Nursing Theory: Barbara Dossey
Context of the development of the theory 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).
Nursing Conceptualized in the Theory This theory recognizes how the meta-paradigm of nurse, individual, health/wellbeing, surrounding environment (also known as society) have to be acknowledged (Dossey & Keegan, 2013). The nurse plays a strong
Nursing should not be looked upon or practiced as a mere physical approach to healing. Nursing should encompass the aspect of restoring each individual patient to his/her maximum physical and emotional state of being. In order to achieve such a goal, a patient must be able to bond with her caregiver on a personal level (Blais & Hayes, 2011). Jean Watson’s caritas factors sets an environment where the patient can obtain optimum health benefits (Blais & Hayes, 2011). The goal of this paper is to state my philosophy of nursing, the important dynamics and values that led me to adopting this philosophy, and the reason why I choose nursing as a profession. I will further explain how Jean Watson’s principles of philosophy is
I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,
She later described the human as an energy field with illness and health being manifestations of the human pattern. Her continued study outlined relationships her theory has based off of her propositions. One of the relationships is the transpersonal caring field, which stays within the unitary field of consciousness. It signifies the unitary spiritual connection between the nurse and the patient. A transpersonal caring relationship goes beyond the ego levels of the patient and the nurse. It creates new possibilities for interaction. The practitioner’s consciousness about the carative factors and intentions opened up connections in the unitary field. This enables more access to the patient’s inner healing. The provider communicates the transpersonal relationship through different ways such as being present in the relationship. Caring-healing modalities are often noninvasive, natural-human energetic field modalities. Transpersonal caring promotes self-patterns and possibilities. Advanced transpersonal caring modalities recognize wholeness, healing, comfort, balance, harmony and well-being (McEwen & Wills, 2014, pg.
Kristen M. Swanson may not be as well-known as Florence Nightingale in the nursing field, but she has made great contributions with the Theory of Caring that has been used in many hospitals, even internationally, for their framework to guide patient care. Through the study of her practice, I have realized much of her practice is reflected in mine. This paper will present the basic concept of nursing known as the metaparadigm concepts of person, health, environment, and nursing as presented by Swanson, as well as provide my own philosophy of nursing, which in many ways mirrors Swanson’s.
Throughout the years there have been various theories and models regarding nursing and healthcare. Doctor Larry Dossey (1982) identified three “Eras” of healthcare as the structure for healthcare in the Western world. Two of which are the Mechanical Model also known as Era I, and the Body/Mind Model known as Era II. Era I began in the 1860’s, the model reflected the view that disease was purely physical in nature and that physical interventions such as medications, surgical procedures, or bloodletting were required to promote healing. Consciousness, thoughts, and beliefs were not considered to be factors in healing but merely side effects of the facets of the
Holistic nursing to me is a practice of applying both subjective and objective patient assessment into the plan of care. Not only do we need to look at the physical condition of the patient, but also their social and environmental factors that influence their state of health. When this application process is incorporated into the patient plan of care, we are incorporating all aspects of the patient’s life that help define and create their ideal state of health. In review of several nursing theories discussed by Montgomery-Dossey and Keegan (2012), which incorporate the aspect of holistic nursing practice, I found that Jean Watson’s Theory of Transpersonal Caring was most closely linked to aspects of my current nursing practice.
The purpose of this paper is to state the essence and qualities of my personal nursing philosophy and to distinguish what I do from “why” I do nursing. In addition, this paper will describe that factors that has influenced the development of my personal philosophy of nursing; define, describe and explain my personal views about the nursing meta-paradigm and summarize their interrelation; also, to identify and describe nursing theories that ‘fit’ my personal nursing philosophy, their interrelation, accompanied with evidence.
The purpose of this paper is to discuss my personal beliefs pertaining to the profession of nursing. As well I will discuss the (4) metaparadigms in nursing which are known as; human beings, environment, health, and nursing, and my personal beliefs on these concepts and how they have similarities to the nursing philosophy of a nursing theorist.
Florence Nightingale’s vision of nursing in the mid-1800s began an evolution of nursing philosophies and theories that encouraged the progression and development of nursing knowledge, quality of care, and the advancement of nursing from a vocation to an academic discipline and profession (Alligood, 2013, pp. 3-7). As nursing knowledge and theory flourished, it became necessary to structure nursing theories into an integrated system. Jacqueline Fawcett’s proposal of four global nursing concepts “as a nursing metaparadigm served as an organizing structure for existing nursing frame-works and introduced a way of organizing individual theoretical works in a meaningful structure” (Alligood, 2013, p. 4). The four concepts of the metaparadigm of nursing include: person, environment, health, and nursing. By understanding the history of nursing development and the metaparadigm of nursing, one can explore this author’s personal philosophy of nursing in respect to the four concepts of the metaparadigm of nursing.
Throughout the history of nursing, there have been many nursing theorists who have each made significant contributions towards the shaping of nursing knowledge. Each of these theorists have differing perspectives and interpretations of how each domain of the nursing metaparadigm fit into their respective theories. The four domains of the nursing metaparadigm are: person, environment, health and illness, and nursing. The purpose of this reflection is to provide an overview of the domains related to the metaparadigm of nursing as well as to introduce this author’s perspective on their developing personal philosophy of nursing. In this paper, the author will take a closer look at each of these areas, how they are individually defined, and how they each fit into the nursing metaparadigm as a whole. At the conclusion of this overview, readers will be introduced to how these theorists and their perspectives have enabled this author to begin to create their own philosophy of nursing.
I have chosen to compare Parse’s Human Becoming Theory (HBT) from the simultaneity paradigm and Roy’s Adaptation Model (RAM) from the totality paradigm. These paradigms help to categorize theories by how they view the metaparadigm of nursing; defining health, nursing, environment and person. Neither of these theories is right or wrong they are simply two different ways for nurses to view their patients and their practice.
Core concepts are the basis for a theory or model; concepts help in the development of theories. Theorists have developed different models or theories but have common core concepts. This paper will identify the core concept of ‘the role of nursing,’ which two theorists, Dorothea Orem and Virginia Henderson both utilized. We will compare and analyze the concept definitions among both theorists, and discuss the practical use of Orem’s self care theory.
This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)
The discipline of nursing is characterized into four metaparadigm concepts. The first concept is person. I believe that nursing requires me to think of each person as an individual and take time to be with that person using human-to-human interaction. Working in the emergency room I try my best to listen to each patient with proper eye contact to provide the visual cues of compassion. The second is environment. My nursing philosophy also incorporates all of the patient’s surroundings and their situation that may be causing an illness or a nursing need. It could be the people
In today’s society, individuals strive to live a healthier and longer life. People strive to do this by making lifestyle changes. For example, being more health conscious by purchasing organic foods and BPA free products. Recently, consumers have been enamored with reports stating BPA products may cause cancer. In addition, people are purchasing organic foods because it has been said that switching to the consumption of organic foods may decrease the toxins that can cause harm to the body. Thirdly, with the frequent incidents of antibiotics prescriptions being freely distributed, when they may not be necessary in the treatment of certain infections, more people are being affected with super infections. This in turn is causing people to switch to complementary/alternative therapies. There continues to be an increase in the use of herbal supplements, vitamins, and in modalities such as: alternative therapies like acupuncture and massage therapy. As more consumers use these therapies, the medical industry has started to turn their attention to integrating these therapies into daily nursing practice. In this paper, Noreen Cavan Frisch’s writings “Nursing as a Context for Alternatives/Complementary Modalities”, “Standards for Holistic Nursing Practice: A way to think about our care that includes complementary and alternative modalities”, and “Keeping the Concept of ’human energy field’ in the Mainstream of Nursing Work” are analyzed for techniques used to persuade