Paterson and zderad theoryyyyyyyyyyyyyyy
- 1. 03/02/2025 1 PETERSON AND ZDERAD HUMANISTIC THEORY
- 2. 03/02/2025 2 OBJECTIVES By the end of this presentation, you will be able to learn about: 1. Theorists Introduction 2. Humanistic Theory Introduction 3. 3 concepts providing the basis for nursing in humanistic theory 4. 5 phases of humanistic nursing inquiry 5. Conceptual framework 6. Case scenario 7. Clinical implications
- 4. 03/02/2025 4 BIOGRAPHY OF DR. JOSEPHINE PETERSON Josephine Paterson was born on the 1st of September 1924 in Freeport, New York. She had graduated in August 1945 with a diploma from Lenox Hill School of Nursing. Nine years later (1954, August) she received her master's degree from John Hopkin's School of Hygiene and Public Health, Baltimore, Maryland. Her Doctor for Nursing is from Boston University School of Nursing, Boston, Massachusetts, where she specialized in psychiatric nursing
- 5. 03/02/2025 5 BIOGRAPHY OF DR. LORETTA ZDERAD Zderad is a graduate of St. Bernard's Hospital School of Nursing and Loyola University. She received her Master of Science degree from Catholic University, Washington, DC, and a doctor of Philosophy(1968) from Georgetown University, Washington, DC. She has taught in several universities and has led groups on humanistic nursing. Dr. Zderad also served on the faculty of the State University of New York at Stonybrook.
- 6. 03/02/2025 6 HUMANISTIC THEORY "Embraces more than a benevolent technically competent subject-object one- way relationship guided by a nurse in behalf of another. Rather it dictates that nursing is a responsible searching, transactional relationship whose meaningfulness demands conceptualization founded on a nurse's existential awareness of self and of other" (Paterson & Zderad)
- 7. 03/02/2025 7 HUMANISTIC NURSING Humanistic Nursing is stated to be a nurturing response of one person to another in time of illness that aims toward the development of well-being and more being (Paterson & Zderad, 1976).
- 8. 03/02/2025 8 3 CONCEPTS PROVIDING THE BASIS OF NURSING ACCORDING TO HUMANISTIC THOERY DIALOGUE: Nursing is a lived dialogue. It is a nurse-nursed relating creatively. Subject-subject relating Subject object relating 1. Meeting: It is characterized by the expectation that there will be a nurse and a nursed.
- 9. 03/02/2025 9 2. Presence- It is the quality of being open, receptive, ready, and available to another person. 3. Call and Response: nurses and clients call and respond to each other both verbally and nonverbally. Call and response relationship is where the client call for assistance and the nurses hear the call and respond with their knowledge, life experience, and skills to help the caller with the health - related need.
- 10. 03/02/2025 10 2) COMMUNITY: Meaning comes from the realization that it is through each other that we more fully participate in and expand our lives. Two or more persons struggling together toward a center (Paterson & Zderad, 1976) Through openness, sharing, and caring, we each will expand our angular views, each becoming more than before. . According to Humanistic Nursing Theory, there is an inherent obligation of nurses to one another and to the community of nurses which enhances all of the nurse to build a relationship with the patients that has a holistic approach.
- 11. 03/02/2025 11 3) PHENOMENOLOGIC NURSOLOGY It is defined as “Methodology for understanding and describing nursing situations” Phenomenological framework enables nurses to account for subjective aspects of human experiences, such as pain, suffering, stress and coping in health and illness
- 12. 03/02/2025 12 5 PHASES OF HUMANISTIC NURSING INQUIRY 1. Preparation of the nurse knower for coming to know: Preparing to get to know the patient's point-of- view. This means the nurse uses her education and life experiences to prepare to relate with patients. Your experience communicating with different types of people with different personalities helps you prepare to communicate with patients.
- 13. 03/02/2025 13 2. Nurse knowing the other intuitively: Moving the other back and forth between the impressions the nurse becomes aware of herself and recollected real experience of the other (Paterson & Zderad, 1976) It is conceptualized as dialectic (investigating) between the impression and the real. This shifting back and forth allows for sudden insights on the nurse's part, a new overall grasp, which manifests itself in a clearer, or perhaps a new, "understanding." These understandings generate further development of the process
- 14. 03/02/2025 14 3. Nurse knowing the other scientifically: The nurse gains scientific knowledge of the patient by (phenomenological process) pondering, analyzing, sorting, comparing, contrasting, relating, interpreting, naming, and categorizing data (therapeutic techniques: clarification and verification)Collect information about the patient, for example age, pulse and blood pressure
- 15. 03/02/2025 15 4. Nurse Complementarily Synthesizing Known Others: The nurse combines the subjective and objective information to gain perspective on the situation. Nurse as "noetic loci" or "knowing places". The nurse examines the communication with the patient and the information collected in light of her education (theoretical foundation) and personal experience. The nurse uses all the information from the patient and from her experiences to form a conclusion. For example, maybe the nurse had a patient before who had the same complaint.
- 16. 03/02/2025 16 5. Succession Within The Nurse From The Many To The Paradoxical One: The nurse arrives at a new truth, a concept that includes all the information gained, refined into a descriptive construct (Kleiman, 2006)The nurse makes a conclusion about what is the best way to improve the patient's well-being. • Paradoxical one: descriptive theoretical construct of nursing
- 18. 03/02/2025 18 In a case scenario based on this theory, consider a patient who has been recently diagnosed with a chronic illness, such as diabetes. The patient may be feeling overwhelmed, anxious, and uncertain about managing their condition. The nurse, applying Paterson and Zderad's theory, would approach the patient with empathy, actively listening to their concerns and fears without judgment.
- 19. 03/02/2025 19 • Building a nurse client relationship • Comfortable Environment • Open communication • Genuine care To explore patients feelings , beliefs, emotions • Education and support to empower the client
- 20. 03/02/2025 20 Throughout the patient's healthcare journey, the nurse continues to offer emotional support, encouragement, and reassurance, demonstrating empathy and respect for the patient's autonomy and dignity. By embodying the principles of humanistic nursing, the nurse helps the patient navigate the challenges of living with a chronic illness and promotes their overall well-being.
- 21. 03/02/2025 21 Case scenario Mrs A , an 87 years old woman who has just received a hip replacement surgery Duty to a fall ,has been assigned to be under your care.You are required to help her with many of her daily tasks due to a stroke last year which has affected her mobility.You are upset because you have a negative impression towards older people and would have liked to be assigned To a younger client .You feel uncomfortable and conflicted because not only do You know how to interact with Mrs A .You are also restricting yourself from building a nurse client relationship With her
- 22. 03/02/2025 22 Case Scenario Upon your first interaction,you help her with all her daily activities of life Like feeding And maintaining personal hygiene but Refuse to answers any of the questions She has asked you. Once competing Her morning activities you remind yourself To got to the gym More frequently so you don't end like this with Mrs A. Towards the end of your clinical shift your clinical supervisor Askes you about your Experience and u realize that You have not successfully built a nurse client relationship with her Since you do not know personal information From your interaction.Hearing about this your clinical supervisor asks you to Reflect using Paterson and zaderard 's theory To optimize Mrs a care
- 23. 03/02/2025 23 Clinical implications The main implication of Paterson and Zderad’s Humanistic nursing theory is its relevance in the practice of hospice and palliative care nursing (McCamant, K.L., 2006). . This can be best explained by employing the concepts of empathy, comfort and presence. Dr. Paterson’s and Dr. Zderad’s nursing experiences with terminally ill cancer patient has brought greater understanding between the nurse and patient, an understanding that brought them closer so that she could be with him in his fear-filled knowing and unknowing of dying
- 24. 03/02/2025 24 Clinical Implications . By offering one’s presence and listening to patient could alleviate anxiety and aloneness. As mentioned by Dr. Zderad, “to give this gift of time, and presence in the patient’s space, a person has to value, the outcomes of relating.” this theory emphasizes that that patient’s views and experiences are primary to the treatment process.
- 25. 03/02/2025 25 References https://n207groupb.wordpress.com/journals/five-phases-of-phenom enologic-nursology-application-through-a-nursing-dialogue/ https://www.merriam-webster.com/dictionary/dialogue https://www.google.com/search? q=hunistic+theory+images&oq=hunistic+theory+images&gs_lcrp= EgZjaHJvbWUyBggAEEUYOTIJCAEQABgNGIAEMgkIAhAAG A0YgAQyCQgDEAAYDRiABDIJCAQQABgNGIAEMgkIBRAA GA0YgAQyCQgGEAAYDRiABDIJCAcQABgNGIAEMgkICBA AGA0YgAQyCQgJEAAYDRiABNIBCDU3NTlqMGo3qAIIsAIB &sourceid=chrome&ie=UTF-8#vhid=gB6lBUrU6iaE6M&vssid=l
- 26. 03/02/2025 26