K Trahan-N491-Assignment08.pptx - Nursing Theories Kayla...

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Nursing Theories Kayla Trahan Aspen University N491 Alicia Hinton, FNP-BC, ADM-BC April 25, 2020
1. Nightingale’s Environmental Theory 2. Peplau’s Theory of Interpersonal Relations 3. Johnson’s Behavioral System Model 4. King’s Theory of Goal Attainment 5. Neuman’s Systems Model 6. Leininger’s Culture Care Model 7. Parse’s Theory on Human Becoming 8. Kolcaba’s Comfort Theory OBJECTIVES
Environmental Factors Affecting Health If these factors are not present, health is compromised Manipulation of Environment & Natural Resources to Improve Health Health Promotion & Disease Prevention (Smith & Parker, 2015)
Proper hand hygiene decreases the amount of hospital-acquired infections Cleaning appliances for each patient Stripping bed linens Use of isolation precautions (contact, droplet, airborne) Use of Gloves Individualized Nutritional Diets such as diabetic diets Reduction of noise Promotes a healing environment Reduced amount of hospital acquired infections Reduction in the spread of infection between patients Decreased decubitus ulcers Faster wound healing Reduced length of hospital stay Nightingale Examples to Current Practice Positive Patient Outcomes (Pirani, 2016) (Smith & Parker, 2015)
Benefits/Nursin g Satisfaction Decreased hospital stay and hospital readmissions Promotion of health and well-being Infection control and prevention Reduced mortality rates Increased life expectancy (Pirani, 2016)
Example Barrier One Nurse-patient ratio is increased. At times, nurses are unable to spend extended amounts of time in patient’s rooms. Nurses must equally care for each patient which at times, limits the time the nurse spends with each patient. Method to Overcome: DELEGATE tasks to Certified Nursing Assistances to enhance patient care Example Barrier Two Patient care should be individualized and manipulation of some environmental factors is always not possible such as: patient is paralyzed, nurse is unable to bring patient outside for adequate lighting and fresh air. Method to Overcome: Open windows, open shades of widows to allow sunlight enter room. (Pirani, 2016)
Peplau’s Theory of Interpersonal Relations Nursing does not exist without a trusting therapeutic nurse- patient relationship. Growth-promoting, objective, and focuses on the patient’s needs Further the personal development of the patient - Relationship Begins; Patient seeking medical assistance - Assessment & Data Collection Orientation Phase - Identify problems and establish goals - Balance of independence, interdependence, or dependence Working Phase: Identification - Patient has active role in plan of care - Develop responsibility & independence - Utilizes resources and services based on needs Working Phase: Exploration - Exists when patient is able to independently care for themselves - Old needs are abandoned & New goals are established Resolution Phase (Sheldon, 2014)
Peplau’s Examples to Current Practice Formal and friendly introduction: Greeting patient by name, smiling, eye contact Maintaining confidentiality Relationship is established though

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