Rosemarie Parse

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Nursing 212 presentation

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By: REINA.VALDEZ83 (105 month(s) ago)

THIS PRESENTATION IS A LOT OF HELP.. THANKS TO BOTH OF YOU! I JUST HOPE THERE'S A MORE CLEAR WAY OF HEARING YOUR EXPLANATION, A SUBTITLE OR A CAPTION WOULD BE MUCH APPRECIATED.. THANK YOU!!

By: dwilson (121 month(s) ago)

Thank you soooo much for this powerpoint presention. I have been researching this theory for two weeks and just could not understand it until after your powerpoint! I had lost all hope.. thank you very much!

By: dlwebbstrome (123 month(s) ago)

Was very helpful. Had not realized was going to have to learn a new language when I started my project. This helped to clarify.

Presentation Transcript

Slide 1: 

Rosemarie Rizzo Parse Human Becoming an analysis and evaluation by Jennifer Isenor and Dianne Hylton

Presented to you byJen and Dianne : 

Presented to you byJen and Dianne

In the following presentation we will: : 

In the following presentation we will: History Theory breakdown Real life examples Example of application Evaluation

Selection of Parse Achievements and Contributions to Nursing : 

Selection of Parse Achievements and Contributions to Nursing Duquesne University Pittsburgh graduate and Dean of Nursing School Master’s, Doctorate and Faculty–University of Pittsburgh Professor and Coordinator for the Center for Nursing Research at Hunter College of the City University of New York Professor and Neihoff Chair at Loyola University, Chicago Founder and editor Nursing Science Quarterly President of Discovery International, Inc. Founder of the Institute of Human Becoming Multiple books and articles including The Human Becoming School of thought selected for Sigma Theta Tau and Hope: An International Human Becoming Perspective both selected for “Best Picks” in nursing theory 1998 & 1999. Theory guides practice used in many countries-Canada, Finland, South Korea, Sweden

Human Becoming:Historical Evolution : 

Human Becoming:Historical Evolution Wilhelm Dilthey 1833-1911 Introduction to Human Sciences

Human Becoming: Historical Evolution : 

Human Becoming: Historical Evolution Twentieth Century Existential-Phenomenology (Sartre, Heidegger and Merleau-Ponty)

Human Becoming: Historical Evolution : 

Human Becoming: Historical Evolution Martha E. Rogers 1914-1994 Unitary Human Beings

Who wrote “Introduction to Human Sciences?” : 

Who wrote “Introduction to Human Sciences?” A. Dilthey B. Delicious C. Dill Pickle

Purpose : 

Purpose Assist with understanding phenomena as humanly experienced Help people achieve health or wholeness Improve quality of life

Relationships : 

Relationships Three themes: Meaning, Rhythmicity and Transcendence Concepts linked within theme Themes linked within theory The concepts do not stand alone

Principles and Concepts : 

Principles and Concepts Three principles with each containing three concepts: Principle I Structuring: Imaging, Valuing and Languaging Principle II Cocreating: Revealing-Concealing, Enabling-Limiting and Connecting-Separating Principle III Cotranscending: Powering, Originating and Transforming

Principle I: Structuring : 

Principle I: Structuring Structuring meaning multidimensionally is cocreating reality through the languaging of valuing and imaging Structuring Multidimensionally Cocreating

Principle I: Concepts : 

Principle I: Concepts Imaging Valuing Languaging

Practice Example of the 3 Concepts of Principle 1: Imaging, Valuing and Languaging : 

Practice Example of the 3 Concepts of Principle 1: Imaging, Valuing and Languaging Overall theme of principle one is meaning; the constructed meaning by the person experiencing the event. Miscarried her 4th pregnancy. She is explaining her loss in her present, past and future

The 3 Concepts of Principle 1: Imaging, Valuing and Languaging : 

The 3 Concepts of Principle 1: Imaging, Valuing and Languaging Imaging occurs as she shapes the event into her own personal reality. What is lost from current, past and hoped for connections.

The 3 Concepts of Principle 1: Imaging, Valuing and Languaging : 

The 3 Concepts of Principle 1: Imaging, Valuing and Languaging Valuing is expressed by the loss to her family and the cherished relationships she hoped a child would represent.

The 3 Concepts of Principle 1: Imaging, Valuing and Languaging : 

The 3 Concepts of Principle 1: Imaging, Valuing and Languaging Languaging is shown in paradoxal rhythms. Here we have speech vs silence movement vs stillness. Launuaging is used to voice feelings about her values and imagined dreams.

Principle II: Cocreating : 

Principle II: Cocreating Cocreating rhythmical patterns of relating is living the paradoxical unity of revealing-concealing and enabling-limiting while connecting-separating

Principle II: Concepts : 

Principle II: Concepts Revealing-Concealing Enabling-Limiting Connecting-Separating

The second Principle is entitled : 

The second Principle is entitled A. Cocreating B. Coca-cola C. Co-confusion

The dualalities of this duos dual words : 

The dualalities of this duos dual words

Practice example of the 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating. : 

Practice example of the 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating. The general theme of principle 2 is rhythmicity, referring to the paradoxical rhythms of health that occur within us.

The 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating : 

The 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating A patient newly diagnosed with cancer decides what to reveal to the nurse and what to conceal from her family

The 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating : 

The 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating By making choices we enable one reality while limiting another. One door is opened and another door is closed.

The 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating : 

The 3 concepts of Principle 2: Revealing-concealing, enabling-limiting and connecting-separating This is the process of moving toward one direction and away from another. Moving back and forth we image our options to determine a connection- separation path.

Principle III: Cotranscending : 

Principle III: Cotranscending Cotranscending with the possibles is powering unique ways of originating in the process of transforming.

Principle III:Concepts : 

Principle III:Concepts Powering Originating Transforming

Practice example of the 3 concepts of principle 3: Powering, originating and transforming. : 

Practice example of the 3 concepts of principle 3: Powering, originating and transforming. The theme of the 3rd principle is cotranscendence-moving beyond toward unknown hopes and dreams.

The 3 concepts of principle 3: Powering, originating and transforming. : 

The 3 concepts of principle 3: Powering, originating and transforming. This patient’s powering is seen as she moves through a pushing-resisting rhythm. She resists the truth but then not knowing the outcome, she pushes forward.

The 3 concepts of principle 3: Powering, originating and transforming. : 

The 3 concepts of principle 3: Powering, originating and transforming. Parse states: Originating is creating personal, unique ways of moving beyond in connections with people and projects.

The 3 concepts of principle 3: Powering, originating and transforming. : 

The 3 concepts of principle 3: Powering, originating and transforming. Transforming is the changing of reality by viewing persons and situations differently.

What is Human Becoming?Three Assumptions : 

What is Human Becoming?Three Assumptions 1. Human becoming is freely choosing personal meaning in situation in the intersubjective process of living value priorities. 2. Human becoming is cocreating rhythmical patterns of relating in mutual process with the universe. 3. Human becoming is cotranscending multidimensionally with emerging possibilities.

Structure : 

Structure 1. Powering is a way of revealing-concealing imaging. 2. Originating is a manifestation of enabling-limiting. 3. Transforming unfolds in the languaging of connecting-separating.

Practice Example: Bringing it all together : 

Practice Example: Bringing it all together

Practice Example: Bringing it all together : 

Practice Example: Bringing it all together Scenario: Community Services Center Young woman comes in without hope wanted to end her life. The nurse on duty uses true presence and listens.

The Paradoxical patterns of becoming : 

The Paradoxical patterns of becoming Not worth loving yet maybe worth something to the children in her life Wants to die but discovers maybe there are a couple of reasons to live

New patterns emerge and Tanah creates a new possibility : 

New patterns emerge and Tanah creates a new possibility Might like something to eat Wants someone to watch her incase she attempts suicide Did not know how things would turn out but moved into the unfamiliar anyway. Nursing care is presence and acceptance.

Personal Practice Application : 

Personal Practice Application Perhaps you’ve heard nurses say “they don’t know what they want.” Consider the patient is in a process of transition and needs someone to listen while they think things through.

Internal Criticism: Clarity : 

Internal Criticism: Clarity Semantic Clarity Semantic Consistency Structural Clarity Structural Consistency

Internal Criticism : 

Internal Criticism Multiple Concepts Structuring Imaging Valuing Languaging Cocreating Revealing-Concealing Enabling-Limiting Connecting-Separating Cotranscending Powering Orginating Transforming Human Universe Health Simplicity Specificity

Internal Criticism: Accessibility : 

Internal Criticism: Accessibility Non-directional Non-causal Based on lived experience

Human Becoming Scope and Level : 

Human Becoming Scope and Level Wholism Designed to be used in all practice = Grand Theory Observation Description = Factor-Isolating Scope of the Theory Level of Theory Development

The Commonplaces : 

The Commonplaces Parse discusses the concepts of Person, Health, and Environment as a single unit The Human-Universe-Health process For clarity I will try and separate them

Parse’s perception of person : 

Parse’s perception of person Human’s are not more than the sum of their parts because we are too complex to be broken down into parts. People are free to create their own realities

Parse’s perception of person : 

Parse’s perception of person We are multidimensional and present in our pasts, with those who have gone before, in our present, with those we surround ourselves with now, and our future, with those who will come after and remember us…all-at-the-same-time.

Parse’s position on health : 

Parse’s position on health Health is a human becoming process Changing our value priorities can change our health, or at least our personal perception of our health Health is the “process of becoming the who that one is.”

According to Parse, health is : 

According to Parse, health is A. Eating a balanced diet and exercising regularly B. A process of becoming C. I am a human becoming confused

Parse’s portrayal of environment : 

Parse’s portrayal of environment Doesn’t use the word environment…too limiting. She uses universe. We connect to the universe through other people, the arts, objects, thoughts, movies…etc. We have a powerful connection to the universe and with true presence can be in the universe with our patients.

Parse’s portrait of nursing : 

Parse’s portrait of nursing Nursing is a unique service deserving unique theories. The discipline aspect of nursing looks at quality of life. “Nursing is a science, the practice of which is a performing art.” Nurses are present while individuals choose ways of changing health patterns.

Parse’s portrait of nursing: What does a nurse DO? : 

Parse’s portrait of nursing: What does a nurse DO? The nurse does not advise or judge The nurse guides, asking questions to help clarify thoughts, perceptions and feelings. Ultimately illuminating meaning, synchronizing rhythms, and mobilizing transcendence The new perspectives come from the patient and the nurse helps explore options.

Importance of the theory to nursing : 

Importance of the theory to nursing Parse disliked persuading patients to do what the medical experts said was best Her theory represents the only nursing theory that focuses exclusively on humans' personal views of quality of life What ideas should we impress on our patients? The doctors, ours, major experts in the field, their family?

Importance of the theory to nursing : 

Importance of the theory to nursing This theory allows for today’s reality of tasks to be done but requires the nurse to BE completely different when with the patient. For nurses who have not embraced today’s scientific approach to medical healing. Important because it not related to prior training- Only about the patient!

Widespread global presence : 

Widespread global presence Teaching institutions: Institute of Human Becoming and the Discovery international institute offer training by Parse at least once a year. Almost 300 subscribers to Parse-L listserve from 16 countries International Consortium of Parse Scholars stands at 98 with members in Canada, USA, Australia, Sweden and Switzerland.

More Widespread global presence : 

More Widespread global presence The Board of Nursing in South Dakota has adopted a decision model based on her school of thought. Augustana College uses her teaching in the curricula for their BSN and MSN. A parish nurse practice model developed by a church in South Dakota has been adopted by other churches A health action model for partnership in community, has been implemented in several counties and cities. Hundreds of studies have been conducted using Parse’s Hermeneutic and phenomenological methods.

Do We Like This Theory? : 

Do We Like This Theory? Initially it was a great source of frustration and entertainment. “Savoring-sacrificing is a way of connecting-separating with the familiar-unfamiliar in the certainty-uncertainty of conforming-not conforming.” This is an actual line from one of her books

Do We Like This Theory? : 

Do We Like This Theory? The SacCT discussion pointed out most of us think the art of nursing is a critical aspect that makes one a better nurse. Parse’s theory makes the art of nursing much more important than the science.

SacCT discussion questions : 

SacCT discussion questions Think about an interaction with a patient you or a co-worker has had, where the patient does not follow health recommendations. Describe how Parse’s theory could help you lead the person to a more positive outcome.

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