florence nightingale-modern nursing
TRANSCRIPT
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Modern Nursing
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Concepts
• Florence Nightingale’s original theory for nursing practice was holistic.
• Her concepts included human/individual, society/environment, health/disease and nursing.
• She focused more on physical factors than on psychological needs of patients because of the nature of nursing practice during her time.
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Concepts
• Patient• Environment• Nursing• Health• Disease
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Assumptions
1. Healthy surroundings were necessary for proper nursing care2. Nursing is achieved through environmental alteration3. Nursing requires a specific educational base
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Propositions
1a. Nurses must be able to provide fresh air, light, warmth, cleanliness, quiet, and a proper diet to patients1b. Therefore, these must be given consideration:• Ventilation and warming• Light, Noise
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Propositions
• Cleanliness of rooms/walls• Health of houses• Bed and bedding• Personal cleanliness• Chattering hopes and advices• Taking food.
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Propositions
2a. Nurses must facilitate a patient’s reparative process by ensuring the best possible environment;2b. Patients are to be put in the best condition for nature to act on them, it is the responsibility of nurses to reduce noise, to relieve patients’ anxieties, and to help them sleep3. Therefore, skills measurement through licensing by the use of testing methods, the case studies must be done.
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Nursing Paradigms
Person Environment
HealthNursing
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Who is the target of assessment and intervention?
Person/ PATIENT- A human being acted upon by a nurse, or affected by the environment- Has reparative powers to deal with disease - Recovery is in the patient’s power as long as a safe environment exists
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FOCUS
Focuses on nursing and the patient-environment
relationship
IMMEDIATE NEEDS must be met first
before healing is possible.
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The foundational component of Nightingale’s theory
The external conditions & forces that affect one’s life and development
Includes everything from a person’s food to a nurse’s verbal & nonverbal
interactions with the patient
Environment
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6 Essential Elements
1. Pure water
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2. Clean air
6 Essential Elements
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3. Appropriate light
6 Essential Elements
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4. Sufficient food supplies
6 Essential Elements
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5. Cleanliness
6 Essential Elements
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6. Effective drainage
6 Essential Elements
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Health- Maintained by using a person’s healing powers to their fullest
extent.- Maintained by controlling the environmental factors so as to
prevent disease.- Disease is viewed as a
reparative process instituted by nature.
- Health & disease are the focus of the nurse.
- Nurses help patients through their healing process.
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Provides fresh air, light, warmth, cleanliness, quiet, and a proper diet
Facilitates a patient’s reparative process by ensuring the best possibleenvironment
Influences the environment to affect health
Nursing
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Florence saw nursing as being made of two parts: ‘Sanitary Nursing', which
was care of the environment, and ‘Nursing
as a Handicraft'.
Nursing
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• "Patients are to be put in the best condition for nature to act on them, it is the responsibility of nurses to reduce noise, to relieve patients’ anxieties, and to help them sleep."
• Decrease the risk of infection• advocated for health promotion
and disease prevention
Usefulness to PRACTICE
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• She was the first to use a theoretical foundation to nursing.
• Use of graphical representations like the polar diagrams.
• Notes on nursing.
Usefulness to RESEARCH
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• Florence Nightingale provided a professional model for nursing organization.
• Her thoughts have influenced nursing significantly.
• Principles of nursing training. Better practice result from better education.
• Skills measurement through licensing by the use of testing methods, the case studies.
Usefulness to EDUCATION
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• Hospitals reach people at a time when they are especially vulnerable and, therefore, educable.
• More hospitals have come to the realization that there is a connection between environmental health and patient health
Administration
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Concepts