Margaret Newman
Health As Expanding Consciousness
BACKGROUND OF THE THEORIST
Born on October 10, 1933. Bachelor’s degree University of Tennessee in 1962 Master’s degree -
University of California in 1964 Doctorate - New York University in 1971 She has worked in - University
of Tennessee, New York University, Pennsylvania State University, University of Minnesota, University of
Minnesota
ASSUMPTIONS
1. Health encompasses conditions heretofore described as illness, or, in medical terms, pathology
2. These pathological conditions can be considered a manifestation of the total pattern of the
individual
3. 3.The pattern of the individual that eventually manifests itself as pathology is primary and exists
prior to structural or functional changes
4. Removal of the pathology in itself will not change the pattern of the individual
5. If becoming ill is the only way an individual's pattern can manifest itself, then that is health for
that person
6. Health is an expansion of consciousness. Minnesota
NURSING METAPARADIGMS
HEALTH
Health and illness are synthesized as health - the fusion on one state of being (disease) with its
opposite (nondisease) results in what can be regarded as health.
NURSING
Nursing is “caring in the human health experience”.
Nursing is seen as a partnership between the nurse and client, with both grow in the “sense of
higher levels of consciousness”
PERSON
The human is unitary, that is cannot be divided into parts, and is inseparable from the larger
unitary field
Persons as individuals, and human beings as a species are identified by their patterns of
consciousness.
The person does not possess consciousness the person is consciousness”.
Persons are “centers of consciousness” within an overall pattern of expanding consciousness”
ENVIRONMENT
Environment is described as a “universe of open systems”
STRENGTHS AND WEAKNESSES
STRENGTHS
Can be applied in any setting “
Generates caring interventions ”
WEAKNESSES
Abstract
Multi - dimensional
Qualitative
Little discussion on environment
CRITIQUE
CLARITY
Semantic clarity is evident in the definitions, descriptions, and dimensions of the concepts of the
theory.
SIMPLICITY
The deeper meaning of the theory of health as expending consciousness is complex.
The theory as a whole must be understood, nut just the isolated concepts.
GENERALITY
The theory has been applied in several different cultures
It is applicable across the spectrum of nursing care situations.
EMPIRICAL PRECISION
Quantitative methods are inadequate in capturing the dynamic, changing nature of this theory.
DERIVABLE CONSEQUENCES
Newman's theory provides an evolving guide for all health-related disciplines.
Conclusion
A grand theory of nursing
Humans cannot be divided into parts
Health is central to the theory and is seen and is seen as a process of developing awareness of
self and the environment
Consciousness is a manifestation of an evolving pattern of person - environment interaction”