The best category of Newman’s paradigms which I relate to the most, is the Unitary-transformative. Unitary transformative theory is described as health expanding consciousness. According to Newman, “humans are patterned, self organizing fields within larger patterned, self-organizing fields.” I concur, because humans are in a constant state of motion, continuously changing and evolving. Humans are not the only things that are in persistent alteration, health is as well. I believe that patients are all self-evolving and self-regulating. Humans have an up and down wave length regarding their health. Their health is never stagnant, eventually people get sick or develop a disease. More than often, health is a reflection of human and environmental patterns. For example, a chronic smoker developing lung cancer would be a direct reflection of habits in their life. People are constantly and simultaneously interacting with a universal, self evolving energy system. I believe that the unitary-transformative lens best fits my views in holistic nursing and how I would classify my line of thinking. It is a woven interconnectedness within the universe, and humans/patients have a direct correlation with it. I deduce that my theoretical lens is viewed through these points but can be easier declared as the unitary theory. Unitary-transformative theory has multiple factors that depend on each-other. A nurse should not only look to treat the physical aspects of a patient, but should tackle treatment in a holistic way, making sure to look at the mind, body and soul of a person as one. Only then, will total curing take place. To do such a thing, a nurse would have to focus on every characteristic of the nursing meta-paradigm.
In nursing, there are four meta-paradigms. They include person, environment, health, and nursing. Each individually and mutually play significant roles on the nursing process. The person meta-paradigm focuses on the patient who is the recipient of care. This qualifies as the promotion of a patients’ health. A nurse must satisfy the needs of their patients’ in different manners that benefit them (the patients) the most. Every person is unique and unalike, for that reason, it is imperative for nurses to treat their patients using approaches that will place them in the greatest position to heal. A nurse must learn to set aside any prejudice, learn to look past their own thoughts and beliefs, and give their best to tend to them despite their religion, beliefs, or customs. Every patient should be valued and heard aloud. The person paradigm requires the nurse to engage with aiding the patients’ mind, body and soul as one. For instance, a nurse can give proper medication at the correct times daily but if she does not speak to her patient or understand them, it deters the nurse from giving the optimal care for him or her. As nurses, we are interactive energy fields that can affect a patient through mutual processes. Patients can pick up on vibes from the nurses and it can disturb their healing. Forming an active relationship with your patient can modify how well a patient takes to their regimen and health promotion. Utilization of this lens, that is congruent with unitary paradigm, place nurses in the best position to create a healing presence.
The meta-paradigm of environment includes both internal and external components associated with the patient. This can involve interactions with visitors and surroundings. A patient that has no visitors day in and day out, is at risk of becoming lonely and depressed, which can negatively impact his or her health. Environment is crucial in helping aid a patient back to former health. An uplifting environment can completely alter a persons health in a positive manner, but an opposing domain can negatively impact a patient and their healing process. As Florence Nightingale once stated as being a nurses primary goal, it is important to place the patient in the best healing environment. Nightingale, understood the inarguable difference of what an environment can make. She concluded through observation, that changing the environment promotes a healthier setting where patients can thrive under. A healing environment is just as essential as medications or anything that contributes towards curative methods. It is vital to view the patient as a whole, tending to every part of their mind, body and soul. This means making the patient feel safe and comfortable. A time where I witnessed a nurse accommodate a patients environment was when a patient had a two week migraine. The nurse took initiative and turned the lights off, made sure there was no loud noises that could contribute to the headache, and let the patient wear her sunglasses. This had a positive effect on the patient, making her felt heard as well as ease her pain. Environment not only affects the patients but can also take a toll on nurses. It is a continuous circle, colleagues can be rude and place nurses in a frustrated state which may rub off on a patient the nurse encounters, the patient is able to feel the angry vibe and become affected. It is a chain of events that can lead into a positive or negative domino effect. This highlights the cruciality of the nurses wanting and actively trying to create and promote a healing environment.
The meta paradigm of nursing is comprised of none other than, nursing. In other words, how to apply a nurses’ knowledge and skills when caring for patients. This refers to the attributes attained by the nurse who is providing the care and how they implement them to produce a curative state. All nurses should be aligned with their own mind, body and soul, before and in order, to assist patients in finding a balance of their own. It is said that just as a patient needs to be willing and ready to be placed in a healing environment, a nurse must be ready to create one for them as well. A relationship between nurse and patient needs to be forged in order to have ultimate healing occur. A nurse is an advocate for their patient and ought to create a bond in which the patient can confide and trust their nurse. Thus, continuously encouraging better healing. It is a nurses duty to pay attention to patients physically, mentally and spiritually. Being able to pin point what a patient needs, and working on finding their balance while alleviating any worries, makes all the difference. A nurses can do so by constantly checking vitals, picking up on verbal and non-verbal cues or even with discussing things with the patient or their family. Often times, the admitted patient is not the only patient a nurse must comfort, they are also in charge of helping the admittees’ family. A nurse must educate and guide all their patients towards the path of recovery. As nurses, we want to make sure that our patients are a part of the all the care processes. They need to be as involved as the nurses and work together for their finest medicinal habitat.
A clinical experience in which I witnessed unitary transformative theory was in pre-op. A patient was coming in to get a total hysterectomy. She was scared, nervous and did not understand the procedure in its entirety. My nurse made sure to give her a therapeutic presence. She took the time to talk to her, answering each and every question until the patient felt comfortable. When the patient asked her if she could join her in a prayer, she obliged with no hesitation. The nurse was assisting the patient relax as well as in comforting her mind, body and soul. When speaking to her, she closed the curtains to give the patient privacy, giving a true sense of confidentiality. She elaborated on the procedure and what was to come. The nurse let her know what exactly would be expected, that she would be there after the procedure and that she was in great hands. She created a bond with the patient that ultimately put her at ease and in the best healing environment. The nurse continuously asked her how she was, how she was feeling and if there was anything she could do for her. She made sure to ask the patient about her healthcare and who would be taking care of her following the surgery and leaving of the hospital. After speaking with the nurse, it was evident to have a positive effect on the patient. The patient went from almost crying with non-verbal cues of worry, to a more relaxed, calmed and confident affect. The energy that came from her had changed drastically. Without the nurse coming and aiding this patient, she may have gone into the surgery alone and afraid, which could have exacerbated problems during the procedure. Going into a huge surgery, one like hers, has a grand effect on a patient. If they are negative and feel as if they might die or something will go wrong, it could precipitate other things to occur. The calming nature of the nurse lead the patient to become soothed and at peace. The nurse made sure to use the person meta paradigm, focusing on the recipient of care, promoting the patients’ health. The nurse utilized the environment meta paradigm by creating a calming environment and constructing a bond of trust between one another. The nurse employed the healing meta paradigm by making sure there would be a viable person that would take responsibility of her home care. Taking part in prayer with the patient contributed to the wholeness of the patients health too. Lastly, the nurse applied her knowledge in the health care setting to promote a safe and assuring environment. She made sure to listen to the patient, and be there for her in her time of need. Not only making sure to be there for the patient physically, but also in healing the mind and soul. The nurses’ role was significant and made all the difference with the patient.
In conclusion, the nurse played her role perfectly and made very obvious that she created an environment that promoted healing and the desire for healing. It is of great importance for a nurse to include the patient in the whole process of healing. It is ideal for the nurses to care for every part of the person. This means helping the patient physically, mentally, spiritually and emotionally. When doing so, the nurse must pay attention to every part and portion of the meta paradigm. Patients are in a a constant state of change, because of this it is critical to regularly check on the patient and help them with any and all needs. Using the unitary theory as well as every aspect of the meta paradigm, in my opinion, forms the greatest healing environment. I have seen it first hand with my own eyes and believe that as a future nurse, I will be implementing it regularly, making sure to begin the practice now working both congruently and simultaneously.