Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288). Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes. Purchase the answer to view it
In her statement, Newman highlights the significance of nurse-client relationships that often commence during moments of upheaval, doubt, and erratic circumstances in the lives of patients (Smith & Parker, 2015). To comprehend the essence of this statement, it is crucial to delve into the theoretical perspective put forth by Newman.
Newman’s theory of health as expanding consciousness asserts that individuals constantly strive for greater awareness and understanding of themselves, others, and their environment. Health, according to Newman, is not merely the absence of disease but a process of becoming more aware and conscious (Smith & Parker, 2015). The theory posits that individuals experience times of disequilibrium or disruption, during which their current patterns of awareness and consciousness are unable to address their needs adequately. It is in such moments that nurse-client relationships come into play, providing the opportunity for nurses to promote growth and facilitate the expansion of the client’s consciousness.
These periods of disruption, uncertainty, and unpredictability that Newman refers to are experienced differently by each individual. They often occur in the context of illness or health-related events that challenge the patient’s usual ways of knowing and understanding. These may include the diagnosis of a chronic illness, life-threatening events, major surgeries, or significant life transitions (Smith & Parker, 2015). It is during these times that clients may feel vulnerable, overwhelmed, and uncertain about their future, leading to heightened awareness of their health and the need for support.
To better illustrate Newman’s theory, let us consider a patient I cared for, whom I will refer to as Mr. X. Mr. X was a 67-year-old man who had recently been diagnosed with lung cancer. He was previously healthy and had led an active lifestyle. The diagnosis of cancer shattered his perceived sense of invincibility, triggering a period of significant disruption, uncertainty, and unpredictability in his life.
During our initial encounter, Mr. X appeared despondent and overwhelmed by the diagnosis. He was grappling with fear, anxiety, and questions about his prognosis and treatment options. As his primary nurse, I recognized the importance of establishing a therapeutic relationship to support Mr. X through this tumultuous phase.
I employed Newman’s theory to guide my interactions with Mr. X. Recognizing that he was experiencing a profound disequilibrium, I aimed to create a safe and empathetic environment that allowed him to share his fears, concerns, and questions openly. I actively listened to his narratives, validated his emotions, and provided accurate information about his diagnosis and treatment options.
As our nurse-client relationship developed, Mr. X began to express a greater awareness of his own needs, preferences, and priorities. He engaged in conversations regarding his treatment plan, shared his hopes and fears, and explored the potential impact of the illness on his relationships and future plans. Through these discussions, Mr. X’s consciousness expanded, and he gained a deeper understanding of his own values and aspirations.
By applying Newman’s theory, I was able to assist Mr. X in navigating the uncertainties and disruptions caused by his illness. As his primary nurse, I provided emotional support, advocated for his preferences, facilitated communication with the healthcare team, and helped him make informed decisions about his treatment. As a result of our collaborative efforts, Mr. X reported feeling empowered, more in control of his own care, and less overwhelmed by his diagnosis.
In conclusion, Newman’s statement regarding nurse-client relationships beginning during periods of disruption, uncertainty, and unpredictability reflects her theory of health as expanding consciousness. By understanding and applying this theory, nurses can acknowledge the unique experiences of patients during challenging times and foster an environment that promotes growth, awareness, and enhanced well-being. This theoretical perspective was exemplified in the care provided to Mr. X, where the nurse-client relationship facilitated his journey towards greater understanding, empowerment, and resilience in the face of a life-altering diagnosis.