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Lecture 4

NURS 341 Lecture Notes - Lecture 4: Wolters Kluwer, Nursing Theory

Course Code
NURS 341

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Case example 1 page
Nursing theory and other knowledge you will draw upon to inform your process of knowing in
practice 1/2 page
Newman’s theory of health as expanding consciousness (HEC) illustrates the importance of
nurses bringing focus to the meaning and patterns in the lives of patients (Parker & Smith, 2010).
Further, she discusses the idea that nurses grounded within this theory are more concentrated on
intuitive knowing than on the specific health challenge (2010). Thus, she draws attention to the
importance of nurses learning to let go of personal judgments to focus on the meaning of the
relationship at hand (2010). Ultimately, she implies that patients may feel disorientated and
confused when in their chaotic health state, and it becomes the role of the nurse to center her care
on helping the patient discover the meaning that lies within the current health challenge
(Weingourt, 1998). Thus, this theory helps nurses realize their potential to help patients recognize
their patterns in life, and how partnering with the patient to discover where they place meaning,
may help the patient change their way of being henceforth (Parker and Smith, 2010). The nurse
may not always need to try to fix the situation, but give the patient the insight and understanding
to change their mindset/patterns in order to fix it themselves. Newman suggests that nurses
simply adopt a “being with” mindset, rather than a “doing for” mindset (2010).
A suggested pre-reading for the class
Bateman, G. C. & Merryfeather, L. (2014). Newman’s theory of health as expanding
consciousness: A personal evolution. Nursing Science Quarterly, 27 (1) 57-61, doi:
Chronology of the presentation
Teaching and learning tools and approach including three questions for the class to consider
during your presentation
Group members and their contributions to the development and facilitation of the learning
Within our group we all possess many strengths and weaknesses. In our initial meeting, our
group which included, Bonnie, Courtney, Richelle and Stephanie, divided the research of the
theory between developing a better understanding of the theory itself and looking at the
association of theory with the practice area of Community Health in relation to HIV
transmission. Each person contributed the citation of the source that they were using towards the
final reference list. We collaborated as a group in order to create a scenario for the case example.
Alligood, M. R., & Marriner-Tomey, A. (2010). Nursing theorists and their work (7th Ed.).
Maryland Heights: Mosby Elsevier.
Awa, M. & Yamashita, M. (2008) Persons’ experience of HIV/AIDS in Japan: Application of
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