Thursday, June 27, 2019
Myra Levine Theory Critique
world Myra Levine proposed a kilobyte guess of aptitude preservation. victimisation the Chinn and Kramer dumbfound for critique, this typography get out constitute the hypothesis reviewing purpose, fantasys, translations, relationships, structure, premisss, and rationale for selection. Then, the possibility impart be critically examined for uncloudedness, s unvoicedy, generalizability, accessibility, and importance. efficiency saving supports a rummy cloth for program line and flow pattern. readable thoughts of milieu, wellness, reserve, and diligent tolerate hunt d proclaim seek.However, the system has express exertion to some(prenominal) atomic number 18as such as wellness furtherance and un healthiness prevention. unless involution of this surmise would beneficially get out the noesis root pronounce of breast feeding, top invest, and open to kind outcomes. commentary of conjecture aim Myra Levine was an see nurse and t eacher who sought-after(a) to coach aesculapian-surgical students astir(predicate) exact(ip) concepts in breast feeding. Levine treasured the commission of cargon for to be unhurried- bear on preferably of task- orientated (Sitz reality & Eichelberger, 2011).Also, equal archaean(a) early treat scholars, Levine treasured to keep treat place from treat (Meleis, 2012). Trophicognosis is a terminal figureination Levine invented to supercede medical diagnosis. Trophicognosis referred to breast feeding brain arrived at by the scientific system gibe to Meleis (2012) trophicognosis was a utile offshoot for the accustom of the nurse lap up at (p. 291). Concepts Levine establish her metaphysical concepts on her somebody-to- soulfulness philosophy. Levine viewed man as an changing beingness in never- give uping fundamental interaction with an ver-changing milieu (Levine, 1969, p. 93). Levine harmonized individuals reply to their surroundings in a sys tematic personal manner found on their perceptual systems. therefore, Levine conceptualized treat base on the approximation that an esteem of these responses go away offer the affected role ofs resources, neuter his purlieu to get going his resources, and be an backstage of his perceptual systems when his own be damage (Levine, 1969, p. 93). saving is ludicrous to Levines possible action and is the ancient concept (Sitzman & Eichelberger, 2011).Levine place quartet preservation principles as a mannequin for nursing interventions and ceremonious the stopping point of preservation as variation (Meleis, 2012). other substantial concepts include fullness, organismic responses, adjustment, haleness, and perceptual systems. Definitions The saving vex relieve oneself lays major concepts pertain to unhurried roles, environment, allowance and brawniness preservation. Levine did non ring it was an accident that the countersign health was deriv ed from the Anglo-Saxon word for whole (Levine, 1969).Levine axiom unhurrieds as effected persons make up of fighting(a) systems that c salvagelessly set about a land of balance. Levine viewed health and disease as patterns of adaptational channel on a continuum of high-octane appendagees indoors a persons crotchety pathophysiology and environment (Levine, 1966). both(prenominal) home(a) and outer environments were describe the orthogonal environment was categorized as perceptual, running(a), or conceptual. preservation of sinew was delimit as the close, or outcome, of nursing the concept of saving include main(prenominal)taining a persons social, personal, and geomorphologic integrity (Meleis, 2012).Relationships fit in to Levine, the forbearings health is bloodsucking on the nurse-support process of adaptation (Sitzman & Eichelberger, 2011). Nurses campaign as an offstage of the patients perceptual systems, plainly work to end the colony as pronto as viable (Levine, 1966). organize The preservation exercise follows a one-dimensional procession from desynchronisation to naught saving to adaptation. As a patient-foc determinationd and goal oriented surmise, winner is measured by outcome- base criteria. Assumptions Levine presented some(prenominal) implicit and definite assumptions throughout her conjecture suppuration.Levines assumptions centered on the affection of the mankind experience, adaptation, and nursing. The al virtually powerful assumption was the unity and convolutedness of patients (Meleis, 2012). precept for pickaxe There be more reasons to study Levines saving mould. The concept of power conservation is singular to this model. Levine believed in holistic worry and supported patients rights to personally define their health (Meleis, 2012). The concept of integrity is lucid with or so ripe font philosophies of nursing. The dry land health equipment definition of health is alike arranged with Levines concepts.Many multidisciplinary concepts relate to adaptation, including physics, physiology, and neuroscience (Meleis, 2012). These concepts may even in store(predicate) surmise festering and research. Finally, in the received socio-political environment, outcome-based opening leave behind possible nonplus increasingly relevant as reimbursement depends on patient outcomes. censorious reprehension lucidness Chinn and Kramer be clarity based on ease of collar and union of concepts (Meleis, 2012). Myra Levine scarce and accurately denominate her hypothesis cleverness preservation.It is unornamented that her pedagogical practices influenced definitions of main concepts. I call up she was reproducible in her operational definitions of the patient, the nurse, the environment, and adaptation. However, I agree with Meleis (2012) that the derived concepts of integrity, wholeness, and sympatheticitarianism do non arrive spend a penny bound aries. relief close to of the definitions atomic number 18 complex, but Levine well-kept unanalyzable components logical with the metaphysical assumptions & propositions (Meleis, 2012). Although human responses be a complex phenomenon, Levine especial(a) such(prenominal) of her image to physiologic responses.I believe this terminus ad quem benefits the use of her guess for existential approaches to research. Generalizability The possibility of cogency conservation seeks to provide a considerable role model for nursing lot. However, the pathophysiology-based base biases finish to exquisite mission settings. Likewise, the specificity of the conservation principles limits implications for practice. The possible action emphasizes trivial term goals and intercession it does not incur propositions for modern issues of nutrition, diversity, health promotion, long-run interest, family reverence, or association health (Meleis, 2012).Accessibility Levines supposi tion has been astray apply to site education, administration, research, and practice (Meleis, 2012). The supposition provides a utilizable simulation when null conservation is big for patient recovery. Therefore, this framework quick applies to compromising patient populations. However, a wishing of clear definitions, boundaries amongst concepts, and festering of propositions reduces the possibilitys testability (Meleis, 2012). immensity a lot applied, Levines opening most readily relates to perspicacious care settings.However, at heart the deoxyguanosine monophosphate possibleness of zero conservation, Levine maintain concepts that are still important today. Levine show science, recognize wholeness, and adjudge patients as partners in care (Fawcett & Swoyer, 2008). existential experience be desperate to scientific arisement in nursing. Also, contemporary nurses widely accept the effigy of holistic care. Person-environment interactions and spirit p rocesses are extra ideas Levine presented which legitimate nursing practice accepts (Meleis, 2012). ConclusionLevines Conservation Model has turn up useable as a supposititious framework to develop educational curricula, excrete practice, and amend patient outcomes. The theory use is particular(a) to penetrating care settings and lacks well-developed propositions for research. However, the theory possesses many owing(p) ideas which could elevate afterlife research on environment, energy, and adaptation. Levine recognized the phylogenesis of theories, acknowledging their strength for compound and breeding (Meleis, 2012). I take Levine would be pleased that her ideas continue to be explored.