Page 466 - alligood 8th edition_Neat

CHAPTER 23 Margaret A. Newman 447

Release of anger/hurt
Meaningful relationships
PATIENT
Place in world
Lack of connections

Searching for place in world
Pulsating as
ONE

Connection
with nurse
Unconditional acceptance
Fully present power of presence

NURSE Reflecting pattern
Experiencing transforming
FIGURE 23-1 Nurse and patient coming together and moving apart in process recognition, insight, and
transformation. (From Newman, M. A. [2008]. Transforming presence: The difference that nursing makes.
Philadelphia: F. A. Davis.)

Through active listening, nurses enter the whole family consciousness and within the pattern of com-
through the parts and intuit the whole from the pat- munity interactions (Newman, 1986). A major as-
tern. Differences are viewed as part of a unified sumption is that “consciousness is coextensive in the
whole. The nurse facilitates client insight through universe and resides in all matter” (Newman, 1986,
sharing the process of pattern recognition, opening p. 33). Client and environment are viewed as a unitary
action possibilities (Newman, 1987b). evolving pattern (Newman, 2008).
Newman identifies interaction between person and
Person environment as a key process that creates unique con-
Throughout Newman’s work, the terms client, patient, figurations for each individual. Patterns of person-
person, individual,and human being are used inter- environment evolve to higher levels of consciousness.
changeably. Clients are viewed as participants in the The assumption is that all matter in the universe-
transformative process. environment possesses consciousness, but at different
Persons as individuals are identified by their indi- levels. Interpretation of Newman’s view clarifies that
vidual patterns of consciousness (Newman, 1986) and health is the interaction pattern of a person with the
defined as “centers of consciousness within an overall environment. Disease in a human energy field is a mani-
pattern of expanding consciousness” (Newman, 1986, festation of a unique pattern of person-environment
p. 31). The definition of persons includes family and interaction.
community (Newman, 1994).
Health
Environment Health is the major concept of Newman’s theory of
Although environment is not explicitly defined, it is expanding consciousness. A fusion of disease and
described as being the larger whole, which contains nondisease creates a synthesis regarded as health
the consciousness of the individual. The pattern of (Newman, 1979, 1991, 1992). Disease and non-disease
person consciousness interacts within the pattern of each reflect the larger whole; therefore, a new concept