Myra Levine Theory Critique

Introduction Myra Levine proposed a gm possible action of skill saving. Using the Chinn and Kramer Model for critique, this paper result discover the hypothesis reviewing purpose, concepts, definitions, relationships, structure, assumptions, and rationale for selection. Then, the scheme will be critically examined for clarity, simplicity, generalizability, accessibility, and importance. pushing preservation provides a comical poser for education and current practice. well-defined concepts of environment, wellness, nurse, and patient can guide research.However, the guess has limited application to well-nigh argonas such as health promotion and disease prevention. Further refining of this theory would beneficially develop the knowledge base of care for, guide practice, and nominate to favorable outcomes. Description of Theory Purpose Myra Levine was an experienced nurse and teacher who sought to educate medical-surgical students about major concepts in nursing. Levin e wanted the accent of nursing to be patient-centered instead of task-oriented (Sitzman & Eichelberger, 2011).Also, like other early nursing scholars, Levine wanted to distance nursing practice from medicine (Meleis, 2012). Trophicognosis is a status Levine invented to replace medical diagnosis. Trophicognosis referred to nursing judgement arrived at by the scientific method according to Meleis (2012) trophicognosis was a useful beginning for the use of the nursing process (p. 291). Concepts Levine based her theoretic concepts on her personal philosophy. Levine viewed man as an ever-changing organism in constant interaction with an ver-changing environment (Levine, 1969, p. 93). Levine believed individuals serve to their environment in a systematic way based on their perceptual systems. Therefore, Levine conceptualized nursing based on the idea that an appreciation of these responses will conserve the patients resources, alter his environment to fit his resources, and be an exten sion of his perceptual systems when his own are impaired (Levine, 1969, p. 93). preservation is unique to Levines theory and is the primary concept (Sitzman & Eichelberger, 2011).Levine identified four saving principles as a mannikin for nursing interventions and established the goal of preservation as adaptation (Meleis, 2012). Other important concepts included wholeness, organismic responses, adaptation, integrity, and perceptual systems. Definitions The conservation model decipherablely defines major concepts related to patients, environment, adaptation and energy conservation. Levine did not think it was an accident that the playscript health was derived from the Anglo-saxon word for whole (Levine, 1969).Levine saw patients as complete persons made up of driving systems that continuously seek a state of balance. Levine viewed health and disease as patterns of adaptive change along a continuum of dynamic processes within a persons unique pathophysiology and environment (Lev ine, 1966). Both internal and away environments were described the external environment was categorized as perceptual, operative, or conceptual. Conservation of energy was defined as the goal, or outcome, of nursing the concept of conservation included maintaining a persons social, personal, and structural integrity (Meleis, 2012).Relationships harmonise to Levine, the patients health is dependent on the nurse-supported process of adaptation (Sitzman & Eichelberger, 2011). Nurses function as an extension of the patients perceptual systems, exactly work to end the dependence as quickly as doable (Levine, 1966). Structure The conservation model follows a linear progression from asynchrony to energy conservation to adaptation. As a patient-focused and goal oriented theory, victor is measured by outcome-based criteria. Assumptions Levine presented many implicit and explicit assumptions throughout her theory development.Levines assumptions centered on the essence of the human expe rience, adaptation, and nursing. The most(prenominal) powerful assumption was the wholeness and complexity of patients (Meleis, 2012). Rationale for Selection There are many reasons to study Levines Conservation Model. The concept of energy conservation is unique to this model. Levine believed in holistic care and supported patients rights to personally define their health (Meleis, 2012). The concept of wholeness is uniform with most modern philosophies of nursing. The World Health Organization definition of health is besides consistent with Levines concepts.Many multidisciplinary concepts relate to adaptation, including physics, physiology, and neuroscience (Meleis, 2012). These concepts may facilitate future theory development and research. Finally, in the current socio-political environment, outcome-based theory will likely father increasingly relevant as reimbursement depends on patient outcomes. Critical construction Clarity Chinn and Kramer defined clarity based on ease of savvy and consistency of concepts (Meleis, 2012). Myra Levine precisely and accurately labeled her theory Energy Conservation.It is seeming(a) that her pedagogical practices influenced definitions of main concepts. I think she was consistent 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 humanism do not have clear boundaries. Simplicity Some of the definitions are complex, but Levine maintained simple components consistent with the theoretical assumptions & propositions (Meleis, 2012). Although human responses are a complex phenomenon, Levine limited often of her paradigm to physiologic responses.I believe this limitation benefits the use of her theory for empirical approaches to research. Generalizability The theory of energy conservation seeks to provide a broad framework for nursing care. However, the pathophysiology-based foundation biases application to acute care settings. Likewise, the specificity of the conservation principles limits implications for practice. The theory emphasizes short term goals and treatment it does not generate propositions for modern issues of nutrition, diversity, health promotion, long-term care, family care, or community health (Meleis, 2012).Accessibility Levines theory has been astray used to direct education, administration, research, and practice (Meleis, 2012). The theory provides a useful framework when energy conservation is important for patient recovery. Therefore, this framework promptly applies to undefendable patient populations. However, a lack of clear definitions, boundaries between concepts, and development of propositions reduces the theorys testability (Meleis, 2012). Importance Practically applied, Levines theory most readily relates to acute care settings.However, within the grand theory of energy conservation, Levine take a firm stand concepts that are still impor tant today. Levine emphasized science, recognized wholeness, and acknowledged patients as partners in care (Fawcett & Swoyer, 2008). Empirical knowledge remains imperative to scientific development in nursing. Also, contemporary nurses widely accept the paradigm of holistic care. Person-environment interactions and life processes are additional ideas Levine presented which current nursing practice accepts (Meleis, 2012). ConclusionLevines Conservation Model has proven useful as a theoretical framework to develop educational curricula, guide practice, and improve patient outcomes. The theory application is limited to acute care settings and lacks well-developed propositions for research. However, the theory possesses many big ideas which could encourage future research on environment, energy, and adaptation. Levine accepted the evolution of theories, acknowledging their authority for change and development (Meleis, 2012). I think Levine would be pleased that her ideas have-to doe with to be explored.