3-C FIRST. Nursing Presence: Process, Openness, and Transformation Within the Context of Swanson s Caring Theory

Transcription

1 3-C FIRST Nursing Presence: Process, Openness, and Transformation Within the Context of Swanson s Caring Theory Susan Driscoll MPH, MSN, ANP-BC, WHCNP-BC is an Adult Nurse Practitioner who specializes in women's health and is dedicated to working with underserved populations. She is currently pursuing a PhD in Nursing at Florida Atlantic University and is a Jonas Nurse Leaders Scholar. Her research focus is on women's health issues related to the Maya migrant farm worker communities of South Florida.

2 Nursing Presence: Process, Openness, and Transformation Within the Context of Swanson s Caring Theory Susan Driscoll MPH, MSN, ANP BC, WHNP BC May 30, 2013 Lack of Presence: A NURSING SITUATION VIGNETTE Presence A nurse s presence is required to provide a healing environment Henderson, King, Orem, Parse, Roy, Nightingale, Peplau, Quinn, and Halldorsdottir Examples of presence described in the caring literature Boykin & Schoenhofer (2001) Doona, Haggerty, & Chase (1997) Newman, Smith, Pharris, & Jones (2008) Parse (2012) Swanson (1991) 1

3 Thesis Attributes of nursing presence Process Openness Transformation Paradigm Swanson s caring theory Swanson s Caring Theory Inductive development Used in practice Validated in research Hanson (2004) Swanson (1999) Swanson s Caring Theory Caring has five essential processes Knowing Being with Doing for Enabling Maintaining belief 2

4 Openness letting go knowing the other as caring person clear the field bearing witness in solemn regard for the other genuine conversation call for nursing Openness Reflected in Swanson s Caring Theory Knowing Doing for Maintaining belief Process unfolding pattern that emerges mutual process unfolding in the emerging now consequences of presence go on to influence its enactment in the future 3

5 Process Reflected in Swanson s Caring Theory Knowing Being with Enabling Transformation transforming for both patient and nurse in revealing new vision and understanding meaning changes with each unfolding living experience Hermenuetics Transformation Reflected in Swanson s Caring Theory Enabling 4

6 Presence Doona, Haggerty, & Chase (1997) An intersubjective encounter between a nurse and a patient in which the nurse encounters the patient as a unique human being in a unique situation and chooses to spend her/himself on the patient s behalf. The antecedents to presence are the nurse s decision to immerse her/himself in the patient s situation and the patient s willingness to let the nurse into that lived experience. As a consequence to nursing presence, both the nurse and the patient are changed. Both are affirmed as unique human beings, and the nurse is affirmed as a professional and the patient as a person in need (p. 12). Knowing Knowing 5

7 Knowing Knowing Knowing 6

8 Knowing Knowing Being With 7

9 Being With Being With Being With 8

10 Being With Being With Being With 9

11 Doing For Doing For Enabling 10

12 Enabling Enabling Enabling 11

13 Enabling Maintaining Belief Openness 12

14 Openness Openness Openness 13

15 Openness Openness Process 14

16 Process Process Process 15

17 Transformation Transformation Transformation 16

18 Transformation Transformation Transformation 17

19 Transformation Transformation Presence 18

20 Presence References Boykin, A. & Schoenhofer, S. O. (2001). Nursing as caring: A model for transforming practice. Sudbury, MA: Jones and Bartlett Publishers. Doona, M. E., Haggerty, C. A., & Chase. (1997). Nursing presence: An existential exploration of the concept. Scholarly Inquiry in Nursing, 11, Finfgeld Connett, D. (2006). Meta Synthesis of presence in Nursing. Journal of Advanced Nursing, 55(6), Finfgeld Connett, D. (2008). Qualitative convergence of three nursing concepts: art of nursing, presence, and caring. Journal of Advanced Nursing, 63(5), Hanson, M. D. (2004). Using data from critical care nurses to validate Swanson s phenomenologically derived middle range caring theory. Journal of Theory Construction and Testing, 8(1), Jarrin, O. F. (2012). The integrality of situated caring in nursing and the environment. Advances in Nursing Science, 35(1), Newman, M. A., Smith, M. C., Pharris, M., & Jones, P. (2008). Focus of the discipline revisited. Advances in Nursing Science, 31(1), E16 E27. Newman, M. A. (2008). Transforming presence: The difference that nursing makes. Philadelphia, PA: F.A. Davis Company. Parse, R. (2012). New Humanbecoming conceptualization and the humanbecoming community model: Expansion with sciencing and living the art. Nursing Science Quarterly, 25(1), Swanson, K. (1991). Empirical development of a middle range theory of caring. Nursing Research, 40(3), Swanson, K. (1999). Research based practice with women who have had miscarriages. Image: Journal of Nursing Scholarship, 31(4),