Discussion: Core Concept of Healing
Nursing’s primary role is to carry out
theoretically driven nursing interventions
with and for the client; interventions that
promote health and healing and convey
caring and respect for the individual while
facilitating pain relief. The client’s role is
to remain open to participating in their own
care, to aid the nurse and healthcare team
in the co-creation of care, and to provide
feedback to the nurse about the effects of
co-created care on their overall physical,
mental, and spiritual well-being. Nursing
process has been a blueprint for care for
many decades and is the foundation upon
which the holistic caring process has been
developed.
Within the context of the holistic
caring process, the following practice
suggestions are offered.
the Holistic Caring Process
The optimal delivery of nursing care is
guided by the theory of integral nursing. The
theory’s holistic caring process expands the
assessment of clients to ensure gathering of
objective and subjective data, not only about
one’s physical status, but also regularly
gathers and integrates data about the
emotional and spiritual status of the client.
Application of the theory’s core concept of
healing facilitates conversations (integral
dialogues) between clients and physicians,
clients and nurses, nurses and physicians,
and nurses and other members of the
healthcare team. Using the pain experience
as an example, the outcomes of such
dialogues have the potential to change
practice by inviting clients to tell their pain
story (and history) so that a more useful and
meaningful plan of pain management can be
developed, a plan whose openness respects
and values the voice and experiences of
the client, as well as the knowledge and
expertise of nurses, physicians, and other
Exploring the Theory of Integral Nursing
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healthcare team members. Table 1 is an
exemplar that depicts the application of
the dimensions of reality within quadrants
as they apply to pain management. Each
dimension affords nurses opportunities
to center themselves on aspects of pain
management care that foster internal
reflection and wholeness in the delivery
of care.
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