Assignment: Integral Dialogues
These six patterns are
superimposed on the quadrants of reality
and work to bring nurses to the fullness of
knowing and expression of being in each
caring experience. By acknowledging the
Exploring the Theory of Integral Nursing
292012, Vol. 16, No. 1
integration of science and aesthetics,
knowing and not knowing, and the influence
of socio-political knowing, nurses confirm
the value of patterns of knowing in clinical
practice. Through the patterns of knowing,
nurses are encouraged to develop a flow of
ethical experience through thinking and
acting in ways that promote self-assessment
and self-healing while generating a sacred
space for care that promotes client healing.
Quadrants in the theory of integral
nursing can be understood as dimensions
of reality that are permeable, integrally
transforming, and empowering to all other
quadrant experiences. Each quadrant is
intricately linked and bound to each other
quadrant, carrying along its own truths and
language. The language of “I,” “We,” “It,”
and “Its” that characterizes the concept
Exploring the Theory of Integral Nursing
Dimensions of Reality within Quadrants in Pain Management
Dimension or perspective
Focus of the dimension Aspects included in the dimension Sample pain management questions by dimension
The “I” space—the individual’s internal sense of reality
Feelings, beliefs, values
Personal communication styles
Am I feeling stressed? Thinking clearly?
Am I open to the client’s assessment of their own pain?
Am I ethically assessing the client’s pain and making moral decisions about options for pain management?
Am I communicating clearly and compassionately?
The “IT” space—objective or tangible aspects of the individual that influence reality
Brain and organisms
Chemistry and biochemistry
Behaviors and skill development
Am I able to envision by bodily presence changing?
Can I fully describe the sensations I feel?
Can I feel my open presence changing my client’s responses to my pain management efforts?
Do I feel more able to do my pain management work skillfully?
The “WE” space—the collective sense of engagement within the individual’s reality
Relationships to others’ cultures and worldviews
How am I relating to others involved in pain management efforts?
What is the meaning of my pain management relationships with my clients? My peers? My supervisors? Other healthcare professionals?
Am I fully engaged in using integral dialogues to enhance my pain management relationships with others?
The “ITS” space—the broader sense of being part of an external reality whose systems and structures govern practice
Relations to social systems and the environment
Organ structures and systems
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
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