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Transcript of 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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Nightingales theory (cont)
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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Nightingales theory (cont)
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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THANK YOU