“The theory of health as expanding
consciousness (HEC) was stimulated by concern for those for
whom health as the absence of disease or disability is not
possible. Nurses often relate to such people: people facing
the uncertainty, debilitation, loss and eventual death
associated with chronic illness. The theory has progressed
to include the health of all persons regardless of the
presence or absence of disease. The theory asserts that
every person in every situation, no matter how disordered
and hopeless it may seem, is part of the universal process
of expanding consciousness – a process of becoming more of
oneself, of finding greater meaning in life, and of reaching
new dimensions of connectedness with other people and the
world” (Newman, 2010).
Humans are open to the whole energy system
of the universe and constantly interacting with the energy.
With this process of interaction humans are evolving their
individual pattern of whole.
According to Newman understanding the
pattern is essential. The expanding consciousness is the
The manifestation of disease depends on the
pattern of individual so the pathology of the diseases
exists before the symptoms appear so removal of disease
symptoms does not change the individual structure.
Newman also redefines nursing according
to her nursing is the process of recognizing the
individual in relation to environment and it is the process
of understanding of consciousness.
The nurse helps to understand people to use
the power within to develop the higher level of
Thus it helps to realize the disease
process, its recovery and prevention.
Newman also explains the interrelatedness
of time, space and movement.
Time and space are the temporal pattern of
the individual, both have complementary relationship.
Humans are constantly changing through time
and space and it shows unique pattern of reality.