Humanistic final submit 2 16-14


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Metaparadigm and humanistic theory have 4 common points: The (person),which is the patient and the nurse. (Health), which is the situation, (environment), which is what is around you, pass experiences and education, and (nursing) which is the response, and all of the nursing interventions.

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  • Metaparadigm and humanistic theory have 4 common points: The (person),which is the patient and the nurse. (Health), which is the situation, (environment), which is what is around you, pass experiences and education, and (nursing) which is the response, and all of the nursing interventions.
  • Lets say you have a patient the just got diagnosed with a life threating illness,and he has 3 moths to live. The patient is struggling with this new information, and you the nurse is struggling on how can you help him, there is no cure and everything you do for him is not working. (This is the correlation). What happens between the patient and the nurse next is the response. The patient and the nurse both are fighting the same battle together.
  • The key concept is being with another in need in which being better is achieved as goal by developing a relationship with each other.
  • It is a sum of the experiences between a patient and the nurse not only concerned with the well being but also helping a person as humanly as possible in a situation. For instance in patients who are non verbal or unable to speak or and unresponsive patient you still have to talk to them and explain actions and convey to them via non verbal communication such as a touch of the hand .
  • For example in a hospital setting with a terminally ill patient, the nurse is involved in the patients care taking into consideration his total being, physically, mentally, emotionally and spiritually as well. The patient who is the receiver of care responds to the nurse and accepts that care being given to him/her thereby developing an interpersonal relationship between them.
  • Uniqueness is being the person in his own self with the acquired knowledge and experiences he had accumulated on his life he responds to situation basing on those.
  • Each individual is different from each other in that they have different views and experiences and responds differently to situations.
  • Speaker Notes:
    Humanistic Nursing theory describe how each other involved in the nursing process, the person (patient) and the nurse, both bring their own “Gestalt, [which] represent[s] all that those human beings are, includes all their past experiences, all their current being, and all their hopes, dreams and fears of the future that are experienced in their own space-time dimension.” (Parker, 2001) Bracketing involves acknowledging our own gestalt and putting it aside to be able to fully experience what our patient has to tell us in there “call”. This keeps our own ideas, views, and values from imposing in our interpretation or acceptance of our patients condition or experience.
    When we rush to quick assumptions or judgment's of our patient’s experience or condition based on our personal beliefs we don’t do ourselves or our patient’s any justice. This is an example of how not to build a good rapport with your patient. Mistrust and judging is no way to begin any relationship.
    So we as nurses should take heed on the fact that accepting and acknowledging our gestalt and being able to objectively put it aside to truly hear and understand the “call” of our patients is the most effective way to being this “call and response” relationship that is humanistic nursing.
  • At this stage in the theory, which is referred to “Knowing the other Scientifically”, we are able to access and incorporate our prior knowledge and experience to interpret the information given to us in the “call” from our patients. (Parker, 2001) This is where the typical planning phase of the nursing process takes place. We take the information given us and decide what actions may be most beneficial to our patients, and in doing so the “humanistic” aspect plays in that we use all of who we are to come to these conclusions, our gestalt.
    When we bring our own personal touch to our nursing things about our personality, who we are, we are better able to connect and relate to our patients, which can leads to better lines of communication in teaching, and this leads to better patient compliance and outcomes. This is the ultimate goal is better patient health and outcomes by addressing the person as a whole unique being.
  • In this situation the nurse’s call to her supervisor is related to the call of her patient. The nurse maybe feeling some strain or confusion as how to best handle the presented need of her patient, particularly when in a difficult ethical or moral situation where the nurses beliefs are conflicted or strained. The nurse supervisor can assist the nurse in looking at the whole situation again and try to help point out where bracketing may need to be applied where maybe the nurse was having trouble doing so before. This helps both the nurse and the supervisor get a more objective look at the situation, which may help clear things up allowing them to come up with a solution for the patient’s need.
    The supervisor in this situation is able to bring her own gestalt into the situation. By bringing in her knowledge and experiences in to the mix may also help come to a more effective and appropriate solution. He/she may have some experience with this type of situation that the nurse may not have. The nurse is then able to add into her own knowledge the experience of her supervisor, which is what being a “knowing place” is all about according to Humanistic theory. (Parker, 2001) This involves accumulating knowledge through experience and further education, and using this knowledge combined with objective and subjective information that is gathered from the patient/situation to compose insights into the situation to help care for our patient. To maintain a status of considering ourselves as a “knowing place” we must all continue to learn and add to our knowledge either academically or through experiences.
  • We need to remember as nurses that our patients are as multidimensional as we are, which requires us to truly listen to our patients and keep our own values and beliefs in check to keep from superimposing our ideals on to their situations. Then once we are able to collect the information we need in an objective manner we can refer to our personal experiences and accumulated knowledge to come up with ways to help our patients.
  • Humanistic final submit 2 16-14

    1. 1. Humanistic Nursing theory Grand Canyon University Class NRS-430 V 02-15-2014 Submitted by : Gwendolyn Martin Maria Angeli Carreon Stephanie Vandermeer Oladoyin Adekola
    2. 2. Patterson & Zderad Humanistic Theory m e t a p a r a d i g m N u r s i n g h u m a n i s t i c Humanistic nursing By: GwenNotes Embedded
    3. 3. Humanist Nursing Theory C a l l f o r h e l p Through the Humanist Nursing Theory, the nurse is able to correlate with the patient, and their struggles. r e s p o n s e Which in turns allows the patient , and the nurse to gain a better understanding of their situation and they face the battle together. By: GwenNotes Embedded
    4. 4. Humanistic Theory by Peterson and Zrerad 1976 The process of humanistic nursing is described as incarnate men (patient and nurse )meeting in a goal directed(nurturing well-being and more being) , intersubjective transaction(being with and doing with)occurring in time and space (as measured and as lived by patient and nurse) in a world of men and things.(p.23) In other words ,the nurse patient relationship is characterized by interactions designed to promote wellbeing and existential growth in the context of the lived world. The nurse cares for the patient by presence or being with the patient , and other nursing actions or activities.
    5. 5. Paterson and Zderad Transcript of HNT Metaparadigms• Person Patients and nurses Patients sent out a call for help and nurses recognize that call A person is a unique human being with their own gestalt-an organized whole that is perceived as more than the sum of its parts • Health A relational actualization process (Paterson & Zderad , 2010) Valuing of some human potential beyond the narrow concept of health as the absence of disease ( Paterson & Zderad, 1976) • Environment More of an interpersonal, emotional interpretation rather than a strictly physical environment • Nursing It is a call and response theory ( Paterson & Zderad 2010) The ability to struggle with another through peak experiences related to heath and suffering (Paterson & Zderad 2010)
    6. 6. Relationship between nurses and patients in HNT The patient is referred to as the nurse (person –as-patient) , whereas the nurse is the person nursing(person as nurse)( O’Connor 1993). According to Paterson & Zderad (1976) nursing is a purposeful “call and response” in which the nurse responds to the call by caring for the person who has health related needs. Thus nursing is a goal-directed activity that nurtures a person’s human potential. Such potential is manifested by concern for both wellbeing and “ more being” a process of becoming more in the limits of one’s current life situation.(p.12) Paterson and Zderad (1976) view nursing as an intersubjective dialogue and transactions that involves meeting , relating, and presence in a world of people, things, time and space. Accordingly, the person and the nurse are two unique individuals meeting for the same goal well being and more being.
    7. 7. Core philosophical perspectives and concepts Another core component of HNT holds that humans are unique beings who have an inherent capacity and freedom to choose how to respond to situations they encounter. That is “I am my choices, I mean I am this, here and now person. I am my history, I am what I am , what I have become but I am also what I have not become” (Paterson and Zderad 1976 p.16)Through this self reflection, individuals can think about past experiences and use them to better understand themselves.
    8. 8. CORE PHILOSOPHICAL PERSPECTIVES AND CONCEPTS OF HNT First the theory emphasizes that everyone is unique and exists singularly in a present situation We struggle to survive , to confirm our existence and to understand our meaning through interaction with others. Although each human being is unique ,each is also like the others in certain respects: that is , each person represents “uniqueness –otherness” or individual uniqueness , combined a commonality with all other persons (Paterson& Zderad 1976,p4) As a unique individual ,every person has a particular ‘angular view’ by which to see, hear, feel, perceive and experience the world and to draw meanings about that world (Paterson & Zderad 1976,p.5) Each person responds differently to matters of self, others and the environment.
    9. 9. Is a vitally important practice to prevent prejudging or assumptions with regard to our patients derived from Humanistic theory of Nursing. Application of theory: “Bracketing” (Parker, 2001) “[A]llowing us to experience the other in its own uniqueness.” (Parker, 2001)
    10. 10. This brings the “human” aspect to nursing, and allows us to use our personal experiences and knowledge to help our patients. “Time is the time when the nurse mulls over, analyzes, sorts out, compares, contrasts, relates, interprets, gives a name to, and categorizes” while incorporating the nurse’s gestalt. (Parker, 2001) Application of theory: Incorporating our Individuality in nursing
    11. 11. When in a supervisory position there is still a “call and response” between the nurse and his/her supervisor. (Parker, 2001) Application of theory: Supervisory positions Applying humanistic theory in this relationship can also result in great outcomes for all involved.
    12. 12. Overall… • The humanistic theory of nursing is about incorporating all that we are as human beings into our nursing practice to achieve better holistic health outcomes for our patients. • This theory allows us to be true to ourselves and is an ever evolving method of nursing because we are ever evolving as individuals through experiences and gains in knowledge.
    13. 13. References •Parker, M. E. (2001). Nursing Theories and Nursing Practice. Philadelphia: F.A. Davis. • •Wu, H., & Volker, D. L. (2011). Humanistic nursing theory: application to hospice and palliative care. Journal of Advanced nursing, 68(2), 471-479. doi:10.1111/j.1365- 2648.2011.05770.x •