LIMITATION OF THEORY OF INTEGRAL NURSING
To present the theory of integral Nursing, Barbara Barnum’s framework to critique a nursing theory provides an organizing structure that is most useful. Her approach, which examines content, context and process highlights what is most critical to understand a theory and it avoids duplication of explanation within the theory as presented.
CLINICAL APPLICATION OF THEORY OF INTEGRAL NURSING
CASE: AN ACUTE MYOCARDRAL INFARCTION
A myocardial infarction is an area of tissue that has died because of lack of oxygenated blood.
In this kind of patient, the science and art part of the nursing technology can be use. It is use by applying all the perspectives and the content component of the integral nursing to achieve a maximum healing of the patient.
Another way is to choose the integral nursing principles or concept to focus on and use it.
Integral Nursing principle I: “I” space
Recognizes the importance of individual interior “I” (subjective) space. In this space we value one’s health as our own personal exploration and development on many levels. This includes how we address our own stress, suffering and soul pain. This assists us to understand the necessity of personal healing and self-care directly to nursing as an art where we develop qualities of nursing presence and inner reflection. Following these steps, it will help us to achieve the healing process we need in myocardial infarction patient, by teaching the patient self-care and personal healing.
Integral Nursing principles 2: “we” space
Recognizes the importance of collective interior “we” (inter subjective) space. In this space we learn how to share our suffering through communication and mutual understanding. It helps the burden within our heart to reduce and improves levels of healing. The integral nurses uses intention which is the conscious awareness of being in the present moment with self or another person to facilitate the healing process. The nurse helps the patient with myocardial infarction by having empathy with the person and teaching the patient things to do that can help in healing process when patient have already communicated with her on how everything started. The nurse and the patient now observe mutual relationship.
Integral principle 3 “it” space.
Recognize the importance of the individual exterior “it” (objective) space. This includes skills behaviors and action steps to achieve a fit body and to consider body strength training and stretching as well as conscious eating of healthy foods.
In this process the myocardial infarction patient is being referred to hospital and giving appropriate treatment and care, by the health facilitators and nurses, to help him or her achieve optimum health care.
Integral Principle 4: “its” space
Recognizes the importance of the collective exterior “its” (inter objective) space. In this space the integral nurses and the health care team come together to examine their work, healing environment and their priorities use of technologies.
With all these principles, we can now manage a patient with acute myocardial infarction and achieve maximum healing:
Barbara Montgomery Dossey made us to understand the meaning of integral theory, the 4 perspectives that can be use and the content components. When apply to clinical part of it how we can achieve optimum healing and healthy living. She made us to understand that theory of integral nursing is made up of both science and art part of technology. If both work in the process of healing process and environment technology, we will achieve more goals.
A theory of integral Nursing addresses how we can increase our integral awareness our wholeness and healing and strengthen our personal and professional capacities to more fully open to the mysteries of life’s Journey and the wondrous stages of self discovery with self and others. Our time demands a new paradigm and a new language where we take the best of what we know in the science and art of nursing that includes holistic and human caring theories and modalities. With an integral approach and worldview we are in a better position to share with others the depth of nurses’ knowledge, expertise, and critical thinking capacities and skills for assisting others in creating health and healing. Only on attention to the heart of nursing, for “sacred” and “heart” reflect a common meaning, can we generate the vision, courage and help required to unite nurses and nursing in healing. This assists us as we engage in health care reform to address the challenges in these troubled times-local to global. This is not a matter of philosophy, but survival.