Margaret Newman

♦ Publications
♦ Photo Gallery
♦ Case Study
♦ Application to Nursing Process

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Publications

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♦ Newman, M. A. (2003). A world of no boundaries. Advances in Nursing Science, 26(4),
240-245.
♦ Newman, M. A. (2003). The immediate applicability of nursing praxis. Quality Nursing:
The Japanese Journal of Nursing Education & Nursing Research, 9(5), 4-6. This issue is
devoted to research related to health as expanding consciousness, with report of original
studies by Emiko Endo and colleagues and translations of previous articles by M. D.
Pharris and M. A. Newman.
♦ Newman, M. A. (2002). Caring in the human health experience. International Journal for
Human Caring. 6(2), 8-12.
♦ Newman, M. A. (2002). The pattern that connects. Advances in Nursing Science, 24(3),
1-7.
♦ Newman, M. A. (1999). The rhythm of relating in a paradigm of wholeness. Image:
Journal of NursingScholarship, 31(3), 227-230.
♦ Newman, M. A. (1997). A dialogue with Martha Rogers and David Bohm about the
science of unitary human beings. In M. Madrid (Ed.), Patterns of Rogerian Knowing.
Sudbury MA: NLN distributed by Jones and Bartlett.
♦ * Newman, M. A. (1997). Evolution of the theory of health as expanding consciousness.
Nursing Science Quarterly, 10 (1), 22-25.
♦ Newman, M.A. (1997). Experiencing the whole. Advances in Nursing Science, 20 (1),
34-39.
♦ * Margaret Newman: Health as Expanding Consciousness [CD-ROM]. (1997). Fuld
Institute for Technology in Nursing Education. (Available from FITNE, Inc., 5 Depot
Street, Athens, OH 45701, 612-592-2511)

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♦ Newman, M.A. (1996). Theory of the nurse- client partnership. In E. Cohen (Ed.) Nurse
Case Managment in the 21st Century (pp. 119-123). St. Louis: Mosby Year-book.
♦ Newman, M.A. (1995) A Developing Discipline: Selected Works of Margaret Newman.
Sudbury MA: Jones and Bartlett (NLN Press).
♦ Newman, M.A. (1994). Health as Expanding Consciousness (2nd Ed.). Sudbury MA:
Jones and Bartlett (NLN Press).
♦ Japanese translation by Megumi Teshima, published by Igaku Shoin, Tokyo, 1995.
♦ Korean translation by Hae Young Kang, published by Hyunmum, 1996.
♦ Newman, M.A. (1994). Theory for nursing practice. Nursing Science Quarterly, 7 (4),
153-157.
♦ Newman, M.A., Lamb, G.S., & Michaels, C. (1991). Nurse case management: The
coming together of theory and practice. Nursing & Health Care, 12(8), 404-408.
♦ * Newman, M.A. (1990). Newman's theory of health as praxis. Nursing Science
Quarterly, 3, 37-41.
♦ Newman, M.A. (1990). Shifting to higher consciousness. In M. Parker (Ed.), Nursing
Theories in Practice (pp. 129-139). Sudbury MA: Jones and Bartlett (NLN Press).
♦ * Margaret Newman, Nurse Theorists: Portraits of Excellence. (1990). Videotape
distributed by The Helene Fuld Health Trust. 5 Depot Street, Athens, OH 45701, Phone
(800) 691-8480.
♦ Newman, M.A. (1987). Nursing's emerging paradigm: The diagnosis of pattern. In A.M.
McLane (Ed.) Classification of Nursing Diagnosis, Proceedings of the Seventh
Conference, North American Nursing Diagnosis Association (pp. 53-60). St. Louis: C.V.
Mosby.
♦ Newman, M.A. (1987). Patterning. In M.Duffy and N.J. Pender (Eds.), Conceptual
Issues in Health Promotion, Report of Proceedings of a Wingspread Conference (pp. 36-
50). Racine, WI. Indianapolis: Sigma Theta Tau.

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♦ Newman, M.A. (1987). Aging as increasing complexity. Journal of
Gerontological Nursing, 13(9): 16-18.
♦ * Newman, M.A. (1986). Health as Expanding Consciousness. St. Louis: C.V.
Mosby.
♦ Newman, M.A. (1985). Health as expanding consciousness. Proceedings of
Ninth National Forum on Doctoral Education in Nursing. Birmingham, AL:
University of Alabama School of Nursing.
♦ Newman, M.A. (1984). Health as expanding consciousness. Proceedings of
the Third Phyllis J. Verhonick Nursing Research Course. Washington, D.C.:
Nursing Research Service, Walter Reed Army Medical Center.
♦ * Newman, M.A. (1983). Newman's health theory. In I Clements & F. Roberts
(Eds.), Family Health: A Theoretical Approach to Nursing Care (pp. 161-175).
New York: John Wiley.
♦ Newman, M.A. (1981). The meaning of health. In G.E. Laskar (Ed.), Applied
systems research and cybernetics: Vol. 4. Systems research in health care,
biocybernetics and ecology (pp. 1739-1743). New York: Pergamon.
♦ * Newman, M.A. (1979). Theory Development in Nursing, Chapter 6.
Philadelphia: F.A. Davis.

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Although there has been much competition between nursing theories, Dr.
Newman's ideas have found expression not only in the United States, but
also in other countries as shown by these 1985 reports from Finland (left)
and New Zealand (middle and right).

Margaret Newman being admitted to the

American Academy of Nursing in 1976
(left) and a stop watch used during motion
and time studies (right).
On the left is an image of the 1994 edition of Health as Expanding
Consciousness. On the right is Dr. Newman with Martha Rogers,
teacher and mentor, while in New York in June 1992.

With colleagues in 1993 after

receiving the Founders
Award from the Upsilon
Chapter of Sigma Theta Tau.
Case Study
John Castro
Is a 57-year-old white, married man lives in Makati City with his
stay-at-home wife Chelsie. They have three grown children who
live nearby. Mr. Armstrong is a smoker and has had angina on
and off for the last few years. He is a long haul transport truck
driver and is off for the week after a one week trip out west.

It is mid-January and a heavy snowfall warning is in effect. 15

centimetres of snow have already fallen. Elsie decides to make a
hot stew to warm up and needs to get to the grocery store. She asks
John to shovel the driveway.

John, being a loving husband, states “No problem, honey. Lord

knows I love stew! I’ll be finished in a jiffy!”

While John was shovelling he began to feel tightness in his chest.

He soon discovered it was harder and harder to breathe and this
time, his pain radiated to his arm and jaw. Before he knew it, he
was on the snow covered ground in the driveway. His wife Chelsie
saw him collapse through the window and called 8888910.
 After waking up after his MI in the ICU with Chelsie by his side,
John explained he thought he was dead. He described his life
flashing before his eyes and said he saw himself getting married,
his children being born, and his granddaughter on the first day
of school all over again. He described being pulled toward a
bright light at the end of a tunnel and experiencing a sense of
serenity and freedom.

John had hit a “Choice Point” and in order to support John

while he is evaluating his life, the nurse would provide
appropriate information regarding nutrition and smoking
cessation and work with him to develop appropriate changes.
Case The MI and near death experience had a great impact on John.
Study He re-evaluated his life and decided he had some big changes to
make. John started exercising, eating healthier and he even
decided to quit smoking. John cut down on the long distance
runs he took so that he could get better sleep more often. Chelsie
wanted to support John’s lifestyle change so she started looking
up healthier choices for his favourite recipes and even got a part-
time job to help with the finances. and she always made sure
John had his Nitro-glycerine on him in case he has chest pain.
Application of Theory to Nursing Process
Nurses who form relationships with their clients can help
them identify problematic patterns, move to a choice
point, then to a higher level of consciousness, resulting
in a reduction in problematic patterns of behaviour.

Assess

Plan

Implement

Evaluate
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Assessment
The nurse assists the client to recognize that his
life patterns no longer function as they
currently are and new ways of relating to his
environment are necessary.

John : 57 year old, white male, Hx of angina,

Smoker, Trucker, Sedentary lifestyle, Poor
eating habits, Poor sleeping patterns, Married
with 3 grown children, Lives in Makati (rural
area), Recent MI caused a near death
experience
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 Plan
While respecting the client's choices, the nurse
assists the client in exploring resources for
transformation.

Discuss with client possible changes to identified

health patterns that are no longer functioning
and discuss possible new ways of relating them
or creating new health patterns.

Work with client

not decide for client
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Implement
The client integrates health strategies into his
lifestyle.

Client will demonstrate improved nutrition habits by

following Food guide to Healthy Eating.
Client will demonstrate increased physical activity by
exercising 20 minutes each day.
Client will demonstrate improved sleeping habits by
sleeping at least 7h/night.
Client will demonstrate appropriate use of Nitro-
glycerin by having an unexpired bottle at hand at all
times
Client will begin a smoking cessation program
 Evaluation
The nurse examines the client's transformed
relationship and how the interactions overcome
the health challenge.

Client has demonstrated improved nutrition

habits.
Client has increased physical activity.
Client has demonstrated improved sleeping habits.
Client has demonstrated appropriate use of Nitro-
glycerin.
Client has begun a smoking cessation program

A new understanding has developed on how his

environment relates to his health
 References
♦ Tomey, A. M. & Alligood., M. R., (2006). Nursing Theorists and Their Work. 6th
edition. Mosby Inc.
♦ George, Julia B. (1995) Nursing Theories - the base for professional nursing practice.
Norwalk, Connecticut. Appleton & Lange
♦ Weingourt, Rita(1998) Using Margaret A. Newman's theory of health with elderly
nursing home residents. Perspectives in Psychiatric Care.
http://findarticles.com/p/articles/mi_qa3804/is_199807/ai_n8795466
♦ http://books.google.com.ph/books?id=pe4wvuhT01UC&dq=margaret+newman+nursing&p
♦ Picard, C and Jones, Dorothy (2004). Giving Voice to What We Know: Margaret
Newman’s Theory of Health as Expanding Consciousness in Nursing Practice,
Research, and Education, Jones and Bartlett Publishing.
♦ http/www.healthasexpandingconsciousness.org/Downloads/HECPresentation.pdf
♦ www.scrbd.com/doc/5611804/Models -and- Theories-of-Nursing
♦ www.scrbd.com/doc/10899031/nursing-Theory
♦ http://library.utmem.edu/exhibits/newman/
♦ http://escholarship.bc.edu/dissertations/AAI3008589
♦ http://wps.prenhall.com/chet_george_nurstheory_5/0,2535,88787,00.htm
♦ http://www.healthasexpandingconsciousness.org/home/
♦ http://www.enursescribe.com/nurse_theorists.htm

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