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HEALTH AS AN EXPANDING

CONSCIOUSNESS
TABLE of CONTENTS
i. biography
ii. assumptions
iii. metaparadigm
iv. takeaway
vi. conclusion

EMBUSCADO - MENDOZA - SISON


Born on October 10, 1933
Died on December 18, 2018

was an American nurse,


university professor, and nursing
theorist.

Martha E. Rogers- one of her


mentors from graduate
school.

BIOGRAPHY EMBUSCADO - MENDOZA - SISON


ASSUMPTIONS
Health encompasses conditions described as illness, or, in medical terms,
pathology.

These pathological conditions can be considered a manifestation of the total


pattern of the individual patient.

The pattern of the individual patient that eventually manifests itself as pathology is
primary and exists prior to structural or functional changes.

Removal of the pathology in itself will not change the individual patient's pattern.

If becoming ill is the only way an individual patient’s pattern can manifest itself,
then that is healthy for that individual patient.

Health is an expansion of the consciousness


HEALTH AS EXPANDING
CONSCIOUSNESS
Pattern Consciousness

MOVEMENT - SPACE - TIME


METAPARADIGM
METAPARADIGM: Nurse's role

METAPARADIGM: Patient /
Person

METAPARADIGM: Environment

METAPARADIGM: Health
METAPARADIGM: METAPARADIGM:
involves being fully present to the patient
person each person exhibits a distinct pattern, which is environment
without judgments, goals or intervention constantly unfolding and evolving as the person
strategies interacts with the environment
"Being with" rather than "doing for"
What is important to the patient
Expanding conciousness
Mutual transformation
Underlying pattern of each person

METAPARADIGM: METAPARADIGM:
health partnership between the nurse and client, with both growing in nurse
the “sense of higher levels of consciousness”

Health not only includes the disease


Expanding Consciousness
but also the state of being where
Time and Presence
disease is not present
Resonating with the whole
Attention to pattern and meaning
TAKE AWAYS
Newman’s theory is considered a grand nursing theory.

Health is central to the theory, and is seen as a process of a


developing awareness of the individual self and the person’s
environment.

The model also addresses the interrelatedness of time, space, and


movement.
ANALYSIS CONCLUSION
STRENGTH
Can be applied in any setting
“Generates caring
interventions”
Helps patients psychologically
and gives them hope in difficult
WEAKNESS situations when life circumstances
Abstract in a new environment worsen
Multi-dimensional morale
Qualitative
Little discussion on
environment
REFERENCES
1. Newman MA. Health as Expanding Consciousness. St. Louis, MO: C V Mosby; 1986. [Google Scholar]

2. Newman MA. Health as Expanding Consciousness. 2nd ed. Boston: Jones and Bartlett (NLN Press); 1994. [Google
Scholar]

3. Newman MA. Transforming Presence: The Difference that Nursing Makes. Philadelphia: F.A. Davis; 2008. [Google
Scholar]

4. Rogers ME. An Introduction to the Theoretical Basis of Nursing. Philadelphia: F. A. Davis; 1970. [Google Scholar]

5. Newman MA, Sime AM, Corcoran-Perry SA. The focus of the discipline of nursing. ANS Adv Nurs Sci. 1991;14:1–6.
[PubMed] [Google Scholar]

6. Newman MA. Theory Development in Nursing. Philadelphia: F. A. Davis; 1979. [Google Scholar]

7. Endo E. Pattern recognition as a nursing intervention with Japanese women with ovarian cancer. ANS Adv Nurs Sci.
1998;20:49–61. [PubMed] [Google Scholar]
REFERENCES
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partnership in families with cancer. J Adv Nurs. 2000;32:603–10. [PubMed] [Google Scholar]

9. Endo E, Takaki M, Nitta N, Abe K, Terashima K. Identifying patterns in partnership with students who want
to quit smoking. J Holist Nurs. 2009;27:256–65. [PubMed] [Google Scholar]

10. Endo E, Miyahara T, Suzuki S, Ohmasa T. Partnering of researcher and practicing nurses for
transformative nursing. Nurs Sci Q. 2005;18:138–45. [PubMed] [Google Scholar]

11. Endo E, Takaki M, Miyahara T. A unitary perspective for cancer 2 nursing. J Nurs Care. 2014;3:1–5.
[Google Scholar]

12. Endo E. Nursing praxis within Margaret Newman's theory of health as expanding consciousness. Nurs Sci
Q. 2004;17:110–5. [PubMed] [Google Scholar]

13. Pharris MD. Margaret Newman's theory of health as expanding consciousness. In: Parker ME, Smith MC,
editors. Nursing Theories & Nursing Practice. 3rd ed. Philadelphia: F. A. Davis; 2010. pp. 290–313. [Google
Scholar]
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