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A nurse must weigh these variables, physical, mental, and spiritual, when advising a course of treatment and deciding how to approach a patient or patient's family. An adolescent who is an injured athlete envisioning a lucrative college scholarship might demand and be able to physically and mentally withstand a more aggressive form of treatment, due to psychological and developmental and goal-related visions (spiritual) factors than might a less motivated elderly patient.
A nurse who is training other nurses can instill consideration for all such variables in her various trainees -- and encourage nurses to engage in self-care as well as patient care on spiritual, preventative physical health care, and mental levels. Additionally, in a work environment with many diverse cultures, remind other nurses that Neuman's model has also been modified slightly to take into consideration culture as well as mind, body, and spirit -- although culture and spiritual values are difficult to separate. Some cultural frameworks affecting nursing practice might be due to a family asking to be more involved and present during intimate moments...
(Piece et. al, 1995) This results in not simply more sensitive nursing, but better nursing -- a family with a diabetic child may have to change the way the family eats and monitors its day, and views food and exercise as part of its culture. The more diverse American culture becomes, and the more diverse the demands placed upon nursing, the more valuable Neuman's decision-making model of multiple variables becomes.
Works Cited
Neuman, B.M. (1990). The Neuman systems model: A theory for practice. In M.E. Parker (Ed.), Nursing theories in practice (pp. 241-261). New York: National League for Nursing.
Neuman, B.M. (Ed.). (1995). The Neuman systems model (3rd ed.). Norwalk, CT: Appleton & Lange.
Pierce, J.D., & Hutton, E. (1992). Applying the new concepts of the Neuman systems model. Nursing Forum, 27(1), 15-18.
Works Cited
Neuman, B.M. (1990). The Neuman systems model: A theory for practice. In M.E. Parker (Ed.), Nursing theories in practice (pp. 241-261). New York: National League for Nursing.
Neuman, B.M. (Ed.). (1995). The Neuman systems model (3rd ed.). Norwalk, CT: Appleton & Lange.
Pierce, J.D., & Hutton, E. (1992). Applying the new concepts of the Neuman systems model. Nursing Forum, 27(1), 15-18.
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