A multiparadigm approach to nursing.

Nursing theory development has made good progress in differentiating the domain of nursing from medicine; many of these theories are categorized as holistic theories. Nursing classification systems are also being developed to organize extant nursing practice. The dissonance between the two has been one of the most difficult contemporary issues for the leadership of nursing. A framework is proposed that would account for these disparate approaches. This proposed framework for the domain of healing is in keeping with the metaparadigm of health and uses a multiple paradigm approach. Nursing interventions are discussed in relation to the framework. It invites a dialogue in keeping with the scholarship of holism. Practice and scholarship implications are discussed.