Heuristics, Community Change Concepts, and Health Policy: Coming to Know.

The purpose of this paper is to discuss heuristics, guided by Parse's (2021a) community model, to understand how health policies emerge from the unique values and beliefs of community constituents. Within this paper, there is a discussion about heuristics, health policy, Parse's humanbecoming paradigm, and policy implications reflected upon with the change concepts of the humanbecoming community model.

Leading-Following Interpretations: Living Quality and Working, the Musical.

It is important to explore the ways that the working lives of persons provides meaning in personal, professional, and organizational ways. In this paper, the author utilized the processes of Parse's (2021a) humanbecoming hermeneutic sciencing (discoursing with penetrating engaging, interpreting with quiescent beholding, and understanding with inspiring envisaging) and the leading-following model to further understanding of the meaning of "working" through Stephen Schwarz's Broadway show, Working, the Musical (Browning & Schwartz, 1982/2002). Although not a formal sciencing project, this interpretive reflection provided a way to "see" how work is "lived out" uniquely.

Policy Crafting: Humanbecoming and the Rainbow PRISM Model.

It is important that nurses guide practice with crafted policies based in nursing knowledge that is distinctive and specific to the values and beliefs of all persons, such as humanbecoming. As policy crafters in nursing, a nursing theory or model must serve as the foundation in service to others. In this article, the author explores crafting policy with the Rainbow PRISM model (Cody, 2003; Ortiz, 2018), in light of Parse's (2021a) humanbecoming paradigm, the humanbecoming community change concepts (Parse, 2003, 2021a), and Parse's (1987, 2021a) principles of inquiry construction.

Leading-Following and Community Change Concepts: A Humanbecoming Perspective.

Nurses in various settings are called upon to lead new projects and initiatives that further the mission of healthcare organizations or communities. It is important that there is a nursing theoretical framework to serve as a leadership foundation. This foundation grounds the direction of projects and initiatives, so that the path toward success is clear. The purpose of this paper is to explore leading-following within the humanbecoming community change concepts.

Health Policy: Nursing Theory as Inspiration for Policy Development.

The theoretical knowledge base of nurse policy-makers enhances their thoughts with inspiring opportunities with communities and healthcare agencies. Nursing theory and frameworks can serve as a motivating, inspirational force for nurses to be imaginative and view situations in innovative ways. In this paper, the author explores some ways in which health and nursing policy-makers may be inspired by unique nursing knowledge to craft policies that are consistent with nursing's theories and models.

Leading-Following and Living Quality: A Reflection.

There are many moments within all collaborative leading-following relationships that form each constituent over time. In collaborative leading-following, it is important that there is a nursing theoretical framework that guides the professional relationship with a knowledge base that is distinctive and shared by all involved. In this paper, the author reflects on the humanbecoming core knowings of living quality in light of the essences of leading-following (Parse, 2021a, 2021b).

Health and Nursing Policies: Word Choice and Crafting Policies With Unique Nursing Knowledge.

Discipline specific policies that utilize nursing's unique knowledge base provide nurses with ways of seeing and comprehending policies in light of nursing theoretical concepts. Humanbecoming has been used to guide the development of health policies in a variety of settings. In this paper, the author explores the importance of words in crafting health and nursing policies grounded in discipline-specific knowledge, such as the humanbecoming paradigm.

Leading-Following: Living Quality and Spending Time.

The purpose of this article is to explore the ways in which living quality shapes the ways nurses and leaders spend their time with ever-changing value priorities.

Power, Policy, and Community Change: Humanbecoming Reflections.

Nursing is filled with many innovative leaders who strive to work at the "cutting edge" of possibilities. This edge is tenuous and must be attended to with care through how nurse leaders and policymakers are present with people, situations, and ideas. Nurse leaders and policymakers must be guided by unique nursing theoretical perspectives as they are "present" with others navigating power and change. The purpose of this paper is to explore humanbecoming and the way it contributes to understanding power, health policy, and community change concepts.

Envy and Originality: van Kaam-Parse Connections and Reflections.

Originality and envy arise with humanbecoming and leading-following situations. Originality in leadership is significant because there is always pushing-resisting to cocreate something new and carve-out paths that differ from what already is. Envy and originality are lived out in unique patterns by all persons, in some way. How these patterns are lived depends on the choices persons make about how they live their unique originality among infinite possibilities. In this exploration, the author utilized ideas about originality and envy from existentialist psychologist and formative spiritualist, Adrian van Kaam, and nurse theorist, Rosemarie Rizzo Parse.

Health Policy and Community Change Concepts as Metaphors.

Policy development, implementation, and maintenance are central to the "carrying-out" of healthcare within organizations and communities. Nurses play an important role in not only developing meaningful policies with constituents but in also providing explanations that "make sense" to all persons involved. This "sense making" may be facilitated by the use of metaphors. In this paper, the author explores Parse's (2021) community change concepts as metaphors that may enhance policy development and understanding.

Leading-Following and Mentoring: Making Connections.

There are many meaning-making moments within the leader-leader protégé relationship that shapes each person moment-to-moment over time. It is important that there is a nursing theoretical framework to serve as the foundation to build a professional relationship with a knowledge base that is unique and shared by the leader-leader protégé. It is essential to think about the ways in which leading and mentoring may be connected, so that mentoring may arise within leadership. The purpose of this paper is to explore the essences of Parse's (2021) leading-following model in light of mentoring.

Best Practices in Patient-Centered Care: Nursing Theory Reflections.

The utilization of nursing theories should serve as the foundation of policies that guide care for patients and those they love. The author of this paper explores linking conceptual elements within nursing theories to high-quality patient-centered care examples and policies. These linkages make clear how nursing knowledge may be utilized within healthcare systems that value patient-centered care. These patient-centered care policies need to be explicit about the contributions of nurses to healthcare, regardless of setting.

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.

Community Change Concepts and Health Policy Implications.

Nursing knowledge is housed in its paradigms, philosophies, models, and theories. This knowledge must be utilized to demark nursing's unique contributions within healthcare, regardless of the setting. The purpose of this paper is to explore the ways in which Parse's community model may serve as a way to think about health policies and the unique ways policies may connect to nursing knowledge. Within this paper, there is a discussion about health policy, Parse's humanbecoming paradigm, and policy development reflected upon with change concepts within the humanbecoming community model. This exploration is important because "disciplinary knowledge is the foundation for transforming health policy and health care delivery systems" (American Academy of Nursing, 2020, para. 1).

The Patient-Centered Health Neighborhood.

The creation, implementation, and ongoing maintenance of a patient-centered health neighborhood are central to care in the 21st century. This neighborhood must adhere to the principles of patient-centered care and rest on the foundation of nursing theory that honors what is important to people and the mission and vision of healthcare clinics and systems. It is important that there is strong leadership to develop, implement, and maintain a patient-centered health neighborhood. In this paper, there is an exploration of the patient-centered health neighborhood and the ways it connects to Parse's unique nursing paradigm, humanbecoming.

Patient Engagement, Nursing Theory, and Policy Possibilities.

It is important to continually carve out ways to connect with persons in practice and ensure that polices and processes directing practice are aligned with the values and beliefs of nurses and those they serve. In this paper, patient engagement is discussed in light of nursing theoretical principles and concepts, specifically Parse's (2014) humanbecoming paradigm. In addition, policy connections will be outlined to show how nurses may participate in patient engagement in unique ways.

Cocreating Nursing's Future: A Leading-Following View.

The Institute of Medicine's (IOM, 2011) Future of Nursing report is an important study of the healthcare system that reflects significant ways nurses may drive transformational change. In this paper, the author explores the Key Elements from the IOM's (2011) Future of Nursing report in light of Parse's (2008) leading-following model and community change concepts (Parse, 2003, 2012). This exploration is logical in that to implement the IOM's Key Elements, community change and leadership are necessary.

Patient-Centered Medical (Health) Home: Nursing Theory-Guided Policy Perspectives.

Nurses have provided care to individuals, families, and communities, since its "official" founding by Nightingale. Over time, nurses have carved out their unique contributions to serving others by articulating the knowledge needed to practice in a variety of settings so that the "work" of nurses is differentiated from other healthcare professionals. One broad area of practice where nurses serve diverse populations is the Patient-Centered Medical or health Home. The purpose of this paper is to examine patient-centered health (medical) homes (PCHH) and the ways in which nursing theory may guide the principles and policies of PCCHs.