne Sainte Victoire. Montagne Sainte Victoire captures the convex form of a mountain with fluid pleat-like waves in an interplay of ochres and greens creating a vibration of light pierced with the color blue dappled vaporously. While gazing at the painting from distinct angles, a to and fro movement concentrated toward converging points suggests the presence of air and blowing wind flowing imperceptibly shapeshifting the trees. This pertains to the comings and goings that surface with doubting while conceiving possibilities. While abiding with wavering irresolutely with discerning ponderings in light of Montagne Sainte Victoire, the significance of feeling unsure arose for the researcher in being with sureness-unsureness with the calm-turbulence of humanuniverse lived moment-to-moment as a source of inspiration in coming to know situations.
Montagne Sainte Victoire offers the choice of unfrayed paths as a deliberate preferred option in heading toward the mountain, which suggests moving with boldness amid the angst of the unknown. Venturing with trepidation is portrayed as a journey strewn along tumultuous rocky paths with unpredictable twists and turns that symbolize the disquietude of wandering, as humans propel onward. In contemplating Montagne Sainte Victoire, a deeper understanding of venturing with trepidation illuminated feeling unsure as a pushing with undulating firmness in birthing projects.
Montagne Sainte Victoire nests a singular house standing with ochre walls and closed casements in the interplay of vivid colors from below hooked before a majestic bland calm blue and grey mountain. The smooth velvet voluminous blanket protects, yet threatens the homestead from the unpredictable turbulence and shadows of gathering clouds in a sky sparkled with the oneness of blues and ochres. While abiding with revering alliances in light of Montagne Sainte Victoire, the meaning of feeling unsure arose with joy, love, and awe, while weaving and savoring with boundless hopes and possibilities.
Recognizing oneness of community was an insight that emerged from the researcher’s journey. Findings of this study have implications that bear on ways of being in leading-following with community. Pondering ways of coconstructing novel projects with community are all-at-once evoked with feelings of unsureness. Assuredness in birthing the envisaged possibilities are addressed by clarifying intentions with inspiring creativity, as individuals speak while relishing the yet-to-be. Yet there is wavering irresolutely with discerning ponderings with community listening intently and affably to concerns of others who dare to raise alternate options in cocreating a plan for action. Expanding upon the projects’ anticipated apparent opposites moves community on while shaping and shifting points of view beyond with emerging diverse possibilities.
As a path to inquiry, Montagne Sainte Victoire elucidated for this researcher feeling unsure as wavering irresolutely with discerning ponderings arising in venturing with trepidations, while revering alliances.
New Knowledge
Five findings emerged from this study as unique, which did not appear in the extant literature on feeling unsure:
The structure feeling unsure is wavering irresolutely with discerning ponderings arising in venturing with trepidation, while revering alliances.
Wavering irresolutely with discerning ponderings as conforming-non conforming with certainty-uncertainty in light of explicit-tacit knowing emerged as central to feeling unsure. Wavering irresolutely adds a critical description to the construct. This unique conceptualization is new to the extant and humanbecoming literature. The core concept expands the construct originating imaging while adding to the understanding of the lived experience of feeling unsure.
Venturing with trepidation as living the paradoxical pattern of pushing-resisting in affirming-not affirming being in light of nonbeing is essential to feeling unsure. This unique conceptualization of powering is new to humanbecoming sciencing and the extant literature and may expand understanding about feeling unsure as moving on with disconcerting agitation.
Revering alliances as confirming-not confirming being with and apart all-at-once arose as a continuous incarnating of relations that is vital to feeling unsure. This unique conceptualization which is new to the extant and humanbecoming literature, expands knowledge about feeling unsure, and may further understanding about ways humans incarnate patterns of relating.
A deeper appreciation and understanding of feeling unsure as an experience of health and quality of life emerged from this study.
Implications for Nursing Research
Further investigations related to the core concepts of feeling unsure could refine understanding of this universal human phenomenon. Wavering irresolutely with discerning ponderings could be enhanced by exploring such phenomena as living on the edge, feeling uneasy, feeling worried, or feeling afraid. Phenomena arising with venturing with trepidation could be augmented by exploring the lived experience of taking a risk, trusting-suspecting, or feeling brave. Revering alliances could lead a researcher to investigate the lived experience of feeling loved, being listened to, or anticipating a loss. Research on any of these phenomena would potentially enhance and contribute to what is known about the experience of feeling unsure.
Implications for Nursing Practice
In practice, nurses living true presence bear witness to persons’, families’, and communities’ lived experiences. Individuals describe experiences of feeling doubt that surface all-at-once with daring to move on with confidence and determination in addressing others and situations. Knowledge gained from understanding detailed nuances described in this study can guide nurses living true presence. As individuals illuminate the meaning of experiences, chosen preferred options arise in cocreating rhythmical patterns of relating with others, ideas, objects, and situations in nurse-person dialogue. Bearing witness to persons, families, and communities’ chosen possibilities in moving on with and apart from cherished others is a way of honoring others who know the way while feeling unsure.
This study on feeling unsure uncovered new knowledge for the general literature on the concepts of uncertainty, unsureness and feeling unsure as a universal human lived experience. It offers new ideas for further research and expands the humanbecoming theory in relation to feeling unsure.
Footnotes
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
The author(s) received no financial support for the research, authorship, and/or publication of this article.
