491-M08.pptx - Nursing Theories 491 Aspen Professor...

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Nursing Theories 491 Aspen Professor AnnMarie Vang May 27 th , 2009
Objectives Describing the theory for each of the theorist chosen: Nightingale, Henderson, Hall, Peplau, Travelbee, Orlando, Johnson and Orem. Providing three examples of application in current practice. Providing three positive patient outcomes from each theory use. Explaining three benefits to nursing when using the theory. Describing two barriers to the use of the theory in practice and methods to overcome them.
Florence Nightingale: the environmental theory She is considered as first nurse theorist. She believed in healing and health of the patient. She tried to integrate a holistic care focused not only on the patient’s body, but the living and social environment. Her theory was based on her beliefs that five essential aspects are needed to achieving healthful house: “pure air, pure water, efficient drainage, cleanliness, and light”. The goal of nursing is to have the patient in the best possible condition for nature to act. Nursing is separate from medicine. It requires specific education and training. Nurses have to be keen observant and promote confidentiality. The focus of nursing is the environment that the patient will achieve healing. Nightingale believed that the environment could be altered to improve conditions so that the natural laws would allow healing to occur. Her assumptions was that the disease process is not important to nursing but that nursing should support the patient’s environment to promote healing. She believed that nursing is an art and a science. the focus of nursing in this model is to alter the patient's environment in order to affect change in his or her health.
Florence Nightingale: the environmental theory application to current practice Nightingale Example 1: To avoid the patient by the introduction of other germs to the patient’s environment, nurses have to implement a rigorous hand hygiene prior to assessing the patient.. Nightingale Example 2: Providing daily baths and cleaning to patients that are able to care for themselves promotes skin integrity and prevents breakdown as well as infection. Nightingale Example 3: Environmental interventions include disinfection and sterilization of surfaces and equipment, air filtration, positive air pressure rooms, and barrier protection (Personal preventive equipment: PPE) from body fluids.
Florence Nightingale: outcomes and benefits Positive patient outcome: Outcome 1: decrease mortality from infection Outcome 2: control over the environment Outcome 3: better nutrition Nursing benefits: Benefit 1: respectable, recognized Benefit 2: improved education and training Benefit 3: autonomy in practice
Florence Nightingale: barriers and solutions Barrier # 1: Fresh air is not a concept that can be provided nowadays to our patients. For safety concerns all hospital windows are sealed for health and safety reasons.

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