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Stephanie Fenn

on 30 March 2013

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Video Ends in View Middle-Range Theory of Self-Transcendence Biography
Middle-Range Theory
Nurse's Role
Nursing Process
Video Clip
Case Study Pamela Reed Reed is currently a professor at the University of Arizona College of Nursing in Tuscon
Reed was strongly influenced by Martha Rogers' perspective of nursing and by lifespan development theories
She developed her nursing theory of Self-Transcendence based on her research and her developmental perspective of well-being Case Study While working on a surgical floor, a student nurse was working with a 65-year-old male who was recently diagnosed with throat cancer. Given the extent of his cancer he had a tracheotomy implanted, which meant he would never be able to sing again. This was a major life change for Mr. X, particularly because he not only loved to sing, but it was only source of income. He was performing in pubs downtown Victoria. Subsequently, he became depressed and was finding it difficult to cope with his new life. Nurse's Role 1. Providing critical information

2. Guiding them in ways to integrate the needed changes into their lives

3. Supporting their efforts to find meaning in the situation by being a good listener, validating their feelings, and guiding them in identifying their strengths as well as areas where professional help may be needed Nursing Processes Intrapersonal Interpersonal Transpersonal Temporal Middle-Range Theory of Self-Transcendence

Two Key Assumptions
1. People have an innate potential for growth, healing and well-being.
•Involves self-organization which is fundamental to human development and well-being
•Emphasizes potential for well-being independent of physical perfection
2. People form a conceptual boundary of themselves in order to feel secure, define their identity, and define reality.
•self-concept and the perception of reality evolve throughout life Questions ?? 1. Is this theory something you can relate to? Do you find the concepts helpful? Why or why not?

2. Do you see a way that you could implement this theory into your own nursing practice?

3. Are there any ideas you could apply this theory to help refine or extend the theory of self-transcendence to continue its usefulness in nursing practice? References References
Ellermann, C. R., & Reed, P. G. (2001). Self-transcendence and depression in middle-
age adults. Western Journal of Nursing Research, 23(7), 698-713.

Haugan, G., Rannestad, T., Garåsen, H., Hammervold, R., & Arild Espnes, G. (2011).
The self-transcendence scale: An investigation of the factor structure among nursing

home patients. Journal of Holistic Nursing, 30(3), 147-159.

Reed, P. G. (2010). Pamela Reed’s theory of self-transcendence. In M. E. Parker & M.
C. Smith (Eds.), Nursing Theories & Nursing Practice (3rd ed.), (pp. 417-427).

Philadelphia, PA: F. A. Davis Company.
Runquist, J. J, & Reed, P. G. (2007). Self-transcendence and well-being in homeless
adults. Journal of Holistic Nursing, 25(1), 5-13. doi: 10.1177/0898010106289856 3 Major Concepts
•vulnerability The theory focuses on the use of self-transcendence to enhance well-being for clients.
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