Martha Rogers Nursing Theory PDF

Martha Rogers “Professional practice in nursing seeks to promote symphonic interaction between man and environment, to strengthen the coherence and integrity of the human field, and to direct and redirect patterning of the human and environmental fields for realization of maximum health potential” ...

Martha Rogers “Professional practice in nursing seeks to promote symphonic interaction between man and environment, to strengthen the coherence and integrity of the human field, and to direct and redirect patterning of the human and environmental fields for realization of maximum health potential” Martha Rogers Martha Elizabeth Rogers was born on May 12, 1914 in Dallas Texas. She began her college education (1931 to 1933) studying science at the University of Tennessee. After receiving her nursing diploma from Knoxville General Hospital School of Nursing (1936), she quickly obtained a BS degree from George Peabody College in Nashville, Tennessee (1937 Martha Rogers Her other degrees included an MA degree in public health nursing supervision from Teachers College, Columbia University, New York (1945), and an MPH (1952) and an ScD (1954) from Johns Hopkins University in Baltimore. Martha Rogers Aware of the interrelatedness biology, physics, of knowledge, Rogers mathematics, and literature credited scientists from to create a model of unitary multiple disciplines with human beings and the environment as energy fields influencing the development integral to the life process. of the Science of Unitary Within nursing, the origins of Human Beings. Rogerian Rogerian science can be science emerged from the traced to Nightingale’s knowledge bases of proposals and statistical data, anthropology, psychology, placing the human being sociology, astronomy, within the framework of the religion, philosophy, history, natural world. Theory of Unitary Human Beings Theory of Unitary Human The theory provides a Beings views nursing as way to view the unitary both a science and an art. human being, who is The uniqueness of nursing, integral to the universe. like any other science, is in Nursing focuses on the phenomenon central to people and the its focus. The purpose of manifestations that nurses is to promote health emerge from the mutual and well-being for all human-environmental persons wherever they field process. are. Major Concepts and Definitions Major Concepts and Definitions Major Concepts and Definitions Pattern Each human field pattern is Pattern identifies energy unique and is integral with fields. It is the the environmental field. distinguishing Pattern is changing characteristic of an energy field and is perceived as a continually and may single wave. The nature of manifest disease, illness, or the pattern changes well-being. continuously and Pattern change is innovatively, and these continuous, innovative, and changes give identity to the relative. energy field Major Concepts and Definitions Major Concepts and Definitions Theoretical Assertions Principle of Homeodynamics 1. Resonancy - is defined as “the continuous change from lower to higher frequency wave patterns in human and environmental fields.” Theoretical Assertions Frequency is a way of In describing frequencies, understanding the nature Rogers (1970) described of pattern. Patterns the life process as “likened manifesting from the to cadences—sometimes energetic human and harmonic, sometimes environmental mutual field cacophonous, sometimes process have changing dissonant; rising and patterns, and all changing falling; now fast, now slow– patterns can be ever changing in a characterized by universal orchestration of frequencies dynamic wave patterns” Theoretical Assertions 2. Helicy - is 3. Reciprocy - Continuous the “continuous, innovative, mutual interaction between unpredictable, increasing the human and diversity in human and environmental fields. environmental field 4. Synchrony - Change in patterns.” The principle of the human field and helicy encompassed the simultaneous state of concepts of rhythmically, environmental field at any given point in space-time. negentropic evolutionary emergence, and the unitary Continuous, mutual human nature of the human- field and environmental field process environment relationship. 5 Theoretical Assumptions 1. “Man is a unified whole 3. “The life process evolves possessing his own irreversibly and unidirectional integrity and manifesting along the space-time continuum” characteristics more than (helicy) and different from the 4. “Pattern and organization sum of his parts” (energy identify man and reflect his field) innovative wholeness” (pattern and organization) 2. “Man and environment 5. “Man is characterized by the are continuously capacity for abstraction and exchanging matter and imagery, language and thought, energy with one another” sensation, and emotion” (sentient, (openness) thinking being) Unitary Human Beings Metaparadigm Person- Rogers defines She defines unitary human person as an open system being as an “irreducible, in continuous process with indivisible, pandimensional energy field identified by the open system that is the pattern and manifesting environment (integrality). characteristics that are specific She defines unitary human to the whole” being as an “irreducible, Man is a unified whole indivisible, pandimensional possessing his own integrity energy field identified by and manifesting pattern and manifesting characteristics that are more characteristics that are than and different from the specific to the whole” sum of his parts” Unitary Human Beings Metaparadigm Health - She uses the term Environment- defines passive health to symbolize environment as “an wellness and the absence of irreducible, pan disease and major illness. dimensional energy field Her promotion of positive identified by pattern and health connotes direction in manifesting characteristics helping people with different from those of the opportunities for rhythmic parts. Each environmental consistency. Later, she field is specific to its given wrote that wellness “is a human field. Both change much better term... continuously and because the term health is creatively” very ambiguous” Unitary Human Beings Metaparadigm Nursing - Nursing is a “Professional practice in nursing seeks to promote learned profession and is symphonic interaction both a science and an art. between human and The purpose of nursing is environmental fields, to strengthen the integrity of to promote health and the human field, and to direct well-being for all persons. and redirect patterning of the The art of nursing is the human and environmental fields for realization of creative use of the maximum health potential” science of nursing for Nursing exists for the care of human betterment. people and the life process of humans. Charlie Dee is a 56-year-old male client with a 30-year history of smoking two packs of cigarettes per day. He is seeing nurse practitioner Sandra Gee for the first time after being diagnosed with chronic obstructive pulmonary disease. Pattern appraisal begins with eliciting the client’s description of his experience with this disease, his perceptions of his health, and how the disease is expressed (symptoms). Mr. Dee states that he has a productive cough that is worse in the morning, gets short of breath whenever he is physically active, and always feels tired. Through specific questions, the nurse practitioner discovers that Mr. Dee has experienced a change in his sleep patterns and nutritional intake. He is sleeping for shorter periods and eating less. She also learns that Mr. Dee’s wife smokes, and that they have indoor cats for pets. He does not think that his wife will be amenable to changing her habits or getting rid of the cats. During this appraisal, the nurse seeks to discover what is important to Mr. Dee and how he defines healthy.