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Rogers
Martha Elizabeth Rogers (May 12, 1914 – March 13, 1994) was an American nurse,
researcher, theorist, and author widely known for developing the Science of Unitary
Human Beings and for her landmark book, An Introduction to the Theoretical Basis of
Nursing.
She believes that a patient can never be separated from his or her environment
when addressing health and treatment. Her knowledge about the coexistence of
the human and his or her environment contributed a lot in the process of change
toward better health.
Early Life
Martha Rogers was born on May 12, 1914; sharing a birthday with Florence
Nightingale. She was the eldest of four children of Bruce Taylor Rogers and Lucy
Mulholland Keener Rogers.
In fact, Rogers already knew the Greek alphabet by age 10. By the sixth grade, she
already finished reading all 20 volumes of The Child’s Book of Knowledge and was
into the Encyclopedia Britannica.
Education
Initially, Martha Rogers wanted to do something that would, hopefully contribute to
social welfare like law and medicine. However, she only studied medicine for a
couple of years because women in medicine were not particularly desirable during
her time. Instead, Rogers along with her friend entered a local hospital that had a
school of nursing. But just like Nightingale, her parents weren’t really any happier
over that decision than they had between over medicine.
Bru
ce T. Rogers (Father), Martha, Keener (Brother), Laura (Sister), Lucy K. Rogers (Mother), via
E.A.M. Barrett & V.M. Malinski, 1994
She then transferred to Knoxville General Hospital’s nursing program and was one
of 25 students in her class. She described her training as at times as being
miserable because the training was like the “Army, pre-Nightingale.” She even spent
a week at home, thinking of not returning to school but eventually enjoyed working
with people and patients.
Rogers received her nursing diploma from the Knoxville General Hospital School of
Nursing in 1936, then earned her Public Health Nursing degree from George
Peabody College in Tennessee in 1937. She sold her car to pay for tuition and
entered a Masters degree program full-time.
Rogers Family, circa 1945.
Jane L. Coleman, Martha E. Rogers, Lucy K. Rogers, (Mother) Keener (Brother) , Laura B.
Whihte (sister) via E.A.M. Barrett & V.M. Malinski, 1994
Her Master’s degree was from Teachers College at Columbia University in 1945, and
her Doctorate in Nursing was given to her from Johns Hopkins University in
Baltimore in 1954. She completed her studies in 1954 and the title of her
dissertation was “The association of maternal and fetal factors with the development of
behavior problems among elementary school children.”
After completing her degree in 1945, she sent out a number of job inquiry letters,
considered staying in Hartford, but settled on a position as the Executive Director at
the Visiting Nurse Service in Phoenix, Arizona. She believed she may have been the
first nurse in Arizona with a masters degree and for 1945 to 1951, she built up the
Visiting Nursing Service in Phoenix.
While a doctoral student, she did spend a year as a visiting lecturer at a Catholic
University in Washington, DC.
Rogers and her predecessor Vera Fry at NYU circa 1954
Rogers was then appointed Professor and Head of the Division of Nursing at New
York University right after graduating from Hopkins. She was encouraged to accept
the position by Ruth Freeman. When Rogers arrived at NYU, Vera Fry was the
previous Division Head and Joan Hoexter stated that all of the nursing faculty left
except her. She was also a Fellow for the American Academy of Nursing.
Rogers officially retired as Professor and Head of the Division of Nursing in 1975
after 21 years of service. Following her retirement, she continued to teach at NYU,
was a frequent presenter at scientific conferences throughout the world, and
consistently worked to refine her conceptual system.
Theory
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There are eight concepts in Rogers’ nursing theory: energy field, openness, pattern,
pan-dimensionality, homeodynamic principles, resonance, helicy, and integrality.
Rogers’ development of the said theory has become an influential nursing theory in
the United States. When first introduced, it was considered profound, and was too
ambitious, but now is simply thought to be ahead of its time. Her conceptual
framework has greatly influenced all aspects of nursing by offering an alternative to
traditional approaches of nursing.
Her theory is discussed further below.
Works
In about 1963 Rogers edited a journal called Nursing Science. It was during that time
that Rogers was beginning to formulate ideas about the publication of her third
book, An Introduction to the Theoretical Basis of Nursing (1970), the last of which
introduced the four Rogerian Principles of Homeodynamics.
Her publications include: Theoretical Basis of Nursing (1970), Nursing Science and Art:
A Prospective (1988), Nursing: Science of Unitary, Irreducible, Human Beings Update
(1990), and Vision of Space Based Nursing (1990).
Death
Martha Rogers died on March 13, 1994 and was buried in Knoxville, Tennessee. She
has a memorial placed in the sidewalk near her childhood home in Knoxville.
Rogers’ theory defined Nursing as “an art and science that is humanistic and
humanitarian. It is directed toward the unitary human and is concerned with the
nature and direction of human development. The goal of nurses is to participate in
the process of change.”
According to Rogers, the Science of Unitary Human Beings contains two
dimensions: the science of nursing, which is the knowledge specific to the field of
nursing that comes from scientific research; and the art of nursing, which involves
using the science of nursing creatively to help better the life of the patient.
Assumptions
The assumptions of Rogers’ Theory of Unitary Human Beings are as follows: (1) Man
is a unified whole possessing his own integrity and manifesting characteristics that
are more than and different from the sum of his parts. (2) Man and environment
are continuously exchanging matter and energy with one another. (3) The life
process evolves irreversibly and unidirectionally along the space-time continuum.
(4) Pattern and organization identify the man and reflect his innovative wholeness.
And lastly, (5) Man is characterized by the capacity for abstraction and imagery,
language and thought sensation and emotion.
Major Concepts
The following are the major concepts and metaparadigm of Martha Rogers’ nursing
theory:
Health
s
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Nursing
It is the study of unitary, irreducible, indivisible human and environmental fields:
people and their world. Rogers claims that nursing exists to serve people, and the
safe practice of nursing depends on the nature and amount of scientific nursing
knowledge the nurse brings to his or her practice
Scope of Nursing
Nursing aims to assist people in achieving their maximum health potential.
Maintenance and promotion of health, prevention of disease, nursing diagnosis,
intervention, and rehabilitation encompass the scope of nursing’s goals.
Nursing is concerned with people-all people-well and sick, rich and poor, young and
old. The arenas of nursing’s services extend into all areas where there are people:
at home, at school, at work, at play; in hospital, nursing home, and clinic; on this
planet and now moving into outer space.
Environmental Field
“An irreducible, indivisible, pandimensional energy field identified by pattern and
integral with the human field.”
Energy Field
The energy field is the fundamental unit of both the living and the non-living. It
provides a way to view people and the environment as irreducible wholes. The
energy fields continuously vary in intensity, density, and extent.
Subconcepts
Openness
There are no boundaries that stop energy flow between the human and
environmental fields, which is the openness in Rogers’ theory. It refers to qualities
exhibited by open systems; human beings and their environment are open
systems.
Pandimensional
Pan-dimensionality is defined as “non-linear domain without spatial or temporal
attributes.” The parameters that humans use in language to describe events are
arbitrary, and the present is relative; there is no temporal ordering of lives.
Pattern
Rogers defined the pattern as the distinguishing characteristic of an energy field
seen as a single wave. It is an abstraction and gives identity to the field.
Principles of Homeodynamics
Homeodynamics should be understood as a dynamic version of homeostasis (a
relatively steady state of internal operation in the living system).
Principle of Reciprocy
Postulates the inseparability of man and environment and predicts that sequential
changes in life process are continuous, probabilistic revisions occurring out of the
interactions between man and environment.
Principle of Synchrony
This principle predicts that change in human behavior will be determined by the
simultaneous interaction of the actual state of the human field and the actual state
of the environmental field at any given point in space-time.
Between the two entities, there is a constant mutual interaction and mutual change
whereby simultaneous molding is taking place in both at the same time.
Principle of Resonancy
It speaks to the nature of the change occurring between human and environmental
fields. The life process in human beings is a symphony of rhythmical vibrations
oscillating at various frequencies.
It is the identification of the human field and the environmental field by wave
patterns manifesting continuous change from longer waves of lower frequency to
shorter waves of higher frequency.
Principle of Helicy
The human-environment field is a dynamic, open system in which change is
continuous due to the constant interchange between the human and environment.
The areas of assessment are: the total pattern of events at any given point in space-
time, simultaneous states of the patient and his or her environment, rhythms of the
life process, supplementary data, categorical disease entities, subsystem pathology,
and pattern appraisal. The assessment should be a comprehensive assessment of
the human and environmental fields.
Mutual patterning of the human and environmental fields includes:
sharing knowledge
offering choices
empowering the patient
fostering patterning
evaluation
repeat pattern appraisal, which includes nutrition, work/leisure activities,
wake/sleep cycles, relationships, pain, and fear/hopes
identify dissonance and harmony
validate appraisal with the patient
self-reflection for the patient
Strengths
Martha Rogers’ concepts provide a worldview from which nurses may derive
theories and hypotheses and propose relationships specific to different situations.
Rogers’ theory is not directly testable due to lack of concrete hypotheses, but it is
testable in principle.
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Weaknesses
Rogers’ model does not define particular hypotheses or theories for it is an
abstract, unified and highly derived framework.
Testing the concepts’ validity is questionable because its concepts are not directly
measurable.
The theory was believed to be profound and was too ambitious because the
concepts are extremely abstract.
Rogers claimed that nursing exists to serve people, however, nurses’ roles were not
clearly defined.
The purpose of nurses is to promote health and well-being for all persons wherever
they are. However, Rogers’ model has no concrete definition of health state.
Conclusion
The Science of Unitary Human Beings is highly generalizable as the concepts and
ideas are not confined with a specific nursing approach unlike the usual way of
other nurse theorists in defining the major concepts of a theory.
Rogers gave much emphasis on how a nurse should view the patient. She
developed principles which emphasize that a nurse should view the client as a
whole.
Her statements, in general, made us believe that a person and his or her
environment are integral to each other. That is, a patient can’t be separated from
his or her environment when addressing health and treatment. Her conceptual
framework has greatly influenced all aspects of nursing by offering an alternative to
traditional approaches of nursing.
See Also
You may also like the following nursing theories study guides:
References
Rogers, M. E. (1989). An Introduction to the Theoretical Basis of Nursing.
Philadelphia: F. A. Davis
Hektor LM (1989) Martha E Rogers: A Life History. Nursing Science
Quarterly 2; 2, 63-73.
Safier, G. (1977). Contemporary American leaders in nursing: An oral
history. New York: McGraw Hill.