SELF-TRANSCENDENCE THEORY

Pamela.G.Reed (1952-present).

Self Transcendence theory

The

theory was postulated by Pamela G.Reed. She was born in Detroit,Michigan on june 13 1952. Graduated with her baccalaureate from Wayne State university in 1974 She earned her Masters in psychiatric nursing and in nursing education She got Ph.D in 1982 with a concentration in nursing theory and research She worked in many administrative positions and also as a teacher

Major Concepts and Definitions

Vulnerability It is defined as ones awareness of personal mortality. The concept of vulnerability include awareness about lifecrisis such as disability, chronic illness, child birth,etc. 2. Self-transcendence It refers to a fluctuation of a percieved boundaries that extends the person beyond the immediate and constructed views of self and the world.
1.

3.Well-being It is defined as the sense of feeling whole and healthy, in accord with ones own criteria for wholeness and wellbeing. Well-being can be described interms of 2 kinds of change a)Changes in complexity in a life
b)Changes in integration

4.Moderating-mediating factors These are the personal and contextual variables, their interactions influence the process of selftranscendence.Eg: cognitive ability, age, gender, life experiences,social environment

5. Points of intervention There are two points of intervention. Either the nursing actions focus directly on the persons inner resource for selftranscendence or it focus on some of the personal and contextual factors

Model of self-transcendence theory

Vulnerabilit y

Wellbeing Selftranscendence

Points of interventions to promote selftranscendence

Personal & Contextual factors that mediate or moderate relationships.

Major Assumptions 1. Health Defined as a life process of both positive and negative experiences from which individuals create unique values and environments that promote wellbeing. 2.Nursing The role of nursing activity was to assist persons with the skills required for promoting health and well-being.

3.Person persons were conceived as developing over their life-span in interaction with other persons and with in an environment of changing complexity that could both positively and negatively contribute to health and well-being.

4.Environment Family, social networks, physical surroundings and community resources were environments that significantly contributed to health process.

Theoretical Assertions
The first proposition of theory is that selftranscendence is greater in persons facing end-of-own life issues than in persons not facing such issues. The second proposition is that conceptual boundaries are related to well-being. Fluctuations in conceptual boundaries may influence positively or negatively across the life span

Third assumptions is that the personal and environmental factors function as moderators or mediators of the relationship between vulnerability, selftranscendence and well-being.

Acceptance by the nursing community

1.Practice Applicable in the field of education and psychiatric nursing practice. Self-transcendence may be integral to healing in many life situations Nurse activities that promote the perspectives of self-reflection,hope, altruism and faith in vulnerable persons are associated with increased sense of well-being

2.Education Rogers theory,Newmans theory,Watsons theory and Parses theory share a common view in identifying self-transcendence as an appropriate philosophical foundation for the education. The nurses must be well educated to promote self-transcendence views and behaviours in their clients.

3.Research So many studies were conducted using this theory ( to demonstrate the relationship between quality of life and self-transcendence in person with AIDS,elderly men with prostate cancer, liver transplant reciepients). Research results from the studies provide additional empirical support for the theory

Critique
1.Clarity and Consistency In attempting to clarify concepts such as health & self-transcendence she presented various definitions and examples which although theoretically consistent may confuse readers. In terms of structural clarity(how understandable are the connections between concepts), some relationships between the concepts are not fully defined

Structural consistency(assessing the theory purpose,concept definitions,how identical are the assumptions etc.) is good in that the identified relationships are logical and consistent Some definitions of the concepts (from life span developmental theory and Rogers theory) are difficult for nurses to grasp.

 2.Simplicity(Should

have minimal number of concepts and interrelationships) It is strong on simplicity as it involves only 3 major concepts(Vulnerability, Selftranscendence, Well-being) and 2 other concepts(personal & environmental factors and Point of intervention)

 3.Generality

This

theory can be applied to a wide variety of human health situations. It can be applied to various life events ranging from child birth to life threatening illness and dying.This theory has good generality..

4.Empirical precision Self-transcendence can be measured by using self-transcendence scale and well-being can be measured by using variety of empirical indicators 5.Derivable consequences The theory tested in different researches has led to new knowledge that can be useful in nursing practice. The theory provides insight in to developmental nature of humans

Problem statement

A correlational study to assess the involvement of social support system and coping with end stage disease among lung cancer patients admitted in a tertiary hospital ,Kochi.