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Margaret Newman: Health as Expanding Consciousness
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The theory of health as expanding consciousness stimulated by concern for those for whom health as the absence of disease or disability is not possible, (Newman, 2010). The theory has progressed to include the health of all persons regardless of the presence or absence of disease, (Newman, 2010). The theory asserts that every person in every situation, no matter how disordered and hopeless it may seem, is part of the universal process of expanding consciousness, (Newman, 2010).
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Dr. Kristen Swanson “Theory of Caring” Prepared by: Amira Mansoor Course Instructor Dr: Maria Charito Indonto Learning Objectives.. Background of Theorist Theoretical Sources 5 Domains on Knowledge of Caring Major Assumptions The Structure of Caring Acceptance by the Nursing Community Further Development Analysis Conclusion References Theory of caring “ Caring is a nurturing way of relating to a valued whom one feels a personal sense of commitment and responsibility ” (Swanson, 1991) Dr. Kristen M. Swanson RN PhD FAAN (1953 to present) Born in Providence, Rhode Island Bachelor of Science in Nursing (Magna Cum Laude) University of Rhode Island, College of Nursing 1975. RN, University of Massachusetts Medical Center, Worcester. Master Degree in Adult Health Illness Nursing, University of Pennsylvania, Philadelphia, 1978. Dr. Kristen M. Swanson RN PhD FAAN (1953 to present),con. Work as Clinical Instructor of Medical Surgical Nursing Dept. University of Pennsylvania School of Nursing Ph.D. in Nursing, University of Colorado, Denver, Colorado. Dean and Alumni Distinguished Professor , University of North Carolina (UNC), School of Nursing at Chapel Hill; Associate Chief Nursing Officer for Academic Affairs UNC hospital, 2009 Theoretical Sources Caring Knowing Being With Doing For Enabling Maintaining Belief Caring- is a nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility. Knowing – is a striving to understand the meaning of an event in the life of other, avoiding assumptions, focusing on the person cared for, seeking cues, assessing meticulously, and engaging both the one caring and the one cared for in the process of knowing. Being With – means emotionally present to the other. It includes being there in person, conveying availability, and sharing feelings wihtout burdening the one cared for. Doing For – means to do for others what one would do for self if at all possible, including anticipating needs comforting, performing skillfully and competently, and protecting the one cared for while preserving his or her dignity. Enabling – facilitating the other’s passage through life transition and unfamiliar events by focusing on the event, informing, explaining supporting, validating feelings, generating alternatives, thinking things through, and giving feedback. Maintaining Belief – is sustaining faith in others capacity to get through an event or transition and face a future with meaning, believing in other’s capacity and holding him or her in high esteem, maintaining a hope filled attitude, offering realistic optimism, helping to find meaning, and standing by the once cared for no matter what the situation. 6 5 Domains on Knowledge of Caring 1st – persons capacities to deliver caring. 2nd – individuals concerns and commitments that lead to caring actions. 3rd – conditions (nurse, client, organization) that enhance or diminish the likelihood of ...
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Myra Levine Grand Nursing Theory Based on Interactive Process Biography — Early & Family Life Myra Levine was born in 1920 in Chicago, IL (“Myra Estrin Levine,” 2016) First of three children Her father’s “persistent gastrointestinal illness” sparked her interest in pursuing a career in nursing Myra Levine died on March 20, 1996, at age 75 (Gonzalo, 2019) Biography — Education Graduated from Cook County School of Nursing Obtained BSN from the University of Chicago in 1944 Obtained MSN from Wayne State University in Detroit in 1962 Earned honorary doctorate from Loyola University in 1992 (“Myra Estrin Levine,” 2016) Biography — Nursing Career Oncology nurse at Gardiner General Hospital in Chicago Became Director of Nursing Drexel Home in Chicago Clinical instructor at Bryan Memorial Hospital in Lincoln, NE (“Myra Estrin Levine,” 2016) Surgical supervisor at the University of Chicago and Henry Ford Hospital in Detroit (Gonzalo, 2019) Chairperson of clinical nursing at Cook County School of Nursing (“Myra Estrin Levine,” 2016) Chronological order Biography — Publications, Awards, & Honors Works: “The Pursuit of Wholeness,” “For Lack of Love Alone,” “Adaptation and Assessment: A Rationale for Nursing Intervention,” “The Four Conservation Principles of Nursing,” & “Introduction to Clinical Nursing” Charter fellow of the American Academy of Nursing in 1973 Honorary recognition from the Illinois Nurses’ Association Member of Sigma Theta Tau at Alpha Beta Chapter Elected fellow in the Institute of Medicine of Chicago First recipient of the Elizabeth Russel Belford Award for excellence in teaching from Sigma Theta Tau in 1977 (Gonzalo, 2019) Best known for “The Four Conservation Principles of Nursing,” the others were preliminary works She never planned on developing a nursing theory, she worked as a consultant for different hospitals and nursing schools and came up with an organizational structure for teaching med-surg nursing which was the basis for theory development Philosophical Underpinnings Understanding the era in which Myra Levine matured helps give background to her theory Healthcare was based on authoritarianism and physician decisions were not questioned Nurses were taskers, operating without a scientific origin (Toon, 2014) -In noting pioneers in nursing, it is suitable to recall the era in which theorists such as Myra Levine matured. In Levine’s case it is helpful to recall the era in sociological terms, cultural terms and recall the available technology and the discipline of medicine and how nurses ‘fit’ at the time. The environment of her maturation and development became the underpinning of her career and her Theory of Conservation for Nursing. -nurses were primarily seen as the ‘handmaidens’ of doctors; neither patients nor nurses were anticipated to que ...
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The nursing metaparadigm concept I intend to focus on is person (patient or client). Person refers to a human being composed of needs: physical, intellectual, biochemical, and psychosocial (McEwen & Wills, 2019, p. 42). The person is an open system and is "greater than the sum of his or her parts" (McEwen & Wills, 2019, p. 42). The concept of person is most often the center of the nurse's attention and is the recipient of care. Regarding my personal and professional experiences, I have two very different definitions of what constitutes a client. In my pediatric cardiac ICU background, the person, or patient, was generally an infant with a cardiac defect. Currently, in my practice at a medical spa, my clients range from adolescents to the elderly, focusing on physical appearance. My focus on the "person" differs significantly from my previous role to my current role. In 1972, B. Neuman's theory stated that stress reduction is the nursing practice system model's goal ( Nursing Theories - Overview , 2020). Her theory defines "person" as the combination of the interrelationships between physiologic, psychological, sociocultural, developmental, and spiritual variables (McEwen & Wills, 2019, p. 43). Similarly, D. Johnson's 1968 nursing theory's goal is to reduce stress, as she focuses on how stressors affect illness adaptability ( Nursing Theories - Overview , 2020). Johnson's definition of "person" is a behavioral system with purposeful ways of behaving that connect them to their environments (McEwen & Wills, 2019, p. 43). Both Neuman and Johnson focus on decreasing stress as a way to care for patients. However, their definitions of person vary. Johnson implies that a patient's link to their environment is of most importance, and Neuman believes a person is a more integrated whole that can be singular or plural (as in a community, group, or entire social system) (McEwen & Wills, 2019, p. 43). Within my years of practice in nursing, my definition of person, client, or patient has altered. In my earlier career, I would have been more aligned with Neuman's theory. My patients, albeit more complex, needed more from me as their nurse from more than just an environmental standpoint; I correlated their needs as a holistic being. I was focusing on not just the patient but their support system as well. As a nurse in a med spa, my clients have patterned, repetitive concerns that influence their perceived environment in different ways, which coincide more with Johnson's theory .
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Concept Synthesis Paper on Personal Nursing Philosophy Ancelle Jackson South University Advanced Theoretical Perspectives for Nursing NSG5002 S09 Dr. Susan Stear Running head: CONCEPT SYNTHESIS PAPER ON PERSONAL NURSING CONCEPT SYNTHESIS PAPER ON PERSONAL NURSING Concept Synthesis Paper on Personal Nursing Philosophy The purpose of this paper is to identify, describe, and apply the concepts that underlie my personal nursing philosophy. I will give a brief overview of my nursing background, identify and describe the four metaparadigms of nursing, provide two other practice specific concepts that apply to my practice, and include a numbered list of five propositions that apply to those concepts. Nursing Autobiography When I was little, I dreamed of becoming a flight attendant, a lawyer, an architect, and a doctor. I never saw myself become a nurse someday. I must admit that my only motivation for pursuing a nursing degree in college was to get to the United States and make good money. But I didn't think that I would someday love the profession I never even imagined doing. It is for this reason that I believe that nursing is a calling. Being a nurse has its bittersweet moments and surely takes a lot of compassion, patience, empathy, and strength. While it's true that the long hour shifts can be physically exhausting, it's witnessing the most devastating situations in life that make this profession very challenging. On the contrary, our ability to heal, save lives, and make a difference in our patients' lives and their families, truly is very rewarding and incomparable to nothing. Being a nurse for almost five years has opened my eyes and changed my views about life and all other things. I first started working on a Telemetry/Neuro floor for about a year and a half before I decided to venture out and ended up working in an extremely busy ER in downtown Jacksonville, FL. I worked there for two years, and though it was a highly stressful environment, I enjoyed almost every minute of it. The ER has the kind of culture that is fast-paced, task-oriented, informative, and team driven. Having passed my certification in emergency nursing (CEN) recently, I can say that my knowledge base, assessment, and critical thinking skills, which I often use to guide me in my clinical decision making, have significantly improved since I became an ER nurse. It has molded me into a strong, hard-working, and competent nurse that I am today. The Four Metaparadigms of Nursing A metaparadigm is referred to as the global concepts and propositions that define a particular discipline and describes their distinction from other professions (Fawcett, 2000, p. 4). It consists of four stipulations: (1) a domain different from other disciplines, (2) all phenomena of interest to the discipline (3) a neutral perspective, and (4) a scope that’s international in nature (Fawcett, 1996, p. 94). In nursing, there are four common interconnected basic concepts that include patient, ...
Concept Synthesis Paper on Personal Nursing Philosop.docx
Concept Synthesis Paper on Personal Nursing Philosop.docx
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Margaret Newman: Health as Expanding Consciousness
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Jessica Passick, RN,
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