Rosemarie Rizzo Parse theory
INTRODUCTION ABOUT THE THEORIST
Rosemarie Rizzo Parse is an articulate, courageous, and vibrant leader with a strong vision and a deliberate determination to advance the discipline of nursing. She is well-known internationally for her human becoming school of thought a nursing perspective that focuses on quality of life and human dignity from the perspective of patients, families, and communities. Dr. Parse is an inspirational mentor who has helped many seasoned and budding nurse scholars to pursue their dreams.
Education and Positions
Educated at Duquesne University, Pittsburgh
MSN and Ph.D. from University of Pittsburgh
Published her theory of nursing, Man-Living-Health in 1981
Name changed to Theory of Human Becoming in 1992
Editor and Founder, Nursing Science Quarterly
Has published eight books and hundreds of articles about Human Becoming Theory
Professor and Niehoff Chair at Loyola University, Chicago
HER ACHIEVEMENTS
Two Lifetime Achievement Awards (one from the Midwest Nursing Research Society and one from the Asian American Pacific Islander Nurses’ Association), the Rosemarie Rizzo Parse Scholarship was endowed in her name at the Henderson State University School of Nursing, her books were twice named to the “best picks†list of theory books by Sigma Theta Tau International Honor Society in Nursing, and the Society of Rogerian Scholars honored her with the Martha E. Rogers Golden Slinky Award. In 2008 she was the recipient of the New York Times Nurse Educator of the Year Award.
INTRODUCTION ABOUT THEORY
The Parse theory of human becoming guides nurses in their practice to focus on quality of life as it is described and lived (Karen & Melnechenko, 1995).
The human becoming theory of nursing presents an alternative to both the conventional bio-medical approach and the bio-psycho-social-spiritual (but still normative) approach of most other theories of nursing.(ICPS)
The human becoming theory posits quality of life from each person's own perspective as the goal of nursing practice. (ICPS)
Rosemarie Rizzo Parse first published the theory in 1981 as the "Man-living-health" theory (ICPS)
The name was officially changed to "the human becoming theory" in 1992 to remove the term "man," after the change in the dictionary definition of the word from its former meaning of "humankind."
ASSUMPTIONS
About man
- The human is coexisting while co-constituting rhythmical patterns with the universe.
- The human is open, freely choosing meaning in situation, bearing responsibility for decisions.
- The human is unitary, continuously co-constituting patterns of relating.
- The human is transcending multi-dimensionally with the possible.
About Becoming
- Becoming is unitary human-living-health.
- Becoming is a rhythmically co-constituting human-universe process.
- Becoming is the human’s patterns of relating value priorities.
- Becoming is an inter-subjective process of transcending with the possible
- Becoming is unitary human’s emerging
Three Major Assumptions of human becoming theory
- Meaning
- Human Becoming is freely choosing personal meaning in situations in the inter-subjective process of living value priorities.
- Man’s reality is given meaning through lived experiences
- Man and environment co-create
- Rhythmicity
- Human Becoming is co-creating rhythmical patterns of relating in mutual process with the universe.
- Man and environment co-create ( imaging, valuing, languaging) in rhythmical patterns
- Transcendence
- Human Becoming is co-transcending multi-dimensionally with emerging possibilities
- Refers to reaching out and beyond the limits that a person sets
- One constantly transforms
NURSING PARADIGMS AND PARSE'S THEORY
- Person
- Open being who is more than and different from the sum of the parts
- Environment
- Everything in the person and his experiences
- Inseparable, complimentary to and evolving with
- Health
- Open process of being and becoming. Involves synthesis of values
- Nursing
- A human science and art that uses an abstract body of knowledge to serve people
SYMBOL OF HUMAN BECOMING THEORY
- Black and white = opposite paradox significant to ontology of human becoming and green is hope
- Center joined =co created mutual human universe process at the ontological level & nurse-person process
- Green and black swirls intertwining = human-universe co creation as an ongoing process of becoming
STRENGTH AND WEAKNESSES
Strengths
- Differentiates nursing from other disciplines
- Practice - Provides guidelines of care and useful administration
- Useful in Education
- Provides research methodologies
- Provides framework to guide inquiry of other theories (grief, hope, laughter, etc.)
Weaknesses
- Research considered to be in a “closed circle”
- Rarely quantifiable results - Difficult to compare to other research studies, no control group, standardized questions, etc.
- Does not utilized the nursing process/diagnoses
- Negates the idea that each person engages in a unique lived experience
- Not accessible to the novice nurse
- Not applicable to acute, emergent care
APPLICATION OF THE THEORY
Nursing Practice
- A transformative approach to all levels of nursing
- Differs from the traditional nursing process, particularly in that it does not seek to “fix” problems
- Ability to see patients perspective allows nurse to “be with” patient and guide them toward desired health outcomes
- Nurse-person relationship co-creates changing health patterns
Research
- Enhances understanding of human lived experience, health, quality of life and quality of nursing practice
- Expands the theory of human becoming
- Builds new nursing knowledge about universal lived experiences which may ultimately contribute to health and quality of life
CRITIQUE
- Congruence with personal values
- Nurse must subscribe to this world view to truly use it
- Congruence with other professional values
- Complements and competes with other health care professionals’ values
- Exoteric foundations
- Esoteric utility
- Congruence with social values
- Fulfills society’s expectations of nursing role
- Social Significance
- Makes a substantial difference in the lives of clients and nurses
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