A Story... Power of Presence in Care: Personal Storytelling. Presence in nursing continues.. 8/29/2018. Presentation Outline
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1 Power of Presence in Care: Personal Storytelling A Story... Inspires Instructs Entertains By Jane LaChance RN BSN MA CNC Connects Motivates Presentation Outline 1- Presence in nursing a) What s in a word? b) The short story of presence in nursing c) Determining a definition d) Benefits of presence e) Bridge to 2- Personal Story a) What is a story? b) Stories in nursing c) How it all works 3-A Storytelling a) The Tale of Mr Fox 4-Paired exercises a) Telling and listening 5-Reflections a) Discussions b) Utilization in practice Presence What s in a word? Prae sens Noun prae meaning in front and sens meaning being. Verb To place before, to hold out, to offer. Praesen = Applied to nursing a state in which the nurse is in the same place, near or in front of a patient and in the same moment, holding out to the patient the gift of care (Doona et al, 1997, 6) The beginning of presence in nursing for a nurse to be empathetic to a client, she or he must be fully present, at that moment, sharing the experience and what it means to the nurse and the client at the time. (Clements & Averill 2006 p270) Presence in nursing continues.. In 1962, Madeleine Clemence Vaillot, introduces presence to nursing literature! Rooted in existential philosophy The nurse places self at disposal of another Nursing presence linked to commitment 1
2 Existentialism further develops Anne Ferlic writes, Presence = linked to reciprocity & mutuality for the nurse, it is a free gift which encompasses listening, giving and receiving, nonverbal communication that she is available Presence implies closeness, perception, awareness and involvement. (Smith, 2001, p308) Presence in Nursing moves into Humanistic Theory Theory developed in 1976 by Peterson and Zderad, presence defined as being there, being with. An important part of nurse patient relationship. Availability, openness, receptivity Intention Core Belief Intuition Genuine Dialogue Presence in nursing moves into Caring- Healing Theory Increasing interest in Presence Caring & Compassion Connection Core Beliefs Healing & Transformation presence as a way of being with another that demonstrates caring and compassion (Covington,2003, p303) Parse (1992) Theory of Becoming Co-Creating Process of Evolving Pettigrew (1988:1990) Presence 5 features; availability, listening, know privilege of experience, self giving, being there so other perceives full meaning Be Prepared it might be uncomfortable! Watson -Theory of Human Science and Human Care Authentically Present, Hold Another Person s Story Bishop and Scudder - Ways of being present - Partial, Full, Transcendent Cultivate Presence Be intentional, available, receptive, caring, an active listener Nursing Presence Holistic Nursing: Scope and Standards of Practice The essential state or core of healing: approaching an individual in a way that respects and honors her/his essence: relating in a way that reflects a quality of being with and in collaboration/partnership with rather than doing to; entering into a shared experience (or field of consciousness) that promotes healing potential and an experience of well-being (AHNA and ANA, 2013, p91) 2
3 Outcomes of Presence in Care How do we get there Reduce anxiety Ease suffering Finding meaning in shared experience From here? Provide space to speak Hope Healing Transformative for patient & nurse Personal/prof essional growth Storytelling: A Way of Knowing stories form the framework and structure through which humans sort, understand, relate and file experience into memory (Haven, 2007, p10) Storytelling in Nursing Is We are hardwired for story More persuasive than facts Everywhere! Direct and guide us A Narrative Sensibility STORIED: Subjective, Tell/Listen, Openness, Reflection, Invite/Intention, Engage and Document 3
4 What is Personal Storytelling? It s about the Dynamic Characteristics Narrative vs Story STORY Beginning, Middle, End Emotional Tone, Vivid Imagery Character Based, Conflicts, Struggle, Resolution What Happens Next? STORY LISTENER STORYTELLER Relationships Storytelling Tale of Mr. Fox Presence True presence is not limited to the moment; it lingers and stretches through time as persons move on to different situations with others. (Smith, 2001 p 312) Questions Think about a difficult patient What were they like? What made them difficult? What was it like to sit with them? Think about a patient who moved you What were they like? What made them easier? What was it like to sit with them? Instructions: Part 1 - Telling & Listening Identify the first teller, speak about an experience of being present with someone. Teller: Speak for three minutes There s no right or wrong way. Don t overthink, pauses and silences ok. Listeners: Hold comments and questions. Listen and be nonjudgmental. 4
5 Instructions: Part 2 Teller Appreciation Listener: Speak to teller and let them know what was appreciated in their story. IE: Something that sparked a memory or resonated. What would you like to know more about? Discussion Share your personal story How can we utilize storytelling in our Practice? How can we use story as self reflection? How does storytelling enhance presence? Personal Story & Presence in Care The value of story begins with the insight and deepened understanding practicing nurses can gain into the meaning of their own practice Boykin and Schoenhofer, 1991,p248) Thank you for your PRESENCE By Jane LaChance RN BSN MA CNC Storytelling, Reki and Coaching 5
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