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Defin the theory of self transcendence and understanding the theory's concept of metaparadigms of nursing and relationship theory.
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Introduction This presentation will review and analyze Reed’s theory of self transcendence. The presenter will give an overview of the theory and review it’s views of the nursing metaparadigms. The presenter will discuss a research article that uses Reed’s theory as well as examine the application of the theory with nursing practice.
Background on Theorist - Pamela Reed Born in Detroit, Michigan Baccalaureate degree from Wayne State University- 1974 Master of science in psychiatric-mental health of children and adolescents and in nursing education- 1976 PhD concentration in nursing theory and research, minor in adult development and aging- 1982 Dissertation research focused on relationship between well- being and spiritual perspectives on life and death in terminally ill and well individuals. Masters, K. (2012).
Self-Transcendence: Overview The Theory of Self-Transcendence is a social concept theory which is based on Rogers’ Theory of Unitary Beings. Core “philosophical belief in the enduring human potential for well-being” (Reed, 2009, p. 397). “Individuals who face human vulnerability or mortality obtain an increased capacity for self-transcendence and its positive influence on…well-being” (Reed, 2009, p. 397 - 398).
MetaParadigm Concepts Health – “Sense of feeling whole and healthy, in accord to one’s own criteria for wholeness and health” (Smith, et al, 2008. pp. 108) Environment – Family, social networks, physical surroundings and community resources (Coward, 2010 as cited in Masters, 2014.pp. 75 Photo Retrieved from Daggerwing Health
MetaParadigm Concepts cont. Human Being – Developed though life events and environments Nursing – the assistance through interpersonal processes and therapeutic management of environments to promote health ( Coward, 2010. as cited in Masters,
Self-Transcendence: Analysis Criteria Accuracy Simplicity/Complexity Scope depends on the context Acceptance Socio-Cultural Utility but needs more research (NURS 501)
Figure 1 Gulliver (2007)
Self-Transcendence is… To repeat: Looking beyond the “now”, beyond barriers and boundaries, looking beyond one’s self and finding perspective and meaning that might otherwise be overlooked. (Ellerman and Reed, 2001; Palmer, Quinn Griffin, Reed, & Fitzpatrick, 2010) Capitalizing on the ability to see beyond the boundaries of the self and the environment. Using that ability during vulnerable moments to see beyond the present limitations. (Runquist & Reed, 2007) Vulnerability can lead to self-transcendence. Self- transcendence can lead to well-being. (Palmer, Quinn Griffin, Reed, & Fitzpatrick, 2010)
Self Transcendence in Nursing Research Research by Walsh, Lamet, Lindgren, Rillstone, Little, Steffey, Rafalko, & Sonshine (2011) reviewed the theory of self transcendence in patients with late stage Alzheimer’s Disease. Studied the effects of self transcendence and well being as a result of creative bonding interventions
How would the study have been different without Reed’s theory? Without theory of self transcendence the researcher's would only be able to conduct research on the second research question related to well being. Would be difficult to analyze the patients relationship with the surrounding environment and the use of reminiscing with the patient's raw emotions without this theory
The study provided insight for new areas of education for staff involvement and techniques to use with late stage Alzheimer's Disease. This research used the theory of Self Transcendence to promote the use of nursing “implementation of approaches to promote well-being in people with late stage Alzheimer's Disease” (Walsh, et al, 2011. pp71).
How Nursing can help Manage Self Transcendence in Patients Encouraging Reflection Meditation, Prayer, Journaling Fostering Maintenance of Meaningful Relationships Personal and community relationships Support Groups Group psychotherapy
Nursing Self Transcendence Positive Healing Experiences