April 30, 2010
Critique of a Nursing Theory This is a critique of Myra Estrin Levine’s conservation principles model. I will be discussing the meaning of the theory of the four principles; conservation of energy, conservation of structural integrity, conservation of personal integrity, and conservation of social integrity. I will be using the criterion-based model (C-BaC) as a focus of the positive aspects of the theory, as outlined by Johnson & Webber (Johnson & Webber, 2010, p. 192-214). I will discuss the intent and theory, the concepts and propositions, and the usefulness in nursing practice. How a nurse is defined could be very influential for those who aspire to become a nurse, and even for those who are already nurses. My definition of a nurse is one whose main focus is to care for others, medically, emotionally, and spiritually. Myra Levine has a unique outlook on the world of nursing that many may find hard to interpret. She had her own theories and principles of nursing that implemented health and well-being to patients through her conservation principles model. Her model was originally developed, not to be a nursing theory, but to attempt to teach nursing students a new approach to daily nursing activities.
Intent and Boundaries The meaning of the theory of Myra Levine consists of four principles: conservation of energy, conservation of structural integrity, conservation of personal integrity, and conservation of social integrity. Each are fundamental to the expected outcomes when the model is used, but Levine also discussed “two other concepts critical to the use of her model; adaptation and wholeness” (“Myra Levine’s Conservation Theory“, 2009) (which will be discussed throughout the critique). Her goal was to “promote adaptation and maintain wholeness by using the principles of conservation” (Nursing Theories: A Companion to Nursing Theories and Models, 2010). Conservation of energy: balancing energy output
References: Johnson, B. M., & Webber, P. B. (2010). An introduction to theory and reasoning n nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health / Lippincott Williams & Wilkins. Michaloliakou, C., Chung, F., & Sharma, S. (1996). Preoperative multimodal analgesia facilitates recovery after ambulatory laparoscopic cholecystectomy. Ambulatory Anesthesia, 1-8. Retrieved from http://www.anesthesiaandanalgesia.com/content/82/1/44.full.pdf Mock, V., St. Ours, C., Hall, S., Bositis, A., Tillery, M., Belcher, A., Krumm, S., & McCorkle, R. ( Feb. 2007). Using a Conceptual Model in Nursing Research - Mitigating Fatigue in Cancer Patients. Journal of Advance Nursing, 1-11. Retrieved from http://0-web.ebscohost.com.aupac.lib.athabascau.ca/ehost/pdfviewer/pdfviewer?vid=16&hid=113&sid=541ac5e9-d767-42bb-9abb-35d187f9165d%40sessionmgr114 Myra Levine’s Conservation Theory. (2009). Retrieved from http://nursingtheories.blogspot.com/2009/07/myra-levines-conservation-theory.html Nursing Theories: A Companion to Nursing Theories and Models. (2010). http://currentnursing.com/nursing_theory/Levin_four_conservation_principles.html