Assignment: Relationship-centered Approach.

Assignment: Relationship-centered Approach.

Theories, particularly

theories that have the potential to resonate

with clinicians and impact care of the whole

client, may be particularly powerful in

narrowing the theory-practice gap and

providing clues to more effective,

comprehensive pain management. The

application of a holistic philosophy of

care emphasizes the role of clinicians in

partnering with clients in the design and

implementation of mutually agreeable plans

for the relief of pain—plans that sufficiently

address the dimensions of the whole

person’s lived pain experience. Holistically,

the ultimate goals for the nurse are to better

understand the pain experience from the

client’s perspective, foster healing, and

deliver care that strives to provide the

greatest extent of pain relief possible.

Anchored in the Scope and Standards of

Holistic Nursing (2007), the five foundational

concepts of Dossey’s theory of integral

nursing articulate the qualities and way of

being that characterize the holistic, integral

nurse and prompt the nurse to attend to the

many dimensions of pain affecting the whole

client. In this way, the nurse invites the client

experiencing pain to participate in the

development of potentially transformative,

relationship-centered interactions and to

provide feedback on interventional success

or the need for further improvement.

The primary purpose of this paper is

to introduce the basic tenets of the theory

of integral nursing to aid clinicians in

designing caring interventions focused

on healing and grounded in the theory’s

holistic, relationship-centered approach.

Following the unfolding of the basic tenets

of this theory, examples of the application

of the theory to pain management are

proposed. A secondary purpose is to

stimulate scholarly interest in designing

studies that test the theory’s concepts and

holistic framework in practice. A peripheral

aim of the paper is to suggest how

application of the theory’s main concepts,

especially the concept of healing, may be

used to help define the emerging role of

the nurse in the 21st century regarding the

holistic care of the client experiencing pain.

the theory of Integral nursing

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