Humanistic Nursing Theory: Application to hospice and palliative care

Nursing Department, Meiho University Neipu, Pingtung, Taiwan.
Journal of Advanced Nursing (Impact Factor: 1.74). 07/2011; 68(2):471-9. DOI: 10.1111/j.1365-2648.2011.05770.x
Source: PubMed


This article presents a discussion of the relevance of Humanistic Nursing Theory to hospice and palliative care nursing.
The World Health Organization has characterized the need for expert, palliative and end-of-life care as a top priority for global health care. The specialty of hospice and palliative care nursing embraces a humanistic caring and holistic approach to patient care. As this resonates with Paterson and Zderad's Humanistic Nursing Theory, an understanding of hospice nurses' experiences can be investigated by application of relevant constructs in the theory.
This article is based on Paterson and Zderad's publications and other theoretical and research articles and books focused on Humanistic Nursing Theory (1976-2009), and data from a phenomenological study of the lived experience of Taiwanese hospice nurses conducted in 2007.
Theoretical concepts relevant to hospice and palliative nursing included moreness-choice, call-and-response, intersubjective transaction, uniqueness-otherness, being and doing and community.
The philosophical perspectives of Humanistic Nursing Theory are relevant to the practice of hospice and palliative care nursing. By 'being with and doing with', hospice and palliative nurses can work with patients to achieve their final goals in the last phase of life.
Use of core concepts from Humanistic Nursing Theory can provide a unifying language for planning care and describing interventions. Future research efforts in hospice and palliative nursing should define and evaluate these concepts for efficacy in practice settings.

790 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: The practice of nursing has a duty to educate, communicate, and resource patients and families during the period in which the solution to an ethical dilemma is predetermined by evidence-based practice. Clearly, there is a gap in the quality of care provided or the interpretation of the quality of care being provided during difficult ethical situations requiring a systematic change to increase patient and family comfort and satisfaction.
    JONA'S healthcare law, ethics and regulation 10/2012; 14(4):115-21. DOI:10.1097/NHL.0b013e31827437bf
  • [Show abstract] [Hide abstract]
    ABSTRACT: The essential concept of hospice and palliative care nursing is a humanistic approach to patient care. The purpose of this study was to examine the effects of a humanistic end-of-life care course on South Korean undergraduate nursing students’ attitudes toward death, death anxiety, and communication skills. A nonequivalent control group design was used. Thirty-nine students from two universities were allocated to the control (n = 20) and experimental (n = 19) groups. Participants in the experimental group were enrolled in an end-of-life care course that utilized humanistic approach two hours per week for 16 weeks. The data were analyzed using the SPSS WIN 17.0. Attitudes toward death and communication skills in the experimental group were found to have increased compared with those of the control group. In conclusion, the humanistic end-of-life care course is effective in reducing negative attitudes toward death and increasing the communication skills of Korean nursing students.
    Collegian Journal of the Royal College of Nursing Australia 12/2013; 22(1). DOI:10.1016/j.colegn.2013.11.008 · 1.18 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: End-of-life experiences are unique. Most can vividly recall feelings during those times. Governing boards in the United States attempt to guide nursing faculty regarding end of life curriculum. Yet, the beliefs of faculty members arising from those unique experiences can alter the tone and message of what students are actually taught - often surfacing as hidden curriculum. In this column the authors discuss hidden curriculum while presenting the beliefs regarding end of life, of four nursing faculty members from a single university. Heightened awareness and respect for the beliefs of all faculty members within any university setting is imperative in decreasing the development of hidden curriculum.
    Nursing Science Quarterly 01/2014; 27(1):23-28. DOI:10.1177/0894318413509690 · 0.71 Impact Factor
Show more

Similar Publications