A Transforming Process Based on Newman's Caring Partnership at the End of Life

This study explored the patterning process between a client facing a chaotic experience at the end of life and a nurse. The framework was Newman's theory of health as expanding consciousness. A single case study was selected to allow for exploration of theoretical findings in the context of a caring relationship. The client and the nurse dialogued in a caring partnership. The dialogue transcripts were analyzed. The patterning process revealed four phases in manifesting the characteristics of the trajectory and the client's transformation into more of himself and part of the larger whole in meaningful relationship with the nurse. The findings may help nurses in similar situations.

Finding Patterns of Meaning: Margaret Newman’s Theory of Health as Expanding Consciousness

This article presents an evaluation of Margaret Newman’s theory of health as expanding consciousness, through a literature review, to determine its usefulness for nursing practice and research. The evaluation illustrates that Newman’s theory is valuable for guiding various aspects of nursing practice, education, and research. However, its use had been limited to spiritual, psychological, and social aspects of nursing care and needs to be further evaluated for its significance in acute care settings. Most of the studies that use Newman’s theory are from the past, with limited studies conducted in recent years, indicating the need for further research.