P R O F E S S I O N A L R O L E S P a g e | 1 Professional Roles & Values Task 1 Sommer Jackson Western Governors University
P R O F E S S I O N A L R O L E S P a g e | 2 Professional Nursing Practice According to Cherry, B. and Jacob, S. R. (2017), Florence Nightingale’s theory of practice focused on environmental adaptation. Nightingale expressed how the patient environment for optimal wellness/ healing could be enhanced by providing a calming environment. This theory seems to set the foundation for excellent nursing practice by encouraging nurses to be aware of a variety of elements that can create noisy, bland, stressful environments where patients are trying to heal and to use that awareness to reduce those negative dynamics. Working in the operating room (OR) at a children’s hospital, I don’t have a lot of time to influence my patient’s environment. In order to provide a peaceful environment, I try to anticipate the needs of various patients based on their medical histories and age. For example, if I have a patient with autism I make note that loud noises and bright lights can cause stress and anxiety. To combat those stressors, I will turn down some of the lights in the OR before bringing the patient back for surgery; additionally, when talking with the families in the pre-operative suites I make every effort to speak in a slow, soft voice. Two historical nursing figures from the nineteenth and twentieth centuries that I want to address are Florence Nightingale and Hildegard E. Peplau. According to Gonzalo, A. G. (2011), Nightingale contributed to the field of nursing by ensuring nurses helped to maintain a balanced environment for their patients, because she believed that an unbalanced environment caused clients to expend energy unnecessarily. Peplau, on the other hand, contributed to nursing practice by encouraging the formation of a therapeutic nurse-patient relationship (Gonzalo, A. G., 2011). Peplau had a stronger psychosocial approach to nursing when compared to Nightingale. Nightingale had a set of ideals for the perfect patient environment; according to Gonzalo, A. G. (2011), she believed patients wanted direct sunlight, unnecessary noise was cruel and irritating to
P R O F E S S I O N A L R O L E S P a g e | 3 patients, and that variety relieved patients from boredom. Peplau, in contrast, believed in the importance of allowing patients to help choose what aspects of their environments promoted wellness. According to Gonzalo, A. G. (2011), Peplau’s ideal/ theory to establish that therapeutic nurse-patient relationship allowed the nurse to alter the patient’s environment based on what the patient stated they needed/ wanted. The contributions of Nightingale and Peplau both influence my practice daily. I use Nightingale’s theories to make thoughtful choices for patients that are unable to express their needs, and I ensure that I take actions to provide a healing environment based on the foundations of reducing noise and being cognizant of harsh/ negative stimuli.
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- Fall '15
- Nursing, professional roles