The Humanistic Nursing Theory guides nurses to enter the world of persons experiencing a health related challenge, helping them become as much as they can be, according to their “human potential” (Paterson & Zderad, 1976/2008). Humanistic Nursing is a “lived dialogue, a call-and-response event that occurs between a nurse and a person who come together in a nursing occasion” (Kleiman, 2009, p. 5). “The call and response of an authentic dialogue between a nurse and patient has great power; the power to change the lived experiences of both the patient and nurse, to change the situation, to change the world” (Paterson & Zderad, 2008, p. 5). Through an intersubjective transactional relationship the nurse nurtures well-being and more-being persons experiencing joy, loss, pain, grief or suffering (Paterson & Zderad, 1976/2008). “Humanistic Nursing embraces more than a benevolent technically competent subject-object one way relationship guided by the nurse on behalf of another” (Paterson & Zderad, 1976, p. 3). The humanistic “approach does not reject advances in nursing technology but rather tries to increase their value by viewing their use within the perspective of the development of human potential” (Paterson & Zderad, 2008, p. 5). The call for nursing is “to maintain humanness in the health-care system, which is becoming increasingly sophisticated in technology, increasingly concerned with cost containment, and increasingly less aware of and concerned with the patient as a human being” (Kleiman, 2010, p. 349). The Call AND Response Paper provides semester three BScN students with an opportunity to explore and explicate the relevance and meaning of Paterson and Zderad’s (1976) Humanistic Nursing Theory, while providing care for a patient within an acute care setting.
This assignment is an exploration of a patient’s lived experience of a common health challenge and the nursing student’s response to a patient’s “call for help”, guided by Paterson and Zderad’s (1976) Humanistic Nursing Theory. Students will follow the Call AND Response Paper Guidelines and Criteria as outlined below. Selecting an assigned patient in NURS 2525 practicum, each student will illustrate his/her unique contribution to humanistic nursing care, through coming to know this patient, recognizing, understanding and responding to the patient’s call for help, and through nurturing “well-being and more-being”. In addition, the student will articulate his/her expanded angular view following this intersubjective transactional nursing experience.
The paper will include an introduction and conclusion and will be written according to APA Manual 6th Edition (2010) and all of the assignment policies in the Collaborative BScN Program Handbook (2019) and the Georgian College Academic Calendar. The MAXIMUM length of this paper is 6 pages, double spaced, excluding references and Appendix. Refer to the rubric below for the suggested length of each section of the paper. A minimum of six (6) references are required. A medical dictionary is not considered as one of the required references. Two or more chapters cited from the same secondary source (e.g. textbook) is considered a single reference. A hard copy is due at the beginning of class on the due date. Students must have their CPS sign the Call AND Response Validation Form (see below) and attach it the front of their paper. Papers without the signed validation form attached will NOT BE ACCEPTED and the late penalty will apply until this requirement is met.
CALL AND RESPONSE PAPER
1. Hearing and Recognizing the Call
• Introduce your patient, including primary health challenge and current health situation; avoid identifying information (i.e. exclude name, initials, age, and agency). You may use pseudo name/initials and age range bracket.
• Define and describe your angular view (Paterson & Zderad, 1976/2008) prior to coming to know your patient; acknowledge any assumptions based on your previous experiences, and/or your potential or actual biases.
• Describe the intersubjective dialogue (verbal/nonverbal) that occurred while coming to know your patient and his/her primary health challenge. Include details of your connection; what your patient may have said; not said. Identify any blocks to communication that you would avoid in the future.
• Identify a priority biomedical call for help (e.g. impaired swallowing; urinary retention; acute pain; impaired skin integrity; risk for falls) from your assigned patient that required your nursing response. This should be a single clear sentence. Please refer to the list of suggested biomedical calls:
2. Understanding and Responding to the Call
• Clearly state and support your assessment findings that helped you to identify the priority biomedical call. Include subjective and objective data in your findings. Identify other patient data relevant to the call (e.g. lab values, diagnostic test results, radiology findings, admission history). You may include an appendix with full lab and test results to refer to in your text. Identify any priority assessments that you did not do, but that on reflection and further research, you realize might have informed your nursing response.
• Describe your actual nursing response to the patient’s priority biomedical call for help which may include care provided collaboratively with the most responsible nurse and other Intraprofessional and/or interprofessional team members. Your nursing response must be comprehensive and include multiple interventions. For example, the nursing response for a patient experiencing acute pain would include specific details related to; ongoing assessment, monitoring, pharmacological, and non-pharmacological interventions. Provide referenced rationales to support all nursing interventions. If retrospectively on reflection and further research, you discover that there are further important interventions that you would include next time, then include these in your response and indicate that these are retrospective additions to your nursing plan of care.
• Identify a nursing clinical background question related to the identified call and response for your patient and include the answer to the question that you found from your research. Examples of background questions include: What are the best methods to relieve referred shoulder pain following laparoscopic abdominal surgery? What content is most important to include in the discharge planning/teaching following abdominal hysterectomy? What is best practice related to mobilizing patients following total hip replacement surgery? What nursing interventions are most effective in preventing catheter associated urinary tract infections? What are the best strategies to prevent/manage atelectasis? You should use evidence from the nursing literature to answer your question. Evidences may include original qualitative or quantitative research articles, systematic reviews, meta-synthesis and/or BPGs. Include the URL and/or doi for your reference(s) in your reference page. Do not use textbooks to answer your clinical question. Looking back, would you change anything in the Call AND Response care plan for your patient as a result of researching this question?
• Complete and include your Call AND Response care plan table in an “Appendix” after the reference page. You may refer to information in the appendix in text of your paper (see Appendix) to avoid redundancy when it isn’t necessary to repeat information. NOTE: The care plan MUST contain two priority biomedical calls and the first call is fully addressed in the body of the paper.
3. Well-Being and More-Being: for Patient
• Describe how your humanistic nursing response did or did not nurture the well-being and more-being (Paterson & Zderad, 1976/2008) for your patient. Define any theoretical terms (e.g. well-being and more-being).
• How do you know you did or did not nurture the well-being for your patient? Include reassessment data to support your findings. (e. g. for Acute Pain, reassessment of OPQRSTU after nursing interventions).
• How do you know you did or did not nurture more-being for your patient? Include clear and specific supportive findings to support your answer. Generalizations will be graded poorly.
4. Well-Being and More-Being: for Nurse
• As a student nurse, how did your participation in the intersubjective transactional nursing experience contribute to your more-being (Paterson & Zderad, 1976/2008)? Support your finding(s); be clear and specific.
• How did your angular view (Paterson & Zderad, 1976/2008) change or not change as a result of this interaction?
• How might your expanded view(s) impact your noetic locus (Paterson & Zderad, 1976/2008) or future nursing practice?
• Bes certain to define and cite any theoretical terms that belong to Paterson and Zderad’s theory
American Psychological Association (2010). Publication manual of the American psychological association. (6th ed.). Washington, DC: American Psychological Association.
Kleiman, S. (2009). Human centered nursing: The foundation of quality care. Philadelphia: F.A. Davis Company.
Kleiman, S. (2010). Josephine Paterson and Loretta Zderad’s humanistic nursing theory and its applications. In M. E. Parker & M. C. Smith (Eds.), Nursing theories and nursing practice (3nd ed., pp. 337-350). Philadelphia: F.A. Davis.
Paterson, J. & Zderad, L. (1976). Humanistic nursing. New York: John Wiley & Sons.
Paterson, J. & Zderad, L. (2008). Humanistic nursing. The Project Gutenberg eBook. Retrieved from http://www.gutenberg.org/files/25020/25020-8.txt (Original work published 1976)
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