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Grand Unitary Nursing Theories

D.David,RN,BSN MPH,SRNA

Unitary Theory

  • Entropy vs. Negentropy

GRAND Unitary Master

Martha Rodgers

"Negentropy, please..."

Assumptions

  • Man is a unified whole possessing integrity and manifesting characteristics that are more than different from the sum of their parts
  • Man and environment are continously exchanging matter and energy with each other
  • Life process evolves irreversibly and unidirectional along the space time continuum.
  • Pattern and orginization identify man and reflect his innovative wholeness
  • Man is characterized by the capacity for abstraction adn imagery, language, thought, sensation and emotion.

Concepts

Human-Unitary human beings

"irreducible, indivisible, multidimensional energy fields identfied by pattern and manifesting characters that are specific to the whole and which cannot be predicted from the knowledge of the parts"

Health

Unitary human health signifies an irreducible human field manifestation. It cannot be measured by the parameters of biology or physics or of the social sciences

Nursing

The study of unitary, irreducible, indivisible human and environmental fields: people and their world. Nursing is a learned profession that is both a science and an art.

Environmental Field

An irreducible, individual, pandimensional energy field identified by pattern and integral with the human field.

Energy Field

The fundamental unit of the living and the nonliving. field is a unifying concept. Energy signifies the dynamic nature of the field; a field is in continuous motion and is infinite.

Openness

Refers to qualities exhibited by open systems; human beings and thier environment are open systems

Openness

Pandimensional

A nonlinear domain without spatial or temporal attributes

Pandimensional

Pattern

The distingushing characteristics of an energy field percieved as a single wave

Application

Usefullness

  • Due to the abstract nature, Rogers' provides a worldview that nurses can form their own personal theories

Usefullness

University Settings/Curriculums

Guided Imagery

Therapeutic Touch

Abstract thinking....

Power Theory

Comeditation

Margaret Newman

Health: expanding consciousness

Assumptions

Similar to Rogers

Assumptions

Applications

Relationships

  • fusion of being with its opposite
  • specifies close attention to Patterns
  • speaks out against the connectedness of time/space/motion
  • due to advances of tech, people are more connected

Practice vs. Theory

  • Theory must be derived from practice
  • Theory must inform practice.

Practice vs. Theory

Pattern Recognition

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Health: fusion of being with its opposite (illness and health)

  • Health
  • is a pattern
  • looking pattern than parts
  • understanding patterns is the essence of unitary health
  • relation with consciousness

Rosemarie Parse

Humanbecoming Paradigm

Assumptions

  • is structuring meaning, freely choosing the situation
  • is configuring rythmic humanuniverse patterns
  • is constranscending illimitably with emerging possibilities
  • is humanuniverse co-creating a seamless symphony

Concepts vs Paradoxes

  • Imaging: explicit-tacit
  • Valuing: confirming-not confirming
  • Language: speaking-silent, revealing-concealing
  • Powering: pushing-resisting
  • Transorming: familiar-not familiar

Applications

Relationally

Relationally

  • Structuring meaning is the imaging and value of language
  • Configuring rhythmic patterns of relating the revealing-concealing and enabling-limiting of connecting-seperating
  • Cotranscending with the possible is powering and orginating of transforming

Effective implemenation

Effective implemenation

Presence

Perspective

Recap

Timeline

  • humans are unitary beings
  • health is continous environmental interchanges
  • whole, open and free to become

Newman's Theory

Today?

Parse's Theory

Roger's Theory

Comparisons

Rogers

  • Humans are sentient, multidimensional
  • Health signifies, irreducible human field manifestation
  • Environment is multidimensional energy field identfied by pattern
  • Nursing is a learned profession, a science and an art in the concern for others

Newman

  • same as Rogers
  • health is a fluctuating pattern of rhythmic phenomena
  • Universal energy with Rogers
  • Nursing facilitates pattern recognition in process to evolve into a higher level of conciousness

Parse

  • Humans are co-participates in the universe in creating and becoming
  • Health is a way of being in the world, not a continuum of healthy to ill, but living of day to day ways of being
  • Environment is the world, the universe and those who occupy spaces along
  • Nursing guides humans toward ways of being, finding meaning in situations and choosing ways of co creating their health.

Questions???

Question?

Where have you seen unitary theory? Why is this important to the profession?

References: McEwen,M & Wills, M. (2014). Theoretical Basis for Nursing. New York, New York. Lippincott, Williams & Wilkins. pp 192-212.

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