Ethical Significance of Being Present With Others During the Pandemic Era

Human presence with others is vital in the healthcare experience for those who are giving and receiving services, especially during the upheaval unfolding concurrently with a pandemic. The author wishes to explore the notion of telepresence, uniquely defined as a potential living quality priority for those experiencing hospitalization and/or isolation from others. The ethical implications will be undergirded utilizing the humanbecoming enduring truths of reverence, betrayal, awe, and shame.

Living Quality: A Reprise and More

The purpose of this paper is to illuminate and elaborate the inherent core knowings of living quality. The core knowings are fortifying wisdom, discerning witness, and penetrating silence. In deep contemplation with the core knowings, essences and paradoxes surfaced for the author enhancing understanding of living quality. The essences and paradoxes are specified here.

Feeling Overwhelmed: A Parsesciencing Inquiry

Feeling overwhelmed is a universal humanuniverse living experience of living quality. The scholar engaged in Parsesciencing, a unique mode of inquiry within the humanbecoming paradigm. The inquiry stance was: What is the discerning extant moment of the universal humanuniverse living experience of feeling overwhelmed? Historians were 12 individuals who were receiving or providing services at a metropolitan HIV/AIDS center. The major discovery of this Parsesciencing inquiry was the discerning extant moment: Feeling overwhelmed is arduous burdensome discomfort with perplexing immobilization surfacing with fervently pursuing repose.

Ribbons of Belonging

This article addresses a sense of belonging as living the ribbons of commitment and responsibility with community. Belonging will be explored through the lens of recognized philosophers, the three principles of humanbecoming, the humanbecoming community model, and selected community occurrences.

Risking Human Dignity With Innovations: Artificial Intelligence and the Future of the Discipline of Nursing

Computerized technologies and expanding digital information are evolving in a highly complex system where novel innovations and creations of artificial intelligence such as "care robots" entangle the interactions of machines with human beings. Its usage and the usage of other technologies potentially bring into question what it means to be a human being. Artificial intelligence and its products potentially transgress the core values of nursing and potentially risk human dignity. In this article, the author offers ethical (straight thinking) ethos and implications for the future of nursing as a discipline.

Shame in Teaching-Learning: A Humanbecoming Perspective

In a discussion on the phenomenon of shame, intriguing questions are raised for consideration by teachers of nursing. Raising concerns about the perceived emergence of societal norms that seem to encourage the shaming of others along with technology and social media platforms that enable public shaming brings one to ponder the meaning of shame in the sciencing and art of teaching-learning in nursing, especially in an era of virtual learning. From the unique perspective of humanbecoming, reflections on selected stories of the student experience of shame give rise to several suggestions for faculty to be with students in moving beyond moments of potential shame in the unfolding of new possibilities. These stories and suggestions are offered to nurse faculty and academic administrators for continuing discussion and as an opportunity for shared learning.

The Humanbecoming Concept Inventing Model: Feeling Ashamed

The scholar in this paper presents a concept inventing model of feeling ashamed. It consists of a literature review across many disciplines, an exploration of many artforms, dialoguing with others, and a distinctive description of feeling ashamed. With the humanbecoming concept inventing model, the scholar explored shame and created a novel idea that could develop approaches in the advancement of nursing knowledge. This exploration advances nursing knowledge within the humanbecoming paradigm. With the use of humanbecoming concept inventing model, the now-truth of feeling ashamed for the scholar was raised as unbearable stillness with desired escape arising with isolating affiliations. The ingenuous proclamation as a theoretical statement was communicated in the humanbecoming sciencing language as languaging the powering of connecting-separating with the artform of Shame by Rosa Gunasingha.

Leading-Following: Nurse-Led Care Center Exemplars

There are many ways to lead across all healthcare settings. It is important for nurses to find a way of leading that is grounded in unique nursing knowledge that is consistent with their values and beliefs. These values and beliefs are "lived out" in chosen projects. The purpose of this paper is to explore Parse's leading-following model. This exploration is focused on nurse-led care centers or clinics exemplars, since the centers serve as "chosen" projects of nurse leaders.

Thoughts on Friendship

The author here explores ideas on friendship from a philosophical, theological, sociological, and humanbecoming paradigm perspective. Personal experiences of the author provide examples of how friendship is important to an individual's living quality.

Presence in Teaching-Learning: Insights From the Movie Patch Adams and Others

As social distancing seems to have become the new normal in the ongoing struggle to prevent the spread of COVID-19, this column focuses on the challenge of presence in the teaching-learning endeavor that often is lived in virtual settings. When presence is defined as being in the same place at the same time as another, suggesting that presence is essential to teaching-learning would certainly run counter to the recommended practice of social distancing. However, the question must be asked if it is essential for the teacher and learner to be in a particular place at the same moment for presence in teaching-learning to be known. Clarity of the meaning of presence in the teaching-learning endeavor is pursued through considering insights gained from the movie Patch Adams. Further, insights from the humanbecoming paradigm are explored to provide new ways of moving onward in teaching-learning.

Humanbecoming Hermeneutic Sciencing: A Global Perspective on Presence in "In Harm's Way"

The purpose of this article is to report the details of the humanbecoming hermeneutic sciencing of presence in In Harm's Way. Humanbecoming hermeneutic sciencing is dialoguing with an artform by discoursing with penetrating engaging, interpreting with quiescent beholding, and understanding with inspiring envisaging. The artform explored in this article is the comments and images of 60 nurses from around the world included in The New York Times story titled "In Harm's Way." The report is on the meaning of presence as lived and talked about by nurses on the front lines at the peak of the COVID-19 outbreak.

Community in Flux

This article describes some of the changes occurring with community in the advent of the COVID-19 pandemic. The humanbecoming community change model along with other views on community are presented to address some of the living quality questions and challenges of a community in flux.

Disrupting Rhythms: Nurse Education and a Pandemic

At times of perceived rapid and significant change, such as the world has experienced with the current COVID-19 pandemic, the unrepeatable ebb and flow of the paradoxical rhythms inherent in humanuniverse patterning seem to come to the forefront of awareness. What was previously known and familiar seemingly disintegrated in the emergence of the unfamiliar experience of a global quarantine. While difficulties abounded across the discipline of nursing, these challenges created new opportunities for visioning anew in thinking beyond the restrictions of the COVID-19 pandemic. A challenge is presented to nurse administrators and faculty charged with preparing the next generation of nurses to meet the challenges of an unknowable future by thinking beyond the traditional boundaries of classroom and clinic to co-create new ways of living the teaching-learning mission of nurse education programs.

Moments of Fragility and Vitality

In this article, the author examines fragility and vitality as it relates to the COVID-19 pandemic. Fear and courage are also explored from a humanbecoming paradigm perspective as well as from philosophical perspectives. Humanbecoming inquiries related to these topics are presented along with personal experiences of the author.

Living the Art of Nursing: Lessons From a Pandemic

Living the art of nursing during the challenging times of a pandemic has profound implications for the discipline of nursing. Opportunities and limitations coexist with persons who shelter in place while others continue to practice amid personal risk in institutions where vital healthcare services are provided. This article illustrates potential lessons to be learned for future nurse practice and the ethos or straight-thinking implications for living quality during a global health crisis.

Consequences for Straight Thinking in Nursing Ethics

The concepts of nursing ethics continue to be seen through the lens of medical science and the systematic study of bioethics. The discipline of nursing has chosen through its philosophical educational systems to focus on the systematic study of bioethics as foundational to doctoral, graduate, and advanced practice nursing programs. In choosing to focus outside of the discipline for this straight thinking inquiry, what are the consequences for the discipline as well as to humankind for the lack of discipline-specific inquiry and practice as articulated by the discipline of nursing? This article begins a conversation for the straight thinking priorities that should be considered by the discipline of nursing for the study of nursing ethics.

Discovering Ideas

This article explores creativity and innovation through the lens of dispositional realism, a psycho-socio-cultural perspective, a Japanese fable, and the humanbecoming paradigm perspective. New ideas are presented on the understanding of creativity and innovation, feeling overwhelmed, suffering, and living dignity.

Deliberating What is Important: A Parsesciencing Inquiry

Deliberating what is important, as a universal humanuniverse living experience, was investigated using the Parsesciencing mode of inquiry. Ten historians engaged in discussion to answer the question, "What is your experience of deliberating what is important?" The inquiry uncovered the discerning extant moment of deliberating what is important as follows: Deliberating what is important is arduous deciphering amid discordant proposals surfacing in untangled resolve with cultivating affiliations.

The Humanbecoming Concept Inventing Model: Hope

The scholar explores the meaning of the nursing phenomenon of hope as a universal humanuniverse living experience using the humanbecoming concept inventing model. The now-truth of hope surfacing is envisioning possibles amid burdening challenges arising with the communion-aloneness of seeing the familiar in new light. The ingenuous proclamation of hope as a theoretical statement is imaging powering with the connecting-separating of transforming. The conceptualization of hope using the unique humanbecoming concept inventing model contributes to the advancement of nursing knowledge.

Like a Rolling Stone

Suddenly hearing she had breast cancer, M.A., one of the authors, a nurse with discerning witness, ponders her experience of rolling stones. At the time she worked in a center dedicated to living humanbecoming with person-family-community concerned with a cancer illness. Humanbecoming paradigm was the specific discipline guiding the care in the center. Moment-to-moment, the author (M.A.) was moving with emerging meaningful experiences of having breast cancer, shapeshifting her living quality with surprising uncertainties. The humanbecoming principles structuring meaning, configuring rhythmical patterns, and cotranscending with the possibles illustrate her story with the metaphorical expression of mountains as meaningful in a Swiss novel.

Ethical Truths in the Discipline of Nursing

There are different paradigms in the discipline of nursing that contain theories that guide the practice, research, and education for members of the discipline. Each paradigm and nursing theory espouses ethical truths differently. The author in this article introduces the notion of teaching the ethos of humanbecoming dignity through uncovering the abiding truths of presence, existence, trust, and worth. A suggested situational teaching-learning tool is introduced to illustrate the potential uncovering of ethical truths for students of the discipline.

Freedom and Humanbecoming

Freedom, one of the four postulates of the humanbecoming paradigm, is the focus of this article. Freedom is explored from a humanbecoming perspective and from the existential/phenomenological perspectives of Heidegger and Sartre.

Differing Perspectives on Paradox

In this article, the author describes two differing perspectives on paradox: the humanbecoming paradigm perspective and the management/organizational theory perspective. Examples of paradoxes from these two differing views are presented.

Collaboration in Teaching-Learning: Honoring the Wisdom of Diverse Perspectives

As complexity challenges healthcare providers across disciplines, calls arise for greater collaboration across settings and disciplines. In this column, the importance of honoring the wisdom of the diverse perspectives of collaborators with varying educational and experiential backgrounds is explored. For authentic collaboration to be possible, collaborators must have a solid theoretical, scientific, and experiential foundation within their particular discipline. The challenge for nurse faculty is to prepare students for collaboration by providing teaching-learning opportunities for building a solid foundation in the discipline, being clear about the distinctions across disciplines as well as the distinctions among the many degree levels within nursing.

Amazing Mystery

Mystery, one of the four postulates of the humanbecoming paradigm, is the focus of this article. The muteness, the transformative power, and the everyday-ness of mystery are discussed. How mystery permeates the three principles of humanbecoming is also explored.

The Humanbecoming Concept Inventing Model: Feeling Overwhelmed

The author in this paper discusses the phenomenon of feeling overwhelmed. Through the use of the humanbecoming concept inventing model, the author illuminates the now-truth of feeling overwhelmed as drowning frenzy amid potential calmness with the opportunities-restrictions of envisioning possibles. An ingenuous proclamation is presented and declared as imaging the enabling-limiting of transforming with the scholar's chosen artform. These unique contributions offer illimitable opportunities for nurse scholars to advance knowledge of the universal humanuniverse living experience of feeling overwhelmed.

Privacy: Potential Violations of Human Dignity

Privacy has been understood as a bioethical concept whose focus is on personal choosing or the right to control access to self. In nursing, privacy concerns abound where there is potential for the violation of human dignity as scientific advancements in genetic biotechnology potentially disclose personal information and genetic structures are made known to others without the consent of persons whose genetic material is being utilized for biological experimentation. In this article, the author offers new insights into the concept of privacy and human dignity as gene editing and its possible consequences unfurl within the scientific and healthcare arenas. A humanbecoming ethos perspective for nursing is illuminated.

Leading-Following Challenges to Living Dignity

There are many moments when the values and beliefs of leaders are "shown" to others, especially as those in formal leadership positions are faced with opportunities and challenges. While guiding others, it is important to be grounded in dignity that places others as priority. Dignity is always present and serves as the basis for the ethos of humanbecoming: shaping the enduring tradition of honoring people and the lives they live.

A Group Concept Inventing of Hiding

Parse's humanbecoming concept inventing model provided a unique method to conduct a group concept inventing of the humanuniverse living experience of hiding. Several insights related to conducting a group concept inventing project are identified along with an ingenuous proclamation for hiding.

Bringing Joy-Sorrow to Light: Informing Practice Utilizing Theoretical and Research Perspectives

This article focuses on the substance of centering on a nursing disciplinary theoretical approach accomplished through a brief review of the phenomena of joy-sorrow from a research and practice perspective. When practice is designed from a theoretical conceptual system, it takes form and provides tangible benefits through the creative conceptualizations and connectedness that arise to influence persons who seek healthcare. Although the article espouses a humanbecoming framework, the take-away is that a nursing disciplinary approach promotes congruence among theory, research, practice, and education, thereby advancing the discipline's meaning and contributions.

Conceptual Foreknowings: Integrative Review of Feeling Overwhelmed

Feeling overwhelmed is a universal humanuniverse living experience of living quality. From the humanbecoming perspective, all individuals choose to feel overwhelmed or not as they make choices moment to moment. Thus, it is of importance to understand feeling overwhelmed from divergent perspectives. To achieve this, the author in this article reviews the extant literature on feeling overwhelmed from the disciplines of nursing, business, psychology, philosophy, theology, social work, education, and sociology. Three themes that emerged from the extant literature were (a) feeling overwhelmed arises as an engulfing turbulence, (b) feeling overwhelmed surfaces with disquiet isolation, and (c) feeling overwhelmed emerges with reaching for relief.

The Living Experience of Suffering: A Parse Method Study

This study aimed to explore the phenomenon of suffering as viewed from the humanbecoming paradigm. The Parse research method was used for this study and answers the question: What is the structure of the living experience of suffering? The participants were 10 individuals who experienced one of the most dreadful typhoons in the archipelago of the Philippines. The central finding of the study was as follows: Suffering is penetrating disheartenment amid resoluteness, as pondering with diverse alliances surfaces with lingering glimmers of destruction. The findings are discussed in relation to the humanbecoming paradigm and related literature.

Faces of Shame

The author in this article explores the humanbecoming dignity tenet of shame. Shame is examined through an extensive literature review, through storytelling, and through surveying humanbecoming inquiries of sadness, feeling fear, feeling overwhelmed, and feeling disrespected.

Dignity: The Ethos of Humanbecoming

The purpose of this paper is to elaborate the ethos of humanbecoming with the core knowings of living quality. This requires describing in more detail the tenets of dignity-reverence, awe, betrayal, and shame-and specifying the tenets further with the newknowings arising from the humanbecoming hermeneutic sciencing of Lives of Others. The author introduces the newly conceptualized paradoxes, revering-betraying and aweing-shaming.

Living With Ambiguity: A Gift and a Challenge for Teaching-Learning

In reflecting on the personal experience of moving beyond life as a nurse academician, the author explored the phenomenon of living with ambiguity in the teaching-learning endeavor. From the stories of new graduates of baccalaureate nursing programs, comfort-discomfort, sureness-unsureness, and confirming-not confirming arose as paradoxical rhythms of the experience of living with ambiguity. Acknowledging the challenge of creating sacred space in the contemporary nursing curriculum for living with ambiguity and not knowing, the author provided insights into the importance of creating a safe, sacred space with trusted faculty mentors to allow students to begin a journey where discovery and inquiry are valued in their process of becoming competent professional nurses on a never-ending journey of coming to know.

Concept Inventing: A Humanbecoming Perspective on Feeling Ashamed

The author in this manuscript presents a humanbecoming concept inventing of feeling ashamed. It includes a literature review across several disciplines, an exploration of various art forms, discussions with others, and thoughtful contemplation that brings together a creative synthetic definition of feeling ashamed.

The Living Experience of Suffering: A Parse Method Study

The purpose of this study was to investigate the humanuniverse living experience of suffering. The Parse method was used to answer the question: What is the structure of the living experience of suffering? The participants were 10 adults living in the community. The finding of the study, the structure of the living experience of suffering, was found to be as follows: Suffering is anguishing desolation with varied alliances arising with envisioning anew. The living experience of suffering is discussed in relation to the principles of the humanbecoming paradigm and in relation to further research inquiries.

Understanding Childhood Perspectives

Childhood should be a carefree and happy time. Some children, however, experience feelings of sadness, depression, anxiety, and other behavioral and mental health conditions. Healthcare providers need to develop a keen eye and an understanding demeanor to aid children and identify their needs and concerns. By providing a warm, inviting area for children to express their feelings and being with them in true presence, children may be more forthcoming in providing information about what they value.

Integrative Literature Review on Shame

Shame is a universal living experience that is just beginning to be explored within the discipline of nursing. Development of a broad understanding of shame is needed to aid nurse researchers in clarifying this phenomenon from a nursing perspective. Pursuant to this goal, the author in this article reviews the extant literature on shame from the disciplines of nursing, psychology, sociology, philosophy, and theology. Three themes that emerged from the scholarly literature were (a) shame propels miring in paralysis, (b) shame captures the illusionary seen-unseen, and

Betrayal in Teaching-Learning: A Sword in the Heart

In this article, the human experience of betrayal is explored within teaching-learning, where trust might be expected and the notion of betrayal might seem counterintuitive. To gain insight into this experience, the unique perspectives of an undergraduate student, a graduate student, and a new faculty are considered through the stories they shared with the author about betrayal in teaching-learning. The humanbecoming paradigm provided a unique perspective to view these stories and explore the unlimited possibilities emerging when human dignity and freedom to choose are honored.

Feeling Peaceful: A Universal Living Experience

The purpose of this study was to investigate the living experience of feeling peaceful. Parse's research method was used to answer the question: What is the structure of the living experience of feeling peaceful? Twelve participants living in a community consented to partake in the study. The central finding of the study is the structure: feeling peaceful is contentedness amid tribulation, as unburdening surfaces with devout involvements. The findings are discussed in relation to the humanbecoming school of thought and extant literature.

The Living Experience of Suffering: Lakota Voices

Suffering, as a universal humanuniverse living experience, was explored utilizing the Parsesciencing mode of inquiry. Ten Lakota historians engaged in discussion to answer the question, "What is your experience of suffering?" The discovery revealed the discerning extant moment of suffering as follows: Suffering is burdening anguish amid uplifting aspirations surfacing in persevering with divergent encounters.

Transfiguring Light and Symphonic Blooming: A Wabi Sabi Story of Humanbecoming and Human Caring

Transfiguring Light and Symphonic Blooming is word-art to describe the flowering of the humanbecoming and human caring schools of thought over time. A Wabi Sabi story journey was created to turn the tide in a world where the building of a unique body of knowledge for nursing has fallen into disfavor with nursing itself. Using nature-aligned paintings and a Japanese story-art aesthetic with poetry, the beauty of falling away to unitary essentials and holding the value of "both-and" in unitary consciousness was illuminated. Co-creating art-knowledge may transfigure nursing theory development and its acceptance with cosmic tree-rooted arches.

Living Human Dignity: A Nightingale Legacy

The authors in this article present the humanbecoming ethical tenets of human dignity: reverence, awe, betrayal, and shame. These four ethical tenets of human dignity are examined from a historical perspective, exploring how Rosemarie Rizzo Parse has conceptualized these ethical tenets with added descriptions from other scholars, and how Florence Nightingale lived human dignity as the founder of modern nursing.

The Living Experience of Feeling Playful

The purpose of this study was to investigate the living experience of feeling playful. Parse's research method was used to answer the question: What is the structure of the living experience of feeling playful? The participants were 10 persons, ages 9 to 83, living in the United States. The central finding of the study is the living experience of feeling playful is entertaining amusements amid burdens with uplifting endeavors strengthening affiliations with blissful moments of unfettered unfolding. The living experience of feeling playful is discussed in relation to the principles of the humanbecoming paradigm and in relation to how it can inform further research.

Feeling Comfortable: A Humanbecoming Perspective

Feeling comfortable is a universal living experience. From the worldview of the humanbecoming paradigm, concept inventing is an appropriate method to expand understanding and knowledge of universal experiences. The purpose of this article is to provide a synthetic definition of feeling comfortable using the concept inventing process. Through concept inventing, a synthetic definition of feeling comfortable emerged as penetrating quietude amid potential upheaval arising with opportunities and restrictions with envisioning the familiar anew. Further development of the concept through qualitative research is recommended.

Writing From the Edge

On the 30th Anniversary of Nursing Science Quarterly, the 17-year journey of conceiving, launching, and guiding the "Teaching-Learning Column" was explored in this dialogue with Dr. Sandra Schmidt Bunkers, adjunct professor of nursing, South Dakota State University Brookings, South Dakota, founding contributing editor of the column, and Dr. Barbara Backer Condon, Professor of Nursing, Briar Cliff University, Sioux City, Iowa, contributing editor, 2012-2016. Reflecting on the shared stories, the challenge is offered to continue the tradition of the column in reading, writing, and thinking from the edge, to bravely consider what might be, daring to go beyond the confinements of mainstream thinking, and to vision as yet unimagined possibilities in teaching-learning in nursing.

Ethics and Discovering New Meanings With Metaphors

Metaphors are widely understood concepts or structures of human understanding undergirded with transformational creativity. The usages of metaphors are ubiquitous; they are used to convey unique meaning messages in healthcare disciplines. This article begins an ethical straight-thinking discussion of the defining aspects of metaphors and their usage in the discipline of nursing. The humanbecoming paradigm is used to discover new meanings of the metaphor hands-on and its ethical implications for understanding in the discipline of nursing.

The Experience of Feeling Disrespected: A Humanbecoming Perspective

The concept of feeling disrespected was explored using the Parse research method. Ten women living with embodied largeness were asked, "What is the experience of feeling disrespected?" The structure of the living experience was feeling disrespected is mortifying disheartenment arising with disquieting irreverence, as distancing affiliations surface while enduring hardship. The findings provided new knowledge of living quality, advanced nursing practice, and presented future direction for research.

The Living Experience of Feeling Surprised

The purpose of this article is to report the finding of a Parse research method study on the universal living experience of feeling surprised. In dialogical engagement with the researcher, eight participants described the experience. The structure of the living experience of feeling surprised was found to be: Feeling surprised is stunning amazement arising with shifting fortunes, as delight amid despair surfaces with diverse involvements.