UNIT III C. The Nursing Theories Pt. 2 Flashcards

1
Q

They are from the United States. They both earned their first diplomas in nursing, then Bachelor’s degrees in Nursing education before continuing to graduate programs.

Their career as nursing academics got started in the 1950s when they were both employed at Catholic University where they met. They continued to work together and remained friends for the next 40 years.

A

Josephine Paterson and Loretta Zderad

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2
Q

They later continued on to their doctorate degrees in the 1960s. Dr. ___ did her graduate work at Johns Hopkins and Dr. ___ did hers at Catholic University.

In the mid-fifties, they were both employed at The Catholic University and were assigned the task of working together to create a new program that would encompass the community health and psychiatric component of the graduate program.

A

Paterson

Zderad

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3
Q

Subsequently, they developed a collaboration and dialogue and friendship that have lasted for almost 40 years.

They retired in 1985 and moved South where they are currently enjoying life. Although they are no longer active, they are pleased at the on going interest in their theory.

A

Josephine Paterson and Loretta Zderad

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4
Q

___ is a mutual subjective interaction between nurse and patient and is a response to the situation which aims at facilitating recovery. It is characterized by empathy, respect for human dignity, altruism, patient autonomy, friendly environment, and holistic care.

A

Humanistic nursing

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5
Q

___ is when a nurse and patient come together. The nurse presents themselves as a helper ready to assist the patient. The nurse is open to understanding how the patient feels with the intention of improvement. Openness is an essential quality for humanistic nursing dialogue.

A

Nursing Dialogue

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6
Q

___ is the lived perception of the world around the nurse and patient.

It could be the hospital room, the bed, the waiting room, the visiting area, or any other space in which the interaction takes place.

A

Space

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7
Q

The ___ can enhance or impede the nursing dialogue based on how comfortable the participants feel and how well the space encourages communication.

A

physical environment

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8
Q

___ is another component of space, but it is more personalized; it belongs to the patient or nurse and is highly subjective.

It relates to “where I feel I belong or am”. A person may feel out of place or may feel at home or welcomed in the place. The nurse may feel comfortable here while the patient does not.

A

Place

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9
Q

In this stage, the nurse acts as an investigator who willingly takes risks and has an open mind. The nurse must be a risk-taker and be willing to experience anything. “Accepting the decision to approach the unknown openly”.

A

Preparation of the Nurse Knower For Coming to Know:

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10
Q

In this stage, the nurse tries to understand the other, as in the “I-thou” relationship, where the nurse as the “I” does not superimpose themselves on the “thou” of the patient.

A

Nurse Knowing of the Other Intuitively:

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11
Q

The nurse as the observer must observe and analyze from the outside. At this stage, the nurse goes from intuition to analysis. The analysis is the sorting, comparing, contrasting, relating, interpreting, and categorizing

A

Nurse Knowing the Other Scientifically:

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12
Q

The ability of the nurse to develop or see themselves as a source of knowledge, to continually develop the nursing community through education, and to increase understanding of their owned learned experiences.

A

Nurse Complementarily Synthesizing Known Others:

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13
Q

In this stage, the nurse takes the information gleaned and applies it in the practical clinical setting. Here the nurse takes brings the dilemma towards resolution.

A

Succession Within the Nurse From the Many to the Paradoxical One:

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14
Q

PERSON: Humans are viewed as open energy fields with special life experiences. As energy fields, they are greater than and different from the sum of their parts and cannot be predicted from knowledge of their parts. Human beings are viewed as being holistic in nature, are special, dynamic, aware, and multidimensional, capable of abstract thought, creativity, capable of taking responsibility.

A

Josephine Peterson and Loretta Zherad Humanistic Nursing

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15
Q

“HEALTH” is valued as necessary for survival and is often proposed as the goal of nursing. There are, in actuality, many instances of nursing that could be described as “health-restoring,” “health-sustaining,” or “health-promoting.” Nurses engage in “health teaching” and “health supervision.”

A

Josephine Peterson and Loretta Zherad Humanistic Nursing

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16
Q

The ENVIRONMENT represents the place where the service is delivered, the community, or the world. The environment can be understood as the time and space in which the nursing experience takes place. From the existential perspective, it is the time and space as lived by the nurse and/or patient during the experience.

A

Josephine Peterson and Loretta Zherad Humanistic Nursing

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17
Q

NURSING is a “lived experience between human beings”. It is an evolving, affecting, and helping relationship in which the patient and nurse engage in a dialogue. The nurse must therefore modify her/his response in offering a genuine presence.

A

Josephine Peterson and Loretta Zherad Humanistic Nursing

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18
Q

STRENGTH: Emphasizes autonomy and free will when choosing behavior- The approach aims to find an alternative approach to scientific psychology (concentrates on the subjective experiences of individuals and its meaning which cannot be studied in experiments).

A

Josephine Peterson and Loretta Zherad Humanistic Nursing

19
Q

WEAKNESS: It is too positive when regarding human behavior- this means that it assumes individuals are intrinsically good and will choose positive paths for their lives- however free will and choice is limited for some individuals

A

Josephine Peterson and Loretta Zherad Humanistic Nursing

20
Q

She was born in 1926 and is known for her work as a nursing theorist.

In 1956, she earned her Bachelor of Science in Nursing degree from Louisiana State University.

She was given a Master of Science in Nursing degree in 1959 from Yale University. Her career dealt predominantly with psychiatric nursing and education.

A

Joyce Travelbee

21
Q

She worked as a psychiatric nursing instructor at the DePaul Hospital Affiliate School in New Orleans, Louisiana.

Worked later in the Charity Hospital School of Nursing in Louisiana State University, New York University, and the University of Mississippi.

She started her Doctoral program in Florida in 1973 but she was not able to finish because she died later that year at age 47.

A

Joyce Travelbee

22
Q

In 1963, she started to publish articles and journals in nursing.

In 1966 and 1971, publication of her first book entitled “Interpersonal Aspect of Nursing”

In 1969, she published her 2nd book “Intervention in Psychiatric Nursing: Process in the One-to-One Relationship”

She believed the spiritual values a person hold will determine to a great extent.

A

Joyce Travelbee

23
Q

She extended the interpersonal relationship theories of Peplau and Orlando but greatly emphasized the therapeutic human relationship between the nurse and the patient.

Her model emphasizes: empathy (the ability to understand and share the feelings of another), sympathy (feelings of pity and sorrow for someone else’s misfortune), rapport (a close and harmonious relationship), and emotional aspects of nursing.

A

Joyce Travelbee

24
Q

(the ability to understand and share the feelings of another)

A

empathy

25
Q

(feelings of pity and sorrow for someone else’s misfortune)

A

sympathy

26
Q

(a close and harmonious relationship), and emotional aspects of nursing.

A

rapport

27
Q

“A nurse does not only seek to alleviate physical pain or render physical care – she ministers to the whole person. The existence of the suffering whether physical, mental or spiritual is the proper concern of the nurse.” – Joyce Travelbee

A

Joyce Travelbee

28
Q

___ is experienced when a nurse and patient have progressed through the four interlocking phases preceding rapport.

.

A

Rapport

29
Q

The first impression.

A

Original encounter

30
Q

The nurse and patient perceiving each other as unique individuals

A

Emerging identities

31
Q

ability to share and understand the person’s experiences and feelings.

A

Empathy

32
Q

when the nurse wants to lessen the patient’s suffering.

A

Sympathy

33
Q

NURSING
“An interpersonal process whereby the professional nurse practitioner assists an individual, family or community to prevent or cope with experience or illness and suffering, and if necessary to find meaning in these experiences.”

A

Joyce Travelbee Human to Human Relationship Model

34
Q

ENVIRONMENT
NOT clearly defined.

A

Joyce Travelbee Human to Human Relationship Model

35
Q

PATIENT/PERSON
person is defined as a human being. Both the nurse and the patient are human beings.

A

Joyce Travelbee Human to Human Relationship Model

36
Q

HEALTH
Health is subjective and objective health

A

Joyce Travelbee Human to Human Relationship Model

37
Q

Born in Hampton, Virginia and received her BSN from Pasadena College in 1964 and later a master’s degree in Medical – Surgical Nursing from University of California.

After completing her doctorate in 1982, she became an associate professor in the Department of Physiological Nursing at University of California, San Francisco.

She is an internationally known lecturer and researcher on health, and her work has influenced areas of clinical practice as well as clinical ethics.

A

Patricia Benner

38
Q

She believed that, “the nurse-patient relationship is not a uniform, professionalized blueprint but rather a kaleidoscope of intimacy and distance in some of the most dramatic, poignant, and mundane moments of life.”

Attempts to assert and reestablish nurses’ caring practices when nurses are rewarded more for efficiency, technical skills, and measurable outcomes.

States that caring practices are instilled with knowledge and skill regarding everyday human needs.

A

Patricia Benner

39
Q

understanding how a learner (whether a student, new or seasoned nurse) develops skills and understanding of a practice situation/event over time

A

Helping role:

40
Q

Delivering instructions that help students/novice/nurses learn. Teachers must prepare effective lessons and competencies.

A

Teaching role:

41
Q

Seven Domains of Practice in Nursing

A

Helping role: understanding how a learner (whether a student, new or seasoned nurse) develops skills and understanding of a practice situation/event over time

Teaching role: Delivering instructions that help students/novice/nurses learn. Teachers must prepare effective lessons and competencies.

Diagnostic client-monitoring function:
periodically collecting, analysing and using lab results to actively manage patient’s needs.

Effective management of rapidly changing situations

Administering and monitoring therapeutic interventions and regimens

Monitoring and ensuring quality of health care practices

Organizational and work-role competencies

42
Q

Strengths: It focuses on the behavior of nurses depending on their level of understanding with nursing practice – novice, advanced beginner, competent, proficient, expert. Her theory highlights the importance of clinical experience in developing expertise.

A

Patricia Benner’s Novice to Expert Theory

43
Q

Limitations: The five stages (novice, advance beginner, competent, proficient, and expert) are poorly defined in the literature, and some of the evidence from nursing practice presented to support their existence is weak.

A

Patricia Benner’s Novice to Expert Theory