Integral Nursing and Theory of Integral Nursing
A theory of integral Nursing is a grand theory that presents the science and art of nursing. It includes an integral process, integral worldview, and integral dialogues that are praxis theory in action. An integral process is defined as a comprehensive way to organize multiple phenomena of human experience and reality from four perspectives.
- The individual interior (personal intentional)
- The interior (physiologic behavioral)
- Collective interior (shared, cultural).
- Collective exterior (systems, structures)
“As seen by American Holistic Nurses Association and the American Nurses Association 2007”
An integral worldview examines values, beliefs assumptions, meaning, purpose and Judgments related to how individuals perceive reality and relationships from the above 4 perspectives. With an increased integral awareness and integral worldview, nurses have new possibilities and ways to strengthen our capacities for integral dialogues with each other and other disciplines. An integral understanding allows us to more fully comprehend the complexity of human nature and healing. It assists nurses to bring to healthcare and society their knowledge, skills and compassion.
“By Jartin of an integral philosophy and definition of nursing, integral theory practice 2007 by Barbara Dossey”.
HISTORY OF THEORY OF INTEGRAL NURSING
As a trailblazer in holistic nursing, Barbara is a recognized leader and authority in the field. She has the ability to write and teach about holistic health and provide innovative and practical approaches that have helped set standards of excellence. Barbara Dossey is expanding the domain of traditional nursing. As a pioneer in the holistic nursing movement, she work to advance the practice and philosophies of holistic care both within the health profession and in the lives of lay people.
Barbara Dossey is the author of many respected and award winning books. Her latest book, Florence Nightingale, Mystic, visionary, Healer. Etc.
In 1965, she did her BSN in Baylor university school of Nursing Waco Texas.
1975, Ms Texas Women’s University Dento Texas 2002 PhD Union institute and University Cincinnati Ohio.
Honors and Awards:
Barbara Montgomery Dossey has received numerous honors.
The international council of nurses presented her with
Visionary Award 2013 integrative Healthcare symposium New York.
Leadership Award 2010 integrative Healthcare Symposium New York.
American Journal of Nursing Book of the year 2009, 2005,2002, 1997, 1995,1994, 1985,1984.
Pioneer of integrative medicine Award, 2004, Aspen center for integrative Health Aspen Colorado etc.
As a founding member in 1981 of the American Holistic Nurses Association (AHNA), and with cathic Guzzetta, PhD, RN, AHN-BC, FAAN, Lynn keegan, PhD, RN, AHN-Bc, FAAN, and many AHNA Colleagues, their collective holistic nursing endeavors were recognized as the specialty of holistic nursing by the American Nurses. Association in November 2006. The AHNA and ANA Holistic Nursing Scope and standards of practice were published in June 2007. She believes that using an integral view can expand this important holistic specialty.
THEORETICAL BACKGROUND of INTEGRAL NURSING
She had a health problem that had no western medical solution. She had a recurrent viral infection in her right eye from 1965 to 1975. At that time there was no medications for it. Finally, she got to a place where she couldn’t see out of her right eyes but it was still sometime before she was eligible for corneal transplant surgery. And even now with the surgery, she still run a thirsty percent rejection for the rest of her life. So prior to the transplant, she began to look at stress management strategies. She realized that she would have to integrate self-care for her own healing and create balance for herself. At the same time, she was seeking out ways for her patient to feel better. So it has been a true gift to her life to learn so many of these complementary and alternative therapies.
OBJECTIVE/ PURPOSE OF INTEGRAL NURSING
- To embrace the unitary whole person and the complexity of the nursing profession and Healthcare.
- To explore the direct application of an integral process and integral worldview that includes 4 perspectives of realities- the individual interior and exterior and the collective interior and exterior.
- To expand nurse’s capacities as 21st century Nightingales, health diplomats and integral health-local to global.
Florence Nightingale (1820-1910), the philosophical founder of modern secular nursing and the first recognized nurse theorist was an integralist. Her worldview focused on the individual and the collective, the inner and outer and human and non-human concerns. She was concerned with the most basic needs of human beings and all aspects of the environment (clean air, water, food, house, etc)- local to global.
The theory of integral Nursing adapts the work of ken Wilber (1949), one of the most significant American new-paradigm philosophers, to strengthen the central concept of healing.
His integral model is an elegant 4-quadrant model that has been developed over 35 years.
PHILOSOPHICAL ASSUMPTION OF INTEGRAL NURSING
In a theory of integral Nursing, the philosophical assumption is as follows;
- An integral understanding recognizes the individual as an energy field connected to the energy field of others and the wholeness of humanity.
- AN integral worldview is a comprehensive way to organize multiple phenomena of human experience from 4 perspectives of reality.
- Healing is a process inherent in all living things, it may occur with curing of symptoms, but it is not synonymous with curing.
- Integral nursing is broadly defined to include knowledge development and all ways of knowing.
- An integral nurse is an instrument in the healing process and facilities healing through her or his knowing, doing and being.
- Integral nursing is applicable in practice education, research and healthcare policy.
CONTENT COMPONENTS OF INTEGRAL NURSING
Content of a nursing theory includes the subject matter and building blocks that give a theory its form. It comprises the stable elements that are acted on or that do the acting. They include the following.
- The meta-paradigm of a nursing theory.
- Pattern of knowing
- The 4 quadrants that is adapted from Wilber’s integral theory.
- All quadrants, all levels, all lines that are adapted from Wilber.
The first content component in the theory of integral Nursing is from the central care concept of healing that is connected with the energy fields of all humanity and the world. Healing is transformed when we consider 4 perspective of reality in any moment.
- Individual interior (personal intentional)
- Individual exterior (physiology behavioral)
- Collective interior (shared, cultural)
- Collective exterior (systems structural)
Using our reflective integral view of these 4 perspectives of reality assists us to more likely experience a unitary grasp on the complexity that emerges in healing.
Healing includes knowing, doing and being, and is a lifelong journey and process of bringing together aspects of oneself at deeper levels of harmony and inner knowing leading toward integration.
The key factors of healing are
- Intension is the conscious determination to do a specific thing or to act in a specific manner; it is the mental state of being committed to, planning to or trying to perform an action.
- Intentionality is the quality of an intentionally performed action.
“Dossey B, Florence Nightingale Mystic, Vissionary Healer 2000”