C.

M PATEL COLLEGE OF
NURSING
GANDHINAGAR

SUBJECT:ADVANCE
NURSING PRACTICE
Martha Roger’s theory

Presented by:
Ankita.M. Patel
First year M.sc Nursing
C.M.P College of Nursing
 Introduction of theorist
• Born :May 12, 1914, Dallas, Texas, USA
• Diploma : Knoxville General Hospital School of Nursing(1936)
• Graduation in Public Health Nursing : George Peabody College,
1937
• MA :Teachers college, Columbia university, New York, 1945
• MPH :Johns Hopkins University, Baltimore, 1952
• Doctorate in nursing :Johns Hopkins University,
Baltimore, 1954
• Position: Professor at Division of Nursing,
New York University and Consultant, Speaker
• Died : March 13 , 1994
 Publications of Martha Rogers

• Theoretical basis of nursing (Rogers 1970)

• Nursing science and art :a prospective (Rogers
1988)
• Nursing :science of unitary, irreducible, human
beings (Rogers 1990)
• Vision of space based nursing (Rogers 1990)
 Introduction of theory
• The belief of the coexistence of the human
and the environment has greatly influenced
the process of change toward better health.
• In short, a patient can’t be separated from his
or her environment when addressing health
and treatment.
• This view lead and opened Martha E. Rogers‘
theory, known as the “Science of Unitary
Human Beings,” which allowed nursing to be
considered one of the scientific disciplines
• Rogers repeatedly stated that she did not
create a "theory" but rather an abstract
system, a science, from which many theories
may be derived.
 cont…
• The science of unitary human beings
comprises of five assumption, four major
concepts and three major principles
• Major concepts are : Energy field,
openness, pattern, and pan
dimensionality
• Major principles include resonancy ,
helicy and integrity. It is also known as
homeodynamic principles.
 Assumptions

wholeness ●
Human being is considered as united whole

A person and his environment are continuously

openness
●

exchanging energy with each other

●
● The life process of human being evolves irreversibly
Unidirectionality and unidirectional i.e from birth to death

Pattern and ●
Pattern identifies individuals and reflects their
organization innovative wholeness.

Sentence and ●
Humans are the only organisms able to think,
thought imagine, have language and emotions
 Major
Concepts

Pan-
dimension
ality

Energy
Pattern field

Openn
ess
 Energy field
• It is inevitable part of life. Human and
environment both have energy field which is
open i.e. energy can freely flow between
human and environment
 Openness
• There is no boundary or barrier that can
inhibit the flow of energy between human and
environment which leads to the continuous
movement or matter of energy.
 Pattern
• Pattern is defined as the distinguishing
characteristic of an energy field perceived as a
single waves
• "pattern is an abstraction and it gives identity
to the field"
 Pan dimensionality

• Pan dimensionality is defined as "non linear

domain without spatial or temporal
attributes"
• Human being are pan dimensional being and
have more than three dimension.
 Homeodynamic principles
• Homeodynamics refers to the balance between
the dynamic life process and environment.
• These principles help to view human as unitary
human being.
• Three principle of homeodynamics
– Resonancy
– Helicy
– integrality
1. Resonancy
• Wave patterns are continuously changing in
environmental and human energy fields.
2. Helicy
• The nature of change is unpredictable,
continuous, and an innovative.
3. Integrality
• Energy fields of humans and environment are
in a continuous mutual process.
 Roger’s theory and nursing metaparadigm

Person
Environment
Health
Nursing
1. Unitary Human Being (person)
• A unitary human being is open systems which
continuously interact with environment. A
person cannot be viewed as parts, it should be
considered as a whole.
2. Environment
• It includes the entire energy field other than a
person.
• These energy fields are irreducible, not limited
by space and time, identified by its pattern
and organization.
3. Health
• Not clearly defined by Rogers. It is determined by the
interaction between energy fields i.e. human and
environments.
• Bad interaction or misplacing of energy leads to
illness.

4. Nursing
• Nursing exists to serve people.
• Nursing is both science and art.
• It is the direct and overriding responsibility to the
society
 Application of Roger’s theory in nursing

Clinical Nursing
Research
Practice education
 Clinical practice
• Nursing action is always focused on unitary human
being and change the energy field between human
and environment.
• Nursing action include all non-invasive actions
such as guided imaginary, humor, therapeutic
touch, music etc. which are used to increase the
potential of human field.
• The more importance should be on the
management of pain, supportive therapy and
rehabilitation.
• Example in nursing care plan:
• Ritu 22 years old female was admitted in
psychiatric hospital with severe depression
secondary to diagnosis of ovarian malignancy. She
became tearfull while history taking. Ritu was
accompanied by her husband and 1 year old child.
Her husband appear anxious but supportive. Ritu
was diagnosed with ovarian cancer 2 month ago
and underwent surgery for same. From past three
week ritu started sitting alone, decreased activity
of daily living, repeated crying spells, decreased
talk, decreased sleep, neglecting her child care,
and also attempted suicide.
 Nursing education
• Emphasis should be given on the
understanding of the patient and self, energy
field and environment.
• Example :
Training should lay more focus on teaching
non-invasive modalities such as therapeutic
touch, meditation, humor, regular in service
education programme etc.
 Research
• Rogerian theory has been used in many research
works and has always found testable and applicable
in research.
• Example:-

A study to assess the effectiveness of music therapy

on stress reduction among postmenopausal women
residing in Hudco Colony, Coimbatore
• A Study to Assess the Effectiveness of Yoga
Therapy in Reducing Stress among Primary
Care Givers of Psychiatric Patients.
 Strengths

• Rogers’ concepts provide a worldview from

which nurses may derive theories and
hypotheses and propose relationships specific
to different situations.
• Rogers’ theory is not directly testable due to
lack of concrete hypotheses, but it is testable
in principle.
 Weaknesses
• Overall this theory is considered as very complex
concept and quite difficult to understand.
• Rogers’ model does not define particular hypotheses or
theories for it is an abstract, unified, and highly derived
framework.
• Testing the concepts’ validity is questionable because
its concepts are not directly measurable.
• The theory was believed to be profound, and was too
ambitious because the concepts are extremely abstract.
• Rogers claimed that nursing exists to serve people;
however, nurses’ roles were not clearly defined.
 Summary and Conclusion
• The Science of Unitary Human Beings is highly
generalizable as the concepts and ideas are not confined
with a specific nursing approach unlike the usual way of
other nurse theorists in defining the major concepts of a
theory.
• Rogers gave much emphasis on how a nurse should view
the patient. She developed principles which emphasizes
that a nurse should view the client as a whole.
• Her statements, in general, made us believe that a person
and his or her environment are integral to each other. That
is, a patient can’t be separated from his or her
environment when addressing health and treatment.
• Bibliography:
1. Basavanthappa BT : “ NURSING THEORIES” ; 1ST Edition 2007 ; Jaypee
brother publication ; New delhi. Page no : 273-285

2. Navdeep kaur brar, “ ADVANCE NURSING PRACTICE”; 1st edition,

2015; jaypee brother publications, new delhi; p.p-615 - 623.

3. Potter and perry : “ FUNDAMENTAL OF NURSING”; 7TH edition;

Elsevier publication, Nodia. Page no: 66-68.

4. Samta soni, “ TEXTBOOK OF ADVANCED NURSING PRACTICE”; 1st

edition, 2013; Jaypee publications, new delhi.p.p – 277-285

5. Taylor carol : “ FUNDAMENTAL OF NURSING” ; 5TH edition RP 2006 ;

published by wolters kluwer health pvt Ltd , New delhi. Page no:
77- 81.
• Websites :
– https://en.wikipedia.org/wiki/Martha_E._Rogers
– nurseslabs.com/martha-e-rogers-theory-unitary-
human-beings
– www.nursing-theory.org/theories-and.../roger-
theory-of-unitary-human-beings.php
– nursingtheories.weebly.com/martha-rogers.html
– nsq.sagepub.com/content/1/2/50.refs
– https://www.youtube.com/watch?v=jAUyDMIhjyg
– martharogerstheory.blogspot.com/2012/03/mart
ha-e-rogers-science-of-unitary.html