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Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya

Received: 30 September 2014     Accepted: 14 October 2014     Published: 3 November 2014
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Abstract

Margaret Newman’s Theory of Health as Expanding Consciousness is considered a grand nursing theory, she described a process of becoming more of oneself, of finding greater meaning in life, and of reaching new dimensions of connectedness with other people and the world. Nurses in Kenya have mostly used the psychosocial-medical model to nurse HIV infected patients which fails to answer many of the nursing concerns and reduces their autonomy in carrying out nursing care. Newman’s theory proposed that: Health is not lack of illness, or a process to become healthy from being ill, but it instead the expansion of consciousness as a result of choices made within the context of patterns of behavior. Methodology: This mini review was an evolving emergent design. Slightly adapted ‘Advanced Theory in Nursing’ coursework materials were used. The greatest resource were referrals to links and hints as offered by those who got interested in the study. A best case scenario is appended. Conclusion: Newman’s Theory of Health as Expanding Consciousness is therefore a generic tool applicable to guide psychosocial nursing care of clients infected with HIV. It would be a great resource with a potential to evidence based nursing care. It would provide a basis for several case studies. Nurses find more fulfilment in their work by utilizing a nursing theory.

Published in American Journal of Nursing Science (Volume 4, Issue 2-1)

This article belongs to the Special Issue Mental Health Care: Aspects, Challenges and Perspectives

DOI 10.11648/j.ajns.s.2015040201.12
Page(s) 6-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

HIV, AIDS, Margaret Newman, Health as Expanding Consciousness, Psychosocial, Walter Reeds Project, Kenyan Nurses, Nursing Theory

References
[1] Govender R. and Schlebusch L. Hopelessness, depression and suicidal ideation in HIV-positive persons. South African Journal of Psychiatry 2012; 18; No 1
[2] Alligood, M. R. Nursing theorists and their work. Elsevier, Mosby 2014: 442-463.
[3] Gordon, Parker, and Jester “Theories of nursing practice: Lecture notes and presentations”. Delmar Learning, a division of Thomson Learning 2001. Retrieved on 12th March 2014.
[4] Halie B. Affordability of Home-Based Care for HIV/AIDS. South Africa Medical Journal 2000; 90 (7): 690-691.
[5] Leah Curtin. “Performance edge”. Nursing Management1989; Vol. 20(6). Retrieved from: http://faculty.mercer.edu/stewart_dj/Web%20Pages/Nurse%20Theory%20Module.ppt
[6] Mead, N., & Bower, P. “Patient-centeredness: A conceptual framework and review of the empirical literature”. Social Science and Medicine 2000; Vol. 51: 1087-1110.
[7] Polit, D.F., & Beck, C.T. Nursing research: Generating and assessing evidence for nursing practice (9th ed.), Philadelphia: Lippincott, Williams, and Wilkins 2012.
[8] Newman, M. “Newman's Health as Expanding Consciousness” 2013. Retrieved: http://currentnursing.com/nursing_theory/Newman_Health_As_Expanding_Conscious
[9] Newman, M. Transforming presence. Philadelphia, PA: F. A. Davis. 2008.
[10] Newman, M. Health as expanding consciousness. National League of Nursing. New York 1994. Retrieved: http://www.healthasexpandingconsciousness.org/home
[11] Lecture notes and presentations by Sage Mehew et al., (student presenters and discussants) to Geer Betty PhD. (2014, Spring Semester).NURS 6012: Advanced Theory in Nursing. University of Colorado Denver, USA.
[12] Kenya AIDs Indicator Survey- KAIS, 2014.
[13] Parker, M. & Smith, M. Nursing theories and nursing practice (3rd ed.). F. A. Davis Company. Philadelphia 2010, p290-313.
[14] Born Free. Initiative to end mother-to-child transmission of HIV in Africa by December 31st, 2015. (2014). Retrieved: http://bornfreeafrica.org/, http://bornfreeafrica.org/BORNFREE_BLC.pdf
[15] Living with purpose | wamakeri https://wamakeri.wordpress.com/tag/living-with- purpose/ Assumpta Wagura's Diary, Wednesday Daily Nation.
[16] Patients Like Me: http://www.patientslikeme.com/
[17] Home Page http://www.healthasexpandingconsciousness.org/home
[18] Yang, A., Xiong, D., Vang, E., & Pharris, M. Hmong American women living with diabetes. Journal of Nursing Scholarship. 2009; 41, 139–148.
[19] Papathanasiou I., Kourkouta L., Sklavou M. Holistic Nursing Care: Theories and Perspectives. American Journal of Nursing Science 2013; 2(1): 1-5.
Cite This Article
  • APA Style

    Kamau Simon Macharia, Rotich Rose Jelagat, Mwembe David Juma. (2014). Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya. American Journal of Nursing Science, 4(2-1), 6-11. https://doi.org/10.11648/j.ajns.s.2015040201.12

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    ACS Style

    Kamau Simon Macharia; Rotich Rose Jelagat; Mwembe David Juma. Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya. Am. J. Nurs. Sci. 2014, 4(2-1), 6-11. doi: 10.11648/j.ajns.s.2015040201.12

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    AMA Style

    Kamau Simon Macharia, Rotich Rose Jelagat, Mwembe David Juma. Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya. Am J Nurs Sci. 2014;4(2-1):6-11. doi: 10.11648/j.ajns.s.2015040201.12

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  • @article{10.11648/j.ajns.s.2015040201.12,
      author = {Kamau Simon Macharia and Rotich Rose Jelagat and Mwembe David Juma},
      title = {Applying Margaret Newman’s Theory of Health as Expanding Consciousness to Psychosocial Nursing Care of HIV Infected Patients in Kenya},
      journal = {American Journal of Nursing Science},
      volume = {4},
      number = {2-1},
      pages = {6-11},
      doi = {10.11648/j.ajns.s.2015040201.12},
      url = {https://doi.org/10.11648/j.ajns.s.2015040201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.s.2015040201.12},
      abstract = {Margaret Newman’s Theory of Health as Expanding Consciousness is considered a grand nursing theory, she described a process of becoming more of oneself, of finding greater meaning in life, and of reaching new dimensions of connectedness with other people and the world. Nurses in Kenya have mostly used the psychosocial-medical model to nurse HIV infected patients which fails to answer many of the nursing concerns and reduces their autonomy in carrying out nursing care. Newman’s theory proposed that: Health is not lack of illness, or a process to become healthy from being ill, but it instead the expansion of consciousness as a result of choices made within the context of patterns of behavior. Methodology: This mini review was an evolving emergent design. Slightly adapted ‘Advanced Theory in Nursing’ coursework materials were used. The greatest resource were referrals to links and hints as offered by those who got interested in the study. A best case scenario is appended. Conclusion: Newman’s Theory of Health as Expanding Consciousness is therefore a generic tool applicable to guide psychosocial nursing care of clients infected with HIV. It would be a great resource with a potential to evidence based nursing care. It would provide a basis for several case studies. Nurses find more fulfilment in their work by utilizing a nursing theory.},
     year = {2014}
    }
    

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Author Information
  • University of Kabianga, Department of Nursing Sciences, P. O. Box 5, Kapkatet, 20214 Kenya

  • University of Kabianga, Department of Nursing Sciences, P. O. Box 5, Kapkatet, 20214 Kenya

  • Kenya Medical Training College, Kapkatet Campus, Department of Nursing Sciences, P .O. Box 35, Kapkatet, 20214, Kenya

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