fundamentals of nursing

DR. JAMES M. ALO, RN, MAN, MAP, PhD.

• Is the act of utilizing the environment of the px to assist his recovery. Nightingale(1860)

• Is the dx & tx of human responses to actual or potential health problems

ANA (1980)

11/11/2012 dr james m. alo

1. Care provider/rehabilitator

2. Comforter/counselor

3. Communicator

4. Educator/Teacher

5. Protector/ Client advocator

6. Manager

7. Researcher


1. Quality of care

2. Performance appraisal

3. Education

4. Collegiality

5. Ethics

6. Collaboration

7. Research

8. Resource utiization


Theorist Theory/Framework

Nightingale (1860) Manipulating the px environment

Peplau (1952) Interpersonal processes 4 overlapping phases: Orientation, Identificatin, Exploitation/explanation, Resolution

Henderson (1955) 14 basic needs: breath, eath/drink, eliminate, posture, sleep, dress, temperature, hygiene, communicate,, worship, work, play, learn & avoid dangeer.

Abdellah (1960) Nursing is caring, intelligent, competent, & technically well-prepared service Identified 21 specific cliet needs/nsg problems.

Orlando (1961) Nursing is interacting w/ client to meet immediate needs


Hall (1962) Coined the term “nursing process” Nsg center on 3 components: CARE, CORE, & CURE

Levine (1966) 4 conservation principles: Conserve client energy, structural, personal, & social integrity

Johnson (1968) Behavior system model: 7 Basic Needs; security, nurturance, nourishment, elimination, achievement, self-protection, sex.

Rogers (1970) Science of Unitary Human Beings

Orem (1971) Self Care & Self Care Deficit Theory

King (1971) Goal Attainment Theory: 3 Dynamic interacting systems; personal, iinterpersonal, social

Neuman (1972) Health Care system Model: goal of nsg is to assist client in stress(intra, inter, extra-personal) reduction via primary, secondary, tertiary levels of prevention

Patterson & Zderad (1976)

Humanistic Nsg Practice: requires participants to be aware of their “uniqueness” & @ the same time “commonality” w/ eaxh other. The essential characteristic is nurturance.

Leininger (1978)

Transcultural Nsg Model: values, beliefs, & practices 11/11/2012 dr james m. alo

Roy (1979) Adaptation Model: client as an adaptive system

Watson (1979) Human Caring Model: transpersonal & humanistic

Parse (1981) Theory of Human Becoming: clients are open, mutual, & in constant interxn w/ environ.

Erickson (1983)

Modeling & Role-Modeling Theory: Nurses act a role model in nurturance

Benner (1989) Caring is central in nsg, creating possibilities for coping & connecting w/ others.


Ethics Study of good conduct, character & motives, determining the rightnes / wrongnes of an act

Morals Ones own personal beliefs, opinions, & attitudes that guide’s ones action.

Values Personal belief about the worth of a given idea,, attitude, appraisal of what is good.

Autonomy Independence or seld-governance

Beneficence Promoting good to others

Malefi cence Harm or hurt

Nonmaleficence Avoidance of harm

Confidentiality Repect for clients’ privacy

Fidelity Agreement to keep promises

Distributive justice Allocation of goods/services accdg to: equality, need, merit

Principle of double effect

Promoting good but involving some expected unavoidable harm.


Safeguards the clients

right to privacy

Safeguard the cient & the

public

Assumes responsibility &

acountability

Maintains competence

Exercises informed judgment Provides

services w/ respect

Contribute to ongoing

development

Imporve standards of

nsg.

Maintain conditiond of employment

Protect the public from

misinformation

Collaborates w/ members of the

health team


Anything written/printed relied on as a record of proof.

Purposes:

Communication,assessment & auditing of care,legal documentation, financial billing, educ of students, statistic & research.


Types of Records


Temperature


FIGURE


Thank you. -Dr. J.M. Alo


fundamentals of nursing

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