Nursing Theorists 1. Florence Nightingale - Environment theory 2. Hildegard Peplau - Interpersonal theory 3. Virginia Henderson - Need Theory 4.

Fay Abdella - Twenty One Nursing Problems 5. Ida Jean Orlando - Nursing Process theory 6. Dorothy Johnson - System model 7. Martha Rogers -Unitary Human beings 8. Dorothea Orem - Self-care theory 9. Imogene King - Goal Attainment theory 10. Betty Neuman - System model 11. Sister Calista Roy - Adaptation theory 12. Jean Watson - Philosophy and Caring Model 13. Madeleine Leininger -Transcultural nursing 14. Patricia Benner - From Novice to Expert 15. Lydia E. Hall - The Core, Care and Cure 16. Joyce Travelbee - Human-To-Human Relationship Model 17. Margaret Newman - Health As Expanding Consciousness 18. Katharine Kolcaba - Comfort Theory 19. Rosemarie Rizzo Parse - Human Becoming Theory 20. Ernestine Wiedenbach - The Helping Art of Clinical Nursing 1. Florence Nightinga le- Environmental Theory
y y y y

First nursing theorist Unsanitary conditions posed health hazard (Notes on Nursing, 1859) 5 components of environment o ventilation, light, warmth, effluvia, noise External influences can prevent, suppress or contribute to disease or death.

Nightingale¶s Concepts 1. Person
y y y

Patient who is acted on by nurse Affected by environment Has reparative powers

2. Environment

Foundation of theory. Included everything, physical, psychological, and social

Person y y An individual. a developing organism who tries to reduce anxiety caused by needs Lives in instable equilibrium 2. Health y Implies forward movement of the personality and human processes toward creative. therapeutic. Nursing y y A significant. Environment y Not defined 3. cleanliness. good diet. quiet to facilitate person¶s reparative process 2. constructive. productive. Nursing y Provided fresh air. interpersonal process that functions cooperatively with others to make health possible Involves problem-solving 3. warmth. Hildegard Peplau -Interpersonal Relations Model y y y y Based on psychodynamic nursing using an understanding of one¶s own behavior to help others identify their difficulties Applies principles of human relations Patient has a felt need Peplau¶s Concepts 1. Virginia Henderson -The Nature of Nursing .3. personal. Health y y Maintaining well-being by using a person¶s powers Maintained by control of environment 4. and community living 4.

Nursing y y y y A helping profession A comprehensive service to meet patient¶s needs Increases or restores self-help ability Uses 21 problems to guide nursing care 2. sick or well. or social needs The recipient of nursing care. and community 5. . She must in a sense. Patient¶s behavior can be verbal or non-verbal. get inside the skin of each of her patients in order to know what he needs". in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength. or knowledge."The unique function of the nurse is to assist the individual. emotional. will. Fa y Abde l la . Person y y One who has physical. social and emotional The nurse must be a good problem solver Abdella¶s Concepts 1.Deliberative Nursing Process y y The deliberative nursing process is set in motion by the patient¶s behavior All behavior may represent a cry for help. home. Ida Jean Orlando. Health y y Excludes illness No unmet needs and no actual or anticipated impairments 3. 4. Environment y y Did not discuss much Includes room. Problems are in 3 categories o physical.T opology of 2 1 Nurs ing P roble ms y y y y A list of 21 nursing problems Condition presented or faced by the patient or family. 4 . And to do this in such a way as to help him gain independence as rapidly as possible.

interactive. Health y Balance and stability. Perception. Johnson¶s 7 Subsystems y y y y y y y Affiliative subsystem .y y y y The nurse reacts to patient¶s behavior and forms basis for determining nurse¶s acts. interdependent. Dorothy Johnson-Behavioral Systems Mode l y y y The person is a behavioral system comprised of a set of organized. and sociological factors. thought. . rather than automatic Deliberative actions explore the meaning and relevance of an action. bonds Dependency . 4. Person y A behavioral system comprised of subsystems constantly trying to maintain a steady state 2. feeling Nurses¶ actions should be deliberative. A steady state is maintained through adjusting and adapting to internal and external forces. Environment y Not specifically defined but does say there is an internal and external environment 3.efforts to gain mastery and control Johnson¶s Concepts 1.excretion Sexual .procreation and gratification Aggressive . Nursing y External regulatory force that is indicated only when there is instability. 6.helping or nuturing Ingestive . and integrated subsystems Constancy is maintained through intake Eliminative .self-protection and preservation Achievement .

care deficit occurs when the person cannot carry out self-care . dynamic. open.Self-Care Model y y y Self-care comprises those activities performed independently by an individual to promote and maintain person well-being Self care agency is the individual¶s ability to perform self care activities Self. Characterized by nonrepeating rhymicities Change 8. probabilistic. becomes complex and diverse Pandimensionality y A nonlinear domain with out time or space Roger¶s Definitions Integrality y Continuous and mutual interaction between man and environment Resonancy y Continuous change longer to shorter wave patterns in human and environmental fields Helicy y y y Continuous. and infinite Unitary man and environmental field Universe of open systems y Energy fields are open. Martha Rogers -Unitary Huma n Beings Energy fields y y Fundamental unity of things that are unique. and interactive Pattern y y Characteristic of energy field A wave that changes. increasing diversity of the human and envrionmental fields. infinite. Dorothea Orem.7.

work. time space. growth. attitudes. changing.Surround basic core Internal factors that help defend against stressors Normal line of resistance . Betty Neuman . body image Interpersonal o Socialization. ideas.y y y y The nurse then meets the self-care needs by acting or doing for.Health Care Systems Mode l y y y y y y y y y y The person is a complete system. body image o Interpersonal o Society Personal System o Individual. peers The nurse and patient mutually communicate.Patient can meet some needs but needs nursing assistance Supportive educative-Patient can meet self care requisites. establish goals and take action to attain goals Each individual brings a different set of values. but needs assistance with decision making or knowledge 9 . guiding. development. self. religious groups. perception. teaching. Imoge ne King-G oa l Atta inme n t T he ory y y y y y y y y Open systems framework Human beings are open systems in constant interaction with the environment Personal System o individual. perceptions to exchange 10.Normal adaptation state Flexible line of defense . affected by variables Wellness is equilibrium Nursing interventions are activates to: . growth. perception. schools. interaction. development. communication and transaction Society o Family. time space. supporting or providing the environment to promote patient¶s ability Wholly compensatory nursing system-Patient dependent Partially compensatory.Protective barrier. self. with interrelated parts maintains balance and harmony between internal and external environment by adjusting to stress and defending against tension-producing stimuli Focuses on stress and stress reduction Primarily concerned with effects of stress on health Stressors are any forces that alter the system¶s stability Flexible lines of resistance .

5.Adapting to change Health-Being and becoming a whole person Environment Direction of nursing activities. Jean Watson . 4. Sister Calista Roy .y y y strengthen flexible lines of defense strengthen resistance to stressors maintain adaptation 11.Facilitating adaptation The person is an open adaptive system with input (stimuli). 3.The person receiving care Goal of nursing. who adapts by processes or control mechanisms (throughput) The output can be either adaptive responses or ineffective responses 12. y y Patiency. 2.Adaptation Model Five Interrelated Essential Elements 1.Philosophy and Science of Caring y y y y y y y Caring can be demonstrated and practiced Caring consists of carative factors Caring promotes growth A caring environment accepts a person as he is and looks to what the person may become A caring environment offers development of potential Caring promotes health better than curing Caring is central to nursing Watson¶s 10 Carative Factors y y y y y y y y y y Forming humanistic-altruistic value system Instilling faith-hope Cultivating sensitivity to self and others Developing helping-trust relationship Promoting expression of feelings Using problem-solving for decision making Promoting teaching-learning Promoting supportive environment Assisting with gratification of human needs Allowing for existential-phenomenological forces .

preventing illness o y y y 13. cared for. respected. Involves synthesis of values Nursing . mutual interaction with environment Originally Man-Living-Health Theory Parse¶s Three Principles y y y y y y y Meaning o Man¶s reality is given meaning through lived experiences o Man and environment cocreate Rhythmicity o Man and environment cocreate ( imaging. Rosemary Parse . psychological. understood and assisted Environment o Society Health o Complete physical. languaging) in rhythmical patterns Cotranscendence o Refers to reaching out and beyond the limits that a person sets o One constantly transforms Person o Open being who is more than and different from the sum of the parts Environment o Everything in the person and his experiences o Inseparable. nurtured. sociological and spiritual factors Simultaneity Paradigm o Man is a unitary being in continuous. mental and social well-being and functioning Nursing o Concerned with promoting and restoring health.Watson¶s Concepts y Person Human being to be valued. valuing. complimentary to and evolving with Health o Open process of being and becoming.Human Becoming Theory y y y Human Becoming Theory includes Totality Paradigm o Man is a combination of biological.

Patricia Benner . and practices Sunrise model consists of 4 levels that provide a base of knowledge for delivering cultural congruent care. the cure . 2. beliefs. or face death Cultural care accommodation o help adapt to or negotiate for a beneficial health status.From Novice to Expert y Described 5 levels of nursing experience and developed exemplars and paradigm cases to illustrate each level Novice Advanced beginner Competent Proficient Expert Levels reflect: o movement from reliance on past abstract principles to the use of past concrete experience as paradigms o change in perception of situation as a complete whole in which certain parts are relevant 1. Lydia E. Cultural care preservation o help maintain or preserve health.The Core. recover from illness. 2. the goal of nursing care is to provide care congruent with cultural values. Madeleine Leininger .Culture Care Diversity and Universality y y y y y According to transcultural nursing.o A human science and art that uses an abstract body of knowledge to serve people 14. y 16. Hall . or face death Cultural care re-patterning o help restructure or change lifestyles that are culturally meaningful 15. the care and 3. 5. the core. 3. Care and Cure y The theory contains of three independent but interconnected circles: 1. 4.

y y y The core is the person or patient to whom nursing care is directed and needed. . and value system. The core has goals set by himself and not by any other person. The core behaved according to his feelings. The care circle explains the role of nurse The cure is the attention given to patients by the medical professionals.

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