Ernestine Wiedenbach Flashcards
Born in Germany in 1900 and later migrated to the USA during her early childhood
Ernestine Wiedenbach
She graduated from Wellesley College in 1922 with a liberal arts degree. Her interest in nursing had been stimulated by her ailing grandmother
Ernestine Wiedenbach
She enrolled in the Post Graduate Hospital School of Nursing, though she had been expelled from this program after she served as the spokesperson for student grievances
Ernestine Wiedenbach
She wrote Clinical Nursing – A Helping Art, in which she described her ideas about nursing as a “concept and philosophy”
Ernestine Wiedenbach
Wiedenbach postulated that clinical nursing is directed toward meeting the patient’s perceived need-for-help.
Ernestine Wiedenbach
The Prescriptive Theory/Helping Art of Clinical Nursing
Her theory is a situation-producing theory and may be described as one that conceptualizes both a desired situation and the prescription by which it is to be brought about. Thus, it directs action toward a specific goal.
Ernestine Wiedenbach
The Prescriptive Theory/Helping Art of Clinical Nursing
It is also known as “commitment”. It is that which the nurse wants to accomplish; the overall goal toward which she is striving; the mission she believes is hers to accomplish.
Central Purpose
The ___________- defines the quality of health she desires to affect or sustain in her patient and specifies what she recognizes to be her special responsibility in caring for the patient.
Ernestine Wiedenbach
Central Purpose
This commitment is based on the individual nurse’s philosophy. Philosophy of the nurse motivates her to act, guides her thinking, and influences her decisions. It is unique to each nurse and is expressed in her way of nursing.
Ernestine Wiedenbach
Central Purpose
Three essential components for a Nursing Philosophy:
(a)
(b)
(c)
(a) reverence for the gift of life
(b) a respect for the dignity, worth, autonomy, and individuality of each human being
(c) a resolution to act dynamically in relation to one’s beliefs
It is a directive for activity that specifies both the nature of the action and the necessary thought process.
Ernestine Wiedenbach
Prescription
It indicates the action appropriate in implementing the basic concepts and the kind of behavior needed to carry out those actions.
Ernestine Wiedenbach
Prescription
These actions may be voluntary or involuntary, where voluntary action is an intended response and involuntary action is an unintended response.
Ernestine Wiedenbach
Prescription
Three Kinds of Voluntary Action
a.
b.
c.
a. mutually understood and agreed upon action
b. recipient-directed action
c. practitioner-directed action
Realities consist of all factors physical, physiological, psychological, emotional, and spiritual - that are at play in a situation in which nursing actions occur at any given moment.
Ernestine Wiedenbach
Realities of the situation
The Five Realities are:
a.
b.
c.
d.
e.
a. the agent
b. the recipient
c. the goal
d. the means
e. the framework
it refers to the nurse or health care provider. She is considered as the propelling force that moves the actions toward the accomplishment of the goal.
a. the agent
The agent has the following responsibilities: specify the objectives of her practice, practice nursing according to her objectives, engage in activities that contribute to her self-realization & to the improvement of nursing practice
a. agent
it refers to the recipient of nursing actions. The recipient is vulnerable, dependent on others, and risks losing individuality, dignity, worth, and autonomy.
b. the recipient
It refers to the desired outcome that the nurse wants to achieve. Identification of the goal gives focus to the nurse’s action.
c. the goal
it refers to how the agent meets her goal. It includes skills, techniques, procedures, and devices that may be used to meet the goal.
d. the means
it refers to the surroundings that influence reality. It consists of the human, environmental, and organizational facilities that affect the nurse’s ability to obtain her goal.
e. the framework
any individual who is receiving help
Widenbach
Person
Possesses unique potential, strives toward self direction and needs stimulation. Whatever the individual does represents his or her best judgment at the moment. Self awareness and self acceptance are essential to the individual’s sense of integrity and self worth. Wiedenback believes these characteristics require respect from the nurse.
Wiedenbach
Person
Wiedenbach does not define the concept of health, however, she supports WHO’s definition of health as a state of complete physical, mental, and social well-being, and not merely the absence of disease and infirmity.
Wiedenbach
Health
In Wiedenbach’s work, she incorporates the environment within the realities - a major component of her theory.
Wiedenbach
Environment
One element of the realities is the framework - a complex of extraneous factors and circumstances that are present in every nursing situation.
Wiedenbach
Environment
The framework may include objects such as “policies, setting, and atmosphere, time of day, humans and happenings.”
Wiedenbach
Environment
The practice of identification of a patient’s need for help >if the need for help requires intervention, the nurse facilitates the medical plan of care and also creates and implements it based on needs and desires of the patient
Wiedenbach Nursing
A goal-directed activity requiring the application of knowledge and skill toward meeting a need for help
Wiedenbach Nursing
the practice of nursing comprises:
1.
2.
3.
- identification of the patient’s need for help -nurse observes the patient, determines the cause of problem, and confirms need for help
- administration of the help needed -nurse gives advice and carries out a therapeutic action
- validation
-the nurse verifies if the actions were helpful
