The holistic paradigm in nursing: The diffusion of an innovation


  • Dr. Mary B. Johnson

    Corresponding author
    • Minnesota Intercollegiate Nursing Consortium, Whitby Hall, 2004 Randolph Avenue, St. Paul, MN 55105-1750
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    • Mary B. Johnson, PhD, RN, is an assistant professor at St. Olaf College, Northfield, MN, and teaches in the undergraduate program of the Minnesota Intercollegiate Nursing Consortium, St. Paul.


Nursing today is affected by challenges to the beliefs and values underlying the delivery of health care services. Results of a bibliometric analysis of the nursing literature since 1966 revealed a process of paradigm change in which a scientific medical model is being replaced by a model based on the concept of holism. Key ideas representing a holistic paradigm of health appear with increasing frequency in the journals of the nursing field demonstrating the diffusion of a new and different perspective in the practice of nursing.