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Chapter Purpose
Discuss the integration of views of humankind within
views of nursing
Discuss the differentiation between individual and
generally held nurse-specific views of human beings
as part of developing viable nursing science
Provide insight into model building and theory
development using exemplars from the Self-Care
Deficit Nursing Theory
Nurse-specific views
You cannot study and think about nursing without
incorporating nursing-specific views of human beings.
Nursing Science
Knowing and seeking to extend and deepen
knowing by:
Understanding both the structure of the processes of
nursing
Understanding the internal structure, constitution,
powers, properties, and nature of those who require
nursing
What nurses do
Why they do it
Who does what
How they do it
Central Idea
Mature human beings have learned and continue to
learn to meet some or all components of their own
Therapeutic Self-Care Demands (TSCDs) and the
TSCDs of their dependents (those for whom the
dependent care agent assumes or has responsibility
for meeting TSCDs).
Self-care and dependent care (i.e., care delivered by
someone other than the individual for the individual)
are time-specific entities produced by individuals.
Theory of Self-Care
Individuals have the human power to develop
and exercise capabilities to know and meet
Therapeutic Self-Care Demands using
Self-Care Agency (SCA)
First, investigate or identify what can or should be done.
Second, decide what can be done.
Third, produce the care
Involves Nursing Judgment
Nursing Is Needed:
When Therapeutic Self-Care Demands exceed
an individuals Self-Care Agency because of
health state or health-carerelated conditions
There is a Self-Care Deficit (SCD)
Nurse Agency
Critical power operative in nursing
The power of nurses to think about, design and
produce nursing care for others
Investigation of Nurse Agency and the
capabilities and conditions for its exercise are
critical components of nursing science
Interpersonal
Interaction and communication necessary for design and
production of nursing
Societal
Established by the specifying contracting parties and their
legitimate relationships
Societal-contractual system
i.e. a Hospital system
View of Person
Human beings are:
Embodied with inherent rights
At once a self and a person
Person-as-agent
View of Organism
Individuals viewed as unitary living beings who
grow and develop biological characteristics of
homo-sapiens during known stages of the
human life cycle.
Requires knowledge of biology, psychology,
human physiology, environmental physiology,
pathology, and other sciences.
View of Object
Human beings are viewed as having the status
of object subject to physical forces whenever
they act to protect themselves against such
forces.
Requirement for protective nursing care.
Taken when nurses provide care for infants,
young children, or adults unable to control their
positions and movements in space and contend
with environmental physical forces.
Conclusion
Nursing-specific views of human beings are
differentiated from general views of human
beings.
General views (human beings as energy fields,
living health, or culture-oriented or as caring
beings) are helpful in understanding humankind
but do not and cannot support viable nursing
science.