Parse’s Human Becoming Theory

  Case Study   The hospice nurse sat with Ann's husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room's only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann's bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. "She would ride like the wind was chasing her." Looking back to Ann his voice broke; choking back tears "Ann, Ann I saw Jessie…Jessie is calling." Ben turned "Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie's husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night." Ben turned back as a deep sigh escaped from Ann's lips. A soft smile remained as she joined Jessie and Abe. Based on this case study how would the nurse actualize Parse's theory of Human Becoming? What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing? What challenges exist for healthcare institutions to switch to this nursing approach? How might Parse's understanding of transcendence guide the nurse, as Ann's death became a reality to Ben? From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

Sample Solution

   
  • The nurse would focus on the meaning of the experience for Ann and Ben. She would listen to their stories and try to understand their perspectives on Ann's death. She would also be aware of her own biases and assumptions, and she would strive to create a safe space for Ann and Ben to share their thoughts and feelings.
  • The nurse would respect Ann and Ben's choices. She would not try to impose her own beliefs or values on them. She would support their decisions, even if she disagreed with them.

Full Answer Section

   
  • The nurse would encourage Ann and Ben to be present in the moment. She would help them to focus on their experiences and to savor the time they had left together.
  • The nurse would be open to new possibilities. She would not assume that she knew what was best for Ann and Ben. She would be willing to explore new options and to try new things.

Here are some characteristics of a human becoming nurse:

  • They are open to new ideas and possibilities. They are willing to challenge the status quo and to think outside the box.
  • They are respectful of the client's choices. They do not impose their own beliefs or values on the client.
  • They are present in the moment. They focus on the client's experience and they do not get caught up in the past or the future.
  • They are creative. They are not afraid to try new things and to come up with innovative solutions.

Here are some strengths and weaknesses of Parse's theory of nursing:

  • Strengths:
    • It is a holistic theory that takes into account the physical, emotional, spiritual, and social dimensions of the person.
    • It is a strengths-based theory that focuses on the client's resources and abilities.
    • It is a flexible theory that can be adapted to different settings and populations.
  • Weaknesses:
    • It can be difficult to operationalize the concepts of the theory.
    • It is not a well-known theory, so it may not be widely accepted by nurses.
    • It is a complex theory, so it may be difficult to understand and apply.

Here are some challenges that exist for healthcare institutions to switch to this nursing approach:

  • Cost: It can be expensive to train nurses in this new approach.
  • Time: It takes time to implement a new nursing approach.
  • Resistance: Some nurses may be resistant to change and may not be willing to adopt this new approach.

Parse's understanding of transcendence can guide the nurse as Ann's death became a reality to Ben. Transcendence is the ability to go beyond the limitations of the present moment and to experience a sense of connection with something larger than oneself. In this case, Ben may find transcendence through his faith, his memories of Ann, or his connection with nature. The nurse can support Ben's transcendence by being present with him, listening to his stories, and helping him to connect with his spiritual beliefs.

In addition to Parse's theory of Human Becoming, I would also apply the Neuman Systems Model to this case study. The Neuman Systems Model is a holistic model that views the person as a system that is constantly interacting with its environment. The model can be used to assess the client's strengths and vulnerabilities, and to develop a plan of care that addresses the client's physical, emotional, spiritual, and social needs.

The following is a plan of care that includes both Parse's theory of Human Becoming and the Neuman Systems Model:

  • Goal: To help Ben cope with Ann's death and to find meaning in her life.
  • Interventions:
    • Provide emotional support to Ben.
    • Help Ben to connect with his spiritual beliefs.
    • Encourage Ben to talk about his memories of Ann.
    • Help Ben to identify his strengths and resources.
    • Develop a plan of care that addresses Ben's physical, emotional, spiritual, and social needs.

I believe that this plan of care is comprehensive and holistic, and that it will help Ben to cope with Ann's death and to find meaning in her life.

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