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Theory of Health as Expanding Consciousness

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Alicia Margetts

on 19 March 2015

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Transcript of Theory of Health as Expanding Consciousness

Table of Contents
Health as Expanding Consciousness
Grand Nursing Theory

Unitary-transformative paradigm viewpoint

Holds an understanding that humans are inseparable from their environment and are unpredictable and transformative
Margaret
A. Newman

Journey to Becoming a Nurse
Realized she wanted to be a nurse after her mother became ill with Amyotrophic Lateral Sclerosis (ALS)
Journey Through Education and Career
Masters in Clinical Nursing at the University of California, San Francisco, 1964
CASE STUDY
Theory of Health as Expanding Consciousness
Madeline Guy, Jessica Hoggan, Alicia Margetts, Danielle McBratney, and Breann McLeod
LEARNING ACTIVITY
QUESTIONS
1. How do you see Newman’s theory applied in our case study?
1. Introduction

2. Background on Margaret A. Newman

3. Breakdown of Theory

4. Case Scenario

5. Learning Activity

6. Jeopardy
“Although my mother was confined by her disease, her disease did not define her.”
- Margaret A. Newman
Martha Rogers' Science of Unitary Human Beings
VIDEO
Joined the Faculty at the University of Minnesota in 1984 where she published her first book,
"Health as Expanding Consciousness"
Major Accomplishments
Published works on her theory include two books:
Awards
Very influential nurse recognized worldwide as a leader in nursing theory
E. Louise Grant Award for Nursing Excellence from the University of Minnesota
Resonating with the whole is simply when nurses take the time to see the unique needs of each person rather than treating everyone the same
Core Concepts
Metaparadigm
The concept of environment is not well defined by Newman other than to say that it is inseparable from the person and is constantly evolving
Strengths and Weaknesses of the Theory
It is an abstract, dynamic theory, which is impossible to test scientifically
Strengths
Weaknesses
The major strength of this theory is that it gives nurses a new way to view the concept of health
It has been accused of defining concepts to broadly, but when applied across cultures and situations it has been effective
Was originally meant to address those experiencing disease, but as it developed it became applicable to all
Environment
Person
Health
Nursing
The concept of person is defined as a pattern that displays the inseparable relationship between the person and their environment
A person’s pattern is in place and as it becomes recognized health can be attained
The concept of health is when a person’s pattern is recognized; this is done through expanding consciousness
The concept of nursing is outlined by this quote:
“The nurses responsibility is not to make people well, or to prevent their getting sick, but to assist people to recognize the power that is within them to move to higher levels of consciousness”
In Newman’s theory the nurse-patient relationship is a mutual one where the person has to be considered in their context as a whole
Nurses must strive to be with patients rather than do for patients
Expansion of Consciousness
Patterns
Patterns are unique to each person and are seen through the relationship between people and their environment (otherwise known as the human-environmental process)
As nurses we can see peoples patterns through their movements as well as what they tell us about their perception or experiences
Patterns are all encompassing therefore disease is just a manifestation of that individual’s pattern
Expansion of Consciousness is seen when one recognizes their pattern, seen as understand one’s self, finding greater meaning, and becoming more connected with others by the nurse
Other Concepts
Newman also mentioned the concepts of time and presence, though both are quite abstract
Named a Fellow of the American Academy of Nursing, and a Living Legend by the Academy of Nursing
Honored as an outstanding alumni at both the University of Tennessee and New York University
Sigma Theta Tau International’s Founders Award in Nursing Research
Distinguished Scholar in Nursing Award from the New York University
Baccalaureate of Nursing at the University of Tennessee, 1962
Doctorate in Nursing at the University of New York, 1971
'Health as Expanding Consciousness'
'Transforming Presence: The Difference That Nursing Makes'
Education
Career
Influences on Theory
Director of the Clinical Research Center in Memphis, Tennessee in 1964
Joined the Faculty at New York University in 1971
Professor-in-charge of graduate studies at Penn State in 1977
The belief of the coexistence of the human and the environment has greatly influenced the process of change toward better health.
Bentov's Concept of Evolution of Consciousness
Young's Theory of Process
Bohm's Theory of Implicate Order
Her mother passed away two weeks before beginning the first semester of nursing school
The experience of taking care of her mother began her journey into her theory of '
Health as Expanding Consciousness'
Caring for her mother opened her eyes to her mother’s disease and how her mother was living with her disease
Became her mother’s primary care giver
Movement-Space-Time should be examined together as dimensions of emerging patterns of consciousness, rather than in isolation as separate concepts of the theory
3. After this consideration of Newman’s theory, do you believe it is useful to your practice?
2. How would you apply Newman’s theory to your practice?
References
Bateman, G. C., & Merryfeather, L. (2014). Newman’s theory of health as expanding consciousness: A personal evolution.
Nursing Science Quarterly, 27
(1), 57-61. doi:10.1177/0894318413509725
Brown, J. W. (2010). Margaret A. Newman: Health as expanding consciousness. In M. R. Alligood & A. M. Tomey (Eds.).
Nursing theorists and their work
(pp.480-495). Missouri: Mosby Elsevier.
Health as Expanding Consciousness
(2013). Retrieved from http://currentnursing.com/nursing_ theory/Newman_Health_As_Expanding_Consciousness.html
Health as Expanding Consciousness
(2015). Retrieved from http://www.healthasexpanding consciousness.org/home/
Jones, D. A. (2006). Newman's health as expanding consciousness.
Nursing Science Quarterly, 19
(4), 330-332. doi:10.1177/0894318406293136
Newman, M. A. (2008).
Transforming presence: The difference that nursing makes.
Philadelphia: F. A. Davis.
Pharris, M. D. (2010). Margaret Newman’s theory of health as expanding consciousness. In M. E. Parker & M. C. Smith (Eds.).
Nursing theories and nursing practice
(pp. 290-310). Philadelphia: F.A. Davis.
Pharris, M. D., & Endo, E. (2007). Flying free: The evolving nature of nursing practice guided by the theory of health as expanding consciousness.
Nursing Science Quarterly, 20
(2), 136-140. doi:10.1177/08943184072998927
Pharris, M. D. (2011). Margaret A. Newman’s theory of health as expanding consciousness.
Nursing Science Quarterly, 24
(3), 193-194. doi:10.1177/0894318411409437
Full transcript