Abstract

Encounters are celebrated experiences between persons with connectedness in human situations as expectation. While being in a human dynamic and rhythmic interaction, nursing encounters are dyadic relationships illuminated as patterns of an interconnected relationship moving between the nurse and the nursed, and reflecting person-and-otherness events. The purpose of this paper is to describe the theory of Encountering Nursing in a Nurse-Nursed Dyadic Relationship (ThENNDyR) and to illuminate the four nursing practice processes on which the theory is founded: Knowing as appreciating relational moments; Reflecting as engaging moments; Realizing as patterns of living moments; and Transcending as celebrating moments. Nursing practice occurs in moments in which dyadic relationships transpire as nursing encounters. As fleeting as moments are, the four processes of nursing simultaneously take place as understanding conditions that the who and what of the person warrants persons. “Encountering nursing” is a momentary co-existence of persons in a person-and-otherness situation communicating connectedness-interconnectedness in distinct patterning. Interactions in nursing exist as persons remain wholes and complete in the moment.

Highlights

  • Every day nurses encounter different individuals with varied health-related conditions, all with different backgrounds, different concerns, and different stories

  • The purpose of this paper is to describe the theory of Encountering Nursing in a Nurse-Nursed Dyadic Relationship (ThENNDyR) and to illuminate the four nursing practice processes on which the theory is founded: Knowing as appreciating relational moments; Reflecting as engaging moments; Realizing as patterns of living moments; and Transcending as celebrating moments

  • Whereas Evaluation in the traditional nursing process looks into the effectiveness or the outcome of the plan of care done to patients, Transcending as celebrating moments looks into the wholeness and the well-being of the nursed after the meaningful nursing encounter, of how a dyadic relationship between the nurse and the nursed is thoroughly affirmed

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Summary

Introduction

Every day nurses encounter different individuals with varied health-related conditions, all with different backgrounds, different concerns, and different stories. Every nursing encounter between the nurse and the nursed is a unique experience that happens from moment to moment, an experience that should be lived and relived to fully grasp the essence of nursing practice. A nursing encounter as a dyadic relationship is relating—to know persons more fully as persons. A dyadic relationship—comprised of two entities namely the nurse and the person being nursed—is a relational approach in which human beings are regarded as inherently relational; an approach in which human beings become fully engaged in practice through relationships with others, and in which persons have the capacity to establish meaningful relations with others [1]. The concept of nursing encounters values the uniqueness of each person in a direct, mutual and open relation between persons and the fullness and presence of humanity that is honored and embraced [2]. While the nursed desires to be understood and known, the nurse is ever-present as expected in the encounter [5]

Definition of Terms
Limitation
The Theory Development Process
Philosophical-Theoretical Underpinnings of the Theory
Theories Underpinning the Theory
Paradigmatic Basis of the Theory
Significance of the Theory of “Encountering Nursing”
Assumptions of the Theory of Encountering Nursing
Persons Who Are Being “Cared For” Have the Need to Be “Known For”
Theoretical Attributes of the Theory of Nurse-Nursed Dyadic Relationship
Presence as Comforting Presence
Interconnectedness as Facilitating Togetherness
Mutuality as Engaging Exchange of Selves
Mindfulness as Transforming Nursing Experiences
The Practice Process of Nurse-Nursed Dyadic Relationship
Knowing as Appreciating Relational Moments
Reflecting as Engaging in Moments
Realizing as Patterns of Living Moments
Transcending as Celebrating Moments
Illustrating the Practice Process
Nursing Encounters within the Nursing Environment
Nursing Practice
Nursing Research
Nursing Education
Conclusion and Recommendations
10. Illustrating the Practice Process through an Exemplar
11. Analysis of the Nursing Encounter
11.1. Knowing as Appreciating Relational Moments
11.2. Reflecting as Engaging in Moments
11.3. Realizing as Patterns of Living Moments
11.4. Transcending as Celebrating Moments
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