Balty, Brown, Mix, Morey - Theories into Practice - NUR 4344

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Theory into Practice


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Theory into Practice :

Theory into Practice Theories and Research Travis Balty , Amanda Brown, Chuck Mix, Jocelyn Morey Southwest Baptist University


Objectives Explore nursing Theory/Theorist Understand purpose of chosen research article Understand clinical applications of nursing theory Develop ways to include theory into own practice

Health as Expanding consciousness: Pattern Recognition and Incarcerated Mothers, a Transforming Experience:

Health as Expanding consciousness: Pattern Recognition and Incarcerated Mothers, a Transforming Experience Citation: Hayes , M., & Jones, D. (2007). Health as expanding consciousness : pattern recognition and incarcerated mothers, a transforming experience . Journal Of Forensic Nursing , 3 (2), 61-66 . Working Link: http://


Introduction I n-depth look into Margaret Newman’s theory, Health as Expanding Consciousness (HEC) The application of theory to incarcerated Mother’s awaiting release Application of Reflection when movement-time-space are restricted to promote organization of life patterns, new directions and move them to new place in life (Hayes & Jones, 2007).


Purpose Use of HEC to provide a framework to guide practice (Hayes & Jones, 2007) This would allow for new insights about the life patterns of incarcerated individuals

Hypotheses :

Hypotheses HEC is grounded in three basic assumptions: Health Expanding Consciousness Movement-space-time


Health Health is Unitary pattern of the whole, including disease (Hayes & Jones, 2007). Health comes from the Old English word “Hale”, meaning “wholeness”( Nordqvist , 2009). Health includes mental, emotional, psychosocial, relationships, and physical

Expanding Consciousness:

Expanding Consciousness Expanding consciousness is seen as the evolving pattern of person-environment interaction (Hayes & Jones, 2007). Prison provided a stable/unchanging environment to foster the partnership between nurse/client and provide a ground for honesty and forthrightness


Movement-Space-Time Movement-Space-Time are embedded patterns of evolving consciousness (Hayes & Jones, 2007) When movement-space-time are restricted it provides time for recognition of life patterns, choices, and reorganization to new life choices

What theory was used?:

What theory was used? Health as Expanding Consciousness It was written by Margaret Newman. The first published version appeared in 1979. ( Alligood , 457) Her view points came from: Theorist Martha Rogers Caring for her mother who had ALS

How do you know it was a theory?:

How do you know it was a theory? A theory is: Statements that describe , explain, or predict relationships among concepts. ( Alligood , 520) Her theory: Describes a relationship between time, space, and movement. Explains that having a disease doesn’t make you unhealthy

Nursing paradigms :

Nursing paradigms Person Whole, or “unitary”, no parts Identified by patterns of consciousness Health Health and illness are one in the same Environment A “universe of open systems” Nursing Theories, 2011

Theory Background:

Theory Background Newman developed pattern identification Sharing patterns with a person is nursing practice. Nurses are viewed as therapeutic partners. They join with the patient in search for patterns. Reveals/recognizes patterns in peoples lives.

Philosophical Background :

Philosophical Background Help people find meaning in their life Everyone is part of a universal process Develop relationships/connect with others and the world Health is an expansion of consciousness (Nursing Theories, 2011)

Putting theory into practice…:

Putting theory into practice… “Pattern recognition provided a way to approach understanding” (Hayes & Jones, 2007) It allowed nurses to be therapeutic Writers gained insight from the incarcerated mothers. The mothers also gained insight into their situation. It helped lead the mothers to better choices.

PowerPoint Presentation:

Dynamics of theory give researchers a guideline Helps inmates to develop different relationships Helps writers understand the criminal experience Provides a great opportunity for changed lives Optimal time is at start of incarceration.

How is HEC applied in nursing research?:

How is HEC applied in nursing research? “HEC promotes the integration of nursing knowledge across theory, research, and practice that fosters the evolving of new knowledge to advance the science, and the application of the knowledge by nurses to improve the lives of people globally” (Jones, 2006).

Where has HEC been used before?:

Where has HEC been used before? HEC has been used in multiple qualitative research articles to address patterns and decisions by patients and their outcome on the patients expanding consciousness. HEC provides many parallels in the areas of purpose, timing, process, and health outcomes (Brown, 2011).

Examples of HEC in practice::

Examples of HEC in practice: Families with a child with special needs ( Falkenstern , Gueldner , & Newman, 2009) Incarcerated mothers (Hayes & Jones, 2007) Understanding spousal caregivers experiences (MacLeod, 2011) Hmong American women living with diabetes (Yang, Xiong , Vang , & Dexheimer , 2009) Life patterns of women transitioning through menopause ( Musker , 2008)

Use of HEC in Clinical Practice::

Use of HEC in Clinical Practice: In children, HEC can be started at an early age. By including children in health care discussions, they can start to understand their health as a whole. Early awareness allows children to expand their consciousness of person-environment interaction. Movement-space-time patterns are imbedded earlier and assists in recognition of life patterns later in life.

Use of HEC in Clinical Practice cont::

Use of HEC in Clinical Practice cont: Newly diagnosed diabetic patients Assist patient in understanding health as a whole including illness Expanding consciousness through recognition of new patterns such as checking blood sugars daily and monitoring diet Use exercise and dietary changes to establish more health conscious choices.

Use of HEC in Clinical Practice cont::

Use of HEC in Clinical Practice cont: New patients Initial complete physical exams with labs to determine health pattern. Review questionnaires, lab results, and physical exam to expand consciousness and determine evolving patterns. New diagnoses and illness can be use as opportunity to re-evaluate life patterns.

My References:

My References Alligood , M. R. (2010) Nursing Theory: Utilization and Application (4th ed.). Maryland Heights, Missouri: Mosby Elsevier. Falkenstern , S., Gueldner , S., & Newman, M. (2009). Health as expanding consciousness with families with a child with special healthcare needs. Nursing Science Quarterly , 22 (3), 267-279. doi:10.1177/0894318409337015 Hayes, M., & Jones, D. (2007). Health as expanding consciousness: pattern recognition and incarcerated mothers, a transforming experience. Journal Of Forensic Nursing , 3 (2), 61-66. Jones, Dorothy A. (2006). Newman’s health as expanding consciousness. Nursing Science Quarterly , 19(4), 330-332. Nordqvist , C. (2009, May 21). What is health? What does good health mean?. In Medical News Today . Retrieved October 25, 2012, from MacLeod, C. E. (2011). Understanding Experiences of Spousal Caregivers with Health as Expanding Consciousness. Nursing Science Quarterly , 24 (3), 245-255. doi:10.1177/0894318411409420 Musker , K. (2008). Life patterns of women transitioning through menopause: a Newman research study. Nursing Science Quarterly , 21 (4), 330-342. Nursing Theories. 2011. Health as expanding consciousness. Retrieved October 24 from Yang , A., Xiong , D., Vang , E., & Pharris , M. (2009). Hmong American women living with diabetes. Journal Of Nursing Scholarship , 41 (2), 139-148. doi:10.1111/j.1547-5069.2009.01265.x

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