The Holistic Theory of Unpleasant Symptoms

2021 ◽  
pp. 089801012110317
Author(s):  
Amy Kenefick Moore

This article describes a holistic revisioning of symptom theory for nursing practice. The Holistic Theory of Unpleasant Symptoms (HTOUS), informed by the Science of Unitary Human Beings, describes the complexity of symptom experience and how nursing actions can be associated with its transformation. Existing theories of unpleasant symptoms which broadly describe the antecedents, characteristics, and consequences of symptoms, have been reconceptualized from holistic and integral perspectives. Applying integral concepts such as human energy field and pattern manifestation expands understanding of both symptom experience and the nurse’s response to it. Spirituality is an addition to symptom theory, being seen as a characteristic of Human Energy Field pattern manifestations. The theory’s major concepts are symptom experience manifestations and wellbecoming manifestations. Concepts of the sustaining presence of the nurse and voluntary mutual patterning are explored. Pain, nausea, dyspnea, anxiety, despair, and other symptoms are discussed. Because HTOUS is acausal and nonlinear, it is widely applicable to creative, theory-directed nursing practice and research. Recommendations are made for practice, research, and further theory development.

1988 ◽  
Vol 1 (3) ◽  
pp. 103-110 ◽  
Author(s):  
Howard K. Butcher ◽  
Nora I. Parker

A pre-test/post-test control group design with 60 participants was used to examine the subjective feelings of timelessness, motion, boundary lessness, transcendence, and increased imagination experienced during pleasant guided imagery within Martha Rogers' science of unitary human beings. Two hypotheses were derived from Rogers' principle of reso nancy, which describes "the continuous change from lower to higher wave frequency patterns in the human and environmental fields." Pleas ant guided imagery was postulated to pattern the human energy field from a lower toward a higher wave frequency pattern. The hypotheses tested in this study were (a) participants experiencing an 11-minute pleasant guided imagery tape will have significantly lower time metaphor test scores than participants experiencing an 11-minute educational tape and, (b) participants experiencing pleasant guided imagery will have significantly higher human field motion tool scores than participants experiencing the educational tape. Lower time metaphor test scores and higher human field motion tool scores reflect a higher wave frequency pattern of the human energy field. A significant treatment by trials interaction effect (F = 4.358; df = 1/118; p < 0.05) provided support for the first hypothesis. The second hypothesis was not supported. On the basis of a factor analysis, the validity of the human field motion tool is questioned. The findings suggest that Rogers' principle of resonancy may provide an explanation of the subjective feelings experienced during pleasant guided imagery.


2021 ◽  
Author(s):  
◽  
Janice Ruth Clayton

<p>This thesis uncovers a personal journey of reflective practice in Aotearoa / New Zealand. The focus for reflection is on my emerging role as a nurse facilitating transitions using a dialectical approach in the context of a private nursing practice. Transitions encompass: life changes, loss, and adjustment to changes in function. Dialectical nurse facilitation of transition (DNFT) is a way of exploring self in the transitional space between "the no longer and the not yet". In this facilitated process people potentially discover paradoxes, tensions, and creative energy, as they search for a way forward.  The research design details a dialectical heuristic quest through journaling and reflecting on practice supervision and peer review, over a two year period. Exemplars written after reflecting on case notes reveal the lived experiences of participants Sophie, Grace, Rose, Faith, Lilo, and Charles (pseudonyms). These case reviews show the complexity of patterns for people undergoing transitions and nurse facilitation.  A relational pattern for DNFT encompasses compassionate engagement, catalytic mirroring, and interconnectedness. A transitional pathway from impasse to transformation shows itself as the people I work with search for clarity about the nature and meaning of self. The transitional pathway is mirrored in practice supervision and peer review in my search for professional clarity and grounded-ness. This reveals a mutual transformational process going beyond the boundaries of feelings and reason, into the regions of the human energy field and spiritual essence of self.  This integral approach finds resonance with nursing, Buddhist, and psycho-social philosophies and theories that posit human beings as the embodiment of spiritual energy. An exploration of literature encompasses nursing theories, facilitation, dialogue, loss, grief, spirituality and transition. These show how the patterns that I find, both resonate, and are divergent from extant knowledge.  This thesis sheds light on the often hidden aspects of reflection and nursing practice and may support professional and personal growth. It also provides a basis for evaluative research on the effectiveness of DNFT in health care settings in the future. Discussions regarding the expansion of these reflective and praxis genres are included which may be of interest to nursing education and practice contexts.</p>


2018 ◽  
Vol 08 (02) ◽  
pp. 003-007
Author(s):  
Hemalatha R. ◽  
B.S. Shakuntala

AbstractThis paper describes the results of a modified Delphi approach to gain consensus on a core competency framework for entry level nursing graduates in Karnataka. Based on extensive review of literature, A series of semi structured questionnaires were mailed to fifteen experts from nursing education and Practice and after refining and validating the competency statements consensus in core competency framework emerged consisting of nine distinct Domains - Valuing Human Beings, Professional Nursing Practice, Communication and Interpersonal Relationship, Professional, Legal and Ethical framework, Knowledge and application of knowledge, collaborative therapeutic Practice, Research Utilization , Management of Nursing Services, Professional Advancement with accompanying competency elements and Performance Criteria. . This core competency framework based on the Indian Nursing Council's Standards of Nursing Practice was developed as a benchmark to outline the minimum entry level competencies for new nursing graduates. This study finds potential value in standardising the Competencies to be acquired for nursing graduates and also setting the path forward for a Competency Based Assessment.


2021 ◽  
Author(s):  
◽  
Janice Ruth Clayton

<p>This thesis uncovers a personal journey of reflective practice in Aotearoa / New Zealand. The focus for reflection is on my emerging role as a nurse facilitating transitions using a dialectical approach in the context of a private nursing practice. Transitions encompass: life changes, loss, and adjustment to changes in function. Dialectical nurse facilitation of transition (DNFT) is a way of exploring self in the transitional space between "the no longer and the not yet". In this facilitated process people potentially discover paradoxes, tensions, and creative energy, as they search for a way forward.  The research design details a dialectical heuristic quest through journaling and reflecting on practice supervision and peer review, over a two year period. Exemplars written after reflecting on case notes reveal the lived experiences of participants Sophie, Grace, Rose, Faith, Lilo, and Charles (pseudonyms). These case reviews show the complexity of patterns for people undergoing transitions and nurse facilitation.  A relational pattern for DNFT encompasses compassionate engagement, catalytic mirroring, and interconnectedness. A transitional pathway from impasse to transformation shows itself as the people I work with search for clarity about the nature and meaning of self. The transitional pathway is mirrored in practice supervision and peer review in my search for professional clarity and grounded-ness. This reveals a mutual transformational process going beyond the boundaries of feelings and reason, into the regions of the human energy field and spiritual essence of self.  This integral approach finds resonance with nursing, Buddhist, and psycho-social philosophies and theories that posit human beings as the embodiment of spiritual energy. An exploration of literature encompasses nursing theories, facilitation, dialogue, loss, grief, spirituality and transition. These show how the patterns that I find, both resonate, and are divergent from extant knowledge.  This thesis sheds light on the often hidden aspects of reflection and nursing practice and may support professional and personal growth. It also provides a basis for evaluative research on the effectiveness of DNFT in health care settings in the future. Discussions regarding the expansion of these reflective and praxis genres are included which may be of interest to nursing education and practice contexts.</p>


2010 ◽  
Vol 16 (4) ◽  
pp. 155-159 ◽  
Author(s):  
Toni Eason

Lifelong learning contributes to the development of knowledge and skill in nursing. A focus on continuous learning is necessary to remain current on trends, practices, and the newest treatments in the field of nursing. Creation of a culture where educational growth is supported and promoted is vital to advancement of the nursing profession. Nurses’ satisfaction with their professional role can be further enhanced by demonstrated expertise through lifelong learning. Expertise in nursing is solidly founded on evidence-based practice. Research, education, and experience in nursing practice are linked to evidence-based practice and lifelong learning; both are essential to remaining well versed in health care service delivery.


2017 ◽  
Vol 66 (3) ◽  
pp. 262-270 ◽  
Author(s):  
Heather M. Young ◽  
Susan Bakewell-Sachs ◽  
Linda Sarna

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kaitlin Light Costello ◽  
Diana Floegel

PurposeIn this paper, we introduce feminist technoscience as an approach that will advance theory in information behavior and practice.Design/methodology/approachIn this conceptual paper, we identify four common assumptions in information behavior and information practice research that limit theory development to date. Existing models and theories tend to rely on extractive logic, focus on a person-in-situation, depend on binary definitions and assume that information interaction changes people's lives for the better. This leads to extractive ways of discussing information interactions and limits our ability to fully theorize embodiment and affect in our discipline.FindingsFeminist technoscience offers distinct ways of thinking about people, technology, bodies and power; in doing so, it responds to some perennial limitations in our research to date.Originality/valueFeminist technoscience is a robust research paradigm that has not yet been fully applied in our discipline. Assumptions in information behavior and information practice research have led to models and theories that reflect a logic of extraction and are limited in their potential for characterizing both embodiment and affect. Feminist technoscience provides a way to conduct research that challenges these assumptions and addresses these limitations.


2021 ◽  
pp. 25-37
Author(s):  
Larisa Arkadievna Karaseva

The task of educating health care professionals is to create an educational and experimental base to support practice, education, management, research, and theory development in order to preserve and improve the health of the population. The article summarizes the principles of education that contribute to the professional growth of specialists, ensuring the safety and competence of medical care by improving nursing practice.


Author(s):  
Maria Flynn ◽  
Dave Mercer

The impulse for patient and public involvement (PPI) in health services reflects wider societal and policy concerns with citizenship and democratic participation. A consumerist turn in health policy has opened the door to advances in involvement initiatives, with nurses often playing a lead role. These involvement practices have developed in the interlinked areas of nursing practice, research, and education. Effective involvement is predicated upon emancipatory values and, as such, involvement practices are concerned with prevailing power relations. The actual form that involvement takes can be thorough, systematic, and empowering or partial, tokenistic, and subsumed under oppressive governance systems. Ultimately, involvement poses key questions for professional nursing identity, allowing for a re-imagining of professionalism that is essentially democratized and cooperative.


1991 ◽  
Vol 9 (3) ◽  
pp. 41-47 ◽  
Author(s):  
Violet M. Malinski

Abstract: Meditation has been practiced throughout the centuries. This article explores meditation as a health patterning modality for nurses to employ for themselves and to facilitate clients' knowing participation in their change process. The theoretical framework for this interpretation is Rogers' Science of Unitary Human Beings. Meditation has the potential to promote awareness of the experience of flow in the human/environment patterning process. Out of this evolves an expanded awareness of creative potentials for change. Two clinical vignettes are offered to illustrate this process. Summary: Meditation is a health patterning modality that can facilitate knowing participation in change. It broadens awareness of potentials that can be actualized as nurses and clients seek to promote their own health and well-being. Meditation can assist both in experiencing the rhythm of their human/environment mutual process and open them to an expanded field image. According to Rogers, this experiencing is pandimensional, transcending traditionally perceived limitations of space and time. Meditation opens the door onto new and creative potentialities in the process of becoming.


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