Myra Estrin Levine

(1921-1996)
Energy Conservation
Education: University of Chicago,
Born 1921 in 1949
Chicago, IL Earned MSN from
Earned diploma at Wayne State Univ,
Cook County School 1962
of Nursing, 1944 Post-Graduate
(Chicago, IL) coursework at Univ of
Earned SB from Chicago
Career:
Private duty nurse,
civilian Army nurse,
clinical instructor,
surgical supervisor,
Nursing Dept Chair,
Graduate Nursing Oncology Coordinator,
Prof Emerita Univ of Illinois (Chicago), visiting Prof
at universities in Israel
 PUBLICATIONS
• The Four Conservation Principles of Nursing (1967)
• Adaptation and Assessment: A Rationale for Nursing
Intervention (1966)
• For Lack of Love Alone (1967)
• The Pursuit of Wholeness (1969)
• Culminated in Introduction to Clinical Nursing (1969)
• The Four Conservation Principles: 20 Years Later
(1989)
THE CONSERVATION MODEL
Nursing’s role in conservation is to
help the person with the process of
“keeping together” the total
person through the least expense of
effort.
CONSERVATION
the product of adaptation
including nursing intervention
and patient participation to
maintain a safe balance.
ADAPTATION
is the process of change and
integration of the organism in
which the individual retains
integrity or wholeness.
LEVINE (1989) PROPOSED THE FOLLOWING
FOUR PRINCIPLES OF CONSERVATION:
1. The conservation of Energy
2. The conservation of the structural integrity
of the individual.
3. The conservation of the personal integrity
of the individual.
4. The conservation of the social integrity of
the individual.
Conservation Principles :
1. The conservation of Energy
 Balance of Energy
 Renewal of energy
Conservation Principles :
2. The conservation of the structural
integrity of the individual.
 Prevent further physical breakdown
 Promote healing
Conservation Principles :
3. The conservation of the personal
integrity of the individual.
 Patient’s recognition of self-worth
 Giving respect and provide privacy
Conservation Principles :
4. The conservation of the social integrity
of the individual.
 Social interacting activities
 Providing support system
METAPARADIG
M
PERSON

• A holistic being who constantly strives

to preserve wholeness and integrity

• the unique individual in unity and

integrity, feeling, believing, thinking, and
whole.
ENVIRONMENT

• Competes the wholeness of person

• Includes internal & external
 INTERNAL
1. Homeostasis
2. Homeorrhesis
 EXTERNAL
1. Preconceptual
2. Conceptual
3. Operational
INTERNAL ENVIRONMENT
 INTERNAL ENVIRONMENT

1. HOMEOSTASIS
•A state of energy sparing that also provide
the necessary baselines for a multitude of
synchronized physiological and
psychological factors
•A state of conservation
 INTERNAL ENVIRONMENT
2. HOMEORRHESIS
•Describe the pattern of adaptation, which
permit the individual’s body to sustain its
well being with the vast changes which
encroach upon it from the environment
•A stabilized flow rather than a static state

•Emphasize the fluidity of change within a

EXTERNAL ENVIRONMENT
 EXTERNAL ENVIRONMENT

1. PRECONCEPTUAL
•Aspect of the world that individual
are able to intercept/perceived
•consists of information that is
recorded by the sensory organs.
 EXTERNAL ENVIRONMENT

2. CONCEPTUAL
• Part of person's environment including
cultural patterns characterized by
spiritual existence, ideas, values, beliefs
and tradition
 EXTERNAL ENVIRONMENT

3. OPERATIONAL
•Elements that may physically affects
individuals but not perceived by
them: radiation, micro-organism and
pollution
•Undetected natural forces
NURSING
• a profession as well as an academic
"

discipline, always practiced and studied in

concert with all of the disciplines that
together form the health sciences“
• Nursing involves engaging in "human
interactions"
HEALTH

• pattern of adaptive change of the

whole being
END