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♦ Publications ♦ Photo Gallery ♦ Case Study ♦ Application to Nursing Process
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Newman, M. A. (2003). A world of no boundaries. Advances in Nursing Science, 26(4), 240-245. Newman, M. A. (2003). The immediate applicability of nursing praxis. Quality Nursing: The Japanese Journal of Nursing Education & Nursing Research, 9(5), 4-6. This issue is devoted to research related to health as expanding consciousness, with report of original studies by Emiko Endo and colleagues and translations of previous articles by M. D. Pharris and M. A. Newman. Newman, M. A. (2002). Caring in the human health experience. International Journal for Human Caring. 6(2), 8-12. Newman, M. A. (2002). The pattern that connects. Advances in Nursing Science, 24(3), 1-7. Newman, M. A. (1999). The rhythm of relating in a paradigm of wholeness. Image: Journal of NursingScholarship, 31(3), 227-230. Newman, M. A. (1997). A dialogue with Martha Rogers and David Bohm about the science of unitary human beings. In M. Madrid (Ed.), Patterns of Rogerian Knowing. Sudbury MA: NLN distributed by Jones and Bartlett. * Newman, M. A. (1997). Evolution of the theory of health as expanding consciousness. Nursing Science Quarterly, 10 (1), 22-25. Newman, M.A. (1997). Experiencing the whole. Advances in Nursing Science, 20 (1), 34-39. * Margaret Newman: Health as Expanding Consciousness [CD-ROM]. (1997). Fuld Institute for Technology in Nursing Education. (Available from FITNE, Inc., 5 Depot Street, Athens, OH 45701, 612-592-2511)
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Newman, M.A. (1996). Theory of the nurse- client partnership. In E. Cohen (Ed.) Nurse Case Managment in the 21st Century (pp. 119-123). St. Louis: Mosby Year-book. Newman, M.A. (1995) A Developing Discipline: Selected Works of Margaret Newman. Sudbury MA: Jones and Bartlett (NLN Press). Newman, M.A. (1994). Health as Expanding Consciousness (2nd Ed.). Sudbury MA: Jones and Bartlett (NLN Press). Japanese translation by Megumi Teshima, published by Igaku Shoin, Tokyo, 1995. Korean translation by Hae Young Kang, published by Hyunmum, 1996. Newman, M.A. (1994). Theory for nursing practice. Nursing Science Quarterly, 7 (4), 153-157. Newman, M.A., Lamb, G.S., & Michaels, C. (1991). Nurse case management: The coming together of theory and practice. Nursing & Health Care, 12(8), 404-408. * Newman, M.A. (1990). Newman's theory of health as praxis. Nursing Science Quarterly, 3, 37-41. Newman, M.A. (1990). Shifting to higher consciousness. In M. Parker (Ed.), Nursing Theories in Practice (pp. 129-139). Sudbury MA: Jones and Bartlett (NLN Press). * Margaret Newman, Nurse Theorists: Portraits of Excellence. (1990). Videotape distributed by The Helene Fuld Health Trust. 5 Depot Street, Athens, OH 45701, Phone (800) 691-8480. Newman, M.A. (1987). Nursing's emerging paradigm: The diagnosis of pattern. In A.M. McLane (Ed.) Classification of Nursing Diagnosis, Proceedings of the Seventh Conference, North American Nursing Diagnosis Association (pp. 53-60). St. Louis: C.V. Mosby. Newman, M.A. (1987). Patterning. In M.Duffy and N.J. Pender (Eds.), Conceptual Issues in Health Promotion, Report of Proceedings of a Wingspread Conference (pp. 3650). Racine, WI. Indianapolis: Sigma Theta Tau.
♦ Newman, M.A. (1987). Aging as increasing complexity. Journal of ♦ ♦
Gerontological Nursing, 13(9): 16-18. * Newman, M.A. (1986). Health as Expanding Consciousness. St. Louis: C.V. Mosby. Newman, M.A. (1985). Health as expanding consciousness. Proceedings of Ninth National Forum on Doctoral Education in Nursing. Birmingham, AL: University of Alabama School of Nursing. Newman, M.A. (1984). Health as expanding consciousness. Proceedings of the Third Phyllis J. Verhonick Nursing Research Course. Washington, D.C.: Nursing Research Service, Walter Reed Army Medical Center. * Newman, M.A. (1983). Newman's health theory. In I Clements & F. Roberts (Eds.), Family Health: A Theoretical Approach to Nursing Care (pp. 161-175). New York: John Wiley. Newman, M.A. (1981). The meaning of health. In G.E. Laskar (Ed.), Applied systems research and cybernetics: Vol. 4. Systems research in health care, biocybernetics and ecology (pp. 1739-1743). New York: Pergamon. * Newman, M.A. (1979). Theory Development in Nursing, Chapter 6. Philadelphia: F.A. Davis.
Although there has been much competition between nursing theories, Dr. Newman's ideas have found expression not only in the United States, but also in other countries as shown by these 1985 reports from Finland (left) and New Zealand (middle and right).
Margaret Newman being admitted to the American Academy of Nursing in 1976 (left) and a stop watch used during motion and time studies (right).
On the left is an image of the 1994 edition of Health as Expanding Consciousness. On the right is Dr. Newman with Martha Rogers, teacher and mentor, while in New York in June 1992.
With colleagues in 1993 after receiving the Founders Award from the Upsilon Chapter of Sigma Theta Tau.
John Castro Is a 57-year-old white, married man lives in Makati City with his stay-at-home wife Chelsie. They have three grown children who live nearby. Mr. Armstrong is a smoker and has had angina on and off for the last few years. He is a long haul transport truck driver and is off for the week after a one week trip out west. It is mid-January and a heavy snowfall warning is in effect. 15 centimetres of snow have already fallen. Elsie decides to make a hot stew to warm up and needs to get to the grocery store. She asks John to shovel the driveway. John, being a loving husband, states “No problem, honey. Lord knows I love stew! I’ll be finished in a jiffy!” While John was shovelling he began to feel tightness in his chest. He soon discovered it was harder and harder to breathe and this time, his pain radiated to his arm and jaw. Before he knew it, he was on the snow covered ground in the driveway. His wife Chelsie saw him collapse through the window and called 8888910.
After waking up after his MI in the ICU with Chelsie by his side, John explained he thought he was dead. He described his life flashing before his eyes and said he saw himself getting married, his children being born, and his granddaughter on the first day of school all over again. He described being pulled toward a bright light at the end of a tunnel and experiencing a sense of serenity and freedom. John had hit a “Choice Point” and in order to support John while he is evaluating his life, the nurse would provide appropriate information regarding nutrition and smoking cessation and work with him to develop appropriate changes. The MI and near death experience had a great impact on John. He re-evaluated his life and decided he had some big changes to make. John started exercising, eating healthier and he even decided to quit smoking. John cut down on the long distance runs he took so that he could get better sleep more often. Chelsie wanted to support John’s lifestyle change so she started looking up healthier choices for his favourite recipes and even got a parttime job to help with the finances. and she always made sure John had his Nitro-glycerine on him in case he has chest pain.
Application of Theory to Nursing Process
Nurses who form relationships with their clients can help them identify problematic patterns, move to a choice point, then to a higher level of consciousness, resulting in a reduction in problematic patterns of behaviour.
Assess Plan Implement Evaluate
The nurse assists the client to recognize that his life patterns no longer function as they currently are and new ways of relating to his environment are necessary. John : 57 year old, white male, Hx of angina, Smoker, Trucker, Sedentary lifestyle, Poor eating habits, Poor sleeping patterns, Married with 3 grown children, Lives in New Liskeard (rural area), Recent MI caused a near death experience
While respecting the client's choices, the nurse assists the client in exploring resources for transformation. Discuss with client possible changes to identified health patterns that are no longer functioning and discuss possible new ways of relating them or creating new health patterns.
Work with client not decide for client
The client integrates health strategies into his lifestyle. Client will demonstrate improved nutrition habits by following Canada’s Foodguide to Healthy Eating. Client will demonstrate increased physical activity by exercising 20 minutes each day. Client will demonstrate improved sleeping habits by sleeping at least 7h/night. Client will demonstrate appropriate use of Nitroglycerin by having an unexpired bottle at hand at all times Client will begin a smoking cessation program
The nurse examines the client's transformed relationship and how the interactions overcome the health challenge. Client has demonstrated improved nutrition habits. Client has increased physical activity. Client has demonstrated improved sleeping habits. Client has demonstrated appropriate use of Nitroglycerin. Client has begun a smoking cessation program A new understanding has developed on how his environment relates to his health
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Tomey, A. M. & Alligood., M. R., (2006). Nursing Theorists and Their Work. 6th edition. Mosby Inc. George, Julia B. (1995) Nursing Theories - the base for professional nursing practice. Norwalk, Connecticut. Appleton & Lange Weingourt, Rita(1998) Using Margaret A. Newman's theory of health with elderly nursing home residents. Perspectives in Psychiatric Care. http://findarticles.com/p/articles/mi_qa3804/is_199807/ai_n8795466 http://books.google.com.ph/books?id=pe4wvuhT01UC&dq=margaret+newman+nursing&p Picard, C and Jones, Dorothy (2004). Giving Voice to What We Know: Margaret Newman’s Theory of Health as Expanding Consciousness in Nursing Practice, Research, and Education, Jones and Bartlett Publishing. http/www.healthasexpandingconsciousness.org/Downloads/HECPresentation.pdf www.scrbd.com/doc/5611804/Models -and- Theories-of-Nursing www.scrbd.com/doc/10899031/nursing-Theory http://library.utmem.edu/exhibits/newman/ http://escholarship.bc.edu/dissertations/AAI3008589 http://wps.prenhall.com/chet_george_nurstheory_5/0,2535,88787,00.htm http://www.healthasexpandingconsciousness.org/home/ http://www.enursescribe.com/nurse_theorists.htm