Reading 5

Question 1

The Focus of the Discipline Revisited

Answer 1

Newman, Smith, Pharris, Jones

Question 2

*What are the 3 major paradigms identified in this article?

Answer 2

Particulate-Deterministic Interactive-Integrative Unitary Transformative

Question 3

Particulate-Deterministic

Answer 3

People interact with the environment in a particular way – action/reaction

Question 4

Interactive-Integrative

Answer 4

People affect the environment and the environment affects back – action/reaction/reaction – “ping pong effect”

Question 5

Unitary-Transformative

Answer 5

I am the environment and the environment is me – resonant relationship – the nurse comes in and becomes a part of the person’s world

Question 6

How does the book describe Unitary-Transformative? represents a shift from

Answer 6

looking at the whole as the sum of the parts and seeking to solve a problem to looking at the whole as primary and seeking to know the pattern

Question 7

It is a switch from embracing the action-reaction causal approach to…

Answer 7

realizing the mutuality of the unfolding, rhythmic process through which insight into action arises

Question 8

In other words?

Answer 8

it is your r’ship – a r’ship of negotiation – with the patient that determines how to proceed

Question 9

A nurse approaching a patient from the UT perspective…

Answer 9

see the whole while attending to the part

Question 10

As a matter of fact…

Answer 10

the nurse enters into the whole through the part

Question 11

The caring, knowing presence of a nurse does what?

Answer 11

taps into what is meaningful for the pt and opens the way for relevant action

Question 12

Concepts central to the discipline – HCC MPPM

Answer 12

health caring consciousness mutual process patterning presence meaning

Question 13

Health

Answer 13

the intent of the relationship

Question 14

Caring

Answer 14

the nature of the relationship

Question 15

Consciousness

Answer 15

the informational pattern of the relationship

Question 16

Mutual process

Answer 16

the way in which the relationship unfolds

Question 17

Patterning

Answer 17

the evolving configuration of the relationship

Question 18

Presence

Answer 18

the resonance of the relationship

Question 19

Meaning

Answer 19

the importance of the relationship

Question 20

the intent of the relationship

Answer 20

Health –

Question 21

the nature of the relationship

Answer 21

Caring –

Question 22

the informational pattern of the relationship

Answer 22

Consciousness –

Question 23

the way in which the relationship unfolds

Answer 23

Mutual process –

Question 24

the evolving configuration of the relationship

Answer 24

Patterning –

Question 25

the resonance of the relationship

Answer 25

Presence –

Question 26

the importance of the relationship

Answer 26

Meaning –

Question 27

Ontology of UT

Answer 27

The human being is characterized by wholeness, complexity and consciousness

Question 28

Epistemology of UT

Answer 28

The essence of nursing involves the nurse’s true presence in the process of human-to-human engagement

Question 29

Ethics of UT

Answer 29

The essence of nursing practice in the nurse-patient r’ship

Question 30

How do those in the UT paradigm suggest that knowledge develops?

Answer 30

nursing praxis – a synthesis of theory, research and practice

Question 31

From a UT perspective, how are the concepts of health and illness seen?

Answer 31

as manifestations of the rhythmic fluctuations in the life process – illness episode is not distinct in the life, just a part of the life

Question 32

What does nursing most need and why?

Answer 32

A clear sense of our nursing identity and the meaning of our mission to society because, otherwise, we have no value or purpose other than to support and promote the practice of medicine.