tfn Flashcards
Nightingale is born in
May 12 1820
Founder of Modern Nursing
Florence Nightingale
“The Lady with the Lamp”
Nightingale
Environmental Theorist
Florence Nightingale
“What it is and What is not”
Boof of Florence
She was a statistician, using bar and pie charts, highlighting key points.
Nightingale
International Nurses Day
May 12
Nursing is distinct and separate from medicine
Assumption of Nightingale Theory
Nursing requires specific educational base
Assumption of Nightingale Theory
Nursing is achieved through environmental alteration
Assumption of Nightingale Theory
Nursing is an art and a science
Assumption of Nightingale Theory
Nursing is a calling
Assumption of Nightingale Theory
Mankind can achieve perfection
Assumption of Nightingale Theory
Natural Laws
Assumption of Nightingale Theory
body/room temp, foul odor, well ventilated
B. VENTILATION AND WARMING
adequate lighting, sunlight, pt not on direct light
LIGHT
free from dust, dampness and dirt
Cleanliness of rooms and al
surroundings/env’t, fresh air, pure water, drainage
Health of houses
level of noise
Noise
dampness, wrinkle free, bed should be dry
Bed and Beddings
keep the client clean ad dry, good skin integrity is essential
Personal cleanliness
cards, flowers, books, friends and relative visits
Variety-
giving advice without fact, respect the client, avoid personal talks
Taking food- Diet, solid ad liquid intake
Chattering hopes and advices-
continuity of care, plan of care, evaluate outcome
petty management
record everything, make changes in the plan of care if needed.
Observation of the sick-
Different from medicine and the goal of nursing is to place the patient in the best possible condition for nature to act.
Nursing (Nightingale)
activities that promote health (as outlined in canons) which occur in any caregiving situation. They can be done by anyone.”
Nursing (Nightingale)
She viewed the essence of a person as a client.
Person (Nightingale)
Nurses should perform task to and for the client including the clients environment
Person (Nightingale)
“not only to be well, but to be able to use well every power we have”.
Health (Nightingale)
- Disease is a preparative process that nature instituted from a want of attention. Prevention of disease through environment control will greatly uplift the maintenance of health.
Health (Nightingale)
- “Poor or difficult environments led to poor health and disease”.
Environment (nightingale)
be altered to improve conditions so that the natural laws would allow healing to occur.
Environment(nightingale)
- She emphasized subservience to doctors.
- She focused more on physical factors than on psychological needs of patient.
NIGHTINGALES CRITISM
BORN: September 1, 1909, Reading, Pennsylvania
HILDEGARD PEPLAU
Interpersonal Relations Theory
HILDEGARD PEPLAU
A man who is an organism that lives in an unstable balance of a given system
PERSON(PEPLAU)
Existing forces outside the organism and in the context of culture
ENVIRONMENT(PEPLAU)
A word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal and community living.
HEALTH(PEPLAU)
A significant therapeutic interpersonal process. It functions cooperatively with other human process that make health possible for individuals in communities.
NURSING(PEPLAU)
receives the client in the same way one meets a stranger in other life situations provides an accepting climate that builds trust.
STRANGER( NURSING ROLES\PEPLAU)
Who imparts knowledge in reference to a need or interest. Interaction Process
tEACHER(NURSING ROLES\PEPLAU)
one who provides a specific needed information that aids in the understanding of a problem or new situation
RESOURCE PERSON(NURSING ROLES\PEPLAU)
helps to understand and integrate the meaning of current life circumstances ,provides guidance and encouragement to make changes
COUNSELORS(NURSING ROLES\PEPLAU)
helps client assume maximum responsibility for meeting treatment goals/plan of care in a mutually satisfying way
Leader (Nursing roles\peplau)
- Problem defining phase
Orientation Phase
- Starts when client meets nurse as stranger
Orientation Phase
- Defining problem and deciding type of service needed
Orientation Phase
- Client seeks assistance ,conveys needs ,asks questions, shares preconceptions and expectations of past experiences
Orientation Phase
- Nurse responds, explains roles to client, helps to identify problems and to use available resources and services
Orientation Phase
- Selection of appropriate professional assistance
. IDENTIFICATION PHASE
- Patient begins to have a feeling of belonging and a capability of dealing with the problem which decreases the feeling of helplessness and hopelessness
. IDENTIFICATION PHASE
The patient derives the full value of the relationship as he moves on from a dependent role to an independent role.
3. EXPLOITATION PHASE
New goals are projected by the nurse, but the power is shifted top the patient as these goals would be achieved through personal or self- effort
3. EXPLOITATION PHASE
Termination of professional relationship
4. RESOLUTION PHASE
The patients needs have already been met by the collaborative effect of patient and nurse
RESOLUTION PHASE
Patient drifts away and breaks bond with nurse and healthier emotional balance is demonstrated and both becomes mature individuals
RESOLUTION PHASE
Both are sequential and focus on therapeutic relationship
INTERPERSONAL THEORY AND NURSING PROCESS
- Both use problem solving techniques for the nurse and patient to collaborate on, with the end purpose of meeting the patients needs
INTERPERSONAL THEORY AND NURSING PROCESS
Both use observation communication and recording as basic tools utilized by nursing
INTERPERSONAL THEORY AND NURSING PROCESS
Seek assistance, Covey needs and ask questions
Orientation Phase
expresses the need for improving the mobility
Identification Phase
Makes full use of services
Exploitation Phase
She has agreed upon to continue the excercise at home
Resolution Phase
First Lady of Nursing
Virginia Henderson
- Breathe normally. Eat and drink adequately.
Physiological Components (14 components\ henderson)
- Eliminate body wastes
Physiological Components (14 components\ henderson)
- Move and maintain desirable postures.
Physiological Components (14 components\ henderson)
- Sleep and rest.
Physiological Components (14 components\ henderson)
- Select suitable clothes-dress and undress.
Physiological Components (14 components\ henderson)
- Maintain body temperature within normal range by adjusting clothing and modifying environment
Physiological Components (14 components\ henderson)
- Keep the body clean and well groomed and protect the integument
Physiological Components (14 components\ henderson)
- Avoid dangers in the environment and avoid injuring others.
Physiological Components (14 components\ henderson)
- Communicate with others in expressing emotions, needs, fears, or opinions.
aspects of communicating and learning
(14components\henderson)
- Worship according to one’s faith.
Spiritual and Moral( 14 components of virgina)
- Work in such a way that there is a sense of accomplishment.
Socialogically oriented to corruption and reaction( 14 components of henderson)
- Play or participate in various forms of recreation.
Socialogically oriented to corruption and reaction( 14 components of henderson)
- Learn, discover, or satisfy the curiosity that leads to normal development and health and use the available health facilities.
Physiological aspects of communicating and learning(14 components of henderson)
- Have basic needs that are component of health.
- Requiring assistance to achieve health and independence or a peaceful death.
- Mind and body are inseparable and interrelated.
- Considers the biological, psychological, sociological, and spiritual components.
- The theory presents the patient as a sum of parts with biopsychosocial needs
Individual(henderson)
- Settings in which an individual learns unique pattern for living.
- All external conditions and influences that affect life and development.
- Individuals in relation to families
- Minimally discusses the impact of the community on the individual and family.
- Basic nursing care involves providing conditions under which the patient can perform the 14 activities unaided
environment (henderson)
- Definition based on individual’s ability to function independently as outlined in the 14 components.
- Nurses need to stress promotion of health and prevention and cure of disease.
- Good health is a challenge -affected by age, cultural background, physical, and intellectual capacities, and emotional balance Is the individual’s ability to meet these needs independently.
health(henderson)
- Temporarily assisting an individual who lacks the necessary strength, will and knowledge to satisfy 1 or more of 14 basic needs.
- Assists and supports the individual in life activities and the attainment of independence.
- Nurse serves to make patient “complete” “whole”, or “independent.”
- The nurse is expected to carry out physician’s therapeutic plan Individualized care is the result of the nurse’s creativity in planning for care.
- “Nurse should have knowledge to practice individualized and human care and should be a scientific problem solver.”
- In the Nature of Nursing Nurse role is,” to get inside the patient’s skin and supplement his strength will or knowledge according to his needs.”
nursing (henderson)
Theory is a set of concepts, definitions, and propositions that project a systematic view o phenomena by designating specific interrelationships among concepts for purposes of describing, explaining, predicting, and/or controlling phenomena
(Chinn & Jacobs)
Theory is a creative and rigorous structuring of ideas that projects a tentative, purposeful, and
systematic view of phenomena
(Chinn & Kramer).
It may consist of one or more relatively specific and concrete concepts and propositions that purport
to account for, or organize some phenomenon
(Barnum, 1988)
❑is the principal for relating factual and descriptive knowing aimed at the expansion of abstract
and theoretical explanations
❑ it emphasizes scientific research in nursing knowledge
Empirical Knowing
- Azu, a nursing student answers the question during hospital rotation based on what he learned
from school.
Empirical Knowing
- Abi, a nurse researcher uses scientific method to produce desired study result.
Empirical Knowing
- Nurse Abdu practices nursing intervention based from the clinical practices.
Empirical Knowing
Is related to understanding what is of significance to particular patients such as feelings,
attitudes, points of view (Carper, 1978)
Aesthetics knowing
“empathy”
Aesthetics knowing
It Is also the manifestation of the creative and expressive styles of the nurse (Kenney,1996)
Aesthetics knowing
- Nurse Awi places himself in the “patient’s shoe” when providing care.
Aesthetics knowing
- Nurse Ax shows compassion and understanding towards patients, co-workers and
supervisors.
Aesthetics knowing
- Nurse Ann uses layman terms in explaining the needs of the patient with Cardiac Failure.
Aesthetics knowing
❑ “the moral component of nursing”
❑ require knowledge of different philosophical positions regarding what is good and right in
making moral actions and decisions, particularly in the theoretical components of nursing
❑ involves the judgment of right and wrong in relation to intentions, reasons and attributes to
individuals and situations
❑ It includes all deliberate nursing actions involving and under the jurisdiction
Ethical knowing
- A clinical instructor reprimands a student who gave wrong medication to the patient.
Ethical knowing
- Nurse Amy presents himself as a patient advocate and defends his client’s right to choose
care.
Ethical knowing
❑ “self-knowledge”
❑ encompasses knowledge of the self in relation to others and to self
❑ involves the entirety of the nurse-patient relationships
❑ most difficult to master and to teach
❑ involves therapeutic use of self
❑ takes a lot of time to fully know the nature of oneself in relation to the world around
PERSONAL KNOWING
- Nurse Ads strives to promote a meaningful personal relationship with his elderly patient.
PERSONAL KNOWING
- Ara, a nursing student undergoes Psychological Counseling and Self- Awareness session
before her Psychiatric Nursing rotation
PERSONAL KNOWING
- First Filipino nurse who had Masters Degree in Nursing in the United States
Cesaria Tan
- Reformed social service for Indigenous patients at San Fernando Hospital
Socoro Sirilan
- First Filipino Industrial Nurse
Magdalena Valenzuela
- Founded the National League of the Philippine government Nurse.
Annie Sand
- First female Military Nurse
Cornel Elvegia Mendoza
- Known as the DEAN of Philippine Nursing education
Loreto Tupaz
- Florence nightingale of Iloilo
Loreto Tupaz
- First editor of “The Message” the first journal of Philippine Nurses Association (PNA) previously known as FNA (Filipino Nurses Association)
Socorro Diaz
First editor of “The Filipino Nurses” the second journal of the PNA
Conchita Ruiz
- Considered as “Florence nightingale of the Philippines”
Dr. Julita Sotejo
- Founder and the first DEAN of the University of the Philippines College of Nursing (UPCN) who gave way to professional Nursing in the Philippines.
Dr. Julita Sotejo
- Professor Emeritus of UPCN
Dr. Julita Sotejo
- The author of Code of Ethics for Nurses (PRC BON Res. #633, 1982)
Dr. Julita Sotejo
- Chairman, committee on Legal Aspect of Nursing which created the first Philippine Nursing Law also known as the Republic Act No. 877 S. 195.
Dr. Julita Sotejo
- Her biography was written by Luz Tungpalan, Dean UPCN, entitled Action Oriented Leadership (2001).
Dr. Julita Sotejo
- First Filipino Nurse with a title of Nursing Superintendent Chief Nurse at the Philippine General Hospital (PGH
Anastacia Giron Tupaz
- Founder of Filipino Nurses Association (FNA), At present known as the Philippine Nurses Association (PNA)
Anastacia Giron Tupaz
- First President of the FNA
Rosario Montemayor Delgado
- She was a graduate of Philippine General Hospital School of Nursing in 1912
Rosario Montemayor Delgado