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Martha Rogers
1914-1994
retrieved from: http://www.nurses.info/nursing__theory__person__rogers__martha.htm
Background
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Eldest of four children Born on May 12, 1914 in Dallas, Texas Died : March 13 , 1994
(1936) Graduation in Public Health Nursing, George Peabody College, Nashville , Tennessee (1937) MA in Public Health Nursing Supervision : Teachers college, Columbia university, New York, 1945 MPH :Johns Hopkins University, Baltimore, MD, 1952 Doctorate in nursing :Johns Hopkins University, Baltimore, 1954 Fellowship: American academy of nursing
Rural public health nurse in Michigan Visiting nurse supervision, education, and practice in
Connecticut Established the Visiting Nurse Service of Phoenix, Arizona Professor and head of the Division of Nursing at New York University (1945-1975) Professor Emerita (1979)
200 articles. She lectured in 46 states. Received honorary doctorates from such renowned institutions as Duquesne University, University of San Diego, Iona College, Fairfield University, Emory University, Adelphi University, Mercy College, and Washburn University of Topeka.
Relations by Chi Eta Phi Sorority In Recognition of Your Outstanding Contribution to Nursing by New York University For Distinguished Service to Nursing by Teachers College New York University houses the Martha E. Rogers Center for the Study of Nursing Science In 1996, Rogers was posthumously inducted into the American Nurses Association Hall of Fame
Origins
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explicitly identify the person (unitary man) as the central phenomena of nursing concern
1970 Science of Unity Human Beings (SUHB)
Purpose
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providing a framework for practice, education and research that moves away from the traditional medical model approach to the delivery of nursing care
(Fawcett interview, n.d.)
The Slinky
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spirals with the human field occupying space along the spiral and extending out in all directions from any given location along a spiral. Each turn of the spiral exemplifies the rhythmical nature of life, while distortions of the spiral portray deviations from natures regularities. Variations in the speed of change through time may be perceived by narrowing or widening the distance between spirals.
Major Concepts
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Irreducible, indivisible, multidimensionality energy fields identified by pattern and manifesting characteristics that are specific to the whole and which cannot be predicted from the knowledge of the parts.
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Health
Unitary human health signifies an irreducible human field manifestation. It cannot be measured by the parameters of biology or physics or of the social sciences.
Nursing
The study of unitary, irreducible, indivisible human and environmental fields: people and their world.
Scope of Nursing
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maximum health potential. Maintenance and promotion of health, prevention of disease, nursing diagnosis, intervention, and rehabilitation encompass the scope of nursings goals. Nursing is concerned with people-all people-well and sick, rich and poor, young and old. The arenas of nursings services extend into all areas where there are people: at home, at school, at work, at play; in hospital, nursing home, and clinic; on this planet and now moving into outer space.
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Environmental Field
An irreducible, indivisible, pandimensional energy field indentified by pattern and integral with the human field.
Energy Field
The fundamental unit of the living and non-living. Field is a unifying concept. Energy signifies the dynamic nature of the field; a field is in continuous motion and is infinite. An energy field identifies the conceptual boundaries of man. This field is electrical in nature, is in continual state of flux, and varies continuously in its intensity, density, and extent. (Rogers, 1970)
Subconcepts
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Openness
Refers to qualities exhibited by open systems; human beings and their environment are open systems.
Pandimensional
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systems, unpredicted by any behaviors of their component functions taken separately. Human behavior is synergistic.
Pattern
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Principles of Homeodynamics Homeodynamics should be understood as a dynamic version of homeostasis (a relatively steady state of internal operation in the living system). Principle of Reciprocity Postulates the inseparability of man and environment and predicts that sequential changes in life process are continuous, probabilistic revisions occurring out of the interactions between man and environment.
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Principle of Synchrony
This principle predicts that change in human behavior will be determined by the simultaneous interaction of the actual state of the human field and the actual state of the environmental field at any given point in space-time.
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Reciprocy) Because of the inseparability of human beings and their environment, sequential changes in the life processes are continuous revisions occurring from the interactions between human beings and their environment. Between the two entities, there is a constant mutual interaction and mutual change whereby simultaneous molding is taking place in both at the same time.
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Principle of Resonancy
It speaks to the nature of the change occurring between human and environmental fields. The life process in human beings is a symphony of rhythmical vibrations oscillating at various frequencies. It is the identification of the human field and the environmental field by wave patterns manifesting continuous change from longer waves of lower frequency to shorter waves of higher frequency.
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Principle of Helicy
The human-environment field is a dynamic, open system in which change is continuous due to the constant interchange between the human and environment. This change is also innovative. Because of constant interchange, an open system is never exactly the same at any two moments; rather, the system is continually new or different. (Rogers, 1970)
Five basic assumptions underlay Rogers' conceptual framework: 1. Wholeness 2. Openness 3. Unidirectionality 4. Pattern and Organization 5. Sentience and Thought
(Rogers as cited in Barrett, 2009, para. 4)
1. 2. 3. 4.
Application to Health
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Individually defined
Multicultural dimensions Influenced by health behaviors
Application to Nursing
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Promote health
Application to Environment
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human being
Constant state of change
Helix Represents environment energy field Co-existing & interactive with unitary human
Application to Person
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environment These energy fields may be described as open systems, with each person having his/her own unique pattern of energy which constitutes the persons identity.
(Tettero, Jackson, & Wilson, 1993, p.777)
Promote Health
Maintain Health
Prevent Illness
Strengths
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nurses may derive theories and hypotheses and propose relationships specific to different situations. Rogers work is not directly testable due to lack of concrete hypotheses, but it is testable in principle.
Weaknesses
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framework and does not define particular hypotheses or theories. Concepts are not directly measurable thus testing the concepts validity is questionable. It is difficult to comprehend because the concepts are extremely abstract. Nurses roles were not clearly defined. No concrete definition of health state.
Clarity
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This approach appears simplistic But is difficult for nurses to understand Too abstract
Parsimony
(McEwen & Wills, 2007)
Simplicity
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Ongoing studies and work within the model have served to simplify and clarify some of the concepts and relations. However, when the model is examined in total perspective, some still classify it as complex More work is required: use in practice, research and education needed May determine that the model is simple
Generality
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Important to nursing
Abstract, unified, and highly derived framework Does not define particular hypotheses or theories
integrality
helicy
resonancy
Empirical Precision
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major limitations
Difficult to understand principles Lack of working definitions Poor tools for measurement
Deductive in logic
Derivable Consequences
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evolution and human potential Organized in a manner that place nursings identity as a science Focus is on the human and environmental connection as highly significant Many have used the conceptual model for research
Summary
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concepts requires:
A general education base A readiness to part from the traditional Be imaginative in viewing our world
References
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Fawcett, J. (n.d.). Interview of Martha Rogers nursing theory [Video file]. Retrieved from http://www.youtube.com/watch?v=V1XN3rPKndE Heggie, J., Schoenmehl, P., Chang, M., & Grieco, C. (1989). Selection and implementation of Dr. Martha Rogers' nursing conceptual model in an acute care setting. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 3(3), 143-147.
Hellwig, S. & Ferrante, S. (1993). Martha Rogers model in associate degree education. Nurse Educator, 18(5), 25-27.
McEwen, N. & Wills, E. (2007). Theoretical basis for nursing (2nd ed.). Philadelphia, PA: Lippincott, Williams & Wilkin n.a. (2009). Martha Rogers. Retrieved from http://www.scribd.com/doc/17667393/NURSING-THEORIST-MARTHAROGERS
References
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Read, P., Shearer, N., & Nicoll, L. (2004). Perspectives on nursing theory (2nd ed.). Philadelphia, PA: Lippincott, Williams & Wilkin Tettero, I., Jackson, S., and Wilson, S. (1993). Theory to practice: Developing a Rogerian-based assessment tool. Journal of Advance Nursing, 18(5), 776-782. doi:10.1046/j.13652648. 1993.18050776.x
Tomey, A. & Alligood, M. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO: Mosby Elsevier.
Wright, B. W. (2007). The evolution of Rogers s Science of Unitary/Human Beings: 21st century reflections. Nursing Science Quarterly, 20(1), 64-67.doi: 10.1177/089-4318406296295