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INTRODUCTION
Dr Martha Rogers was born on 12th May 1914 at Texas. She completed
her Diploma in Nursing, followed by Graduation in Public Health Nursing. She did
MA from Teachers college, Columbia University, New York and Masters in Public
Health Nursing and Doctorate in nursing from Johns Hopkins University,
Baltimore. She was awarded the Fellowship of American Academy of Nursing.
She held prestigious positions as Professor, Division of Nursing, New York
University, Consultant and Speaker.
Her early nursing practice was in rural public health nursing and in visiting
nurse supervision. She then established the Visiting Nurse service of Phoenix.
She published 3 books and 200 articles and lectured in 46 states. She received
honorary doctorates in Science and Letters and had received many awards and
citations for her contributions in nursing.
On the basis of these five assumptions on human being, Rogers identified four
building blocks: the energy field, openness, pattern and pandimensionality.
a) Energy field
The human being is considered a unified whole processing his own integrity
and manifesting characteristics which is more than and different from the sum of
its parts. The human field can conceptualised as one person, or group, family or
community. The human and environmental fields are irreducible; they cannot be
broken down into component parts or subsystems. Parts have no meaning in
unitary science. For example, the unitary human is not described as bio-psycho-
socio-cultural or body-mind-spirit entity. Each field is identified by pattern, defined
as “the distinguishing characteristic of an energy field perceived as a single
wave”. Patten manifestations and characteristics are specific to the whole.
Because of their wholeness, the individual’s life process is a dynamic course that
is continuous, creative, evolutionary and uncertain, resulting in highly variable
and constantly changing patterning.
b) Openness
c) Pattern
d) Pandimensionality
PRINCIPLES OF HOMEODYNAMICS
On the basis of five basic assumptions, and for building blocks, she
grounded her principles of homeodynamics which describes the nature of change
in the human-environmental field process. They are:
• Integrality
• Resonancy and
• Helicy
a) Resonancy
b) Integrality
c) Helicy
There are four main topics that are addressed by nursing theorists:
people, the environment, health and nursing. Rogers' conceptual framework can
be analyzed using these four topics.
a) People
b) Environment
c) Health
d) Nursing
Nursing is an art and signs that humanistic and humanitarian. The goal of
nursing is to participate in the process of change so that people may benefit.
Nursing tries to direct the interaction of the person and the environment in order
to maximize health potential.
NURSING PROCESS
CONCLUSION
Rogers uses multiple concepts related to each other that are not easily
understood. Her conceptual model is abstract and is therefore generalisable and
powerful. It is usually considered a grand theory on a macro theory. It is broader
in scope and attempts to explain everything.
Energy field
Openness
Pattern
Pan dimensionality
Environment
Health
Rogers defined health as an expression of the life process; they are the
"characteristics and behavior emerging out of the mutual, simultaneous
interaction of the human and environmental fields". Health and illness are the
part of the same continuum. The multiple events taking place along life's axis
denote the extent to which man is achieving his maximum health potential and
vary in their expressions from greatest health to those conditions which are
incompatible with the maintaining life process
Nursing
• Resonancy
• Helicy
• Integrality
Resonance
Helicy
Integrality
• The fields are one and integrated but unique to each other
Rogerian theories
Rogerian theories-Grand theories
Theory of Rhythmicity
Nursing programs
• SETTINGS
• Industry
• Family
• Community
• Space
• SPECIALITIES
• Pediatrics
• Psychiatry
• Oncology
• Burns
• Geriatrics
• Neurology
• Cardiology
• Rehabilitative medicine
Neonatal ICU
Pediatric ICU
Rehabilitation center
Burns unit
Adult ICU’s
Neuropsychiatric units
AREA WHERE ROGERIAN MODEL IS NOT
APPLICABLE
Operation theaters
Legitimate participants
• Assessment
• Voluntary mutual patterning
• Evaluation
For the nurse
• Pattern appraisal
• Mutual patterning of human and environmental fields
• Evaluation
For the patient
• Self reflection
• Patterning activities
• Personal appraisal
Nursing process
Assessment
• Areas of assessment
• Sharing knowledge
• Offering choices
• Empowering the client
• Fostering patterning
o Evaluation
• Nutrition
• Work/leisure activities
• Exercise
• Sleep / wake cycles
• Relationships
• Discomfort or pain
• Fear /hopes
Patterning activities for the client
Meditation
Imagery
Journaling
BIBLIOGRAPHY