Monday, June 9, 2014

Human Becoming

I know sometimes we get lost in the daily struggles of patient care but in order to consider what we do as a profession we must be guided by proven theories. If you as a nurse ever wondered how theory can relate to practice here is a breakdown of a mid range theory by Rosemarie Parse called the human becoming theory. ***************************** The human Becoming Theory by Rosemarie Rizzo Parse is a theory that is unique to nursing. This theory guides nurses to focus on quality of life as it is described and lived. It presents an alternative to the conventional and biomedical approaches and is a combination of the psychological, social, and spiritual approaches of other theories. The human becoming theory values quality of life from each person’s perspective regardless of culture, religion or diagnosis. It should be the goal of nurses to be able to apply this theory in everyday practice in order to provide holistic care because that is what makes nursing different from other medical professionals and helps define nursing as a profession. This theory exclusively focuses on perspectives on what quality of life from the patient’s point of view. The nurse guides ideas, thoughts and perspectives. Through guidance the nurse helps the patients explore options without making or persuading the patient do what medical experts say is best. Over the past few decades the nursing profession has begun a transformation process where more and more nurses embrace theories and frameworks in order to fortify their unique contribution to the health care system. Transformation is gradual and incremental. With Parse’s theory of human becoming, nursing has been and is becoming transformed from the traditional medical science practice to a basic science practice. Nursing practice takes on a new identity when guided by the human becoming theory. The uniqueness of the profession lies in what nurses know about human beings and health as a guide to what they do says Rosemarie Parse.

Her theory is just as relevant now as what it was during the time it was written due to the continuing progression of the profession. As the nursing profession evolves so will her theory. It is important for nurses to understand humans in order to continue separating nursing from other medical professions. A person is more than the sum of its parts…. The environment and the person are inseparable. Nursing is a human science and an art that uses an abstract body of knowledge to help people. With this theory the nurse is able to create a stronger nurse-patient relationship because he/she is not focused on “fixing” problems, but is able to view the patient as a whole person living through experiences in his/her environment . . . . The overall aim of the human becoming theory is to improve the quality of life for patients and their family. Everyone experiences some type of traumatic events where they must move on and/or confront life struggles. One challenging experience is a spinal cord injury. Unfortunately for the spinal cord injury patient, they must cope with the realization that one incident can cause severe limitations that will change their life forever. They must adapt and learn to live their life differently. Also, they must come to terms with their new reality. For a person that suffers from a spinal cord injury; independence does not mean doing everything for one’s self but having control over their own decisions in order to be a functional person in his or her environment. In order for the patient to gain independence they must overcome physical, emotional and spiritual limitations during period’s uncertainty. While in the midst of the periods of uncertainty they must invent new possibilities for their future. It would be the nurse’s job to guide the patient through theses different stages according to the Human Becoming theory. ~Mothernurse

Friday, June 6, 2014

Competency time!!

For a nurse who works for more than one facility this is a stressful time of year. One test after another. After a while you just find yourself clicking and not absorbing the all so important information about fall prevention, fires, ect. Information overload is what I believe I am experiencing. Overlapping data that seems to conflict.on and on and on *** *** As a recent education graduate I just don’t believe this is the most effective method of teaching adults but hospitals seem to all use this method. This is probably due to the cost effectiveness… This could be because most of us do their tests on the clock but me I come on my day off to complete it all in one sitting. Is that so wrong? *** *** Just a short rant as I continue to complete my competency :) ~Mothernurse