• nursing theory;
  • theory development

Accessible summary

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    Stein's theory of meaning through cognitive-behavioural process can be a useful guide for nurses and clients in many therapeutic settings, such as mental health centers, home health care, telebehavioural health care and outpatient clinics.
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    Both the nurse and the client can draw from this model to find answers in their lives when engaging in health and healing.
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    Through further research and practice, this new model can be tested in a variety of settings with many different types of clients to enhance their health and well-being.


This theory development was a partial fulfilment of doctoral course work at University of Colorado Denver Health Sciences Center. It is an interactive/integrated theory which can be utilized in multiple practice settings to promote growth of the client as well as the nurse. Tools were developed pertaining to this theory. A pilot study was accomplished at a local mental health centre.