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Margaret Newman's Theory of Health
The limitations of margaret newman theory of health as expanding consciousness
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Concept Analysis: Expanding Consciousness
Concept analysis is fundamental to nursing theory and nursing practice. Words carry random ideas until used in the context of a thought and meaning is given to the word. The meaning of a word is best identified through concept analysis and the attributes or themes associated with the concept. According to McNeill (2013), time can change the word meaning as well as experiences; both lived or learned. This paper will evaluate the concept of health expanding consciousness and its meaning as defined by Margaret Newman’s theory.
The theory of health as expanding consciousness was completed in 1994 by Margaret Newman. Her theory stems from Martha Roger’s theory of unitary human beings. According to Bateman
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Through consciousness, old and new experiences and information are integrated to form a new state of mind and wellbeing. Not all experiences of consciousness are pleasant. Some experiences may impact optimal states of health where a patient may regress or cope with unhealthy mannerisms. Consciousness as defined by Merriam-Webster as, “the quality or state of being aware especially of something within oneself; the state or fact of being conscious of an external object, state or fact” (n.d.). Consciousness described by Endo (2017), “{…} is the informational capacity of the whole and is revealed in the evolving patterns” (p. …show more content…
Some attributes include identification of typical and atypical patient situations or patterns, the ability to frame facts of health situations and health on the continuum of health and illness. Nurses expansion of health consciousness is necessary to facilitate the patient’s expansion of health consciousness. According to Bateman & Merryfeather (2014), the nurse and the patient achieve mutual self-actualization as the focus of health on expanding consciousness occurs, thus allowing patients to express themselves safely and make connections with the internal and external environment. The goal is to guide clients into a pattern of evolution through pattern recognition. As the patient moves through transformation the nurse must be willing to accept a period of chaos and imbalance as the patient forms those connections in order to expand consciousness. The nurse assists the patient as they reach self-awareness and self-reliance. The journey for the patient may continue past that mutual relationship with the nurse as the patient continues to grow given new insights on health. There is no particular environment this should occur in; it is the nurse’s presence, therapeutic and safe environment and positive
Rasheed, S. P. (2015). Self-awareness as a therapeutic tool for nurse/client relationship. International Journal of Caring Sciences, 8(1), 211-216
Vithoulkas, George, and D. F. Muresanu. "Conscience and Consciousness: A Definition.” Journal of Medicine & Life 7.1 (2014): 104-08. Print.
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
Concept analysis seeks to determine structure, function, attributes, and characteristics of a concept which serves to provide common understanding of the term so that future research endeavors find the concept clearly communicable and increasingly measurable. (Smego, 2010.) Compassion Fatigue (CF) within the nursing profession needs to be probed more critically and monitored for trends among certain subspecialties of nursing. Compassion fatigue or otherwise known as Secondary Traumatic Stress Disorder is clinically defined as, “The emotional residue or strain of exposure to working with those suffering from the consequences of traumatic events. It differs from burn-out, but can co-exist.
She goes beyond the past tendencies of just looking at the differences of nursing theories to ideas that unite them to evoke new creative ideas. She tries to explain how the theoretical framework of caring evolved into philosophical, conceptual and epistemological undertaking and differs from just caring. Concurrently, nursing’s focus on the relationship of caring for health and healing differentiated it from other disciplines. However, I felt, the difference between “just caring” and caring in nursing can explain through exploring the concepts of healing and consciousness. Even though, nurses possess an ethical obligation for caring, the ultimate aim is to restore health through healing. These two concepts were not explicitly defined in the conceptual framework of caring. The other main elements missing in the Metaparadigm of the caring theory are environment and culture that seek to inform and embrace
Vincent nurses, provides a framework for professional nursing practice guided this research. As the business of healthcare is about taking care of people, the model starts with the patient, and their family, as the central focus. Surrounding the patient, are the concepts of mind, body and spirit, which cause us to think holistically regarding the care provided. Finally, the core values/ faith based practices, guide us in managing our patients in a way that is consist with our culture/ values, supportive of our professional growth, encourages the use of best practices, that result in better outcomes, and makes us productive in a way the encourages giving back outside the hospital as well (Stone, 2011).
The nursing profession consist of different workflow designs to provide the appropriate care to our patient population. “Nursing models of care are developed to identify and describe nursing care” (Finkelman, 2016). While providing care for our patients it is important to render the appropriate care delivery model according to the type of patients you are serving within the community. They are many different approaches to providing care to patients and the care model design. Some model may include some aspect of the other nursing model depending on the situation. Some of the different models include “total patient care, functional nursing, team nursing, primary nursing, contemporary model and care and service team
A metaparadigm is an overarching framework that provides a comprehensive perspective of a discipline. In nursing, this framework serves to distinguish the profession intellectually, comprising of four concepts which provide a foundation to the content and context of nursing theory and scope of practice (Lee & Fawcett, 2013; Masters, 2014; Schim, Benkert, Bell, Walker, & Danford, 2007). Namely, these foundational concepts are: person, environment, health, and nursing. Hence, the intent of this essay is to describe the four main concepts that make up nursing’s metaparadigm and discuss how they are used in practice, education and research.
The act of self-awareness is built through emotional intelligence which is an important factor in building therapeutic relationship. Nurses should built an understanding of clients health situation considering social, cultural, emotional, physical spiritual and psychological conditi...
Nursing is a complex profession full of challenges and rewards. To grow as professionals, it is important that nurses know and understand the many theory’s that exists in nursing and respect their impact on the profession. It is essential for nurses to learn from past theorist for nursing to move forward. This paper will correlate the philosophy and values of two nursing theorist with a unique perspective of each concept and define the nursing metaparadigm.
Nursing is a growing and constantly changing profession, making a bigger impact in healthcare with every turn. In fact, it was not so long ago that nursing was not even thought of as a profession and we have come a long way since the pioneer days of Florence Nightingale. Nursing is steadily evolving in terms of opportunities, educational requirements, professional recognition, and the advancement of nursing theories. These theories influence the environment, the patient, health, and overall nursing. Nursing theories will continue to evolve and guide as we continue to explore and learn new ways to improve overall nursing practice not only for the sake of the patients, but also for the future of nursing as a whole. However, when one looks to the future of nursing, they must also remember where it started; the basics of Florence Nightingale and that “Were there none who were discontented with what they have, the world would never reach anything better” (Nightingale, 1859).
A Review of the Fundamental Patterns of Knowing in Nursing Nursing takes on a different form of learning that reflects several different aspects and abilities that encompass a wide range of skills and forms the ways of knowing in nursing. The article, “The Fundamental Patterns of Knowing in Nursing,” incorporates multiple theories associated with the learning patterns in nursing. It is a review of literature that helps identify and understand the knowledge practiced by nurses and to better understand the nursing profession. The purpose of the paper was to evaluate the expectations of learning within the nursing realm based on the four areas of nursing that include, empirics, esthetics, personal knowledge and ethics. Empirics: The first step in learning is to understand the objective data.
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
The belief that the mind and body were separate, and that all diseases and disorders could be explained by science, founded this conceptual model (Sarafino, 2008). Ergo, this approach saw health care professionals focusing predominately on the physical processes and looked at biochemistry, pathology and other related fields to explain, diagnose and treat illness or disease (Wade, 2004). As a consequence, medical intervention was the primary method used to return the health of an individual to a pre-illness state ‘free from pain, disease or defect’ (Williams, 2016, p.1). However, this model did not take into account any of the external considerations that lead up to the development of certain health conditions. Nor did it consider that a person’s mind could play a role in becoming ill or getting well (Sarafino, 2008). (DOES THIS EXPLAIN IN BETTER
In order to do that the nurse has to be able to incorporate all aspects of nursing into the care. Whether it is caring for physical, cognitive, mental, social, or cultural problems the nursing science and philosophy should always be implemented in the same manor or basis. It is important to understand that these factors can theoretically continue to impact the development of science, including nursing science (Daiski, 2016). It is essential to incorporate all the central concerns of nursing into the nursing practice to be able to provide the necessary care. Daiski stated that it is demonstrated by the four-metaparadigm concepts, which are human being, health, environment, and nursing. It then contains a philosophy based on social justice, so that we are able to comprehend the complications of the narratives our patients tell us so that we are more prone to holistically understand their journeys (Daiski,