Internal Dimension In Nursing

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Internal Dimensions The internal dimensions of a theory act as guidelines to describe a theory to enhance understanding of the approaches used to evolve it and in identifying gaps in the theory. The first dimension is the rationale on which the theory is built. The components of the theory of self-transcendence are united in a chain-link and it is based on certain sets of relationships that are deduced from a small set of basic principles and are therefore hierarchical in nature. The second dimension to consider is that of the system of relations. In the theory of self-transcendence, the elements explain relations. The content of the theory is a third internal dimension (). Content is distinguished by the range of laws and group of individuals…show more content…
There are many basic problems in nursing or any of its specialties is addressed by that theory of self-transcendence. The significance of the theory of self-transcendence increases as its scope broadens and generality (). The scope and purpose of Reed’s theory are such that the theory can be applied to a wide variety of human health situations. Therefore, as already noted, the theory of self-transcendence is middle-range theory and has a wide application scope in dementia, cancer, AIDS, homeless, stem cell transplantation, depression, and elderly (). However, the major criticism of middle-range theories is that they lead to fragmentation of a discipline when the discipline has no agreed-on phenomenon (). The sixth dimension is the goal of a theory, the self-transcendence theory was constructed to prescribe. Thus, the original purpose of the self-transcendence theory is to enhance nurses’ understanding of well-being among individuals across the lifespan and in all contexts (Reed,…show more content…
The attention to the need in nursing for theories addresses knowledge of order, knowledge of disorder, and knowledge of control. The knowledge of order addresses phenomena that are central to objects, events, and interactions in a healthy context. Knowledge of disorder recognizes a context or disorder within which nurses deal. An attempt to develop such knowledge, not yet bound together in a theoretical schema, was manifested in the first conference on a classification of nursing diagnosis (Gebbie, 1976) and in subsequent conferences. To prescribe a course of action that, when implemented, could change the sequence of events in the desired way is to have knowledge of control. Theories could also address knowledge of the process, which included the nursing process and nurse-patient interactions (). Abstractness, the eighth theory dimension, is evaluated by the length of reduction and deduction between its propositions. It would be at the high end. The method of theory development is the ninth internal dimension. A dialectical method is exemplified by Rogers’ work (Barnum, 1998) and is based on Hegel’s dialectical process. A dialectical method encompasses contradictions, apposition, and dilemmas, but order evolves from the interaction among all of

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