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1) Barbara Dossey is internationally recognized as a pioneer in
the holistic nursing movement. She is also the International
Co-Director and Board Member of the Nightingale Initiative for
Global Health (NIGH), Washington, DC, and Neepawa, Manitoba,
Canada; and Director, Holistic Nursing Consultants, Santa Fe, New
Mexico.
Barbara Dossey was born on 1938, Georgia, to Henry M Dossey and
Lottie Dossey.
Barbara Dossey , phd,
rn, has played an instrumental role in expanding
the domain of traditional nursing. As a pioneer in the holistic
nursing and nurse coaching movements, she has worked to advance the
practice and philosophies of holistic care, both within the health
professions and in the lives of lay people. Barbara articulates how
healing is promoted by attending to the delicate interaction of
body, mind, and spirit and how centuries-old concepts can be
successfully applied in the care of patients and in everyday
living. Dr Dossey is the author of many respected andaward-winning
books. Her book, Florence Nightingale: Mystic, Visionary,
Healer,1focuses on the philosophical and practical impact of
Florence Nightingale’s life and work on modern nursing and
humankind.
Death - 27th March 2020
Education - PhD, RN, AHN-BC, FAAN, HWNC-BC
1965 BSN
Baylor University
School of Nursing
Waco, Texas
1975 MS
Texas Women's University
Denton, Texas
2002 PhD
Union Institute & University
Cincinnati, Ohio
Contributions - Theory of Integral Nursing (TIN) (2008) is a
grand nursing theory that presents the science and art of nursing.
... She is certified in Holistic Nursing (AHN-BC) and Health and
Wellness Nurse Coaching (HWNC-BC). She is a 11-time recipient of
the prestigious American Journal of Nursing Book of the Year
Award.
2) The Theory of Integral Nursing (TIN) is a grand theory in the
interactive-integrative paradigm that presents the science and art
of nursing. It includes an integral process, integral worldview,
and integral dialogues that is praxis-theory in action. An integral
process is defined as a comprehensive way to organize multiple
phenomenon of human experience and reality from four perspectives
-
(1) The individual interior (personal/intentional)
(2) Individual exterior (physiology/behavioral)
(3) Collective interior (shared/cultural)
(4) Collective exterior (systems/structures)
The Theory of Integral Nursing (TIN) is a grand theory in the
integrative-interactive paradigm that presents the art and science
of nursing. The Theory of Integral Nursing (TIN) is a comprehensive
process and worldview that enlarges our holistic understanding and
connections. It shifts our consciousness to deeper levels of
meaning and understanding about our knowing, doing, and being. It
incorporates Florence Nightingale’s legacy, philosophy, and sacred
activism.
The major components and assumptions are:
• An integral understanding recognizes the individual as an
energy field connected to the energy fields of others and the
wholeness of humanity; the world is open, dynamic, interdependent,
fluid, and continuously interacting with changing variables that
can lead to greater complexity and order.
• An integral worldview is a comprehensive way to organize
multiple phenomena of human experience from four perspectives of
reality: (a) “I” Capacity of Self (individual interior, subjective,
personal); (b) “It” Capacity for Actions and Skill Development
(individual exterior, objective, behavioral); (c) “We” Capacity for
Collective Intelligence (collective interior, interobjective,
cultural); and (d) “Its” Capacity for Alignment in Systems/
Structures (collective exterior, interobjective).
• Healing is a process inherent in all living things; it may
occur with curing of symptoms; it is not synonymous with curing; it
may occur at the moment of death in dying time.
• An integral nurse is an instrument in the healing process and
facilitates healing through her or his knowing, doing, and
being.
• Integral health is experienced by a person as wholeness with
development toward personal growth and expanding states of
consciousness to deeper levels of personal and collective
understanding of one’s physical, mental, emotional, social,
spiritual, cultural, and environmental dimensions.
• Integral nursing strengthens knowledge development and
understanding of the metaparadigm in nursing (nurse, health,
person(s), environment (society) and patterns of knowing (personal,
empirics, aesthetics, ethics, not knowing, and sociopolitical).
• Integral nursing incorporates integral language, worldview,
dialogues, knowledge and integral/integrative life practices and
skills each day.
• Integral nursing is applicable to all areas of practice,
education, research, and health policy.
In summary, the Theory of Integral Nursing expands nurses’
capacities as 21st-century Nightingales, health diplomats, and
integral nurse coaches. It strengthens our 21st-century nursing
endeavors and guide integral nurse self-development and expand our
consciousness to recognize that all of us are engaged in global
nursing. When we focus on improving our own health and that of our
family and community at the local level, each small change connects
“me” to “us” to “all of us”—that creates the ripple effect of
healthy people living on a healthy planet—local to global.
3) Nursing interventions are the actual treatments and actions
that are performed to help the patient to reach the goals that are
set for them. The nurse uses his or her knowledge, experience and
critical-thinking skills to decide which interventions will help
the patient the most.
Some of the nursing interventions will require a doctor's order
and some will not. There are different types of interventions:
independent, dependent and interdependent. Let's learn about each
and go over a few examples -
- Independent - These are actions that the
nurse is able to initiate independently. The following would be an
example of a health promotion nursing intervention, which is an
independent nursing action.
• Mrs. James has started a new medication for her high blood
pressure. She is concerned about the side-effects and is refusing
to take the medication. The nurse intervenes by educating the
patient on the purpose of the medication, the side-effects of the
medication and the possible consequences of high blood
pressure.
- Dependent - These interventions will require an order from
another health care provider such as a physician.
• Mrs. James's blood pressure is consistently 180/100. The nurse
reports this to the physician. The physician orders an
antihypertensive medication for the patient. The nurse administers
the oral medication to the patient as ordered.
- Interdependent - These are going to require the participation
of multiple members of the health care team.
• Mrs. James reveals to the nurse that she consumes a diet very
high in sodium. The nurse includes diet counseling in the patient
care plan. To help the patient even more, the nurse enlists the
help of the dietician that is available in their facility to spend
time with Mrs. James to educate her on the role that diet plays in
the control of high blood pressure.
Nurses must use their knowledge, experience, resources, research
of evidence-based practice, the counsel of others and
critical-thinking skills to decide which nursing intervention would
best benefit the patient.
4) Although medical and nursing care interventions would not
usually be considered cognitive or behavioral treatments, they are
included here because it is the behavioral assessment that is used
to reveal the underlying etiology of negative affect or behavior
problems that allows a medical or nursing intervention to relieve
the condition. Therefore, interventions such as light therapy to
improve sleep, pain management, reduction of discomfort by improved
seating or positioning, and removal of physical restraints all have
been associated with improvement in behavior. Similarly, the
provision of eyeglasses or hearing aids can be an important
intervention for treating sensory deprivation and loneliness as
well as the ensuing depressed affect and problem behaviors.
A behavioral approach may also guide nursing interventions
directly in helping elderly persons to achieve maximal functional
levels. One example is that of cognitive interventions that include
cueing and task breakdown. Another example involves toileting
management protocols. Two types of toileting protocols have been
described. In scheduled or timed voiding toileting, patients are
taken to the toilet either at fixed times (usually every 2 hours)
or on a schedule that is based on their voiding pattern. Prompted
voiding involves asking residents on a regular basis whether they
need assistance with toileting. Patients are helped when they
indicate such a need. Both types of protocols can be effective in
reducing incontinence.
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Nightingale answered 1 year ago