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Florence Nightingale's major concepts of nursing theory
Florence Nightingale's major concepts of nursing theory
Florence Nightingale's major concepts of nursing theory
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Our group has chosen to focus on one of the Grand Theorists. The theorist we chose is Florence Nightingale. She based many of her concepts on the principle that every human being has “cleanliness, fresh air, sanitation, comfort, and socialization were necessary to healing.” (McEwen & Wills, 2014, p.132). During the reparative process any or all of these items are interrupted. Many of Nightingale’s notes and letters were written long before the metaparadigm concepts of human, environment, health, and nursing were labeled as such. Nightingale’s notes on nursing expounded on each of her principles in great detail so much so that they are still referred to and applied to modern day nursing practices. The rationale for choosing this grand theorist …show more content…
Health Care Associated Infections (HAI’s) are continuing to escalate. They were also recognized by Nightingale during the Crimean War though not labeled as such. HAI’s originally referred to those infections associated with admission in an acute care setting, but the term now applies to infections acquires in the continuum of settings (long term care, ambulatory or home settings). Most HAI’s are preventable and are an undesired outcome. They truly determine quality of patient care, an adverse event, and a patient safety issue. Getting back to basics by using Florence Nightingale’s notes will provide a great example of routine, simple, and holistic approach to patient …show more content…
M. Leininger stated that “a learned humanistic and scientific profession and discipline that is focused human care phenomena and activities to assist, support, facilitate, or enable individuals or groups to maintain or regain their well-being (or health) in culturally meaningful and beneficial ways, or to help people face handicaps or deaths” (McEwan, 2014, pg. 43). What does this all mean? First and foremost, anyway that we can assist in the patient’s well-being is as simple as basic handwashing, clean and sterile environments, and warm environment is simple, correct? Learned behavior and cutting corners tend to lead us to negate these simplistic thirty second activities that can prevent infections that can cost organizations tens of thousands of dollars, let alone the incur the patient much discomfort, pain, and suffering with the possibility of an eventual
notices to patients and their families, schedule and lead the meetings. Wishing to be actively involved in the process, I represented nursing along with the charge nurse of the unit and the charge aide.
One of the many theorists that followed the founder of modern nursing, Florence Nightingale, was Merle Mishel (Alligood, 2014). However, Florence Nightingale’s theory is different
“I attribute my success to this-I never gave or took any excuse.” These words spoken by Florence Nightingale showed that she was hard working and determined to make a difference in the field that she felt was her calling. Florence Nightingale was a nurse who spent her night roundscaring for the wounded, establishing her image as “Lady with the Lamp.” “The very first requirement in a hospital is that it should do the sick no harm” – Florence Nightingale. She was a heroic woman because she was a fantastic female nurse, cured the ill and was a great team leader (Florence Bio).
Philosophy of Nursing When one thinks of the evolution of nursing, several noteworthy women come to mind, yet one stands out, Florence Nightingale. In Notes on Nursing, Nightingale says “.put the patient in the best conditions for nature to act upon him.” (1859, p.75) She established standards that reformed the industry.
A metaparadigm is an overarching framework that provides a comprehensive perspective of a discipline. In nursing, this framework serves to distinguish the profession intellectually, comprising of four concepts which provide a foundation to the content and context of nursing theory and scope of practice (Lee & Fawcett, 2013; Masters, 2014; Schim, Benkert, Bell, Walker, & Danford, 2007). Namely, these foundational concepts are: person, environment, health, and nursing. Hence, the intent of this essay is to describe the four main concepts that make up nursing’s metaparadigm and discuss how they are used in practice, education and research.
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
Florence Nightingale is a very prominent person in the medical field. She had a strong desire to devote her life to helping others. She is known as the founder of modern medicine. The Nightingale Pledge is taken by new nurses and was named in her honor. The annual International Nurses Day is celebrated on her birthday. Without her contributions healthcare would not be what it is today.
In 2005 Fawcett stated “the metaparadigm of professional nursing incorporates four concepts: human beings, environment, health, and nursing” (as sited in Kearney, 2012, p. 4). This paper discusses my philosophy of nursing by stating my own personal definitions, values, and assumptions regarding each of the above mentioned concepts. My paper concludes with an exemplar from my own nursing practice and how I integrated my nursing philosophy into that particular clinical situation.
Aside from Florence Nightingale, there are other icons in the history of nursing. For example, some important individuals are Virginia Henderson, Dorothy Johnson, Martha Rogers, Abraham Maslow, and Sister Callista Roy. These icons believed that the goal of nursing is to help clients, reduce stress, to help identify their needs, prevent illness, and promote health (O’Neill, pg. 4, 2014). All of these principles play a major role in the nursing profession. Some other their frameworks or principles are involved with the fourteen fundamentals needs, 7 behavioral subsystem in an adaptation model, Maslow’s hierarchy of needs, evidence-based practice, primary caring, advance practice nursing, cultural competence, holistic approach, primary prevention, secondary prevention and tertiary prevention (O’Neill, pg. 4, 2014). These changes has improved and reformed many aspect of
The metaparadigm encompasses the major philosophical orientations of a discipline, the models and theories that guide research, and the empirical indicators that operationalize theoretical concepts. The purpose or function of the metaparadigm is to summarize the intellectual and social mission of the nursing discipline and place boundaries on the subject matter of that discipline (McEwen & Wills, 2014). The four metaparadigm of the discipline of nursing are person or client, environment, health, and nursing (Parker, 2001). A person or client is the recipient of nursing care. The environment is the internal or external surroundings that affect the client. Health is the degree of wellness or well-being that the client experiences. The nursing concept refers to the attributes and actions
Nursing theory is, “the principle that underpin practice and help to generate further nursing knowledge” (Colley, 2003, p. 33). Nursing theory is important in nursing practice. The two theorists that are relevant to my nursing practice are Florence Nightingale and Hildegard Peplau. Florence Nightingale theory was about the patient having a clean and healing environment (Smith & Park, 2015, p. 51). The theory that Hildegard Peplau created was the importance of nurse-patient relationships (Smith & Park, 2015, p. 68). Both of these theories put the patient’s safety and care first. When I am at work I try to form a healthy and healing relationship with all my patients. I also make sure the environment that they are in is conducive to healing, it is hard to do that sometime working in the emergency room. Sometimes it is the little things that a nurse can do for a patient that will make all the difference. Taking both of these theories into
Florence Nightingale, named after the city of Florence, was born in Florence, Italy, on May 12, 1820. She would pursue a career in nursing and later find herself studying data of the soldiers she so cringingly looking after. Born into the Crimean War, Florence Nightingale took the lead role amongst her and her colleges to improve the inhabitable hospitals all across Great Britten; reduce the death count by more than two-thirds. Her love for helping people didn’t go unnoticed and would continue to increase throughout her life. In 1860 she opened up the St. Tomas’ Hospital and the Nightingale Training School for Nurses before passing August 13, 1910 in London. Her willingness to care for her patients was never overlooked and wound establishing
In order to do that the nurse has to be able to incorporate all aspects of nursing into the care. Whether it is caring for physical, cognitive, mental, social, or cultural problems the nursing science and philosophy should always be implemented in the same manor or basis. It is important to understand that these factors can theoretically continue to impact the development of science, including nursing science (Daiski, 2016). It is essential to incorporate all the central concerns of nursing into the nursing practice to be able to provide the necessary care. Daiski stated that it is demonstrated by the four-metaparadigm concepts, which are human being, health, environment, and nursing. It then contains a philosophy based on social justice, so that we are able to comprehend the complications of the narratives our patients tell us so that we are more prone to holistically understand their journeys (Daiski,
Prevention of hospital-acquired infections: review of non-pharmacological interventions. Journal of Hospital Infection, 69(3), 204-219. Revised 01/20 Haugen, N., Galura, S., & Ulrich, S. P. (2011). Ulrich & Canale's nursing care planning guides: Prioritization, delegation, and critical thinking. Maryland Heights, Mo. : Saunders/Elsevier.
Sometimes in war a person can learn new things that can befit the world. Nightingale saw that most soldiers were dying from illness and not from there injures that they had received. ("Florence nightingale," 2011) She observed the environment that the patients were in, and notice that most of them did not have adequate nutrition, and their environment was not clean. ("Florence nightingale," 2011) The changes she made in the ward included a better nutrition and a sanitary environment these changes greatly decreased the mortality rate which was at a 42% then drop to 2% ("Florence nightingale," 2011) Nightingale believed that a patient environment affected the healing process for the patient. Nightingale states, “Nursing out to signify the proper use of fresh air, light, warmth, cleanliness, quiet, and then proper selection and administration of diet.” (Alligod & Tomey, 2006) Nightingale created 13 canons, which revolves around nurse to critical think and how the nurse can change the environment. An example of one of her Canons is noise, states “asses the noise level in the client room and surrounding area. Attempt to keep noise level to a minimum.”(Alligod & Tomey, 2006)