Based on the Theory of Integral Nursing
NIGH's INTEGRAL MODELS
Barbara Montgomery Dossey PhD, RN, AHN-BC, HWNC-BC, HSGAHN, FAAN
Deva-Marie Beck PhD, RN, DTM, HSGAHN
International Co-Directors of the Nightingale Initiative for Global Health — 2024
Deva-Marie Beck PhD, RN, DTM, HSGAHN
International Co-Directors of the Nightingale Initiative for Global Health — 2024
From the beginning of the Nightingale Initiative for Global Health (NIGH), our NIGH team chose an interactive-integrative paradigm to ‘connect the dots’ of our work—thus guiding NIGH’s projects and our long-term vision. With this perspective, NIGH's work has evolved by using Dr. Barbara Dossey’s grand nursing theory--the Theory of Integral Nursing—informed by an in-depth study of Nightingale’s life--developed and adapted from Ken Wilber’s Integral Theory (Dossey, 2019; Wilber, 2000). This approach led to creating five of NIGH's Integral Models, as seen below.
The term 'integral' can be defined as a comprehensive way to organize human experience related to four interrelated lenses of reality:
• The individual interior “I” (personal/intentional);
• The individual exterior “It” (physiology/behavioral);
• The collective interior “We” (shared/cultural); and
• The collective exterior “Its” (systems/structures).
These “I”, “We”, “It” and “Its” lenses are also understood through four 'integral' nursing principles and settings:
• Integral Principle 1: Nursing requires development of the “I” — 'among Individuals'
• Integral Principle 2: Nursing is built on “We” — 'within Groups'
• Integral Principle 3. Nursing is requires the “It” of behavior and skills development — 'at Grassroots Levels'
• Integral Principle 4. Nursing explores the “Its” of systems and structures — 'at Global Levels.'
The term 'integral' can be defined as a comprehensive way to organize human experience related to four interrelated lenses of reality:
• The individual interior “I” (personal/intentional);
• The individual exterior “It” (physiology/behavioral);
• The collective interior “We” (shared/cultural); and
• The collective exterior “Its” (systems/structures).
These “I”, “We”, “It” and “Its” lenses are also understood through four 'integral' nursing principles and settings:
• Integral Principle 1: Nursing requires development of the “I” — 'among Individuals'
• Integral Principle 2: Nursing is built on “We” — 'within Groups'
• Integral Principle 3. Nursing is requires the “It” of behavior and skills development — 'at Grassroots Levels'
• Integral Principle 4. Nursing explores the “Its” of systems and structures — 'at Global Levels.'
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As Nightingale scholars and ‘Integral’ thinkers, we see the various parts of NIGH’s development puzzle as an ‘integral’ whole. We know that each ‘puzzle piece’ already has a ‘relationship’ to our overall whole picture. We know that choosing ‘just one’ piece does not work—because just one activity or project cannot be effectively achieved without the other pieces in place—just as a jigsaw puzzle cannot be ‘solved’ with only one piece. Each jigsaw puzzle piece is a smaller yet critical fraction of an entire puzzle picture (Dossey, et al., 2017).
This jigsaw metaphor—as seen in NIGH's Integral Model A (right)—developed into a series of NIGH’s Integral Models—identifying four key interconnected approaches of our work— as seen in Integral Models B, C, D and E (below). |
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REFERENCES
• Dossey, B.M. (2019). Barbara Dossey’s theory of integral nursing. Smith M.C. (Ed.). Nursing theories and nursing practice (5th ed.) (pp. 211-234). Philadelphia: F. A. Davis.
• Dossey, B. M., Beck, D. M., Oerther, S., & Manjrekar, P. (2017). Florence Nightingale’s legacy: The rationale for an integral worldview in achieving the sustainable development goals. In Rosa W (Ed). A new era in global health: Nursing and the 2030 Sustainable Development Agenda (pp. 149- 178). New York, NY: Springer Publishing Company.
• Wilber, K. (2000). Integral psychology. Boston: Shambhala.