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Margaret Newman’s theory of health as expanding consciousness and caring partnership as a nursing intervention.

The nursing profession has expanded over the past decades and continues to do so. The profession strives to prevent illnesses and injuries while promoting optimize health. The nursing metaparadigm of nursing is comprised of four parts: person, health, environment, and nursing.
This concept is important to nursing theories when it comes to patient care. Nurses must attend to all aspects of the patient’s well being, to ensure they are providing the best care.

Even though Newman named her and Martha Roger’s work the unitary transformative paradigm. According to Bateman, Merryfeather (2014) “Newman’s theory of health as expanding consciousness provides a perspective of nursing that recognizes and honors clients’ histories, unique attributes and experiences, desires and goals, and life journeys” (p.57).

To better understand this theory, it is helpful when each term are broken down and defined. Health is a unitary pattern of the whole and encompasses both disease and non-disease. Pattern identifies the evolving human environment process and is characterized by meaning. Lastly, Consciousness is the informational capacity of the whole and is revealed in the evolving pattern of the whole.

“The basic assumptions of the theory are focused on pattern. Pattern refers to information that depicts the whole, understanding of the meaning of all the relationships at once. Wholeness is identified in pattern. Pattern is constantly evolving (Endo, 2017)”. Nurses must view disease as a manifestation of the evolving pattern of person environment interaction.
According to Smith, Parker (2015) “A nurse practicing within the HEC theoretical perspective possesses multifaceted levels of awareness and is able to sense how physical signs, emotional conveyances, spiritual insights, physical appearances, and mental insights are all meaningful of a
person’s underlying pattern” (p.283). Margaret Newman’s theory HEC is relevant across all practice settings, and not just attends to the patient but to families and communities.


Bateman, Gina C., and Lyn Merryfeather. "Newman’s Theory of Health as Expanding Consciousness: A Personal Evolution." Nursing Science Quarterly 27.1 (2014): 57-61.

Endo, Emiko. "Margaret Newman's Theory of Health as Expanding Consciousness and a Nursing Intervention from a Unitary Perspective." Asia-Pacific Journal of Oncology Nursing 4.1 (2017): 50-52.

Smith, Marlaine C., and Marilyn E. Parker. Nursing Theories and Nursing Practice. 4th ed. Philadelphia: F.A. Davis, 2015.

1 thought on “Margaret Newman’s theory of health as expanding consciousness and caring partnership as a nursing intervention.

Erica April 1, 2019 at 1:21 pm

This discussion presents Margaret Newman’s theory of health as expanding
consciousness and caring partnership as a nursing intervention. The theory is based on Martha
Roger’s idea of unitary and transformative view of nursing paradigm. Just as technology
continues to take impact change on the health sector, nurses should likewise show certain
dispositions and practices in caring and connection with patients.

Just as illustrated in the post, the basic assumptions of the theory are focused on pattern (Newman, 2010). This implies there should be a more profound comprehension of care to engage in the mutual process of pattern recognition (Endo, 2017). With a specific end goal to do this, nurses practicing this theory must be able to establish strong caring partnership which will enable them to identify with their
patients as well as to help the patients find meaning in their situation and their lives (Endo et al,

This further allows the nurses to provide a treatment-focused care through the
establishment of certainty and trust from the patient and his family, as well as the society as a
whole. As a result, both nurses and patients will experience a privileged level in their


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