Mitchell G J
Nurs Sci Q. 1990 Winter;3(4):170-6. doi: 10.1177/089431849000300409.
This paper presents the struggle of a nurse who changes in practice from being guided by the traditional problem-based approach to being guided by Parse's theory of nursing. Experiences that led to the change are described, and specific practice situations from an acute care setting demonstrate how values and beliefs about human beings and health transformed over time. The nurse's changed values and beliefs lead to a different approach in practice. The nature of the nurse-person relationship is described as it relates to Parse's practice dimensions and processes: illuminating meaning through explicating what is, synchronizing rhythms through dwelling with, and mobilizing transcendence through moving beyond. Emerging patterns of health are presented as an alternative to problem-based statements for guiding nurse-person activities. The value of Parse's theory for guiding practice is offered as it relates to the individual's perspective of enhanced quality of life and the nurse's perspective of professional practice.
本文介绍了一位护士在实践中从遵循传统的基于问题的方法转变为遵循Parse护理理论的过程。文中描述了导致这种转变的经历，急性护理环境中的具体实践情况表明了关于人类和健康的价值观及信念是如何随着时间而转变的。护士价值观和信念的改变导致了实践中采用不同的方法。文中描述了护士与患者关系的本质，它与Parse的实践维度和过程相关：通过阐释存在来阐明意义，通过共处来同步节奏，以及通过超越自我来激发超越。文中提出了新出现的健康模式，作为指导护士与患者活动的基于问题的陈述的替代方案。文中阐述了Parse理论在指导实践方面的价值，这涉及到个人对生活质量提高的看法以及护士对专业实践的看法。
