Professional Documents
Culture Documents
THEORY
Theorists: Drs Josephine Paterson and Loretta
Zderad
1
Definition of theory
Derived from Greek ‘to look at’ (theorein).
2
Background of theorists
Dr Zderad majored in psychiatric nursing,
completed at doctorate at Georgetown University
in philosophy with dissertation on empathy.
Dr Paterson majored in public health, completed
doctor of nursing science degree at Boston
University – dissertation in comfort.
Met in the 1950’s whilst working at Catholic
University, where their task was to create a new
program that would include psychiatric and
community health components as part of the
graduate program friendship that has lasted over 35
years.
Shared experiences, ideas and insight to form a concept
that evolved into the formal Theory of Humanistic Nursing.
3
HUMANISTIC NURSING: ITS MEANING
“Humanistic nursing 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 the other” (Paterson & Zderad,
2008)
4
“Humanistic nursing theory is
multidimensional (Kleiman, 2001)”.
In humanistic nursing theory the components
identified as human are the patient (can refer
to the person, family, community or
humanity); and the nurse
Patient sends call for help person receiving
and recognising is the nurse
5
Nurse has made a decision and dedicated
themselves to helping others with their health
care needs
Humanistic nursing term exists known as “all-
at-once” (Kleiman, 2001)
Nurses and patients have their own ‘gestalts’,
or concept of wholeness
6
Patient and Nurse gestalts (Kleiman, 2001)
7
Nurse bring their whole self when helping in
patient treatment, i.e. experience, education
etc, to create a type of mosaic to use with
nursing interventions
Humanistic nursing theory accepts the
likeness in our differences, but attempts to
identify the sameness in each other or our
unifying links that make up the soul or
essence of nursing.
8
Paterson and Zderad describe five
phases in their study of nursing:
9
2. Nurse knowing the other intuitively
10
Nurse knowing the other intuitively. Adapted by Kleiman from
illustration in Briggs, J., & Peat, D. (1989). Nurse knowing the other
intuitively. In Turbulent Times (p. 176). New York: Harper & Row.
11
3. Nurse knowing the other scientifically
12
Nurse knowing the other scientifically. Adapted by Kleiman
from illustration in Briggs, J., & Peat, D. (1989). Nurse knowing the 13
other intuitively. In Turbulent Times (p. 176). New York: Harper &
Row
4. Nurse complimentarily synthesising
known others
The ability of the nurse to develop or see themselves as
a source of knowledge, to continually develop the
nursing community through education, and increased
understanding of their owned learned experiences
14
Nurse complementarily synthesising known others (Kleiman,
2001) 15
5. Succession with the nurse from the
many to the paradoxical one.
“Nurse comes up with a conception or abstraction that is
inclusive of and beyond the multiplicities and
contradictions (Paterson & Zderad, 1976)”.
Process that allows for reflection, correction and
as before
Coming together of patient and nurse
16
The Concept of Community
19
summary
Stress environments in acute care situations
do not allow proper time for nurses to reflect,
relate and provide support to each other
talking and listening helps to evaluate and
clarify the current function and value of
nurses.
“Through openness and sharing we are able to
differentiate our strengths” (Kleiman, 2001).
Theory is the prototype for more recent
experiential nursing theories created by
people such as Jean Watson.
20
references