Nursing Science Quarterly recent issues

What a Difference a Word Makes

Parse, R. R. — Mon, 26 Oct 2009 16:46:37 PDT

Nursing Science Quarterly Best Paper Award: 2009

Mon, 26 Oct 2009 16:46:37 PDT

Theorizing Family: A Uniquely Nursing Perspective

Pilkington, F. B. — Mon, 26 Oct 2009 16:46:37 PDT

The Humanbecoming Family Model

Parse, R. R. — Mon, 26 Oct 2009 16:46:37 PDT

The purpose of this paper is to set forth the humanbecoming family model as an alternative view of family. The essences, paradoxes, and processes offer a unique way of envisioning family.

Metaphor: Creative Energy Informing Nursing Research

Malinski, V. M. — Mon, 26 Oct 2009 16:46:37 PDT

Expressiveness and Creativeness: Metaphorical Images of Nursing

Sharoff, L. — Mon, 26 Oct 2009 16:46:37 PDT

Metaphors are a personal expression and form of self-awareness, providing a way of describing an experience with dissimilar concepts to convey meaning. Metaphors create new meaning and provide a deeper insight into the human spirit. They are grounded in reality and day-to-day life experiences. Reflective practitioners incorporate and integrate their vast knowledge base of experience, skills, and attitudes to assist in formulating their practice as a metaphor. It is through this experience and reflection that nurses can creatively express their images of self and nursing.

Common Metaphors in Nursing Ethics

Milton, C. L. — Mon, 26 Oct 2009 16:46:37 PDT

Metaphors are literary comparisons that are used to create new meaning and insight for concepts, ideas, and situations found in a discipline. This author describes some common moral metaphors used in the discipline of nursing and specifically in situations of nursing ethics. New insights and questions for common usage are offered for the metaphors from a nursing theoretical perspective. Implications for nursing as a discipline are incorporated and discussion points for the future practice of nursing are illuminated.

Fostering the Creative Spirit in Teaching-Learning

Bunkers, S. S. — Mon, 26 Oct 2009 16:46:37 PDT

This author describes creativity and the development of several curriculum projects fostering the creative spirit in the nursing academy as well as in other health sciences. It introduces Dr. Barbara Condon’s column describing the use of artistic expression, framed by the humanbecoming school of thought, in a senior level nursing course at Briar Cliff University.

Artistic Expression in Teaching-Learning

Condon, B. B. — Mon, 26 Oct 2009 16:46:37 PDT

The use of art to enhance teaching-learning in nursing has proven beneficial in the past. While there are variety of methods to utilize art in education that exist, the author discusses artistic expression, as described by the humanbecoming school of thought, being used for the first time during the final term of the senior year for nursing students. This artistic expression was part of a variety of assignments connected to the students’ preceptor experiences. The author in this column demonstrates a profound coming to know and personal enlightenment through a reflective process that accentuates the importance of not only allowing, but encouraging creativity throughout a nursing curriculum.

Envisioning the Possibles: Living the Art of Humanbecoming With the Leading-Following Model in Practice

Karnick, P. M. — Mon, 26 Oct 2009 16:46:37 PDT

The Humanbecoming Leading-Following Model in Practice

Doucet, T. J., Maillard-Struby, F. — Mon, 26 Oct 2009 16:46:37 PDT

The purpose of this column is to illustrate how the humanbecoming leading-following model was lived by nurses practicing within hospital, community, and school settings. The authors describe practice scenarios to show ways that nurses guided by the humanbecoming theory lived the processes and the key ideas of the model. One example addresses a change of policy, as the nurse lived the humanbecoming beliefs and values in leading-following. This column is nursing theory-guided evidence-based practice.

From Theory to Practice: Caring Science According to Watson and Brewer

Clarke, P. N., Watson, J., Brewer, B. B. — Mon, 26 Oct 2009 16:46:37 PDT

Caring science is presented by Jean Watson and Barbara Brewer through an interview and dialogue format. Jean Watson presents caring science and its philosophy and evolution and the impact of her model on nursing and other disciplines. Barbara Brewer addresses the implementation of the model in a Magnet hospital setting and describes how her leadership facilitated implementation.

Feeling Fear: A Humanbecoming Study of Older Adults

Baumann, S. L. — Mon, 26 Oct 2009 16:46:37 PDT

The purpose of this study is to enhance understanding of the lived experience of feeling fear. Parse’s phenomenological-hermeneutic method was used to answer the research question: What is the structure of the lived experience of feeling fear? Ten older adults living in or near New York City participated in the study. Data were collected through dialogical engagement and analyzed through the extraction-synthesis processes. Core concepts were identified and discussed. The structure, feeling fear is haunting possibilities with cautious perseverance arising with reassuring affiliations amid defiance, is the central finding of this study. This finding was connected to the humanbecoming theory and extant literature, contributing to nursing knowledge, expanding the theory, and enhancing of understanding about feeling fear with older adults.

Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model

DeSanto-Madeya, S., Fawcett, J. — Mon, 26 Oct 2009 16:46:37 PDT

The Roy adaptation model concepts of stimuli, coping mechanisms, and modes of adaptation have been translated into several middle-range concepts and measured using existing and new instruments. The concept of adaptation level, however, has rarely been used in Roy adaptation model-based research. This paper presents a description of how the Roy adaptation model concept of adaptation level was translated into the logically congruent middle-range theory concept of adjustment. A single-item instrument, the Adjustment Scale, is identified as one way to measure adjustment.

Participatory Dreaming: A Conceptual Exploration From a Unitary Appreciative Inquiry Perspective

Repede, E. J. — Mon, 26 Oct 2009 16:46:37 PDT

Dreaming is a universal phenomenon in human experience and one that carries multiple meanings in the narrative discourse across disciplines. Dreams can be collective, communal, and emancipatory, as well as individual. While individual dreaming has been extensively studied in the literature, the participatory nature of dreaming as a unitary phenomenon is limited. The concept of participatory dreaming within a unitary appreciative framework for healing is explored from perspectives in anthropology, psychology, and nursing. A participatory model of dreaming is proposed from a synthesis of the literature for use in future research using unitary appreciative inquiry.

Improving the Profession of Nursing in Slovenia

Baumann, S. L. — Mon, 26 Oct 2009 16:46:37 PDT

The importance of increasing the educational attainment of professional nurses in Slovenia is discussed. It is suggested that with the global economic recession it is more, not less, important that professional nurses are competent and independent practitioners.

Nursing Professionalism in Slovenia: Knowledge, Power, and Ethics

Starc, A. — Mon, 26 Oct 2009 16:46:37 PDT

The purpose of this column is to conceptualize nursing professionalism in Slovenia as a mutual process between social change and the education of professional nurses. The process of educating professional nurses in Slovenia occurs in a changing social and organizational context. As the complexity and speed of change increases it is becoming increasingly essential for all nurses to have expert knowledge, skills, and competencies. The author also aims to present the autonomy of new healthcare and the new theoretical concept of nursing as scientific human capital in Slovenia.

To Defile by Assuming to Know

Florczak, K. L. — Mon, 26 Oct 2009 16:46:37 PDT

Book Review: They called them angels: American military nurses of World War II

Egenes, K. J. — Mon, 26 Oct 2009 16:46:37 PDT

Book Review: They called them angels: American military nurses of World War II

Kostovich, C. T. — Mon, 26 Oct 2009 16:46:37 PDT

Letter to the Editor

Lin, J.-N. — Mon, 26 Oct 2009 16:46:37 PDT

Letter to the Editor

Woods, M. E. — Mon, 26 Oct 2009 16:46:38 PDT

Visionary Leadership: Making a Difference in Healthcare Through Research

Rizzo Parse, R. — Tue, 30 Jun 2009 10:45:22 PDT

Theorizing the Concept of Burnout in Nursing

Pilkington, F. B. — Tue, 30 Jun 2009 10:45:22 PDT

Conceptualization of Burnout From the Perspective of the Neuman Systems Model

Neslihan Partlak Gunusen, , Ustun, B., Gigliotti, E. — Tue, 30 Jun 2009 10:45:22 PDT

Due to an incomplete match between Neuman's definition of the core response and proposed examples, the core response has been interpreted as solely physiological in nature. As a result, the majority of Neuman systems model-based research has focused on either identification of stressors or the relations between stressors, the flexible line of defense, and normal line of defense invasion while the core response has been largely neglected. The purpose of this paper is to argue for a broader conceptualization of the core response as any and/or all of the person variables proposed by Neuman. The burnout process, which is both psychological and spiritual in nature, was developed as a core response exemplar.

Global Nursing Research: Three Perspectives

Malinski, V. M. — Tue, 30 Jun 2009 10:45:22 PDT

Nurse scholars involved in research on the international scene describe current efforts underway in countries such as Turkey, Mexico, Japan, and Switzerland, to name a few, to advance nursing scholarship worldwide. Theoretical perspectives reflect work focusing on Neuman's and Roy's models and Parse's theory. Issues are identified that reflect efforts to advance nursing and shared concerns within the global nursing community.

Nursing Research in Turkey

Ustun, B., Gigliotti, E. — Tue, 30 Jun 2009 10:45:22 PDT

The Roy Adaptation Model and Research: Global Perspective

Roy, C., Whetsell, M. V., Frederickson, K. — Tue, 30 Jun 2009 10:45:22 PDT

Transforming While Affirming Those We Serve: Parse's Theory in Switzerland

Maillard-Struby, F. V. — Tue, 30 Jun 2009 10:45:22 PDT

Information Sharing: Transparency, Nursing Ethics, and Practice Implications With Electronic Medical Records

Milton, C. L. — Tue, 30 Jun 2009 10:45:22 PDT

The American Recovery and Reinvestment Act of 2009 has spurred national and international debate over possible ethical implications for a mandated electronic database for medical records. What role(s) will the discipline of nursing assume and what policy statements will the discipline of nursing articulate with regard to the need for enhancing privacy and confidentiality with access to medical and nursing documentation found in the electronic database? In this column the author provides an ethical discussion on information sharing and human freedom, and the need for transparency as specified in the humanbecoming leadership model.

Culture and Community

Schmidt Bunkers, S. — Tue, 30 Jun 2009 10:45:22 PDT

Encountering the Other Through Ongoing Cultural Learning: A Teaching-Learning Model From the Humanbecoming Perspective

Westerholm, K. — Tue, 30 Jun 2009 10:45:22 PDT

Encountering the other in a significant way requires more than a generalized knowledge of cultural characteristics—or cultural competency. In this column, the author describes encountering the other from the humanbecoming theory perspective and proposes a teaching-learning process of ongoing cultural learning that pushes the boundaries of the familiar and expands horizons of understanding. The model encourages healthcare providers to shift their epistemological location and view the world from the perspective of the other, thereby increasing their capacity to care for and be with the other in meaningful ways.

Honoring Human Dignity

Karnick, P. M. — Tue, 30 Jun 2009 10:45:22 PDT

Envisioning Human Dignity to Enhance Practice while Journeying with Rwandan Women: Student Nurses Teaching-Learning Parse's Theory of Humanbecoming

Oaks, G., Drummond, S. — Tue, 30 Jun 2009 10:45:22 PDT

California Baptist University School of Nursing opened in September 2006 as the first baccalaureate nursing education program in Riverside, California. Under the direction of Dr. Constance Milton, the curriculum was cocreated using Parse's humanbecoming school of thought as a framework. In August 2008, nursing students traveled to Rwanda where they bore witness to the transformation after the 1994 genocide. Dimensions and processes of Parse's practice methodology—illuminating meaning by explicating what is with languaging, synchronizing rhythms while dwelling with ups and downs in the struggle of connecting-separating, and mobilizing transcendence as moving beyond with the not-yet while transforming— emerged in the students' journaling as lived all-at-once amid reverence that honored the dignity and worth of the Rwandan people.

Caring: Some Reflections on the Impact of the Culture Care Theory by McFarland & Andrews and a Conversation With Leininger

Clarke, P. N., McFarland, M. R., Andrews, M. M., Leininger, M. — Tue, 30 Jun 2009 10:45:22 PDT

This column is the first of two with a special focus on the construct of caring. In this dialogue, two Leininger scholars together address the questions related to the global impact on practice and the contribution of the model to scientific development in nursing. Then, in a special conversation, nurse theorist Madeleine Leininger offers her view of the impact of her work as well as some of her early experiences.

The Lived Experience of Taking a Risk

Schmidt Bunkers, S. — Tue, 30 Jun 2009 10:45:22 PDT

The purpose of this study was to answer the research question: What is the structure of the lived experience of taking a risk? The participants were 9 persons from the general population. The Parse research method, a phenomenological-hermeneutic method, was used to discover the structure of taking a risk. Through the process of extraction-synthesis three core concepts were identified: venturing forth amid potential peril, apprehension with elation, novel engagements. Thus, for these 9 individuals the lived experience of taking a risk is venturing forth amid potential peril, as apprehension with elation surfaces in novel engagements. Taking a risk will be discussed in relation to the principles and concepts of the theory of humanbecoming and in relation to how it can inform nursing practice and future research. This study was also the means for introducing the Parse research method to 10 research assistants interested in learning more about the theory of humanbecoming and the Parse research methodology.

Reiki and Changes in Pattern Manifestations

Ring, M. E. — Tue, 30 Jun 2009 10:45:22 PDT

The purposes of this qualitative research study were to describe the changes in pattern manifestations that individuals experienced associated with receiving Reiki, and to present the theoretical understanding of these changes. The unitary field pattern portrait research method was utilized because it was ontologically, epistemologically, and methodologically consistent with the science of unitary human beings. Reiki was found to be associated with changes in awareness from dissonance and turbulence to harmony and well-being by helping individuals knowingly participate in actualizing their own capacities for healing. Reiki was found to be an appropriate voluntary mutual patterning nursing modality.

Trusting Another: A Parse Research Method Study

Doucet, T. J. — Tue, 30 Jun 2009 10:45:22 PDT

This article reports a Parse research study on the experience of trusting another with 10 participants living in community. The central finding of this study is the structure: The lived experience of trusting another is cherishing alliances arising with uplifting lightness in pressing on resolutely with potential adversity. The findings are discussed in relation to the humanbecoming school of thought and related literature.

Health as Expanding Consciousness With Families With a Child With Special Healthcare Needs

Falkenstern, S. K., Gueldner, S. H., Newman, M. A. — Tue, 30 Jun 2009 10:45:22 PDT

Families have health experiences that become enfolded within their life patterns. Based within Newman's conceptualization of health as expanding consciousness, the purpose of this study was to develop knowledge about the nurse-client process of facilitating health in families who have a child with special healthcare needs. The research as praxis method was used to answer the research question, What is the evolving pattern of the nurse-client process that facilitates health as expanding consciousness in families who have a child with special healthcare needs?

Encountering Others As Nurses

Baumann, S. L. — Tue, 30 Jun 2009 10:45:22 PDT

sbaumann@ hunter.cuny.edu

The Ethical Demand in Nursing: A Scandinavian Perspective

Martenson, E. K., Fagerskiold, A. M., Runeson, I. V., Bertero, C. M. — Tue, 30 Jun 2009 10:45:22 PDT

In this column the authors discuss the ethics of information exchange in nursing practice with children. Five concepts identified in three Swedish grounded theory studies and a content analysis that used the theoretical framework of ethical demand were analyzed. A simultaneous concept analysis found five related concepts: being interconnected, acting according to accepted procedure, completeness, interdependence, and social intercourse. These concepts are synthesized in the concept of intergrade, which emphasizes the value of maintaining the integrity of all involved in information exchange.

Power and the Pillbox Hat

Florczak, K. L. — Tue, 30 Jun 2009 10:45:22 PDT

Book Review: Reid, C. (2004). The wounds of exclusion poverty, women's health, & social justice. Edmonton, Alberta: Qual Institute Press

Racine, L. — Tue, 30 Jun 2009 10:45:22 PDT

Book Review: Reid, C. (2004). The wounds of exclusion poverty, women's health, & social justice. Edmonton, Alberta: Qual Institute Press

Buenting, J. A. — Tue, 30 Jun 2009 10:45:22 PDT

Letter to the Editor

Zeller, R., Ross, R. — Tue, 30 Jun 2009 10:45:22 PDT

Letter to the Editor: Response

Tae Sook Kim, , Jeong Sook Park, — Tue, 30 Jun 2009 10:45:22 PDT

Mixed Methods or Mixed Meanings in Research?

Rizzo Parse, R. — Thu, 02 Apr 2009 16:36:57 PDT

Growing Nursing Knowledge Through Concept Inventing

Beryl Pilkington, F. — Thu, 02 Apr 2009 16:36:57 PDT

Being Judicious: A Creative Conceptualization

Morrow, M. R. — Thu, 02 Apr 2009 16:36:57 PDT

The purpose of this column is to present a uniquely conceived nursing phenomenon inspired by an artform, to discuss its relevance for nursing knowledge development in light of a preliminary review of literature and the creative conceptualization process, and to suggest an appropriate mode for further inquiry.

Wisdom in Caring Research

Malinski, V. M. — Thu, 02 Apr 2009 16:36:57 PDT

Gleaning Wisdom in the Research on Caring

Purnell, M. J. — Thu, 02 Apr 2009 16:36:57 PDT

Light is the metaphor for wisdom; we seek and turn toward light as we seek and reach for wisdom, personally and professionally. The purpose of human life is, as Jung noted, kindling the light of meaning to illuminate the darkness. Nursing caring, focusing on the wholeness of persons regardless of life experiences, events, or circumstances, is intimately bound with wisdom, acquired both professionally and personally. In order to glean the wisdom reflected in current nursing research on caring, the author reviewed studies conducted from 2003 to 2008. Only a sampling of the 99 studies found are included here. Patients, students, nurse leaders, and administrators were asked what caring means and how it can be improved; ways to measure and evaluate caring were tested. This body of work can be used to enlighten nurses on the process of caring and how we teach our students to care.

Leadership and Ethics in Nurse-Nurse Relationships

Milton, C. L. — Thu, 02 Apr 2009 16:36:57 PDT

Qualities of nursing leadership may be reflected in the patterns of relating illuminated through communications between interdependent members of a discipline and interdisciplinary professional healthcare relationships. Authority and responsibility in leading-following reside with the designated leader. However, there is power with person in situation with the ever-present possibility of conflict. The author in this column will begin a discussion of conflict in nurse-nurse relationships and offer questions for straight thinking regarding the ethics of leading-following situations with nurse-nurse relationships from a humanbecoming nursing theoretical perspective.

Questions of Wisdom

Schmidt Bunkers, S. — Thu, 02 Apr 2009 16:36:57 PDT

In this column questions concerning wisdom are addressed, such as, what is wisdom? Can wisdom be taught in the academy? Several perspectives on wisdom from philosophy, education, business, and psychology are presented. Wisdom with creativity—creativity with wisdom is then explored through discussion of Parse's humanbecoming teaching-learning model and Laird Hamilton's life lessons learned from surfing, which he termed wisdom of the wave. The column concludes with consideration of the wise person.

On Building Nursing Knowledge

Karnick, P. M. — Thu, 02 Apr 2009 16:36:57 PDT

The Nurse-Patient Relationship as a Caring Relationship

Granados Gamez, G. — Thu, 02 Apr 2009 16:36:57 PDT

Studies regarding healthcare professionals and patient relationships were found to be few in the review completed by this author. Moreover, there are fewer still that analyze the role of nurse professionals as agents in the relationship. The author of this column approaches the nurse-patient relationship from the framework of the general systems theory and shows the need to further study and clarify the function of different elements in the nurse-patient relationship as it occurs in daily practice, and in patients' expectations.

Imogene M. King's Scholars Reflect on Her Wisdom and Influence on Nursing Science

Clarke, P. N., Killeen, M. B., Messmer, P. R., Leibold Sieloff, C. — Thu, 02 Apr 2009 16:36:57 PDT

Reflections on the impact of the work of great leaders are vital for both scientists and practitioners to gain important perspectives on the progress of the evolution of the discipline. Recognizing the influence of a particular theorist's impact is particularly important at the time of death, which is the time where the development of a particular theory moves from the originator to the followers. This column serves as a tribute to Imogene M. King, and is dedicated to her wisdom in promoting the conceptual system she developed.

Quality of Life in Contemporary Nursing Theory: A Concept Analysis

Plummer, M., Molzahn, A. E. — Thu, 02 Apr 2009 16:36:57 PDT

A critical appraisal of the concept, quality of life, as used in nursing theories, is presented in a historically situated context. This approach to concept analysis was selected to illuminate the subjective, contextual, and fluid nature of the concept. Based on this review, quality of life is defined as an intangible, subjective perception of one's lived experience. From a review of Peplau's, Rogers', Leininger's, King's, and Parse's conceptualizations of quality of life, it is concluded that it may be viable to replace health with quality of life as a metaparadigm concept for nursing.

The Lived Experience of Waiting: A Parse Method Study

Naef, R., Bournes, D. A. — Thu, 02 Apr 2009 16:36:57 PDT

The purposes of this study were to discover the structure of the lived experience of waiting and to generate new knowledge about health and quality of life. The participants in this study were 11 persons who were on a waiting list for a lung transplant. The Parse research method was used to answer the research question: What is the structure of the lived experience of waiting? The central finding of this study was: The lived experience of waiting is arduous constraint arising with anticipating the cherished in fortifying engagements. This finding illustrates waiting as an immensely difficult and agonizing experience of persistently expecting a prized opportunity, finding strength in being with other persons, and engaging in diverse activities. The findings are discussed in relation to nursing knowledge and as to how they inform future research and humanbecoming patient-centered nursing practices.

The Meaning of Suffering in Families: A Humanbecoming Perspective

Ok Ja Lee, , Young Sook Choi, , Doucet, T. J. — Thu, 02 Apr 2009 16:36:57 PDT

The authors of this article present the findings of a study about the experience of suffering for 2 families from South Korea with relatives living with chronic mental illness, using the humanbecoming nursing perspective. The central findings of this qualitative descriptive—exploratory study showed that suffering in families with relatives living with mental chronic illness is agonizing trepidation amid calm invigoration, as confident relinquishing of the expected arises with liberating diverse affiliations. The findings are discussed in relation to the themes of the humanbecoming school of thought and related literature. Phenomena of study for further research are suggested.

Patient and Nurse Experiences of Theory-Based Care

Flanagan, J. — Thu, 02 Apr 2009 16:36:57 PDT

The pre-surgery nursing practice model derived from Newman's theory was developed to change the delivery of nursing care in a pre-surgical clinic. Guided by the theoretical knowledge of health as expanding consciousness, transpersonal caring, and reflective practice, key practice changes included a) incorporating Newman's praxis process, b) changing the physical space, and c) providing opportunities to reflect on practice. The purpose of this study was to utilize a phenomenological approach to evaluate a new model of care among 31 patients and 4 nurses.

Living Being--Non-Being in the Workplace

Baumann, S. L. — Thu, 02 Apr 2009 16:36:57 PDT

The Substantive Theory of Surviving on the Margin of a Profession

Etowa, J. B., Sethi, S., Thompson-Isherwood, R. — Thu, 02 Apr 2009 16:36:57 PDT

Using the grounded theory method, a substantive theory of surviving on the margin of a profession emerged as the core variable that explains the patterns of behavior of black nurses in Canada. Data were collected through audiotaped in-depth interviews of 20 black nurses. The three phases of this theory are realizing, surviving, and thriving and the three critical transitions points are the center, the margin, and the proving ground. The phases and transitions points, as well as the conditions that influence variations in the theory are the focus of this paper. These conditions include racism, diversity, and worklife issues such as healthy workplaces.

Sprouting, Unfolding, and Flowering of Ideas

Florczak, K. L. — Thu, 02 Apr 2009 16:36:57 PDT

Book Review: Ironside, P. M. (Ed.). (2005). Beyond Method: Philosophical Conversations in Healthcare Research and Scholarship. Madison, WI: The University of Wisconsin Press

Nelson, M. L. — Thu, 02 Apr 2009 16:36:57 PDT

Book Review: Ironside, P. M. (Ed.). (2005). Beyond Method: Philosophical Conversations in Healthcare Research and Scholarship. Madison, WI: The University of Wisconsin Press

Cypress, B. S. — Thu, 02 Apr 2009 16:36:58 PDT

Letter to the Editor

Vickers, C. — Thu, 02 Apr 2009 16:36:58 PDT

Knowledge Development and Programs of Research

Rizzo Parse, R. — Wed, 28 Jan 2009 11:15:19 PST

The Question of Time

Pilkington, F. B. — Wed, 28 Jan 2009 11:15:19 PST

An Exploration of the Perception of Time From the Perspective of the Science of Unitary Human Beings

Ring, M. E. — Wed, 28 Jan 2009 11:15:19 PST

What is time? The science of unitary human beings describes pandimensional reality as a domain without spatial or temporal attributes. As part of this pandimensional reality, unitary human beings experience time as passing, and involving the past, present, and future. The theory of accelerating evolution describes changes in human and environmental energy fields that are always accelerating and are manifested as differences in the experience of time as being slow, fast, and still. Time, be it measured or experienced, has no meaning in and of itself, but can only be understood in terms of the ever-evolving life process.

Intentionality, Consciousness, and Creating Community

Malinski, V. M. — Wed, 28 Jan 2009 11:15:19 PST

Intentionality is briefly explored from the perspective of seminal written works on therapeutic touch and recorded conversations with Martha E. Rogers. This overview hints at possible interrelationships among intentionality, consciousness, and creating community, along with conceptual ambiguities, which are explored in detail by Zahourek and Larkin in this column.

Consciousness, Intentionality, and Community: Unitary Perspectives and Research

Zahourek, R. P., Larkin, D. M. — Wed, 28 Jan 2009 11:15:19 PST

Consciousness and intentionality often have been related and studied together. These concepts also are readily viewed and understood for practice, research, and education in a unitary paradigm. How these ideas relate to community is less known. Considering the expansion of our capacity for communication through the World Wide Web and other technologic advances and appreciating recent research on the nonlocal character of intentionality and consciousness, it is more apparent how concepts of community can be seen in the same unitary context. The authors address these issues and review relevant nursing research.

Transparency in Nursing Leadership: A Chosen Ethic

Milton, C. L. — Wed, 28 Jan 2009 11:15:19 PST

The concept of transparency has been viewed as an essential leadership attribute or element in healthcare organizational structures and processes. While viewed as something that is desired and valued, there is a lack of nursing disciplinary literature that defines the concept and its possible meanings. This column provides a beginning definition of transparency from the humanbecoming nursing theoretical perspective and launches a discussion with potential ethical implications for leadership in nursing practice and education.

Learning With Leaders

Bunkers, S. S. — Wed, 28 Jan 2009 11:15:19 PST

This column focuses on ideas concerning leaders and leadership. The author proposes that leadership is about showing up and participating with others in doing something. "Mandela: His 8 Lessons of Leadership" by Richard Stengel is explored in light of selected philosophical writings, literature on nursing leadership, and nurse theorist Rosemarie Rizzo Parse's humanbecoming leading-following model. Teaching-learning questions are then posed to stimulate further reflection on the lessons of leadership.

Illuminating Meaning of the Connection Between Theory and Practice

Karnick, P. M. — Wed, 28 Jan 2009 11:15:19 PST

A Comparison of Two Nursing Theories in Practice: Peplau and Parse

McCarthy, C. T., Aquino-Russell, C. — Wed, 28 Jan 2009 11:15:19 PST

This column illuminates nursing practice through two unique theoretical perspectives: Peplau's theory of interpersonal relations and Parse's theory of humanbecoming. Processes of each practice method will be explicated as each is related to a practice scenario. The key differences between Peplau's and Parse's practice methodologies are identified. Nursing is a unique, evolving, everchanging profession for which theory can be used as a guide for practice. This column demonstrates two of these unique theories. Whether through health promotion or quality of life from the person's perspective, theory provides meaning in nursing practice and in everyday life.

The Impact of Dorothea E. Orem's Life and Work: An Interview With Orem Scholars

Clarke, P. N., Allison, S. E., Berbiglia, V. A., Taylor, S. G. — Wed, 28 Jan 2009 11:15:19 PST

This column serves as a tribute to Dorothea Orem's work and focuses on her leadership in the development of nursing science and nursing theory. Nurse scholars give a picture of Orem's contributions over her life and reflections about the future of nursing and healthcare.

Nurses' Experiences of Feeling Respected--Not Respected

Bournes, D. A., Milton, C. L. — Wed, 28 Jan 2009 11:15:19 PST

Feeling respected—not respected is an experience integral with the ways nurses choose to describe the quality of their work environments and with the quality of care they provide to patients and families. The purposes of this study were to enhance understanding of nurses' experiences of feeling respected—not respected, and to provide new knowledge about quality of work-life related to feeling respected—not respected. The Parse research method was used to answer the research question, What is the structure of the lived experience of feeling respected—not respected? Participants were 37 nurses in staff and leadership roles at a large teaching hospital. The structure, feeling respected—not respected is affirming—not affirming attentiveness with diverse affiliations arising with assuredness—unassuredness, is discussed in light of the humanbecoming theory, related literature, leadership, and future research.

Adaptation to Spinal Cord Injury for Families Post-Injury

DeSanto-Madeya, S. — Wed, 28 Jan 2009 11:15:19 PST

Based on the Roy adaptation model, this cross-sectional study was conducted with 15 spinal cord injured individuals and their family members to examine the physical, emotional, functional, and social components of adaptation to spinal cord injury at 1 year (n = 7 dyads) and 3 years (n = 8 dyads) post-injury. Findings indicate that spinal cord injured individuals and their family members, regardless of time since the initial injury, have a moderate level of adaptation and adjustment to spinal cord injury. The data suggested that adaptation to spinal cord injury during the first 3 years can be enhanced by providing ongoing social and educational support for not only the injured individuals, but also their family members.

Nursing Care for Adaptation

Moreno, M. E., Duran, M. M., Hernandez, A. — Wed, 28 Jan 2009 11:15:19 PST

The Roy adaptation model has been adopted as the frame of reference for the nursing curriculum at the Universidad de La Sabana School of Nursing in Colombia. The purpose of this paper is to discuss, through an example, the application process of the Roy model, the reflection that has been developed to study in great depth its central concepts and scientific and philosophic principles, and to explain the concept of nursing care for adaptation as a fundamental aspect for its application. Likewise, the process generated from the model's application in teaching and practice are presented.

Living With Changing Expectations for Women With High-Risk Pregnancies: A Parse Method Study

MacDonald, C. A., Jonas-Simpson, C. M. — Wed, 28 Jan 2009 11:15:19 PST

The purpose of this research was to uncover the structure of the lived experience of living with changing expectations from the perspectives of women with high-risk pregnancies. The researchers' nursing theoretical perspective is the humanbecoming theory and the Parse research method was used. For the participants, living with changing expectations is foreboding disquietude arising with arduous restrictions, while envisioning the yearned-for with mitigating nurturing engagements. Findings enhance the theory of humanbecoming as well as enhance understanding of the experience of living with changing expectations. Recommendations for future research and practice are discussed.

Beyond Cultural Competence: Nursing Practice With Political Refugees

Baumann, S. L. — Wed, 28 Jan 2009 11:15:19 PST

A Phenomenological Study on the Experience of North Korean Refugees

Hyun Kyoung Kim, , Ok Ja Lee, — Wed, 28 Jan 2009 11:15:19 PST

The purpose of this phenomenological study was to explore the experience of North Korean refugees living in South Korea. From the analysis of the participants' comments, six essences were identified: entrance to a new world after struggling for survival, unexpected shock and chaos, reconsidering the reasons for leaving North Korea, recovery from trauma, rebuilding meaning, and posttraumatic growth.

Book Reviews and New Media: Transformation: A Stirring of the Soul

Florczak, K. L. — Wed, 28 Jan 2009 11:15:19 PST

Book Review: Newman, M. A. (2008). Transforming Presence: The Difference That Nursing Makes. Philadelphia: F. A. Davis. 117pp. $39.95 (paperback)

Milton, C. L. — Wed, 28 Jan 2009 11:15:19 PST

Book Review: Newman, M. A. (2008). Transforming Presence: The Difference That Nursing Makes. Philadelphia: F. A. Davis. 117pp. $39.95 (paperback)

Doucet, T. — Wed, 28 Jan 2009 11:15:19 PST