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Transcript of Final Power Point
“The idea to create such a theory began many years ago when I
began to wonder and wander and ask why not? The creation of it has been long and arduous, but with
many moments of joy.”
- Rosemarie Rizzo Parse, RN, PhD, FAAN
Theory ofHuman
Becoming
Rosemarie Rizzo Parse, RN, PhD, FAAN
Rosemarie Rizzo ParseEducated at Duquesne University, Pittsburgh
MSN and Ph.D. from University of Pittsburgh
Published her theory of nursing, Man-Living-Health in 1981
Name changed to Theory of Human Becoming in 1992
Editor and Founder, Nursing Science Quarterly
Has published eight books and hundreds of articles about Human Becoming Theory
Professor at Loyola University, Chicago
INTRODUCTION
The theory was based on Dr. Parse’s lived experience in nursing and its poor fit with the existing paradigms. The theory focuses on the Human- Universe- Health Process and is based on the premise that the human being pursues and creates his own process of being with the world. The uniqueness of the theory is its perspective on paradoxes of human becoming. The theory emphasizes the relationship between human and with paradoxical rhythmical patterns. The humanbecoming theory positsquality of life from person's own perspective as the goal of nursing practice.
Human Becoming Origins
• Martha Rogers
Science of Unitary Human Beings
• Heidegger• Sartre• Merleau-Ponty
Existential Phenomenolog
y
Human Becoming Origins
That human beings are irreducible, or
more than the sum of its parts. Human
beings are open beings who relate at multiple realms with the universe and are ever changing and
recognized by patterns.
From existential-phenomenology, Parse drew on the tenets of
intentionality and human subjectivity and the
corresponding concepts of co constitution,
coexistence, and situational freedom.
Human Becoming Origins
ASSUMPTIONS
Three Major Assumptions of
Human Becoming•Huma
n Becoming is freely choosing personal meaning in situations in the intersubjective process of living value priorities.
MEANING
•Human Becoming is co creating rhythmical patterns of relating in mutual process with the universe.
RHYTHMICITY
•Human Becoming is co transcending multidimensionally with emerging possible.
TRANSCENDENCE
3 PRINCIPLES/ 9 CONCEPTS OF
HUMAN BECOMING
PRINCIPLES CONCEPTS
STRUCTURING MEANINGmultidimensionally is cocreating
realitythrough the languaging of valuing
andimaging.
COCREATING RHYTHMICAL PATTERNS of relating is living the paradoxical unity of revealing-concealing and enabling-limiting while connecting-separating.
COTRANSCENDING with the possible is powering unique ways of originating in the process of transforming.
LanguagingValuingImaging
Revealing-concealingEnabling-limiting
Connecting-separating
PoweringOriginating
Transforming
Structuring Meaning
This principle suggest that that the way
people see the world, their imaging of it , is their reality, and they
create this with others, and they show
or language their reality in the ways
they speak and remain silent and in
the ways they move and stay still.
Languaging
Is the concept that relates to how human beings symbolize and express their imaged realities and their value priorities.
Example: A man diagnosed with terminal cancer finds the strength to talk with his wife about his fears and concerns
Valuing
This concept is the “confirming-not confirming of cherished beliefs in light of the person worldview.
Reflect what is important in life to a person or a family
Example: An older woman putting her health first as her children have all moved out of the house.
ImagingIs an individual’s view of reality
It is the “shaping” of personal knowledge explicitly tacitly
Is a personal interpretation of meaning, possibility, and consequence
Example: An infertile couple believes there are many children who are in need of loving homes and plan to adopt.
COCREATING RHYTHMICAL PATTERNS
This principles means that human beings create patterns in day-to-day life and these patterns
tell about personal meanings and values.
Revealing-concealing
Is disclosing-not disclosing all-at-once
Example: A young teen must unveil her secret to her parents of being pregnant.
Enabling-limitingRepresents the freedoms and opportunities that surface with the restrictions and obstacles of everyday living.
It is about choosing from the possibilities and living with the consequences of those choices.
Example: A family must choose the course of treatment for a 5 year old recently diagnosed with leukemia: must chose to stay home or travel to receive treatments.
Connecting-SeparatingRelates to the ways persons create
patterns of connecting and separating with people and projects.
It is about the paradox communion-alones and the ways people separate from some to join with others.
Also explains the way two people can be very close and yet maintain separateness between the two.
Example: Parents feeling there is more aggressive treatment for their daughter who is receiving palliative care at the request of her husband causing a relationship to be strained.
COTRANSCENDING The meaning of this
principle is that persons are always engaging with and
choosing from infinite possibilities about how to be, what attitude or
approach to have, who to relate with ,
what interest or concerns to be bothered with.
PoweringIs a concept that conveys meaning about struggle and life and the will to go on despite hardship and threat.
It is the pushing-resisting process of affirming-not affirming being in light of nonbeing.
It is the force exerted
Example: Parents must continue on with every day life and support their remaining children after the loss of their oldest child in an accident
OriginatingIs a concept about human uniqueness
and holds two paradoxes:
conforming-not conforming
certainty-uncertainty
Example: A woman campaigns to raise money for breast cancer in honor of her grandmother
Transforming• Is about change and the shifting views that
people have about their lives.
Is the ongoing change characteristic of mutual process and human ingenuity as people finds ways to change in the direction of their cherished hopes and dreams.
Example: An elderly man now accepts outside as he can no longer provide adequate care for himself and his wife who has Alzheimer’s
THEORETICALMODEL
Parse, R.R. (1981(. Man-living-health: A theory of nursing (P. 69). New York, NY: John Wiley & Sons
FOUR NURSING METAPARADIGM
MAN
Structuring meaning, co creating rhythmical patterns of relating, and co transcending
Personal process only known by the self
Multi-faceted, decisive entity, autonomous
Perception = their reality Patterns in a person’s life
demonstrate personal meanings and preferences, and involve engagements and disengagements.
Complexity increases with time
NURSING
a universe; perceived by the person physical environment = person’s
decisions perceived environment =
understanding of the physical environment
a service to human kind practiced in relationships with individuals, groups, and communities in their process of becoming
emphasis: present when a client discovers personal meanings
IMPLICATIONS
NURSING PRACTICEA transformative approach to all levels of nursing
Differs from the traditional nursing process, particularly in that it does not seek to “fix” problems
Ability to see patients perspective allows nurse to “be with” patient and guide them toward desired health outcomes
• Nurse-person relationship cocreates changing health patterns
.
RESEARCH • Enhances understanding of human lived experience, health, quality of life and quality of nursing practice
Expands the theory of human becoming
Builds new nursing knowledge about universal lived experiences which may ultimately contribute to health and quality of life
EDUCATION Provide knowledge to the learner on how
to become human in term of living into reality.
Enhance the skills of the learner on how to utilize the concept of the theory to accept reality.
• Create new hope to the learner on how to appreciate the living experience he has.• Provide new techniques to
a teacher on how to deal to the learner.
THEORY UTILIZATION
The Lived Experience of Caring for a Child with
Lead Poisoning
By : Kim Dinsey-Read RN, BSN
Statement of the Problem The purpose of this qualitative
phenomenological study is to determine the lived experience of caregivers with a child or children with lead poisoning. A review of past research done on lead poisoning did not indicate that any study had been done on the qualitative lived experience with a child with lead poisoning or the parent’s perception of lead hazards, the cleaning protocol, and the education provided by case managers.
Theoretical Framework Parse’s research methodology is developed
on the principles of the Theory of Human Becoming. “The Parse methodology is generically phenomenological in that entities for study are experiences as described by people who have lived them. These entities in the Parse method are to be universal lived experiences of health such as grieving, feeling, restricted-feeling free, and suffering. The participants are persons who can describe through words, symbols, metaphors, poetry, or drawings the meaning of the experience under study”
The use of Parse’s theory allows the nurse to consider new meanings of a situation which in turn allows the nurse to go with the flow of the person’s rhythms and allows the person to reach beyond the moment and illuminates their hopes and dreams (Hickman, 2002).
The Theory of Human Becoming is designed to
guide research and practice. “Three theoretical structures
are identified:
1) powering emerges with the revealing-concealing of imaging, 2) originating
emerges with the enabling-limiting of valuing, and 3)
transforming emerges with the languaging of the
connecting-separating” .
With the first theoretical structure, Parse describes
the process where the nurse family relationship
enables the family to share their thoughts and feelings about the situation they are experiencing. This in turn reveals and conceals what
they know about the struggle with their personal
goals. When the significance of the situation
is revealed then the meaning of the situation
also changes for the family.
The second theoretical structure is the nursing practice focus with the
person or family that identifies ways of being alike and different from
others in changing values. By combining rhythms, transcendence
is achieved and the participants discover ways to be together and the choices result, according to
Parse, in transcendence.
The third theoretical structure allows for the illumination of relating ways
for the nurse and the person or family to be together as different
perspectives shed light on the familiar perspective but also identify
new possibilities. Parse suggests that by relating the values to the
nurse through speech and movement the person or family’s views change and by “mobilized
transcendence the ways of relating change”.
RESULTS
As the caregiver participated with the lead case manager and were educated about lead poisoning their perceptions of their role as caregiver changed.
Many talked about learning to control lead hazards, the environment, and also the new concerns for the health and well being of their children.
The participants not only reflected on how the lead poisoning was impacting on their families now talked about the worry they had for the future of their children.
They found ways to keep their children safe, for the most part without assistance from the system that was set up to address childhood lead poisoning.
Caregivers demonstrated forging ahead-holding back, living with conformity by addressing their children’s lead poisoning but nonconformity by going around the system to protect their children.
Thank You!!!!!!