FUR PALMA SERQUINIA , RN,R M,MAN©

[FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORY
 She believes that nurses needed to be excellent at the observation of their patients and the environment and use common sense in their practice coupled with observation, perseverance and ingenuity. Persons desired good health and that they would cooperate with the nurse and nature to allow the reparative process to occur or alter their environment to prevent disease. Appropriate manipulations of the environment would prevent disease. She believed that nurses should be moral agents. She addressed their professional relationship with their patients, she instructed them on the principle of confidentiality and advocated for care to the poor improve their health and social situation NIGHTINGALE’S 13 CANONS

FLORENCE NIGHTINGALE Environmental Theory
MAJOR ASSUMPTIONS NURISNG  She believed that every woman, at one time in their life, would be a nurse in the sense that nursing is having the responsibility for someone else’s health

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PERSON  She referred to the person as the patient. Nurses performed tasks to an for the patient and controlled the patient’s environment to enhance recovery.

HEALTH    She defined health as being well and using power that the person has to the fullest extent She envisioned the maintenance of health thru the prevention of the disease via environmental control Disease was a reparative process that nature instituted from a want of attention.

VENTILLATION AND WARMTH   Check the patient’s body temperature, room temperature, ventilation and foul odors Create a plan to keep the room well-ventilated and free of odor while maintaining the patient’s body temperature

ENVIRONMENT   She defined it “as those elements external to and which affects of the sick and healthy person” It included everything from the patient’s food and flowers to the patient’s verbal and non-verbal interactions with the patient.” Little if anything from the patient’s world is excluded from her definition of environment. She believed that the sick, poor people would benefit from environmental improvements that addressed both their bodies and minds. She believed that nurses could be instrumental in changing the social status of the poor by improving their living conditions.

LIGHT   Check room for adequate light. Sunlight is beneficial to the patient Create and implement adequate light in room without placing the patient in direct

CLEANLINESS OF ROOMS AND WALLS   Check room for dust, dampness and dirt Keep room free from dust, dirt, and dampness

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HEALTH OF HOUSES   Check surrounding environment for fresh air, pure water, drainage, cleanliness and light Remove garbage, stagnant water and ensure clean water and fresh air.

THEORETICAL ASSERTIONS    Disease is a reparative process; its nature’s effort to remedy a process of poisoning or decay reactions to conditions in which a person is placed. She believes that the nurse’s role is prevent an interruption of the reparative process and to provide optimal conditions for its enhancement. Nightingale believes in the formal training of nurses

NOISE   Check noise level in the room and surroundings Attempt to keep noise level in minimum

THEORETICAL FOUNDATIONS OF NURSING: MANILA DOCTORS COLLEGE 1ST SEMESTER AY 2010-2011

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In healthcare facilities.R M. BED AND BEDDING   Check bed and bedding for dampness.FUR PALMA SERQUINIA . quiet. pictures and books also encourage friends or relatives to engage in stimulating activities   CHATTERINNG HOPES AND ADVICES   Avoid talking without giving advice that is without a fact Respect the patient as a person and avoid personal talk  TAKING FOOD  Check the diet of the patient note that the amount of food and fluid ingested by the patient at every meal APPLICATION OF NIGHTINGALE’S THEORY TO NURSING EDUCATION  Nightingale’s principles of nursing training instruction (instruction in scientific principle and practical experiences for the mastery of skills) provided a universal template for early nurse training schools She advocated the independence of the school from the hospital to ensure that students would not be involved in the hospital’s labor pool as part of their training She believes that good practice can result only from good education PETTY MANAGEMENT   This ensures continuity of care Document the plan of care and evaluate the outcomes to ensure continuity  OBSERVATION OF SICK   Observe and record anything about the patient Continue observation in the patient’s environment and make changes in the plan of care if needed. the ability to control room temperature for an individual patient is increasingly difficult. wrinkle free and lowest height to ensure comfort PERSONAL CLEANLINESS   Attempt to keep the patient dry and clean at all times Frequent assessment of the patient’s skin is essential to maintain good skin integrity  VARIETY   Attempt to accomplish variety in the room and with the client This is done with cards. RN. flowers.  THEORETICAL FOUNDATIONS OF NURSING: MANILA DOCTORS COLLEGE 1ST SEMESTER AY 2010-2011 2 . warmth. That same environment may create great noise through multiple activities and technology (equipment) used to assist the patients reparative process. wrinkles and soiling Keep the bed dry. diet. including toxic wastes and the use of chemicals in modern society also challenge health care professionals to reassess the concept of a healthy environment.MAN© [FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORY APPLICATION OF NIGHTINGALE’S THEORY TO NURSING PRACTICE  The environmental aspects of her theory (ventilation. and cleanliness) remain integral components of the nursing practice Modern sanitation and treatment have controlled traditional sources of disease fairly well but contaminated water has become a health issue again for many communities as global traveler has dramatically altered the actual and potential spread of diseases more rapidly New environmental concerns are created by modern architecture nurses need to ask whether modern buildings meet Nightingale’s principle of good ventilation Disposal of waste.

THEORETICAL FOUNDATIONS OF NURSING: MANILA DOCTORS COLLEGE 1ST SEMESTER AY 2010-2011 3 . (1994). patient and environment are still capable and relevant in all nursing settings today – meets the criterion of generality. MANUS CAPUT COR  The theory contains 3 major relationships: environment to patient. warmth and quiet. testable statements.    GENERALITY    Provide general guidelines for all nurse practitioner’s for number of years Universality of her concepts still remain relevant except for some specific activities The concept of nurse. she proposed that nurses should base their practice base on observations and experiences rather than systematic. cleanliness Her conditions for the nurse and patient-relationship suggest cooperation and collaboration between the nurse and the patient. 3 edition. N207: Theoretical Foundations of Nursing. J. RN. UPOU: National Computer Center.R M. Inc. Nursing Theories: The Basis for Professional th Nursing Practice. nurse to environment and least nurse to patient (the least defined) The environment was the main factor creating illness in a patient and good environment in preventing illness Nursing practice includes manipulation of the environment in a number of ways to enhance patient recovery: elimination of contamination and contagion. University of the Philippines Open University (2005). Connecticut: AppletonCentury Crofts. (1995). light. Norwalk. In contrast to her quantitative research on mortality in the Crimea. A. St. 4 edition. exposure to fresh of air.FUR PALMA SERQUINIA . Nursing Theorists and their Works. Quezon City.MAN© [FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORY APPLICATION OF NIGHTINGALE’S THEORY TO NURSING RESEARCH   Her interest in scientific inquiry and statistics continues to define scientific inquiry used in nursing research She is considered the first nurse researcher CRITIQUE OF NIGHTINGALE’S THEORY SIMPLICITY REFERENCES: George. EMPIRICAL PRECISION   Her concepts in her theory are stated completely and presented as truths rather than tentative. empirical research. rd Marriner-Tommey. Louis: Mosby Year Book. Diliman.

FUR PALMA SERQUINIA . RN.MAN© [FLORENCE NIGHTINGALE: ENVIRONMENTAL THEORY THEORETICAL FOUNDATIONS OF NURSING: MANILA DOCTORS COLLEGE 1ST SEMESTER AY 2010-2011 4 .R M.

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