Finals Flashcards
Indirectly observable
Abstract concepts
Observable w/ use of senses
Concrete concepts
Holds as truth
Assumptions
Called principles; are theoretical statements that specify the proposed relationships of the concepts of a theory.
Propositions
Improves nursing practice
Nursing Theory
Various descriptions; convey meaning and reduce vagueness
Definitions
Most abstract level of knowledge; four major nursing concepts
Metaparadigm
Second knowledge structure level
Philosophy
Florence Nightingale
Environmental Theory
Nightingale Canons:
Closely related to the presence of pure air, pure water, efficient drainage, cleanliness, and light
Health of Houses
Nightingale Canons:
Noxious air affect the client’s health; temperature should not be too warm/too cold
Ventilation and Warmth
Nightingale Canons:
Take the patient outside for direct sunlight; keep the rooms well lighted
Light
Nightingale Canons:
Sudden noise, thoughtless chatter, and whispering in a patient’s room should be avoided
Noise
Nightingale Canons:
Dirty environ. is a source of infection; removal of dust should be don w/ the use of damp cloth; beddings should be chaned and aired frequently; a clean room is a healthy room
Cleanliness of Rooms, Walls, and Beddings
Nightingale Canons:
Unwashed skin poisoned the patient; this concept is also extended to nurses
Personal Cleanliness
Nightingale Canons:
Is vital to patient’s recovery; beautiful objects, brilliant colors, cut flowers, reading, needle work, writing, and pets alleviate suffering
Variety
Nightingale Canons:
Provision of diff. variety of food indicated for patient’s condition is vital for the patient’s early recovery
Nutrition and Taking Food
Nightingale Canons:
Giving falls hope is disturbing to the patient because this causes them to worry and become fatigued
Chattering Hopes and Advices
Nightingale Canons:
Te patient’s environ. should be well-managed to protect the patient from physical & psychological harm
Petty Management
Nightingale Canons:
There should be precise, specific and individualized questions and observations to provide appropriate actions
Observation of the Sick
Patricia Benner
From Novice to Expert
The person has no background experiences of the situation in which he/she is involved. Level in which nirsing students belong.
Novice
The person has sufficient experience to easily understand aspects of the situation. He can demonstrate marginally acceptable performance; guided by rules and oriented by task completion. Newly graduated nurses
Advanced Beginner
Nurse demonstrates conscious and deliberate planning. Considers consistency, predictability, and time management as essentials. Most essential in clinical learning cuz the learner must know how to recognize patterns
Competent
Perceives the situation as a whole. They no longer rely on the preset goals of the organization. Has ability to turn the focus away from self and toward the patient.
Proficient
No longer relies on analytical principle to connect his/her understanding of the situation.
Expert
Ernestine Wiedenbach
The Prescriptive Theory
Quality of nursing care; known as commitment. Which the nurse wants to accomplish; the overall goal toward which she is striving. Based on the individual nurse’s philosophy
Central Purpose
Based on central purpose; directive for activity that specifies both the nature of the action and the necessary thought process. May be voluntary or involuntary.
Prescription
Consist of all factors physical, physiological, psychological, emotional, and spiritual that are at play in a situation
Realities of the Situation
The 5 realities:
Refers to the nurse; propelling force that moves the actions
The Agent
The 5 realities:
The reipient of nursing actions; vulnerable, dependent on others, and risks losing individuality, dignity, worth, and autonomy
The Recipient
The 5 realities:
The desired outcome
The Goal
The 5 realities:
The way on how the agent meets the goal
The Means
The 5 realities:
Influenced the reality; consists of the human, environ., and organizational facilities that affect the nurse’s ability to obtain her goal.
The Framework
Faye Glenn Abdellah
Twenty-One Nursing Problems
Problem-Solving process
- Identify the problem
- Selecting the relevant data
- Formulating the hypothesis
- Testing the hypothesis through collection of data
- Revising hypothesis when necessary on thr basis of conclusion obtained from the data
21 Nursing Problem:
Basic to All Patients
- To maintain good hygiene & physical comfort
- Promote optimal activity; exercise, rest and sleep
- Promote safety through prevention of accidents, injury or other trauma
- Maintain good body mechanics and prevent and correct deformity
21 Nursing Problem:
Sustental Care Needs
- To facilitate the maintenance of a supply of oxygen to all body cells
- Facilitate the maintenance of nutrition of all body cells
- Facilitate the maintenance of elimination
- Facilitate the maintenance of fluid & electrolyte balance
- Recognize the physiological responses of the body to disease conditions
- Facilitate the maintenance of the regulatory mechanism and functions
- Facilitate the maintenance of sensory functions
21 Nursing Problem:
Remedial Care Needs
(Refers to emotional response or reaction)
- Identify and accept positive abd negative expressions, feelings and reactions
- Identify & accept interrelatedness of emotions and organic illness
- Facilitate maintenance of effective verbal & non verbal communications
- Promote the develop. of productive interpersonal relationships
- Facilitate progress toward achievement and persobal spiritual goals
- Create or maintan a therapeutic environ.
- Facilitate awareness of self as an individual w/ varying physical, emotional, & develop. needs
21 Nursing Problem:
Restorative Care Needs
(All interventions & problem reflected to recovery of patient)
- Accept the optimum possible goals in the light of limitations, physical & emotional
- Use community resources as an aid in resolving problems arising from illness
- Understand the role of social problems as influencing factors in the cause of illness
Virginia Henderson
Fourteen Fundamental Human Needs
14 Fundamental Human Needs:
1-9 physiological
- Breathe normally
- Eat & drink adequately
- Eliminate body waste
- Move and maintain desirable posture
- Sleep and rest
- Select suitable clothes
- Maintain normal body temp.
- Keep body clean and well groomed
- Avoid dangers in the environment & avoid injuring others
14 Fundamental Human Needs:
10 & 14 Psychological
- Communicate w/ others in expressing emotions, needs, fears, or opinons
- Learn, discover, or satisfy the curiosity that leads to normal develop. and health
14 Fundamental Human Needs:
11 Spiritual and Moral
- Worship according to one’s faith
14 Fundamental Human Needs:
12 & 13 Occupation and Recreation
- Work in such a way that there is a sense of accomplishment
- Play and participate in various forms of recreation