Tfn Flashcards
is an existential- phenomenological humanistic approach referring to a reverence for life that values the need for human interaction in order to determine the meaning that comes from the individual’s unique way of experiencing the world.
HUMANISTIC NURSING
- a philosophical approach to understanding life. Individuals are faced with possibilities when making choices. These choices determine the direction and meaning of one’s life.
EXISTENTIALISM
-the study of the meaning of a phenomenon to a particular individual.
PHENOMENOLOGY
HUMANISTIC NURSING THEORY
JOSEPHINE PATERSON & LORETTA ZDERAD
PHILOSOPHY AND THEORY OF TRANSPERSONAL CARING
MARGARET JEAN WATSON
known as the Lady with the Lamp
Florence Nightingale (1820-1910
which incorporated the restoration of the usual health status of the nurse’s clients into the delivery of health care which is still practiced today.
Environmental Theory
concepts of ventilation, warmth, light, diet, cleanliness and noise. She focused on the physical aspects of the environment.
Environment
- “to keep the air he breathes as pure as the external air without chilling him.”
Pure fresh air
- “well water of a very impure kind is used for domestic purposes. And when epidemic disease shows itself, persons using such water are almost sure to suffer.”
Pure water
- “all the while the sewer maybe nothing but a laboratory from which epidemic disease and ill health is being installed into the house.”
Effective drainage
- “the greater part of nursing consists in preserving cleanliness.”
Cleanliness
- “the usefulness of light in treating disease is very important.”
Light (especially direct sunlight)
is very vital in the reparative process of the patient.
Prevention of interruption
is the application of common sense, observation, perseverance and ingenuity
Nursing Practice
means the manipulation of the environment to prevent diseases
Sanitation
The person has no background experience of the situation in which he or she is involved.
Novice
The stage in the Dreyfus model develops when the person can demonstrate marginally acceptable performance having coped with enough real situations to note, or to have pointed out by mentor, the recurring meaningful components of situation.
Advanced Beginner
•After two to three years in the same area of nursing the nurse moves into the Competent Stage of skill acquisition.
•is the most pivotal in clinical learning because the learner must begin to recognize patterns and determine which elements. the situation warrant attention and which can ignored
Competent
After three to five years in the same area of nursing the nurse moves into the
Proficient
The performer no longer relies on an analytic principle (rule, guideline, maxim) to connect her or his understanding of the situation to an appropriate action.
expert
is the art of making something very special out of something less special.
THE ACT OF CARING
constitutes the meaning of caring and the structure that determines reality.
- characterized by intensity and vitality and by warmth, closeness, rest, respect, honesty and tolerance.
CARING COMMUNION
- comprises the ethics of caring, the core of which is determined by the caritas motive.
CARITATIVE CARING ETHICS
is what we actually make explicit through our approach and the things we do for the patient in practice.
Ethical Caring
- refers to the act that occurs when the carer welcomes the patient to the caring communion.
INVITATION
- is an ontological concept described as a human being’s struggle between good and evil in the state of becoming.
SUFFERING
is the concept that Eriksson uses to describe a patient.
THE SUFFERING HUMAN BEING
refers to the drama of suffering.
RECONCILIATION
is the concept that Eriksson uses instead of environment.
- It characterizes the total caring reality and is based on cultural elements such as traditions, rituals, and basic values.
CARING CULTURE
Systems Model in Nursing
Betty Neuman
-body structure and function
Physiological
-mental processes in interaction with the environment
Psychological
-effects and influences of social and cultural conditions
Socio-cultural
- age-related processes and activities
Developmental
-beliefs and influences
Spiritual
-forces that produce tensions, alterations, or potential problems causing instability within the client’s system.
Stressors
- occurs in the client system and correlates with the internal and external environment such as conditioned responses.
Intrapersonal
- occurs between one or more individuals, such as role expectations
Interpersonal
- occurs outside the individual, such as social policy or financial circumstances
Extrapersonal
Behavioral System Model
Dorothy Johnson
-this is the ability to share in the person’s experience. The result of this is the ability to expect the behavior of the individual with whom he or she emphasized
Empathy
-It happens when the nurse wants to lessen the cause of the client’s suffering.
Sympathy
- Nursing interventions that lessen the client’s suffering. The sick person shows trust and confidence in the nurse.
Rapport
- Nurse and patients perceive each other as unique individuals. This time the relationship begins to form
Emerging Identities
-described as the first impression by the nurse of the sick person and vice-versa. The nurse and the patient see each other in stereotyped or traditional roles
Original Encounter
Deliberative Nursing Process Theory
IDA JEAN ORLANDO- PELLETIER
the nurse completes a holistic assessment of the client’s needs. She uses objective and objective data
Assessment
-the nurse uses the nurse clinical judgment about health problems
Diagnosis
-it addresses each of the problems identified in the diagnosis
Planning
- the nurse uses the Nursing Care Plan
Implementation
- the nurse investigates the progress of the client towards the goals set in the nursing care plans
Evaluation