Florence Nightingale's Environmental Theory of NursingRaksha Yadav
This presentation is about Florence Nightingale's Environmental Theory of nursing, The environmental model of nursing care and application of Nightingale's theory in Nursing practice.
Newman’s theory of health as expanding consciousnessحسين منصور
The theory of health as expanding consciousness stimulated by concern for those for whom health as the absence of disease or disability is not possible, (Newman, 2010).
The theory has progressed to include the health of all persons regardless of the presence or absence of disease, (Newman, 2010).
The theory asserts that every person in every situation, no matter how disordered and hopeless it may seem, is part of the universal process of expanding consciousness, (Newman, 2010).
Fundamentals of Nursing
Definition of Theory
Components of Theory
Phenomenon
Concepts
The Domain of Nursing
Evolution of Nursing Theory
Goals of Theoretical Nursing Models
Types of Theory
Overview Of Select Shared Theories
Overview Of Select Grand and Middle-Range Nursing Theories
Link Between Theory and Knowledge Development in Nursing
Relationship Between Nursing Theory and Nursing Research
Theory Generating Research
Theory Testing Research
The state of having addressed basic needs for ease, relief, and transcendence met in 4 contexts of experience (physical, psychospiritual, sociocultural, and environmental)
Comfort involves identifying the comprehensive needs of patients, families, and nurses and addressing those needs.
Ergonomics- comfort at the workplace, promotes optimum function or productivity (Kolcaba &Kolcaba, 1991)
NANDA- comfort in terms of pain management
Confortare Latin- to strengthen gently
The Betty Neuman theory - Easy to understand ,The Neuman Systems ModelChithraValsan
Nursing Theory is defined as " A creative and rigorous structuring of Ideas, that project Tentative, Purposeful, and Systematic view of Phenomena." Aims of Nursing theories including to Describe, Predict, and Explain the Phenomenon of Nursing (Chinn and Jacobs, 1978).Main categories of Nursing theories are Grand Theory, Middle Range Theory, and Practice level Theory.
Florence Nightingale's Environmental Theory of NursingRaksha Yadav
This presentation is about Florence Nightingale's Environmental Theory of nursing, The environmental model of nursing care and application of Nightingale's theory in Nursing practice.
Newman’s theory of health as expanding consciousnessحسين منصور
The theory of health as expanding consciousness stimulated by concern for those for whom health as the absence of disease or disability is not possible, (Newman, 2010).
The theory has progressed to include the health of all persons regardless of the presence or absence of disease, (Newman, 2010).
The theory asserts that every person in every situation, no matter how disordered and hopeless it may seem, is part of the universal process of expanding consciousness, (Newman, 2010).
Fundamentals of Nursing
Definition of Theory
Components of Theory
Phenomenon
Concepts
The Domain of Nursing
Evolution of Nursing Theory
Goals of Theoretical Nursing Models
Types of Theory
Overview Of Select Shared Theories
Overview Of Select Grand and Middle-Range Nursing Theories
Link Between Theory and Knowledge Development in Nursing
Relationship Between Nursing Theory and Nursing Research
Theory Generating Research
Theory Testing Research
The state of having addressed basic needs for ease, relief, and transcendence met in 4 contexts of experience (physical, psychospiritual, sociocultural, and environmental)
Comfort involves identifying the comprehensive needs of patients, families, and nurses and addressing those needs.
Ergonomics- comfort at the workplace, promotes optimum function or productivity (Kolcaba &Kolcaba, 1991)
NANDA- comfort in terms of pain management
Confortare Latin- to strengthen gently
The Betty Neuman theory - Easy to understand ,The Neuman Systems ModelChithraValsan
Nursing Theory is defined as " A creative and rigorous structuring of Ideas, that project Tentative, Purposeful, and Systematic view of Phenomena." Aims of Nursing theories including to Describe, Predict, and Explain the Phenomenon of Nursing (Chinn and Jacobs, 1978).Main categories of Nursing theories are Grand Theory, Middle Range Theory, and Practice level Theory.
Margaret Jean Harman Watson, PhD, RN, AHNBC was born in Southern West Virginia and grew up in the small town of Welch, West Virginia.
1964 – Baccalaureate degree in Nursing (Boulder Campus)
1966 – Master’s Degree in Psychiatric-Mental
Health Nursing (Health Sciences Campus)
1973 – Doctorate in Educational Psychology and Counseling (Graduate School, Boulder Campus)
Dr. Kristen Swanson Theory of Caring” Prepared by Amira .docxmadlynplamondon
Dr. Kristen Swanson
“Theory of Caring”
Prepared by: Amira Mansoor
Course Instructor Dr: Maria Charito Indonto
Learning Objectives..
Background of Theorist
Theoretical Sources
5 Domains on Knowledge of Caring
Major Assumptions
The Structure of Caring
Acceptance by the Nursing Community
Further Development
Analysis
Conclusion
References
Theory of caring
“ Caring is a nurturing way of relating to a valued whom one feels a personal sense of commitment and responsibility ”
(Swanson, 1991)
Dr. Kristen M. Swanson RN PhD FAAN (1953 to present)
Born in Providence, Rhode Island
Bachelor of Science in Nursing (Magna Cum Laude) University of Rhode Island, College of Nursing 1975.
RN, University of Massachusetts Medical Center, Worcester.
Master Degree in Adult Health Illness Nursing, University of Pennsylvania, Philadelphia, 1978.
Dr. Kristen M. Swanson RN PhD FAAN (1953 to present),con.
Work as Clinical Instructor of Medical Surgical Nursing Dept. University of Pennsylvania School of Nursing
Ph.D. in Nursing, University of Colorado, Denver, Colorado.
Dean and Alumni Distinguished Professor , University of North Carolina (UNC), School of Nursing at Chapel Hill; Associate Chief Nursing Officer for Academic Affairs UNC hospital, 2009
Theoretical Sources
Caring
Knowing
Being With
Doing For
Enabling
Maintaining Belief
Caring- is a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility.
Knowing – is a striving to understand the meaning of an event in the life of other, avoiding assumptions, focusing on the person cared for, seeking cues, assessing meticulously, and engaging both the one caring and the one cared for in the process of knowing.
Being With – means emotionally present to the other. It includes being there in person, conveying availability, and sharing feelings wihtout burdening the one cared for.
Doing For – means to do for others what one would do for self if at all possible, including anticipating needs comforting, performing skillfully and competently, and protecting the one cared for while preserving his or her dignity.
Enabling – facilitating the other’s passage through life transition and unfamiliar events by focusing on the event, informing, explaining supporting, validating feelings, generating alternatives, thinking things through, and giving feedback.
Maintaining Belief – is sustaining faith in others capacity to get through an event or transition and face a future with meaning, believing in other’s capacity and holding him or her in high esteem, maintaining a hope filled attitude, offering realistic optimism, helping to find meaning, and standing by the once cared for no matter what the situation.
6
5 Domains on Knowledge of Caring
1st – persons capacities to deliver caring.
2nd – individuals concerns and commitments that lead to caring actions.
3rd – conditions (nurse, client, organization) that enhance or diminish the likelihood of ...
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
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from mild to severe. A diagnosis of AUD requires that at least two of
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The four main behavioral effects of AUD are impaired control over
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the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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2. OBJECTIVES:
After 30-45 minutes of discussion about
the New Nursing Theories, the
participants would be able to:
◦ Identify the 2 new nursing theories
discussed.
◦ State at least 3/4 major assumptions
underlying Rozzano Locsin’s theory.
◦ Utilize the Nursing as Caring Theory to the
Nursing practice, administration, education
& research.
4. ANNE BOYKIN
1944 - Kaukauna,
Wisconsin
1966 – Nursing Career
◦ Alverno College in
Milwaukee, Wisconsin
Master’s Degree
◦ Emory University Atlanta,
Georgia
Doctorate
◦ Vanderbilt University in
Nashville, Tennessee
5. 1981 – South Florida
◦ Steve Staudenmeyer
DEAN & PROFESSOR
◦ Christine E. Lynn College of Nursing,
Florida Atlantic University
DIRECTOR
◦ Christine E. Lynn Center for Caring
6. Awards
2009 - Visionary Caring Science Award by
the Watson Caring Science Institute
Book Publications
Nursing as Caring: A Model for
Transforming Practice (1993, 2001a)
Living a Caring-Based Program (1994b).
Politics and Public Policy: A Matter of
Caring (1995)
Caring as Healing: Renewal Through Hope
7. SAVANA SCHOENHOFER
1940 – Kansas
1960 – Volunteer
◦ Amazon, Brazil
1983 – PhD
◦ Kansas State University
8. PROFESSOR
◦ Cora S. Balmat School of Nursing, Alcorn
State University, Natchez, Mississippi
1990 - Co-FOUNDER
◦ Nursing Aesthetics Publication,
Nightingale Songs
Book Publications
Nursing as Caring: A Model for
Transforming Practice (1993, 2001a)
9. ASSUMPTIONS OF CARING AS
NURSING :
Persons are caring by virtue of their
humanness.
Persons are whole and complete in the
moment.
Persons live caring from moment to
moment.
Personhood is a way of living grounded in
caring.
Personhood is enhanced through
participation in nurturing relationships with
caring others.
10. CARING
Altruistic, active expression of love
Intentional and embodied recognition of
value and connectedness
Nursing uniquely focuses on caring as
its central value
Illuminated in the experience of caring
and in reflection on that experience
11. FOCUS & INTENTION OF NURSING
Focus of Nursing
◦ Persons living in caring and growing
in caring
Intention of Nursing
◦ Nurturing persons living and growing
in caring
12. NURSING SITUATION
A shared lived experience in which caring
between the nurse and nursed enhances
personhood
◦ Involves values, intentions and actions of
two or more persons choosing to live a
nursing relationship
Nursing is created in the “caring between”
All knowledge of nursing is understood within
the nursing situation
13. PERSONHOOD
Personhood is living grounded in
caring.
Personhood is the universal human
call.
Understanding communicates the
paradox of person-as-person and
person-in-communion all at once.
14. CALL FOR NURSING
Call for acknowledgement and
affirmation of the person living and
caring in specific ways in the immediate
situation
(Boykin & Schoenhofer, 1993, 2009)
Calls for nurturance through personal
expressions of caring
Originates within persons
Intentionality and authentic presence
open the nurse to hear calls for nursing
15. CALL FOR NURSING (continued)
There are relevant ways of saying
“know me as a caring person in the
moment and be with me as I try to live
fully who I truly am.”
Calls are unique and cannot be
predicted as in a diagnosis.
Nurses develop sensitivity and
expertise in hearing calls through
intention, experience, study, and
reflection.
16. NURSING RESPONSE
Specific expression of caring
nurturance to sustain and enhance the
“other” as he or she lives caring and
grows in caring in the situation of
concern
Uniquely created for the moment
Cannot be predicted or applied as
preplanned protocols
17. THE CARING BETWEEN
Source and ground of nursing
Loving relation into which the nurse
and nursed enter and co-create by
living intention to care.
Personhood is enhanced in the context
of the caring between
Without the caring between,
unidirectional activity or reciprocal
exchange can occur but nursing in the
fullest sense does not
18. LIVED MEANING OF CARING AS
NURSING
Meaning of nursing is best understood
by the study of a nursing situation.
Nurse and nursed live caring uniquely.
Courage is required to enter into the
unknown of a nursing situation.
19. I CARE FOR HIM
My hands are
moist,
My heart is quick,
My nerves are taut,
He’s in the next
room,
I care for him.
The room is tense,
It’s anger-filled,
The air seems
thick,
I’m with him now,
I care for him.
20. Time goes slowly
by,
As our fears
subside,
I can sense his
calm,
He softens now,
I care for him.
His eyes meet
mine,
Unable to speak,
I care for him.
It’s time to leave.
Our bond is made,
Unspoken
thoughts,
But understood,
I care for him!
— J. M. Collins
(1993)
21. NURSING PRACTICE
The nurse practicing nursing as caring
comes to know the other as a caring
person in the moment. The challenge is
not to discover what is missing,
weakened, or needed but to come to
know the other and to nurture that
person in situation-specific, creative
ways and to acknowledge, support, and
celebrate the caring that is.
22. NURSING ADMINISTRATION
The practice of nursing administration
is grounded in a concern for creating,
maintaining, and supporting an
environment in which calls for nursing
are heard and nurturing responses are
created. Nursing administrators inspire
a culture that evolves from the values
of nursing as caring.
23. NURSING EDUCATION
The curriculum asserts the focus and
domain of nursing as nurturing persons
living caring and growing in caring.
Faculty assist and mentor students as
co-learners; create caring learning
environments, that inspire the
appreciation and celebration both self
and other as caring persons.
24. NURSING RESEARCH &
DEVELOPMENT
Research and development efforts are
focused on expanding the language of
caring; re-conceptualizing nursing
outcomes as “value experienced in
nursing situations”; and evaluating this
theory based model of caring in acute
and long-term health-care agencies.
25. FREQUENTLY ASKED
QUESTIONS:
How does the nurse come to know
self?
Must I like my patients to nurse them?
What about nursing a person for whom
it is difficult to care?
Is it possible to nurse someone who is
in an unconscious or altered state of
27. How does the nurse come to know
self?
Trust in self
Learning to let go, to transcend
Being open and humble
Continuously calling into consciousness
that each person is living caring in the
moment
Taking time to experience humanness
fully
29. Must I like my patients to nurse
them?
To nurture persons as living and
growing in caring, it is necessary to
know the other as caring person living
his/her own caring in the moment.
31. What about nursing a person for whom
it is difficult to care?
All persons are caring.
Nursing ethic to care supersedes all
other values.
32. Is it possible to nurse
someone who is in an
unconscious or altered state
of awareness?
33. Is it possible to nurse someone who is in
an unconscious or altered state of
awareness?
Nurse makes self as caring person
available
Nurse recognizes the vulnerability of
other.
Other living caring in humility, hope,
and trust.
34. How Does this Theory Differ From Nursing
Process?
Nursing is viewed as an ongoing
process that is guided by intentionality.
Value of nursing is that which is
perceived as valuable to the other.
There is no predictable outcome.
35. USEFULNESS OF IN NURSING IN
PRACTICE
Nursing practice intentionally focused on
coming to know a person as caring and
nurturing and supporting those nursed as
they live caring leads to:
◦ Increased patient and nurse satisfaction
◦ Increased retention of nurses
◦ Environment of care becoming grounded in values
of and respect for person
37. “The practice of knowing
persons as whole, frequently
with the use of varying
technologies”
(Locsin, 2001) .
38. ROZZANO LOCSIN
1976 – BSN &1978 - MAN
◦ Silliman University of the
Philippines
1988 - PhD
◦ University of the Philippines
1991 - PROFESSOR
◦ Christine E. Lynn College of
Nursing, Florida Atlantic
University
Program of Research: “Life
transitions n the health-
illness experience”
39. Awards
2000 - Fullbright Scholar to Uganda
2004–2006 - Fullbright Alumni Initiative
Award to Uganda
Fullbright Senior Specialist in Global and
Public Health and International
Development
Edith Moore Copeland Excellence in
Creativity Award: Sigma Theta International
Lifetime Achievement Awards from Schools
of Nursing in the Philippines
40. Book Publications
Advancing Technology, Caring and Nursing
(2001)
Technological Caring in Nursing: A Model
for Practice (2005)
A Contemporary Process of Knowing: The
(Unbearable) Weight of Knowing in Nursing
(2009)
41. ROZZANO LOCSIN’S ASSUMPTIONS:
◦ Persons are whole or complete in the
moment (Boykin and Schoenhofer, 2001)
◦ Knowing persons is a process of nursing
that allows for continuous appreciation of
persons moment to moment (Locsin, 2005).
◦ Nursing is a discipline and a professional
practice (Boykin and Schoenhofer, 2001)
◦ Technology is used to know persons as
whole moment to moment (Locsin, 2004).
42. FOCUS & INTENTION OF NURSING
Focus of Nursing
◦ A human being whose hopes, dreams, and
aspirations are to live fully as a caring person
(Boykin & Schoenhofer, 2001)
Intention of Nursing
◦ To know human beings fully as a whole person
By affirming, appreciating, and celebrating
personhood
Through expert and competent use of nursing
technologies
44. Purpose:
Acknowledge wholeness of persons as
a focus of nursing
Technological means are used to know
wholeness more fully
Technology used to know “who is
person” rather than “what is person”
45. THE WHAT IS / WHO IS PERSON
What is Person?
◦ Empirical facts about the compositions of
the person
◦ Persons as objects
Who is Person?
◦ Understanding the unpredictable,
irreducible person who is more and
different than the sum of his or her
empirical self
◦ Persons as unique individual
46. PERSON ARE COMPLETE AND
WHOLE IN THE MOMENT
Persons are complete, unique and
unpredictable
◦ Expressions of completeness vary from moment to
moment
Nursing interventions are not focused on
“fixing” or making persons “whole again.”
Nurses come to know persons as whole.
Nursing responses are based on the
persons’ uniqueness.
47. FOCUSING ON RECEIVED
TECHNOLOGICAL DATA ALONE TO KNOW
PERSON
Provides the nurse with an
understanding of persons as objects
who need to be fixed or made whole
again
48. PROCESS OF KNOWING PERSON AS A
WHOLE AND COMPLETE IN THE MOMENT
Persons choose whether or not to allow
nurses to know them fully.
In holding the idealization of persons as
“complete in the moment,” nurses must
◦ Choose to enter the world of the other
◦ Establish rapport, trust, confidence,
commitment, and compassion
49. WHOLENESS PARADOX
Because persons are unique and
unpredictable
Persons can only be fully known
◦ In the moment
◦ If the nurse chooses to enter the world
of the other
◦ If the person allows the nurse to know
him/her
50. FROM THIS PERSPECTIVE
The condition in which the nurse and
other allow each other to come to know
one another is the nursing situation.
51. NURSING SITUATION
Shared lived experience between the
nurse and nursed
Condition in which the nurse and the
other allow each other to know one
another
Nurse’s responsibility to know the
person’s hopes, dreams, and
aspirations
52. VULNERABILITY
The nurse and nursed become
vulnerable as they enter each other’s
world and move toward continuous
knowing of one another
53. VULNERABILITY IN CARING
SITUATIONS
Allows participation
Embodiment of vulnerability enables
recognition of it in others
Allows engagement of “power with”
rather than “power over”
Nurses’ work is to ameliorate
vulnerability (Daniels, 1998)
54. PROCESS OF NURSING
The process of nursing is a dynamic
unfolding of situations encompassing
knowledgeable practices (Locsin, 2005)
Knowing and appreciating uniqueness of
persons
Designing participation in caring
Implementation and evaluation
Verifying knowledge of person through
continuous knowing (Swanson, 1991)
55. KNOWING IS THE PRIMARY
PROCESS OF NURSING
Knowing nursing
◦ “All at once” knowing of personal, ethical,
empirical, and aesthetic realms (Boykin &
Schoenhofer, 2001)
Continuous knowing of person
◦ Occurs moment to moment
◦ Deters objectification
◦ Overpowers the motivation to prescribe
and direct the person’s life
56. THE ENTIRETY OF NURSING
Is to direct, focus, sustain, and maintain
the person (Locsin, 2005)
Through calls and responses for
nursing
57. CALLS FOR NURSING
Calls
◦ Nurses rely on the person for calls
◦ Knowing persons allows the nurse to use
technologies in articulating calls
◦ Illustrations of the person’s unique hopes,
dreams, and aspirations
◦ Individual expressions
Desire to go home
Wishing to die peacefully
58. NURSING RESPONSES
Nurses respond to calls from persons.
Nurses respond with authentic
intentions to fully know persons
continually in the moment.
SUMMARY:
It is only through recognizing and responding to the other as a caring person that nursing is created and personhood enhanced in a nursing situation.
- Nursing as caring has the power to transform practice in a way that reflects unity without conformity and uniqueness with oneness.
SUMMARY:
Technological Competency as Caring in Nursing
Acknowledges the increasing demand for nursing actions that require technological proficiency
Provides motivation, stimulation, and autonomy to judge nursing actions based on an appreciation of persons as whole in the moment rather than as object
- Allows caring and technology to coexist in mechanistic health-care settings