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NURSING THEORISTSBY: KAREN DANNACONCEPTS AND THEORIES IN NURSING N491
FLORENCE NIGHTINGALE:ENVIRONMENTAL THEORY The Environmental Theory describes nursing as “the act of utilizing the environment of the patient to assist him in his recoveryThe environmental theory focuses on providing the best possible environmental condition that will promote healingThe nurse’s role is to change the environment to provide conditions to aid the patient’s body in healing. Identified five environmental factors needed to promote a healthy environment are : pure fresh air, pure water, effective drainage, cleanliness and light Stresses that external influences and conditions impact one’s health in either a positive or negative way, promoting health or illnessThe environmental factors include clean environment, adequate food and fluids, fresh air, and a clean patient.(Hektor Dunphy, 2015).
FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORY Current PracticePerforming proper hand hygiene is the cornerstone of reducing Hospital Acquired Infections (HAIs). Identify contagions as soon as possible, place patient in isolation and utilized specific PPE when caring for these patientsProvide ongoing infection control education including important of patient hygiene and cleaning of equipment in patient care areasPositive OutcomesPromotes environment conducive for health and healing and decreases the number of HAI’sImproved patient outcomes with decreased inpatient length of stayImproved education standards and healthcare regulations
FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORYBenefits of The Environmental TheoryCreates an environment and implements daily practices that promote health and well-beingBenefits the patient while improving patient outcomesAddresses the importance of cleanliness and infection controlBarriers to the Environmental TheoryEnvironmental factors needed to promote a healthy environment such as fresh air, pure water, effective drainage, cleanliness and light may not be available•Collaborate with multidisciplinary team members to utilize resources from all disciplines to improve the environment and promote healthIncreased nurse/patient ratio, result in task focused nursing due to high patient acuity. •Implement incentives to promote staff retention, consider patient acuity when creating assignments work with peers to address there need•(medical, hygiene, activities of daily living, environment)
HILDEGARD PEPLAU THEORY OF INTERPERSONAL RELATIONSRelationship between nurse and client are fundamental to the nursing process affects the patients’ experienceIdentified that the nurse-client relationship develops through four phasesOrientation-The nurse’s assessment of the patient's health, situation and problems are identified•Advance from stranger to a trusted professionalIdentification- Focus is placed on the development of the nursing care plan based on patient•