ELSI: The Roots Of Nursing As Viewed Through A Complex Synergistic System Lens | 16168
Journal of Nursing & Care
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As the largest sector of the health professions in the United States with three million registered nurses, the world needs
to hear our voices in forging a new vision in nursing education and practice. Nursing theory and practice is constantly
evolving and Nursing 2013 is at the cutting edge of nursing. The purpose of this paper is to discuss ELSI: The roots of nursing.
ELSI stands for ethics, legal, and socio-cultural issues, which are the roots of nursing and nursing?s obligation to society and the
world. The purpose of this paper is to integrate ethics, legal and socio-cultural issues as nursing?s obligation to society and toward
understanding nursing as a complex synergistic system. The theories that relates to ELSI are the complexity theory, synergy
theory, and systems theory. Integrating these theories to form the Complex Synergistic System (CSS) remind all nurses the
multifaceted nature of nursing (complexity theory), its collaborative relationship with various disciplines (synergy theory), and the
permeability of nursing's boundaries (systems theory). ELSI as nursing?s obligation to society and CSS as a theoretical framework
grounds nursing education, practice, leadership, and Nursing 2013 to withstand and transform challenges into opportunities for
growth and positive outcome. A theoretical framework such as CSS in ELSI is a powerful tool that shapes, engages, and guides
thinking, feeling and behaving in nursing education, practice, and leadership. The use of evidence-based literature and practice is
used as background and foreground of this 30-40 minute power point and audio-visually assisted presentation.
Rose E. Constantino, Ph.D., JD, RN, FAAN, FACFE, is Associate Professor at the University of Pittsburgh School of Nursing, Department of Health
and Community Systems. She teaches Forensic Nursing. She is the senior editor of Forensic Nursing: Evidence-based Principles and Practice
published by F. A. Davis in 2013. Her pro bono family law practice is founded on her research on the consequences of Intimate Partner Violence on
the health, safety and well-being of women, men and children worldwide. Her current research is in comparing the effectiveness of Online and Faceto-
Face intervention in women and children in intimate partner violence. She is mentoring students in developing the HELPP Zone app as a training
tool for bystanders worldwide in recognizing, responding and preventing relationship violence including domestic and sexual violence.
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