Assignment: Integral Dialogues

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

Table 1

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

Individual Interior


The “I” space—the individual’s internal sense of reality


Self-care, self-esteem

Feelings, beliefs, values

Moral development

Cognitive capacity

Emotional maturity

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?

Individual Exterior


The “IT” space—objective or tangible aspects of the individual that influence reality

Brain and organisms


Physical sensations


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?

Collective Interior


The “WE” space—the collective sense of engagement within the individual’s reality

Relationships to others’ cultures and worldviews

Shared visions

Shared leadership

Integral dialogues


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?

Collective Exterior


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

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