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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 Practice•Performing 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 patients•Provide ongoing infection control education•Provide patients with a daily bath and linen change•Clean all equipment between patients Positive Outcomes•Promotes environment conducive for health and healing•Decrease in the number of HAI’s•Improved patient outcomes•Decreased inpatient length of stay•Improved education standards and healthcare regulations.
FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORYBenefits of The Environmental TheoryTheory is easily understoodCreates and environment and implements daily practices to promote health and well-beingBenefits the patient, improves patient outcomesAddressed the need for cleanlinessBarriers to the Environmental TheoryNurses tend to be more task focused due to the high acuity of patientsEach patient’s needs are unique and may be difficult to apply in all settings, Some environmental factors can not be changedMay have limited resources when caring for patients outside of the hospital or healthcare facilityReduction in the nurse patient ratio to provide adequate time to care for the patient
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•Identify potential barriers to wellness Exploration-Focus is placed on the implementation of the nursing care plan, taking actions to meet the goals previously identified•