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Unitary-transformative theoretical approaches impact nursing theories and the four concepts of nursing metaparadigm by providing extensive analysis and proposing the need to have alternative nursing principles that provoke changes to provide action-oriented quality care.  The approaches impact the theories by emphasizing the need to present action-oriented knowledge to meet current healthcare demands.  Cowling III (1999) notes that there is sufficient evidence of various actions within practice strategies based on unitary transformative theories that improve nursing and healthcare today.  This means the approaches affect grand theories to inform best practices that enhance a person’s patterned view with self-organized energy. Despite

 

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