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Janice M. Morse's Toward a Praxis Theory of Suffering

Timothy Ford University of Texas Health Science Center San Antonio Advanced Theory for Nursing Practice NURS.5306 Dr. Li
by

Timothy Ford

on 17 October 2012

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Transcript of Janice M. Morse's Toward a Praxis Theory of Suffering

Butts, J. B., & Rich, K. L. (2011). 23. In Philosophies and theories for advanced nursing practice (pp. 570-573). Sudbury, MA: Jones & Bartlett Learning.
Dickens, C. (1998). Great Expectations ( ed.). USA: Oxford University Press.
Morse, J. M. (2001). Toward a praxis theory of suffering. Advances in Nursing Science, 24(1), 47-59. Retrieved from http://web.ebscohost.com.libproxy.uthscsa.edu/ehost /pdfviewer/pdfviewer?sid=fd74920f-f86b-42c5-9ffb- e990633ac715%40sessionmgr114&vid=5&hid=105 References “Suffering has been stronger than all other teaching, and has taught me to understand what your heart used to be. I have been bent and broken, but - I hope - into a better shape.”
― Charles Dickens, Great Expectations Questions Gaining a better understanding of suffering will help give the nurse confidence in appropriately responding the suffering of patients and families.
Nurses should learn an awareness of their own suffering and a term called Compathy (Morse, J., 1997). Compathy is the nurses shared experience of suffering another experiences (Morse, J., 1997). Discussion Nurses need to observe cues from family experiencing a loss of a family member.
Some will immediately experience an emotional release and need the empathetic response from the nurse. Others will endure and wish to experience the emotional suffering privately.
Helping a patient endure uncomfortable procedures such as nasogastric tube placement, Foley catheters and chest tubes are important when pain medications are typically not beneficial to the patient. Examples Nurses responses are patient led and based on the observed cues provided from the patient.
If an individual is in an enduring state this should be promoted.
Empathy is not helpful in this situation and can lead to an emotional release.
The enduring state is promoted to help the patient get through their experience and may be beneficial to their current treatment. Application of Morse’s Theory Enduring: Allows the patient to focus on the present and immediate threat or loss. The experience may be one of shock or disbelief and the patient suppresses emotions to get through this initial threat.
Emotional Suffering: The release of the suppressed emotions related to their injury, illness or loss.
Enduring and Emotional Suffering are linked and an individual will flip back and forth between these two states at different intensities. Enduring and Emotional Suffering Theory derived from previous research.
Revised theories of comfort and suffering to be applicable to nursing.
Previous research on suffering was primarily based on medical literature equating suffering being related to pain.
Morse looks not only at the whole person but at the family and how the nurse responds.
Two behavioral conditions or states of suffering were named: Enduring and Emotional Suffering. Background
Janice M. Morse's Toward a Praxis Theory of Suffering Timothy Ford
University of Texas Health Science Center San Antonio
Advanced Theory for Nursing Practice
NURS.5306
Dr. Lisa Cleveland
October 16, 2012 Morse’s Model of Suffering (2001). Model of the Praxis Theory of Suffering
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