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Intentionality: evolutionary development in healing: a grounded theory study for holistic nursing.

Rothlyn P Zahourek1

  • 1University of Massachusetts School of Nursing, Amherst, USA.

Journal of Holistic Nursing : Official Journal of the American Holistic Nurses' Association
|January 25, 2005
PubMed
Summary

This study developed a new theory, Intentionality: The Matrix for Healing (IMH), defining intentionality in nurse-healer and client encounters. It outlines three developmental phases of intentionality, advancing healing research and practice.

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Area of Science:

  • Nursing
  • Complementary and Alternative Medicine
  • Psychology of Healing

Background:

  • Intentionality is recognized in healing research but lacks a clear, consistent definition.
  • Existing definitions are often vague, hindering consistent application and study.
  • A precise theoretical framework for intentionality in healing is needed.

Purpose of the Study:

  • To develop a substantive theory of intentionality within naturalistic nurse-healer and client interactions.
  • To define intentionality and its developmental phases in the context of healing.
  • To explore implications for nursing practice and future healing research.

Main Methods:

  • Grounded theory approach utilizing constant comparative method and synthesized analysis.
  • Interviews and observations of six expert nurse-healers and six healee-clients.

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  • Data collection included individual and dyadic sessions before and after treatments.

    • Main Results:

    • A theory of intentionality: the matrix for healing (IMH) was developed.
    • Intentionality in healing was characterized as an evolutionary process with distinct shifts.
    • Three developmental phases of intentionality were identified: generic, healing, and transforming.

    Conclusions:

    • The developed theory provides a clear definition and framework for intentionality in healing.
    • The theory advances the understanding of intentionality as a key component in therapeutic encounters.
    • Findings have significant implications for enhancing nursing practice and guiding future healing research.