ABSTRACT
This article describes some of the changes occurring with community in the advent of the COVID-19 pandemic. The humanbecoming community change model along with other views on community are presented to address some of the living quality questions and challenges of a community in flux.
Subject(s)
Coronavirus Infections , Humanism , Pandemics , Pneumonia, Viral , Betacoronavirus/isolation & purification , COVID-19 , Global Health , Humans , Nursing Theory , Public Health , SARS-CoV-2ABSTRACT
The following article gives tribute to Florence Nightingale as nursing celebrates her 200-year birthday in 2020. Through the perspective of the humanbecoming paradigm, Nightingale's lingering presence in nursing is illustrated.
Subject(s)
Community Health Services , History of Nursing , Humanism/history , Nursing Care , History, 19th Century , History, 20th Century , History, 21st Century , Ill-Housed Persons , Humans , Poverty , RespectABSTRACT
The authors of this article present three theoretical models of mentoring informing nursing as well as other disciplines. How these models intersect to expand understanding of the evolution of the role of mentoring in nursing is discussed.
Subject(s)
Mentoring/trends , Mentors/psychology , Models, Nursing , Humanism , HumansABSTRACT
The authors in this article present the humanbecoming ethical tenets of human dignity: reverence, awe, betrayal, and shame. These four ethical tenets of human dignity are examined from a historical perspective, exploring how Rosemarie Rizzo Parse has conceptualized these ethical tenets with added descriptions from other scholars, and how Florence Nightingale lived human dignity as the founder of modern nursing.
Subject(s)
History of Nursing , Personhood , Crimean War , History, 19th Century , HumansABSTRACT
The authors in this article retrospectively analyze the community change process undertaken by an American Nurses Association appointed Steering Committee mandated to revise the 2001 Code of Ethics for nursing. The authors identify the community change phases as the following: organizing for diversity of thinking; scanning the horizon of ethical thought; developing unifying discourse; creating new languaging; anticipating an emerging future; and, bearing witness to community innovation. The humanbecoming community change processes are used to expand understanding of these phases of change.
Subject(s)
American Nurses' Association , Codes of Ethics , Humanism , Humans , Retrospective StudiesABSTRACT
Leadership is a very personal concept. The methods implemented by leaders often reflect philosophical beliefs and theoretical underpinnings. This column, while recognizing that leadership styles are indeed personal, proffers living leadership in nursing education through two key leadership attitudes. These attitudes are honoring silence and valuing community. Honoring silence is discussed as recognizing the multiple dimensions of silence, and valuing community is presented in light of the humanbecoming community models change concepts: moving-initiating, anchoring-shifting, and pondering-shaping.
Subject(s)
Leadership , Learning , Teaching , AttitudeABSTRACT
This author extracts the environmental theory from Florence Nightingale's writings and recorded experiences. As Nightingale's experiences broadened to other cultures and circumstances, she generated an ever-widening commitment to redress unjust social policies imperiling human health. She mobilized collaborators, shaped public awareness, and championed the cause of those suffering as a result of unjust policies. Nightingale challenged nurses to create environments where population health is a realistic expectation.
Subject(s)
History of Nursing , History, 19th Century , Humans , India , Models, Nursing , Sanitary Engineering , Social Justice , WarfareABSTRACT
PROBLEM: The increasing numbers of people seeking care for chronic disease has placed unparalleled demands on nurses who journey with them as they grasp the meaning of their altered health status. The complexity of the newly diagnosed chronic disease can be overwhelming. Newly diagnosed elder patients need a refuge in which to explore the uncertainties and challenges in managing a chronic illness. Reactions to a new diagnosis are uniquely shaped by the elder person's culture, age, life circumstances, and previous coping strategies. Six dichotomous response pairs are posed: relief versus devastation, courage versus cowardice, disease obsession versus disease aversion, rational thinking versus intuition, reawakening versus stuck, and self-reliance versus dependence. Nurses can create a sanctuary for elderly patients with protected space, presence, partnership, past to future orientation, and perspective on life. Nurses who embrace this mission may find themselves returning to the reasons they sought a nursing career, to support and strengthen elderly people in the most vulnerable moments of their lives.
Subject(s)
Adaptation, Psychological , Chronic Disease/nursing , Geriatric Nursing , Health Services for the Aged , Activities of Daily Living , Aged , Chronic Disease/psychology , Humans , Nurse-Patient RelationsABSTRACT
In this column a synthetic definition of fairness-unfairness is followed by a situation study involving an exchange between two undergraduate nursing students and their professor. A series of situations unfolds in which the students encounter a refugee and her family as they enter the American healthcare system. Students share their impressions of fairness-unfairness in this family's experiences. The professor interacts with the students to demonstrate the humanbecoming way of being with persons while bearing witness to the choices made in living out their values.
Subject(s)
Attitude of Health Personnel , Education, Nursing, Baccalaureate/methods , Humanism , Nursing Theory , Students, Nursing/psychology , Humans , Interprofessional Relations , Nurse-Patient Relations , Nursing Education Research , Nursing Methodology ResearchABSTRACT
Human dignity is foundational to nursing ethics in both the practice and educational arena. It is implicitly and explicitly woven throughout all ethical dialogue. This column offers insight into the ubiquitous nature of human dignity as it surfaced during a doctoral level ethics course. These examples are shared in light of the humanbecoming human dignity ethical tenets: reverence, awe, betrayal, and shame. The prevalence of dignity in ethical discussion serves as a reminder for nurses to carve out time for meaningful discussions regarding its importance to the nursing profession as a whole.
Subject(s)
Education, Nursing, Graduate , Ethics, Nursing/education , Personhood , HumansABSTRACT
The history of the nursing profession is still evolving. One-hundred years ago, Nightingale died, leaving a legacy of philosophical cornerstones that still infuses the profession. Her idealism flows through her writings, as fresh today as 150 years ago. The initiatives of nursing today had their roots in Nightingale ideals. The alignment of current trends in nursing with Nightingale constructs is striking. Contemporary nurses are challenged to propel these ideals forward. The author here tracks Nightingale quotes, events, and writings with current initiatives, linking philosophical ideals to practical realities of current nursing practice. Nightingale constructs influencing nursing theories and models are examined.
Subject(s)
Complementary Therapies , Nursing , Terminal Care/organization & administration , Female , History, 20th Century , Humans , Models, Organizational , Pain/drug therapy , Pain/psychologyABSTRACT
Accelerated nursing programs necessitate new learning approaches that challenge stubborn sacred cows because bright second-degree students have high expectations. Myths about nursing education may hinder innovation in accelerated programs. Mezirow's theoretical model of transformational learning provides a framework for streamlining nursing education for second-degree students.
Subject(s)
Attitude , Education, Nursing/organization & administration , Faculty, Nursing , Organizational Culture , Humans , United StatesABSTRACT
This column describes the use of selected literature and art to foster dialogue in a doctoral course in nursing surrounding issues involving healthcare ethics. Literature provides concentrated slices of reality which pose questions requiring deep reflection about human frailty, suffering, and death. Works of art nurture students' creative thinking and critical judgment and provide a vehicle to describe extraordinary vulnerable situations where nurses are engaged with others.
Subject(s)
Education, Nursing, Graduate/organization & administration , Ethics, Nursing/education , Medicine in Literature , Medicine in the Arts , Communication , Comprehension , Conflict, Psychological , Creativity , Ethical Analysis , Humans , Knowledge , Morals , Narration , Students, Nursing/psychology , Symbolism , ThinkingABSTRACT
An interdisciplinary consortium organized a group to explore the meaning and the future of nursing in South Dakota using scenario planning. This column provides a general description of the four scenarios that emerged, some observations about how they might evolve, comments on their implications, and first-person stories, as told by fictitious residents. The process of scenario planning is connected to nursing science by explicating how five lessons of scenario planning are linked with Parse's human becoming concepts of creative imagining, glimpsing the paradoxical, and affirming personal becoming.
Subject(s)
Forecasting , Nursing/trends , Planning Techniques , Human Development , Humans , Models, Nursing , Needs Assessment , Nursing Research/organization & administration , Science , South Dakota , Technology Assessment, Biomedical , WorkforceABSTRACT
A survey of RNs in South Dakota was performed to determine their perceived level of competence, the extent to which their continuing nursing education (CNE) needs are being met, and their use of computers for CNE. Nationally certified nurses rated themselves significantly more competent than nurses who are not nationally certified. Fewer than half of the RNs reported their CNE needs were being met despite geographic access to CNE and programs available in their specialty. Three-fourths of nurses had computers at home while 76% had computers at work, yet fewer than 20% of nurses used these computers for CNE.