...Professional Presence and Influence Professional presence is something of a nebulous concept. Before this course, I honestly never considered what it was and how my nursing practice was defined by it. During my journey through this course I discovered what it truly meant. “Presence is an intersubjective encounter between a nurse and a patient in which the nurse encounters the patient as a unique human being in a unique situation and chooses to spend her/himself on the patient’s behalf’’ (Wingate, 2007). Presence defines how a person interacts with those around them, and particularly in the healthcare field, it’s incredibly important. A1. Two models of health and healing In the history of modern medicine, practitioners have evolved their methods in which they treated patients and their illnesses. With achievements and advancements in science came advancements in medicines and treatments for disease. With this advancement also came the advancement on how we, as medical practitioners, treated people as human beings. We gained a greater understanding throughout history of what it means to be human and have changed our medicine and care-giving practices accordingly. One of the first models that that we used in medicine and nursing was the physical body model of health. At this time in history, health, disease, and illness were thought to be totally caused by something physically wrong within the human body. If someone was ill, everything had a physical cause, and therefore a physical...
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...Professional Presence Introduction Professional presence can be described as an inter-prejudiced encounter between a medical practitioner and a patient whereby the medic treats his/her patient as a unique human being involved with an unusual circumstance. Presence describes how an individual interacts with the people around him/her, and in a medical environment, the process is quite encouraged (Adams & Andrew, 2012, p4). Two models of Health and Healing Throughout medical history, medics have periodically reviewed the techniques that they apply when administering medication. With the breakthroughs achieved with modern technology, doctors have changed how they treat their patients. As a result, medical experts have attained enhanced understanding throughout medical history on the values of human being, and this particular scenario has in return changed the medical profession and caregiving practices accordingly. The first model applied in a medical setup is the physical body model of health. At a certain point in history, health and illnesses were considered to be medical conditions that came as a result of a physical fault within the human body system. If an individual got sick, the underlying situation was always attributed to having come from a physical cause, whether physical modality of treatment, surgery or medications. In the past, medical experts concentrated in treating visible wounds through objective assessment of patients. A...
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...Professional Presence and Influence Cynthia Ellis March 1, 2015 Western Governors University In our practice, professional presence is the foundation on which we establish what it means to be human and to care for our fellow man. To be a nurse and choose the many sacrifices it takes to spend one’s life caring for others requires knowledge of one’s own personal beliefs and values. Our own past experiences with life and how they have shaped us also influence how we relate and treat our patients. These things work together to create our mindful presence. Throughout our years of practice, our experience with patients, coworkers and physicians as well as a growing knowledge base help us develop a road map which we follow in our everyday work. These things help us better understand others and what it truly means to be human. As we gain a better understanding for the very people we serve, we can better create a healing environment. Jean Watson, a nurse theorist, best defines a human as “a valued person in and of him or herself to be cared for, respected, nurtured, understood and assisted. He is to be viewed as greater than and different from the sum of his or her parts.” She then says that nursing is “a human science of persons and human health, illnesses, and experiences that are mediated by professional, personal, scientific, esthetic, and human transactions.” (Watson, 1999) Surely, with her definition of nurses, we are to be held to a very high standard as well as charged...
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...Professional Presence and Influence: The Art of Nursing Nicole R. Penkalski Western Governor’s University May 8, 2016 “A nurse who is totally present sees the subtle, perceives the whole, and co-creates with the person—and the health team—a creative response to the uniqueness of the situation,” (Koerner, 2011). Jean Watson’s Theory of Human Caring established a framework of core concepts that assists in understanding the concept of “being human”. Personalities, life experiences, and core values allow an individual to become a certain type of provider. Being aware of personality traits and how they impact us as individuals can help us to become more efficient providers of healing for the diverse population as it stands today. Fostering a healing environment that can encourage excellence for nursing practice that involves mindful presence can create greater outcomes for patients. Models of Health and Healing The history of nursing dates back centuries with different eras of health and healing that have led us to this moment in time and the way nursing is currently practiced. Although there are many types of health and healing, in the United States predominately conventional medicine is practiced. There are three Eras that require review to gather information and understanding that help to redefine how health and healing has arrived at its current form. The first Era is Era I which took foothold in the 1860’s and focused on biomedicine. Era II, which began in...
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...Professional Presence and Influence Western Governors University Professional Presence and Influence A1. Models of Health and Healing- The candidate provides a logical discussion, with substantial detail, of the differences between 2 models of health and healing as they relate to what it means to be human. Since the mid-19th century, there have been three distinct models of health and healing. The first era began in the mid-1960s and dealt primarily with the physical body. It is known as the mechanical model and focused solely on the anatomy and physiology of the body. It was physical in nature, and gave no consideration to the mind or spiritual side of the human being. In this section we will compare the differences between Era II, the Body/Mind model, which emerged around the 1950s, and Era III, the Body/Mind/Spirit or Bio/Psycho/Social model which emerged in the 1990s. During the mid-20th century, Health care providers began to understand that human consciousness played an important role in overall wellness. They recognized that patients with a positive mental attitude about their condition and care generally healed faster than those who did not. Doctors and nurses started to value and encourage input from the patients in their care. Health care professionals began to notice that emotional well-being, personal belief system and attitude all had a definite impact on health and for the first time became important in treating disease. This new phenomenon was considered...
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...PROFESSIONAL PRESCENCE AND INFLUENCE Western Governments University January 12, 2016 PROFESSIONAL PRESENCE What does it mean to be human, and how do we as nurses provide care to our patients? According to Jean Watson “The future of nursing is tied back to Nightingales sense of calling guided by a sense of commitment and covenantal ethic of human service; cherishing our phenomena, our subject matter and those we serve. It is when we include caring and love in our work and our life we discover and affirm that nursing, like teaching is more than just a job but a life giving and life receiving career for a lifetime of growth and learning” (Watson, J. 1978). There have been many different individual thoughts and theories on what it means to be human and how to provide a healing presence. According to Koerner “western medicine traditionally conceptualized the body as a grand machine controlled by the brain and central nervous system” (Koerner, J.G. 2011). In a sense a living computer! “Physiologic and psychologic behaviors were considered dependent on structure and hardware of the brain and body” (Koerner, J.G. 2011). Healthcare and how we take care of people have changed over the years with the different advancements in medicine and psychology. Health and healing is not only seen as physical but also includes mind, spirit and biopsychosocial including cultural factors. These aspects helped shape the different modalities of how we...
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...A. Professional Presence Most things improve and become more detailed and advanced with time. The sciences, arts, technology, understanding and thought processes are just a few. The more time that humankind spends on earth the more it learns about itself, others, nature and countless other things. This includes the way we think about ourselves in terms of health, well-being, medicine and their effect on ourselves and others. Health and healing are always evolving. The 19th century’s use of toxic mercury to treat most ailments, and surgery and medication used almost exclusively to treat the sick was what was known to practioners as best practice at that time. Today there are more methods to treat, heal and improve health than I can name. Some of these merge faith and wellness, others deal solely with the mind to heal the body others deal strictly with the body and there are infinite combinations between them. There are three models of health and healing. They are categorized by Dr. Larry Dossey as Era I, Era II and Era III. Era I began in the 1860s, and is described as plain old mechanical medicine. It sees the body as a machine and the doctor as a mechanic or technician. The technician uses whatever tools available to fix the problem the machine is having. In Era II or “Mind-Body Medicine, we recognize that thoughts, emotions, attitudes, and feelings can be used to make people healthy. So Era II recognizes the impact of thought, feeling and belief within an individual....
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...Professional Presence and Influence Julie Palmer Western Governors Professional Presence and Influence The profession of nursing can be looked at as having its own culture, complete with its own customs and rites. Nursing today is offered by practitioners with a bias for the rigors of science, the aesthetics of artistic expression, and the meaning of spiritual orientation (Koerner, 2011). As nurses it is important for us to understand who we are and how our behavior affects others. By focusing on our professional presence and mindfulness we can create a plan that will have both professional and personal applications. Models of Health and Healing Within the modern world of medicine, there are many different views and theories of nursing practice and nursing models. One such theorist is noted physician Larry Dossey, using his background as an internist Dr. Dossey noted the role of the mind in health and the role of spirituality in healthcare (Dossey, 2015). Using this knowledge, Dr. Dossey identified three eras that provide a framework for the medicine operational in the Western world today (Koerner, 2011). The three Eras are: Era I, mechanistic medicine, Era II, body/mind and Era III, Body/Mind/Spirit. Of the three theories, the biggest difference can be seen between the first and second Era. In Era I which began around the 1860’s the focus is on the physical being, health and illness are completely physical in nature, with a person’s consciousness being a by-product of the...
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...Professional Presence and Influence Katie Douglas 4/10/16 A. Professional Presence 1. The body-mind model came about in the 1950’s and focused on powering your mind over your body to promote health and healing. This is when medical personnel began to look past just the physical aspect of the person’s illness. Body-mind medicine includes a “wide range of behavioral and lifestyle interventions, on an equal basis with traditional medical interventions” (Moss, n.d.). Instead of focusing solely on medicine to treat a patient, there are a variety of techniques that can be used to treat the whole patient. Meditation, relaxation techniques, cognitive behavioral therapy and hypnosis are all therapies that are used. The next model, body-mind-spirt, captured the idea that the consciousness can extend beyond the body (Dossey, 1999). It is thought in this model that the brain and the mind are completely separate. It was thought that, even if you are unaware, outside factors could be present affecting your overall health. This is the first time where practitioners started taking in consideration the patients community, cultural preferences and spiritual ideas into account when treating their patients. It was found in this era that outside variables needed to be taken into account when treating patients. 2. I work on a general medical unit. I feel like my professional presence focuses more on the body-mind-spirit model of health and healing. When a patient is admitted to my...
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...YOT2 PROF. PRESENCE AND INFLUENCE (GRAD 0714) A. Professional Presence: 1)Era I (Physical Body) is based mainly on the physical aspect of health such as “surgery and drugs”. “The mind of consciousness is equated with functioning”, Whereas Era III(bio-psycho-social) is based more on consciousness. Era I focuses mainly on the human as a “Physical Body” and what can be done to correct it physically. Era III states that the “mind is boundless and unlimited”. In Era III the realization came about that ones mental health can affect their physical health as well as the health of other humans surrounding them. (Dossey, “A Conversation About the Future of Medicine”: Larry Dossey’s 3 Era’s in Healthcare) 2) In the past 8 years of my nursing career I have witnessed multiple forms of nursing. The bio-psycho-social model is the one that I most relate to. I believe in the power of prayer and healing, and also that ones beliefs can affect their health, physical, mental, and emotional. 3) I feel that I take a very mindful approach to my nursing practice. Mindfulness is defined as “a state of mind or mode of practice that permits the questioning of expectations, knowledge, and the adequacy of routines in complex and not fully predictable social, technological, and physical settings. Mindfulness does not exclude or oppose the idea of routines, but may in fact build upon routinized action”. (Rerup, 2005; Levinthal and Rerup, 2006). I try to maintain this state...
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...Professional Presence and Influence: A. Professional Presence 1. Era I – “Mechanical Medicine” began in the 1860’s. Its focus is on surgical procedures and drugs. The thought was that health and illness are only physical in nature and consciousness is equated to functioning of the brain. Era I thinking in displayed in review of psychiatric care in the early 1900 with the use of frontal lobotomies to cure hysteria. The thought was that performing a surgical procedure on the brain will remove the area that is causing the Hysteria. Era I focuses on performing a procedure or providing a medication to fix the body physically, while Era III takes into account the patients perception of health, their stats of mind and their support structures around them. It focuses on the realization that your mental state of mind can affect the physical state of your body. In addition, Era III considers the influence of other humans through the use of prayer and the influence that can have on the body even without the patient being aware that they were being prayed for. Era III is referred to as the “Boundless Mind Era”. It takes the belief from Era II that diseases are influenced by a person’s feelings and emotions and goes a bit further to say that disease can be influenced by the mind of another person at a distance through the use of prayer. (Dossey, “A Conversation about the Future of Medicine”: Larry Dossey’s 3 Era’s in Healthcare). Research has been done on the influence of...
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...Professional Presence and Influence Kristy R Thomas Western Governors University Professional Presence and Influence When you meet someone for the first time every detail is being noticed; from your entrance, wardrobe, handshake, etiquette, and voice quality and speech (Center for Professional Communication, 2014). First impressions are lasting ones and the first step in building long lasting relationships. A person must be aware of their presence and understand themselves to have a confident professional presence. Models of Health and Healing I am a mindful person and can easily drown out the distractions of the everyday noise of the unit so I can remain on track. It is important to try and think outside the box and keep your eye on the big picture. Utilizing critical thinking skills is a must. Everyday, every shift, a person is faced with making a difficult decision quickly with a limited amount of information. I currently work in a behavioral health setting. The pace of the unit can change rapidly during a shift. I feel my practice is a mixture of the first model of physical body and also the third model of body-mind-spirit. In behavioral health we often are more focused on the emotional care aspect, remembering to be culturally sensitive to our clients as well as respecting their spiritual beliefs and incorporating these aspects into their individualized recovery plan. With the advancements our society has achieved in medication, sometimes the cultural...
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...Professional Presence and Influence Understanding the self and being self aware have a huge significance to the care given to patients. Every person is made up of many different experiences, beliefs, mental, physical and spiritual elements, age, gender and background. When put in the context of a healthcare professional these elements have a direct effect on patient care and outcomes. When the healthcare professional understands the self it assists in providing an optimal outcome. When we are aware of our beliefs and positions in the world we can be cautious of how we approach a certain patient population and ultimately the care they receive. Professional presence, personality, mindfulness and healing environments will be discussed along with my personal response. Professional Presence Era I versus Era III As the western world has advanced in medicine Larry Dossey has identified three eras to give context to how medicine has advanced in function. (Koerner 2011). In Era I, as science was being incorporated to medicine, it was noted that health and illness was purely physical in nature and treatment. The methods of treating an illness focused entirely on the body, for example, administering medications or performing surgery. Health was understood as an absence of disease. The physical nature of the disease was all that was taken into account. The idea of consciousness was limited to the chemical, anatomic and physiological location in the brain. (Koerner 2011). Era I is very...
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...------------------------------------------------- Professional Presence and Influence A brief synopses of the person I believe that I am at the present time and a look at the team member and leader that I aspire to become. ------------------------------------------------- Professional Presence and Influence A brief synopses of the person I believe that I am at the present time and a look at the team member and leader that I aspire to become. Catrina Coleman 000410159 GRAD 0714 Catrina Coleman 000410159 GRAD 0714 There is no one acceptable management personality/style in today’s society as there was in the not so distant past. As recent as the early nineteenth century and through-out distant history the boss was the boss and what he said was how things were done…good or bad. Employees had no say in day to day operations nor were their opinions and ideas valued; rather they were admonished and possibly even receive harsh punishment or criticism for expressing ideas or concern. As time and people have evolved a multitude of management styles have surfaced and come to the forefront of the administrative world. There are many differing factors that affect the style the manager chooses to model his/her self after. These factors include but are not limited to work environment, type of project needing to be completed, and expectations of the administrating body. There are still management styles that employee opinions are not welcomed or needed but there are...
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...Running head: PROFESSIONAL PRESENCE AND INFLUENCE 1 Professional Presence and Influence Esther Lopez Western Governors University PROFESSIONAL PRESENCE AND INFLUENCE 2 Over the last one hundred years there has been a great change in the way nurses, doctors, and others in the medical field, as well as the general public, have come to view health and wellness. Where once health was thought to only be comprised of our physical body and the physical things that affect it, we now know that health encompasses so much more. We know that who we are is made up not only of the physical body, but also of mind, and spirit (Koerner, 2011), and that this not only affects each of us individually but also those around us and that we are part of something much bigger(Dossey, n.d.). It is so very important for each one of us to truly get to know who “I” am, to understand my strengths and weaknesses, what “makes me tick”, and truly motivates me. It is only then that I can begin to move through the process of becoming the best person and nurse that I can be. That is the process each one of us is in, and as we all move through this process of better understanding ourselves and making the changes due to the new understanding, we can truly begin to affect all those around us, also known as the “ripple effect”. Section A: Professional Presence A1. In the course of this class we discussed three models of health and healing-Era I, Era II, and Era III...
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