THE HUMAN BECOMING

The Human Becoming; Family Experience

Abstract

The purpose of this study will be to assess changes in the practice of nurses and patients and family perspective of nursing care when Parse Theory of Rights, all will be used as a guide for the care practices in the emergency surgical installation. Models of transition in care practices would be: an understanding of the unique contribution of nursing from a theoretical point of view, life priorities of importance to improving the quality of care for patients and their families, shifting the focus of care from the problems in the relationship the nurse man, finding meaning in nursing through reflection of themselves and others and support colleagues to move towards a patient service center, the remaining new paths in the face of resistance to change, as well as increasing personal and professional growth. As seen from the positive characteristics of changes in care practices and patient and family experience of care, that the theory Parse a man becomes comparable with and supports the patient in the center of care.

Table of Contents

Abstract2

Table of Contents3

Introduction4

Literature Review4

Purpose6

Research Question6

Study Design7

Setting and Participants8

Research Methodology8

References:10

The Human Becoming; Family Experience

Introduction

Historically, nursing practice has been closely aligned with medical theories and traditions. The advancement of nursing as the scientific discipline with its own unique knowledge for professional nursing practice can be credited to development of nursing theories since 1970's (George, 1990). The benefits of nursing theory based practice include professional identity and autonomy, coherence of purpose, and professional communication (Northrup & Cody, 1998).

Literature Review

Although nursing theories are taught in some educational settings in British Columbia, few nurses actually utilize nursing theoretical frameworks to guide their practice which unfortunately remains dominated by traditional problem based, medically oriented, task focused approach to patients.

The Vancouver Hospital and Health Sciences Centre has created the vision for patient centered care. It is the way of organizing, designing, and delivering programs and services to provide the continuum of care which focuses on patients and families, rather than on convenience of providers. The eight dimensions of patient centered care are listed in Table 1.

Table 1

The Eight Dimensions of Patient Centered Care

1.

Access

2.

Respect for patients' values, preferences, and expressed needs

3.

Coordination and integration of care

4.

Information, communication, and education

5.

Physical comfort

6.

Emotional support and alleviation of fear and anxiety

7.

Involvement of families and friends

8.

Transition and continuity of care

(Gerteis, Edgman-Levitan, Daley, & Delbanco, 1993)

Early nursing theories would be developed from natural science paradigm and viewed people as bio-psychosocial beings and nurse as expert in making health related decisions. Nurses today are beginning to challenge traditional nursing theories to regain focus on nurse/person relationship, foundation of patient centered care. The global move toward more concern for perspective of person and family to satisfy concerns of public for more humane treatment is congruent with Parse's theory of human becoming (Parse, 1998).

The human becoming theory is grounded in human sciences and existential-phenomenological thought and supports view of persons as experts in their own ...