BSN 1-C

SYNCHRONICITY IN
HUMAN-SPACE-TIME:

A THEORY OF NURSING
ENGAGEMENT IN GLOBAL
COMMUNITY

BY JYNEZZA MARIE PUNO

 PROPONENTS

○ FRESLYN LIM-SACO, RN, MN

SILLIMAN UNIVERSITY COLLEGE OF NURSING,
DUMAGUETE
CITY, PHILIPPINES CLIFORD
○ MASAYON KILAT, RN, MA
ST. PAUL UNIVERSITY DUMAGUETE, DUMAGUETE
CITY,
PHILIPPINES
○ ROZZANO LOCSIN, RN, PHD, FAAN
FLORIDA ATLANTIC UNIVERSITY, BOCA RATON,
FLORIDA
TOKUSHIMA UNIVERSITY, TOKUSHIMA, JAPAN

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PAGE 02 OF 21
 SYNCHRONICITY IN HUMAN-
SPACE-TIME

SYNCHRONICITY IN THE HUMAN–SPACE–TIME

THEORY OF
NURSING UNDERGIRDS THE INNOVATIVE PROCESS OF
NURSING ENGAGEMENT EXPRESSED AS
INTERPERSONAL
RELATING, TECHNOLOGICAL KNOWING, RHYTHMICAL
CONNECTING, AND TRANSFORMATIONAL ENGAGING.
THE PHILOSOPHICAL AND THEORETICAL
PERSPECTIVES DECLARE THE EVOLUTIONARY
DESIGN IN AFFIRMING THE
MEANINGFUL HUMAN CARING EXPERIENCES WITHIN
NURSING PRACTICE.
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 SYNCHRONICITY IN HUMAN-
SPACE-TIME
MOREOVER, THEORY-BASED PRACTICE
SUSTAINS THE HUMAN SCIENCE VIEW OF
WHOLENESS OF PERSONS WHILE FOCUSING ON
THE INCLUSION OF THE COEXISTENCE BETWEEN
TECHNOLOGY AND CARING IN NURSING.
THE PRACTICE OF NURSING APPROACHES
HUMAN CARING
BEYOND THE CUSTOMARY, FRAGMENTED, AND
ROUTINARY HEALTHCARE COMMITMENT.

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 PURPOSE

The purposes of this theoretical article are to

describe SynHSTTNE, emphasizing the process of
nursing in guiding disciplinary nursing praxis and to
rationalize theory-based nursing as essential to the
appreciation of nursing as a discipline of knowledge
and a practice profession.

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 PURPOSE

By exemplifying nursing as integral to human health

and well-being in a global community, an equity
oriented healthcare system is underscored as the
nurse and the person being nursed participate in a
synchronistic healthcare practice in which
SynHSTTNE delineates a practice process of
engagement affirming and celebrating human beings
as persons. PAGE 06 OF 21

 DESCRIPTION OF THE SYNCHRONICITY

IN HST THEORY OF NURSING
ENGAGEMENT
The HST theory is a study of caring, HST, and the perspective of synchronicity and
nursing engagement.
This theory aims to enlighten nurses in their practice through an innovative
demonstration of nursing care processes grounded on authentic intentions of caring
transcending extant reductionist approaches.
Furthermore, SynHSTTNE is a useful theoretical base for future research that aims to
describe the meaningful connectedness in human experiences of transcendence,
interconnectivity, emancipation, and equitability with humanistic approaches in
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the discipline of nursing.
 FOUR LIFE PRINCIPLES OF THE
SYNCHRONICITY IN HST THEORY OF
NURSING ENGAGEMENT

INTERCONNECTIVITY EQUITABILITY

HUMAN
EMANCIPATION TRANSCENDENCE

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INTERCONNECTIVITY

IS A PRINCIPLE OF HUMAN INTERCONNECTEDNESS OF

ENERGY. ENERGY IS CONTINUOUSLY MOVING FROM
“SUBATOMIC PARTICLES TO THE BIOSPHERE, INCLUDING
THE PLANET EARTH, ALL FORMING A WHOLE” (PATTERSON,
1998). INTERCONNECTIVITY LEADS TO THE
UNDERSTANDING OF HOLISM THAT THE
BIO-PSYCHO-SOCIAL-SPIRITUAL DIMENSIONS OF
PERSONS
ARE INTERRELATED (LAI & HSIEH, 2003) AND THAT THE
WHOLE BEING IS MORE THAN THE SUM OF ITS ORGANS OR
SYSTEMS.
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INTERCONNECTIVITY
THE NURSE DOES NOT FOCUS ONLY ON
BIOLOGICAL CURING
BUT CONSIDERS THE HEALING ASPECT OF THE
WHOLE PERSON’S BEING. THE NURSE BECOMES
MORE COGNIZANT OF THE WHOLE INTEGRATED
PERSON INTERACTING WITH AND INFLUENCED BY
BOTH INTERNAL
AND EXTERNAL ENVIRONMENTS (LAI & HSIEH,
2003).
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INTERCONNECTIVITY
APPLYING THE PRINCIPLE OF INTERCONNECTIVITY THROUGH
INTERPERSONAL RELATING (IR),
฀ TECHNOLOGICAL KNOWING (TK), RHYTHMICAL
CONNECTING (RC) & TRANSFORMATIONAL ENGAGING
(TE), THE NURSE EMBRACES MEANINGFUL
CONNECTEDNESS WITH THEIR PATIENTS AS WHOLE
PERSONS, WITH THE COEXISTENCE OF HUMAN CARING
AND TECHNOLOGIES, WITH THE SYNCHRONICITY AMONG
MODERNIST AND POSTMODERNIST NURSING CARE
APPROACHES, AND WITH TRANSFORMATIONS ACROSS
NURSING ENGAGEMENTS. PAGE 11 OF 21

EQUITABILITY
IS A PRINCIPLE OF JUSTICE AND FAIRNESS IN HUMAN CARING
ACROSS HEALTHCARE SYSTEMS. IT REVOLVES AROUND THE VALUE-
BASED CONCEPT OF EQUITY IMPLYING FAIRNESS IN ACCESS TO
HEALTH CARE RELATED TO THE SITUATED CONTEXT DESPITE
DIFFERENCES IN METHODS, UTILIZATION, AND OUTCOMES
(CLONINGER ET AL., 2014).
IT CAN ALSO MEAN FAIRNESS IN ACCESS TO SERVICES WITHIN AN
ORGANIZATION. AN UNDERSTANDING OF THE INTERCONNECTIONS
AMONG SPACE, TIME, MOVEMENT AND CONSCIOUSNESS AS
HEALTH MANIFESTATIONS (PHARRIS, 2015) LEADS TO MEANINGFUL
RELATIONSHIPS WITHIN THE HST AND BEYOND.
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EQUITABILITY
WHEN THERE ARE MEANINGFUL RELATIONSHIPS OF
PERSONS (I.E., AMONG PATIENTS, FAMILY, AND
HEALTHCARE TEAM), THE NURSE IS ENABLED TO EXPRESS
EQUITY IN NURSING CARE THROUGH PRIORITIZATION,
TRIAGE, AND COST-EFFECTIVE MEASURES IN THE
PROCESSES OF NURSING ENGAGEMENT. IN APPLYING
EQUITABILITY, THE NURSE IS COGNIZANT OF THE
DIFFERENCE BETWEEN EQUALITY AND EQUITY.
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EMANCIPATION
IS A PRINCIPLE OF LIBERATING THE SELF AND OTHERS FROM THE
LIMITS OF HUMAN-SPACE-TIME REALITIES. THE HUMAN-SPACE-TIME
REALITIES OF HEALTH CARE COULD INCLUDE HUMAN FACTORS OR
ATTRIBUTES SUCH AS FEAR, SHAME, LACK OF COMMUNICATION
SKILLS, LACK OF KNOWLEDGE, POWERLESSNESS AND HUMAN
RESOURCES. SPACE FACTORS COULD MEAN INTERNAL AND
EXTERNAL ENVIRONMENTAL LIMITATIONS. INTERNAL ENVIRONMENTAL
LIMITATIONS ARE PHYSIOLOGIC, PSYCHOLOGIC, EMOTIONAL AND
SPIRITUAL CONDITIONS WHILE THE EXTERNAL ENVIRONMENT
LIMITATIONS REFER TO THE SOCIO-ECONOMIC-POLITICAL
CHALLENGES AS WELL AS THE ORGANIZATIONAL DYNAMICS THAT
INFLUENCE THE NURSE AND THE NURSED. PAGE 14 OF 21
EMANCIPATION
THE TIME LIMIT IS INDICATED BY THE CONSTRAINTS IT HAS ON EVERY
PERSON SUCH AS HOW LONG IT TAKES FOR THE NURSE TO SPEND FOR
EVERY PATIENT BEFORE HIS/HER SHIFT ENDS, OR ON THE PART OF THE
PATIENT HOW LONG IT TAKES FOR HIM/HER TO STAY IN THE HOSPITAL
BED. AS DESCRIBED BY CHIN AND KRAMER (2011), EMANCIPATORY
KNOWING IS APPLIED IN PRAXIS AND IN THE INTEGRATION OF KNOWING,
DOING AND BEING (PARKER & SMITH, 2015). IN THE APPLICATION OF THE
NEP, TO EMANCIPATE IS TO KNOW WHAT THE NURSE CAN KNOW, DOING
WHAT ONE CAN DO, AND BE WITH THE PATIENT IN THE PRESENT GIVEN THE
LIMITATIONS OF THE HST. BOTH PRINCIPLES OF EQUITABILITY AND
EMANCIPATION ARE ESSENTIAL IN THE APPLICATION OF THE NEP WHEN
“UNVEILING THE DYNAMICS THAT SUSTAIN INEQUITY CREATES (THE)
FREEDOM TO SEE AND ACT IN A WAY THAT IMPROVES THE HEALTH FOR
ALL” (PARKER & SMITH, 2015, P.30).
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HUMAN
TRANSCENDENCE
“WHEN PEOPLE TRANSCEND THEIR OWN EGOS, DEDICATE THEIR
ENERGY TO SOMETHING GREATER THAN THE INDIVIDUAL SELF,
AND LEARN TO BUILD ORDER AGAINST THE TREND OF DISORDER”
(PHARRIS, 2015), THEN THE PRINCIPLE OF HUMAN
TRANSCENDENCE IS APPLIED. HUMAN TRANSCENDENCE
INDICATES PERSONAL GROWTH OF PERSONS AND
PROFESSIONAL GROWTH AMONG NURSES. PHARRIS (2015)
DESCRIBED THE CHARACTERISTICS OF GROWTH AS “ASSERTION
OF SELF, TO EMANCIPATION OF SELF, TO TRANSCENDENCE OF
SELF”.
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HUMAN
TRANSCENDENCE
THROUGH HUMAN TRANSCENDENCE, NURSES AND THE NURSED CAN
RISE BEYOND THEIR PRESENT DIFFICULTIES. JUST AS SELF-
TRANSCENDENCE IS REVEALED IN THE EXPANSION OF SELF-
BOUNDARIES THAT ENHANCES WELL-BEING (REED, 2015), HUMAN
TRANSCENDENCE IS ALSO EVIDENT IN THE ABILITY TO GO BEYOND
THE LIMITS OF THE HST THROUGH NURSING ENGAGEMENT THAT
FOSTERS HUMAN HEALTH AND WELL-BEING. RESILIENCE, FOR
EXAMPLE, IS MEANINGFULLY CONNECTED WITH WELL-BEING
THROUGH HUMAN TRANSCENDENCE.

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 SUMMARY
THE FOUR LIFE PRINCIPLES OF INTERCONNECTIVITY,
EQUITABILITY, EMANCIPATION, AND HUMAN
TRANSCENDENCE ARE THREADED THROUGH ALL THE
PROCESSES IN THE NURSING ENGAGEMENT PROCESS
(NEP). AS AN ITERATIVE, NONLINEAR PROCESS OF NURSING
ENGAGEMENT, INTERPERSONAL RELATING,
TECHNOLOGICAL KNOWING, RHYTHMICAL CONNECTING,
AND TRANSFORMATIONAL ENGAGING CAN CO-EXIST AND
OVERLAP. PAGE 18 OF 21
 SUMMARY

AMIDST TECHNOLOGICAL ADVANCEMENT IN HEALTH

CARE, THE FIVE CARING ELEMENTS OF THE DANCE OF
CARING PERSONS, CARING MOMENT, RESPONSIVE
SENSING, EXPRESSION OF CARING INTENTIONS AND
TECHNOLOGICAL COMPETENCY (LIM-SACO, KILAT, &
LOCSIN, IN PRESS) ARE EMPHASIZED IN THE APPLICATION
OF HUMAN CARING THROUGH THE NURSING ENGAGEMENT
PROCESS AND ACROSS HEALTHCARE SYSTEMS
WORLDWIDE.
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THANK YOU!