TY - BOOK AU - PICARD CAROL AU - Parisot,Magdelaine TI - GIVING VOICE TO WHAT WE KNOW: margaret newman's theory health as expanding consciousness in nursing practice research and education SN - 9780763725723 AV - RT84.5 .P53 2005 PY - 2005/// CY - Sudbury, Mass PB - ones and Bartlett KW - Conscience KW - consciousness N1 - includes bibliographic reference n index; Foreword xiii Contributors xvii Acknowledgments xxi Preface xxiii PART ONE SETTING THE CONTEXT Caring in the Human Health Experience 3 (8) Margaret A. Newman HEC 4 (2) Caring and Health 6 (2) Theory Research Practice 8 (1) Conclusions 9 (2) Health as Expanding Consciousness: Knowledge in the Discipline 11 (16) Carol Picard Dorothy Jones Introduction 11 (1) Newman and Health as Expanding Consciousness 11 (2) Praxis 13 (1) Pattern: Person--Environment Connection 14 (1) Disorganzation and Disruption as Opportunities for Growth 15 (1) Nursing Partnership, Insight, and Potential for Action 16 (1) Uncovering Family Patterns: Movement and Choice 17 (1) Researcher's Experience: Dialogue as Mutual Process 18 (1) Capturing Cultural Uniqueness and HEC 18 (1) HEC--Based Models of Practice 19 (1) HEC and Nursing Education 20 (2) Summary 22 (2) Conclusions 24 (3) Linking Newman's Theory of Health as Expanding Consciousness to Ethics and Caring 27 (16) Carolyn Hayes Introduction 27 (1) The Nature of Person and the Ethic of Care 27 (1) Framing the Clinical Dialogue: Ethical Approaches 28 (2) HEC and Ethics 30 (1) Nursing's Relational Covenant, Care, and Ethics 31 (3) Resolving Ethical Issues 34 (1) Ethics Within HEC Praxis 34 (3) Exemplar 37 (6) PART TWO CARING PRAXIS Suffering, Growth and Possibility: Health as Expanding Consciousness in End-of-Life Care 43 (10) Anne-Marie Barron Introduction 43 (1) A Professional Narrative 43 (2) Relevant HEC Concepts 45 (1) Research Methodology 45 (1) Findings 46 (1) Exemplar: Carol 47 (2) Exemplar of Researcher--Staff Connection 49 (1) Informing Clinical Practice and HEC 50 (3) Creating a Healing Environment for Staff and Patients in a Pre-Surgery Clinic 53 (12) Jane Flanagan Introduction 53 (1) The Preadmission Nursing Practice Model 53 (1) The Environment of Care: Beginnings 54 (1) The Process of Model Development and Implementation 55 (5) Exemplars of Changed Practice 60 (3) Conclusions 63 (2) The Theory Is the Practice: An Exemplar 65 (8) Virginia A. Capasso Nurse Work 65 (1) Exemplar 66 (2) Health as Expanding Consciousness 68 (1) Analysis of the Exemplar 69 (1) Implications 70 (1) Summary 71 (2) Nursing Praxis of Family Health 73 (10) Merian Litchfield Introduction 73 (1) Nursing Praxis 73 (1) Exemplar 74 (4) Praxis Methodology 78 (3) Family Health 81 (1) Conclusion 82 (1) Engaging with Communities in a Pattern Recognition Process 83 (12) Margaret Dexheimer Pharris Introduction 83 (1) Relevant HEC Concepts and Community Process 83 (2) HEC: The Unitary Paradigm and Praxis 85 (1) The Pattern Recognition Process for Adolescents 86 (2) The Emerging Pattern of the Community 88 (2) Identifying Barriers to Health for Women and Girls of Color 90 (3) Conclusion 93 (2) Creating Balance: Rhythms and Patterns in People with Dementia Living in a Nursing Home 95 (10) Susan Ruka Introduction 95 (1) HEC and Creating the Environmental Model of Care 96 (1) Dementia and the Family 97 (1) The Model 97 (3) The Care Model for a Nursing Home 100 (2) Rhythm of Care: Synchrony 102 (2) A Work in Progress 104 (1) Creating an Environment of Care in Clinical Practice: Administrative and Practice Perspectives 105 (14) Amanda Coakley Edward Coakley Introduction 105 (1) Care Environments and Nursing Administration 105 (2) Nursing Administrators and Nursing Theory 107 (1) Challenges for Nurse Administrators to Advance Practice 107 (1) Creating Practice Models 108 (1) Developing Theory--Based Practice: An Exemplar 109 (5) Summary 114 (5) PART THREE RESEARCH AS PRAXIS Creative Movement and Reflective Art: Modes of Expression for Participant and Researcher 119 (14) Carol Picard Introduction 119 (1) Relevant HEC Concepts 119 (1) Creative Movement 120 (1) Reflective Art 121 (1) Research Design Using Creative Movement and Art 122 (1) Findings 123 (6) Discussion 129 (1) Conclusions 130 (3) Parents of Persons with Bipolar Disorder and Pattern Recognition 133 (10) Carol Picard Introduction 133 (1) Relevant HEC Concepts 134 (1) Literature Review 134 (1) Study Design 135 (1) Findings 136 (2) Research Process and Reflection on Pattern 138 (1) Discussion 139 (1) Conclusions 140 (3) Creating Action Research Teams: A Praxis Model of Care 143 (10) Emiko Endo Hideko Minegishi Satsuki Kubo Introduction 143 (1) Praxis Model of Care 143 (7) Links to HEC 150 (1) Ethical Dimensions of the Project 150 (1) Conclusions 151 (2) Recognizing Patterns in the Lives of Women with Multiple Sclerosis 153 (16) Jane Neill Introduction 153 (1) Relevant HEC Concepts 154 (1) Multiple Sclerosis 154 (1) People Living with MS 155 (1) The Women in This Study 156 (1) Pattern Recognition Process 157 (1) Life Patterns of Women Living with MS 157 (1) Underlying Pattern Representations 157 (2) The Women's Stories: Life Patterns, Underlying Patterns, and HEC 159 (2) Health as Expanding Consciousness 161 (1) Photographs Reflecting Pattern and Expanding Consciousness 162 (1) Conclusions 163 (6) PART FOUR EDUCATION Praxis as a Mirroring Process: Teaching Psychiatric Nursing Grounded in Newman's Health as Expanding Consciousness 169 (10) Carol Picard Tara Mariolis Introduction 169 (1) A Caring and Learning Model for Clients and Students: Mirroring Praxis 170 (1) A Model of Praxis 171 (3) Expanding Imaginal Margins: Pattern Appreciation 174 (1) Environment and Meaning: The College Campus 175 (1) Appreciating Client's Pattern 176 (1) Appreciating Student's Own Pattern 176 (1) Conclusion 177 (2) Cultivating a Way to Sense Pattern with Advanced Practice Nursing Students 179 (8) Hollie Noveletsky-Rosenthal Kathleen Solomon Introduction 179 (1) Professional Identity and HEC 179 (2) Structured Reflection 181 (2) Reflection as Process 183 (1) Discussion 184 (1) Integration of Reflective Practice into Advanced Nursing Practice Curriculum 185 (1) Conclusions 186 (1) Doctoral Student Exemplar: Transformation in the Patient--Nurse Dyad 187 (18) Susan M. Lee Introduction 187 (1) A Critical Care Exemplar: Transformation of the Patient--Nurse Dyad 187 (2) Paradigmatic Perspectives 189 (1) Linking Theory to Practice 190 (2) The Dynamics of Care 192 (4) Care Practice: Healing, Not Curing 196 (1) Discussion 197 (2) Recommendations for Education: Personal Transformation 199 (6) PART FIVE DIALOGUE AND COMMENTARY Convergence and Divergence: Dialogue of Nurse Theorists: Newman, Watson, and Roy 205 (8) Carol Picard Dorothy Jones Introduction 205 (8) Dialogue of Newman Scholars and Others Interested in HEC 213 (6) Katherine Rosa Introduction 213 (1) Dialogue and Commentary 213 (1) HEC: Nursing Education and Practice 214 (1) Nursing Knowledge and Art 215 (1) Nursing Knowledge, Philosophy, Intentionality, and Presence 216 (1) Personal Reflection 217 (1) Closing 217 (2) Concluding Thoughts and Future Directions 219 (10) Dorothy Jones Theory, Practice, Research: An Iterative Process 220 (4) HEC: Future Directions 224 (1) HEC: Future Considerations 224 (3) Final Thoughts 227 (2) Index 229 ER -