Unitary Theory & Meta-paradigms
The best category of Newman’s paradigms which I relate to the most, is the Unitary-transformative. Unitary transformative theory is described as health expanding consciousness. According to Newman, “humans are patterned, self organizing fields within larger patterned, self-organizing fields.” I concur, because humans are in a constant state of motion, continuously changing and evolving. Humans are not the only things that are in persistent alteration, health is as well. I believe that patients are all self-evolving and self-regulating. Humans have an up and down wave length regarding their health. Their health is never stagnant, eventually people get sick or develop a disease. More than often, health is a reflection
…show more content…
For example, a chronic smoker developing lung cancer would be a direct reflection of habits in their life. People are constantly and simultaneously interacting with a universal, self evolving energy system. I believe that the unitary-transformative lens best fits my views in holistic nursing and how I would classify my line of thinking. It is a woven interconnectedness within the universe, and humans/patients have a direct correlation with it. I deduce that my theoretical lens is viewed through these points but can be easier declared as the unitary theory. Unitary-transformative theory has multiple factors that depend on each-other. A nurse should not only look to treat the physical aspects of a patient, but should tackle treatment in a holistic way, making sure to look at the mind, body and soul of a person as one. Only then, will total curing take place. To do such a thing, a nurse would have to focus on every …show more content…
This can involve interactions with visitors and surroundings. A patient that has no visitors day in and day out, is at risk of becoming lonely and depressed, which can negatively impact his or her health. Environment is crucial in helping aid a patient back to former health. An uplifting environment can completely alter a persons health in a positive manner, but an opposing domain can negatively impact a patient and their healing process. As Florence Nightingale once stated as being a nurses primary goal, it is important to place the patient in the best healing environment. Nightingale, understood the inarguable difference of what an environment can make. She concluded through observation, that changing the environment promotes a healthier setting where patients can thrive under. A healing environment is just as essential as medications or anything that contributes towards curative methods. It is vital to view the patient as a whole, tending to every part of their mind, body and soul. This means making the patient feel safe and comfortable. A time where I witnessed a nurse accommodate a patients environment was when a patient had a two week migraine. The nurse took initiative and turned the lights off, made sure there was no loud noises that could contribute to the headache, and let the patient wear her sunglasses. This had a positive effect on the patient, making
The concept of environment and its integral role in the delivery of nursing care was among the first identified and documented nursing theory since its early days. Florence Nightingale pioneered the profession of nursing and along with it, pioneered the concept of nursing theory. Her environmental theory was patient focused and incorporated five environmental components needed to promote health. Jarrin (2012) supported that the role of nursing is to promote the best possible environment for the patient to assist in their natural reparative process. According to Rahim (2013), as considered as the profession’s first nurse theorist, Florence Nightingale provided the essential foundation in environmental theory. She believed
Barbara Dossey is truly a visionary in the holistic nursing movement and her theory is able to further the development of holistic nursing in its entirety as well as bolster patient outcomes. The context in which the theory was developed was in relation and connection to the products and ideas of Ken Wilbur, in an attempt to fortify the fundamental concept of healing (Dossey & Keegan, 2003). Dossey's four quadrant model in certain respects is a reaction to and influenced by the work of Wilbur, namely that his volumes stress that no particular or sole researcher, philosopher or theorist can describe, establish or clarify the constituents of reality (Dossey & Keegan, 2003). Dossey and Keegan emphasize that the obstacle and objectives in nursing is to bolster one's integral awareness while boosting one's overall strengths and abilities in nursing in general (2003). Ultimately, the theory developed in the context of the belief that healing occurs when the delicate balance and harmony of body and mind and spirit is successfully addressed and how ancient ideas can be effectively integrated in the realm of caring for patient in everyday living (Dosseydossey.com).
The Unitary-Transformative Paradigm explains that the universe is inter-connected. It describes a way of knowing in a transpersonal way, and it is the only paradigm that describes the sub-atomic particles as the “God particles.” In my Christian worldview this is Christ’s consciousness. (Class Notes, 2015) Hence, Christ’s consciousness is the energy force that connects everything together in time and space, String Theory. It cuts deep to the innermost part of man, the soul. As a nurse I will use this paradigm with my patients. I can act as a guide to help people look within themselves and be made aware of a higher level of consciousness. In doing so, people will understand patterns and their true state of health. I will serve a purpose of cultivating the seed of love through faith, which guides us when
This worldview first states that human beings are holistic, and parts are viewed only in the context of the whole (Fawcett, 1993). I agree with this view as I believe that the various human dimensions are interrelated. It is impossible to separate out the physical from the psychological or spiritual, as they are interdependent. A change in one aspect acts as a causative agent in the others. This aspect of this worldviews frames my practice when I acknowledge that my patient is much more than a set of vital signs and a physical assessment. In each interaction, I strive to ascertain my patient’s psychological and spiritual deficits and attend to these needs in a hierarchical manner so that the patient can return to a state of complete health- physically, psychologically, and spiritually.
Historically, Western Medicine has been divided into Eras. The first ERA, noted in the 1860’s, was referred to as the Mechanical Model. The medical world, as well as society, viewed illness as a purely physical entity. The mental and emotional components of illness were often considered as an afterthought. The second ERA, as described in the mid-twentieth century, is named the Mind/Body ERA. This was the time where attention was brought forth that there is a connection between the consciousness and the physical aspects of health and illness. Pscho-somatics was a coined phrase around this time. The third ERA is known as the Quantum Physics Paradigm (Dossey,1982). This era identifies transpersonal presence as its basis and accepts that the mind and the body, as well as non-local energies, affect health and illness.
The first component speaks of a healing environment. This is an environment that is restful to the patient and the patient‘s family. There are no overhead paging, no sweepers going down the hall at night, promotion of a calming stress free environment for staff and patients to connect with their internal spirituality. The implementation of something as simple as a relaxation garden or massage treatment can go far in helping a patient rejuvenate so that they can move forward.
It is my personal belief that environment plays a considerable role in the patient’s short term and long-term wellbeing. When nurses acknowledge the environment that the patient is interacting in while receiving their care we know this greatly impacts the overall successfulness of the care plan. The patient’s feelings must be
The environment theory of nursing is a patient-care theory. The delivery of patient centered care is the best delivery of care a patient can receive. Applying Nightingales environmental care theory of manipulation of the patient environment can affect the patient and assist in the delivery of quality of care. The concept of a clean patient environment has an effect on the patient’s recovery and the prevention of spread of diseases (Harvard Libraries, 2012). Using Florence Nightingales environmental theory and concepts will give a
Selanders, 2010 (as cited in Rahim, 2013) concluded that, “Environment is the umbrella concept in the Nightingale theory of nursing. It was her contention that the environment could be altered in such a manner as to improve conditions so that the natural laws would allow healing to occur”. The five environmental components identified by Nightingale, which are necessary to a person’s health, are: clean air, pure water, efficient drainage, cleanliness, and light. These five components are further divided into the following canons: ventilation and warming, health of
I have read and utilized some of the following theories from some classic nursing theorists
The environment part could affect the health of the person, the process of adjustment results complicated when ecological, real physical environment, cultural and monetary parts surrounding the patient cannot be change. This component is related to everything that impacts the patient’s wellbeing. The adaptation model, it has three levels which are compensatory, integrated, and the comprised life forms. The three adaptation models don’t stay consistent as change is unavoidable every once in a while (Marchuk, 2014). When the practitioner notify the patient of the diagnoses and provide a plan of care, assuring patient’s environment is not only supportive, but accepting is key for compliance. Understanding the surroundings around the patient’s and make the pertinent changes will avoid a futile impact on outcomes and recuperation will be accomplished.
When looking at the postmodern worldview, many people believe that science is unable to explain the meaning to life. The post-modernistic theory explains that the world consists of an energy that can be manipulated and controlled. As a result of this many scientists and health care workers are looking for a more holistic way of treating patients. In this way the physical, psychological and spiritual needs of the patient are met. This leads to the patient being in complete harmony with their environment (Shelly & Miller, 2006). As a result patients will not be thought of as just a disease but a whole person.
Parse’s theory of human becoming is one of the influential theory in nursing. It basically helps to guides nurses as they care for the sick to concentrate on the quality of life their patients lived as they go through that difficult time. Parse’s theory of human becoming consisted of three structures, which are, meaning, rhythmicity, and transcendence. Parse’s theory of human becoming described meaning as the experiences and reality that one lived (Nursing theory, 2011). On the other hand, Parse’s theory of human becoming described rhythmicity as “Human Becoming is co-creating rhythmical patterns of relating in mutual process with the universe” (Nursing theory, 2011). While Parse’s theory of human becoming described transcendence as going beyond certain limits that one possesses. This paper will discuss Parse 's theory of Human Becoming as well as another theory contribution to the advancement of knowledge in support or multidisciplinary science or teams.
Nursing has made much advancement since Nightingale Environmental Theory but the focus on a healthy environment has remained the same. Pulliam (1997) noted in her article that Nightingales’ theory formed a solid foundation for nursing: fresh air, cleanliness, clean water, warmth, proper drainage, plenty of light, and stress free environment provided an optimum environment for healing.
The Environmental Theory by Florence Nightingale defined Nursing as “the act of utilizing the environment of the patient to assist him in his recovery” (Alice Petiprin, 2014). It involves the nurse’s initiative to make environmental settings appropriate to aid in the recovery of the patient’s health. According to Nightingale all external factors are somehow associated with the patient and affects their life physically, mentally, and socially (Alice Petiprin, 2014).