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.