nursing theory florence

8/10/2019 nursing theory florence

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Nursing theoryflorence


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Who am I ?

Florence Nightingale


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History

Born: May 12, 1829

Nursing Education: 1851 trained in Germany at aProtestant religious community with a hospital and

after 3 months she was declared trained as a

nurse

Nickname: The Lady with the Lampshe madeward rounds during the night providing emotional

comfort to the wounded soldiers


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History

Turned down several offers of marriage to pursue her

career.

She served in the Crimean War in 1854 as a nurse; she led

a group of 3 dozen nurses and this was controversial

because females did not go to war then

She worked at changing terrible conditions in hospitals

during the time at war She became critically ill during the war with Crimean fever

Devoted her energies not just to the development of

nursing as a profession, but even more to local, national,

and international societal issues and causes in a anattempt to improve the living environments of the poor and

to create social change


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Nightingales theory (cont)

-warmthshe advocated on keeping pts warm;

nurses would palpate the pts extremities to assessfor heat loss

-quite environmentnoise created by physical

activities in the environment was to be avoided

because it could harm the pt Nightingale believed that sick poor people would

benefit from environmental improvements that

affected both their bodies and minds. She believed

that nurses could be instrumental in changing thesocial status of the poor by improving their physical

and psychological living conditions.


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Nightingales influence

Florence Nightingale's two greatest lifeachievements were pioneering of nursing and thereform of hospitals this was amazing consideringthat most Victorian women of her age group did notattend universities or pursue professional careers.

Her voice was strong and she served as an effectiveadvocate on a number of important health issues,particularly for trained nursing and preventive health

care through proper hygiene.


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Nightingales influence

Modern nursing derives so completely from theexample and teaching of Florence Nightingale that itis hard to pick out the particular practices that owetheir existence to her influence.

All nursing has been influenced by her. One mightsay modern nursing is Miss Nightingale that hername is a synonym for nursing. She demonstrated

in a dramatic fashion in the Crimea that nursing-andsanitation-could reduce mortality


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Nightingales theory

Nightingale's theory contains 3 major

relationships

1. Environment to patient

2. Nurse to environment

3. Nurse to patient


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Nursing Paradigms

Nursing

Nursing is different from medicine and the goal of nursing is to place the patient in

the best possible condition for nature to act.

Nursing is the "activities that promote health (as outlined in canons) which occur in any

caregiving situation. They can be done by anyone."

Person

People are multidimensional, composed of biological, psychological, social and

spiritual components.

Health

Health is not only to be well, but to be able to use well every power we have.

Disease is considered as dys-ease or the absence of comfort.

Environment

"Poor or difficult environments led to poor health and disease".

"Environment could be altered to improve conditions so that the natural laws would

allow healing to occur."


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Environment was the main factor creating illness ina patient. She recognized not only the harmfulnessof an environment, but also the benefit of goodenvironments in preventing disease. Theenvironmental aspects of her theory remain integralcomponents of nursing care today.

Nurses manipulate the environment in a number ofways to enhance pt recovery. (elimination of

contamination and contagion; exposure to fresh air,light, warmth, and quiet)


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Nurse to patient relationship meant that thepatient would be protected from emotionaldistress, letting patients make decisions

Nightingale did not consciously attempt todevelop what is considered a theory ofnursing; she provided the first definitions fromwhich nurses can develop theory and

conceptual models and frameworks thatinform professional nursing today


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Nightingale Quotes

Florence Nightingale to Sidney Herbert, the Secretary of War 1855,I am kind of general dealer in socks, shirts, knives, and forks,wooden spoons, tins baths, tables, and forms, cabbages, andcarrots, operating tables, towels and small tooth combs, precipitatefor destroying lice, scissors, bedpans and stump pillows I really likethis quote because she is talking about the whole person and not

just one thing.

Florence Nightingale to Poor Law Board May 1865, The sick andthe infirm require special constructive arrangements. They are notpaupers they are poor in affliction. Society owes them every care forrecovery.


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Performance Assessment

Nightingale had a keen eye for detail and was veryadamant about nursing observation and fact finding.

Much of Nightingales work is still applicable today.

Taking into account the era that Nightingale lived, itseems safe to say that she was very much ahead ofher time.

She developed concepts that have been built uponand are still utilized in todays nursing practice.

Nightingales theory focusing on environment couldbe utilized for the purpose of performanceassessment.


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How d o w e as nu rses pro v ide for our p atients env ironmental needs?

Does the nurse listen to patient concerns regarding

the environment?

Does the nurse take an active role in communicating

with the patient by asking questions related toenvironment and patient comfort?

Is the nurse able to anticipate client needs based on

the presenting complications?

Is the nurse able to manage the environmental

factors such as noise, family members, hospital

staff, temperature, equipment, etc?


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How d o w e as nu rses pro v ide for our p atients env ironmental needs?

Is the environment safe, sanitary, and secure?

Do other members of the health care team need to

be involved, such as social workers, or

occupational/physical therapists? Are there any potentially harmful environmental

factors that need to be addressed?

Can the environment be modified to be more

accommodating?

Is the nurse critically thinking, exploring even the

outside the box ideas that may be utilized?


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How are you at managing your

patients environment?

Think about the questions presented and ask

yourself, is there any way that I can better

improve my patients environmental needs?

Keep an open mind when assessing patient

environment and pay close attention to

cultural differences when planning care.

These are questions that FlorenceNightingale would most likely ask if she were

here today.


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References

Alligood, M. R., & Tomey, A. M. (2006). Nursing

Theorists and Their Work (6th ed.). Mosby, Inc.Ignatavicius,D.D., & Workman,L.M. (2006). Medical

Surgical Nursing, Critical Thinking for Collaborative

Care (5th ed.). Elsevier Saunders.

Kearney-Nunnery, R. (2008). Advancing Your Career:

Concepts of professional nursing (4th ed.). F. A.

Davis Company.


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nursing theory florence

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