Margaret A. Newman

The Theorist

Margaret A. Newman

The Theory

Theory Structure and Clarity

Semantic clarity

- It pulls in different theories such Martha Rogers theory of Unitary Human beings, Bentov’s concept of evolution of consciousness, Young’s theory of process, and Bohm’s theory of implicate.

Structural

- This notion of nursing care exhibits a well-defined configuration as its occurrence is perpetually cyclical in nature.

Health

Introduction

of

disease

Recognition of

pattern change

Change your

pattern

Expanding

Consciousness

Simplicity of Theory

-Newman’s theory can be simple in a practical setting.

-However the theory can be complicated since it does touch on the subject of human consciousness.

Application and Accessibility of Theory

-The theory deals with abstract concepts.

- It’s about the person recognizing that there is change and incorporating that transformation which is essential to the expansion of that individual concept of life.

- Requires a reformation of self-awareness

- 4 Domains: Health, Patient, Environment, and Nursing.

Sub-concept

- All humans are a part of an energy system

Elsie. Confined to a wheel chair, Elsie is 82 years old.

She has no living relatives except a sister who is on the

Alzheimer's unit of the same nursing home. She spends

much of her day shouting, "Help me! Help me!" to the frustration of the nurses, aides, and other residents, who often retort, "Shut up, that's enough!" Initially, the student chose to work with Elsie as a favor to the staff. She had observed Elsie and came to believe she was confused and psychologically unreachable. She decided, however, to take Elsie outside on the terrace and relieve the unit of Elsie's shouting.

Sadie. This resident, 73, has lived in the nursing home

for 3 years. Recently, she was transferred to a unit where

she received rehabilitation for a knee injury suffered

while walking to the dining room. She was forced to give

up the bridge game that had become a twice-a-week ritual

on her urut. She began to spend her days sitting by

the nurses' station shouting, "I'm waiting to die!" She

was reluctant to go to activities because she didn't want

to miss a phone call from her daughter or grandchildren.

Reference

Awa, M. & Yamashita, M. (2008). Person's experience of HIV/AIDS in Japan: application of Margaret Newman's theory. International Nursing Review, 55(4).

Health as Expanding Consciousness. (2010). Nursing Theories. Retrieved fromhttp://currentnursing.com/nursing_theory/Newman_Health_As_Expanding_Consciousness.html

Newman, M.,A. (2011). Health as Expanding Consciousness. Retrieved from http://healthasexpandingconsciousness.org/home/index.php?option=com_frontpage&Itemid=1

Weingourt, R. (1998). Using Margaret A. Newman's theory of health with elderly nursing home residents. Perspectives in Psychiatric Care, 34(3).

Case Study

Margaret A. Newman

Theory of Health as Expanding Consciousness

Importance of Theory

- Newman’s concept of caring allows the nurses to take the time and understand a patient’s evolving pattern by entering into the disorder or disconnection with the client.

Assumptions

- The individuals patterns of interacting with environment will change prior to the signs and symptoms of a disease.

- The person has to make a conscious effort to change to have an expanded consciousness.

Reason

-It can be constantly applied since change is constantly happening in our lives

Environment

Human

Consciousness

Indicators used in Practise

Newman's Theory

1. A client has a pattern

of interacting with the

environment that is

successful.

2. Eventually this

pattern fails to work

in a satisfying way.

3. Awareness of the

failure leads to

disconnectedness and a

sense of disorder.

4.The individual arrives

at a "choice point"

characterized by

disconnectedness and

disorder.

5. The nurse, aware of

the choice point,

views it as a

precursor to

transformation.

6. The nurse and the

client work together

to enable the client

move to a higher

level of consciousness.

Nursing

• Praxis
• Reflection

Environment

• Family relationships
• Finances
• Health and safety equipment

Health/ Patient

• Vital signs
• Appearance
• Lab values
• Other assessments
• Spiritual
• Emotional
• Psychological