She goes beyond the past trend of simply looking at the differences between nursing theories to find ideas that unite them to evoke creative new ideas. It seeks to explain how the theoretical framework of care has evolved into a philosophical, conceptual, and epistemological enterprise and differs from simple care. At the same time, nursing's focus on the relationship between health care and healing differentiates it from other disciplines. However, I felt that the difference between “simply caring” and caring in nursing can be explained by exploring the concepts of healing and consciousness. Although nurses have an ethical obligation to care, the ultimate goal is to restore health through healing. These two concepts were not explicitly defined in the conceptual framework of care. The other main elements missing in the Caring Theory Metaparadigm are the environment and culture that seeks to inform and accommodate