Tfn chap 7,8,9 Flashcards
believes that the environment is an important factor for the patient
florence nightingale
according to her, nursing is a call from God
nightingale
this theorist indicates that nightingale’s work is a Perspective
zurakowski
she believed that nurses are independent profession and a calling in its own right
nightingale
what influenced henderson’s beliefs?
Thorndike’s fundamental needs of man
the theory presents patients as sum of parts with biopsychosocial needs
The principles and practice of nursing
nightingale’s major metaparadigm concepts
health. environment. human, nurses
believed that “patient-centered and organized around nursing problems rather than medical diagnoses
virginia henderson
what theory is “nurses care for patients until patients can take care of themselves once more”
the principles and practice of nursing
what theory is “Nurses will devote themselves to the patient day and night”
the principles and practice of nursing
this theorist believed that the unique function of nursing is to assist the individual, sick or well.
virginia henderson
this theory states that nurses should aid patients and help them gain their independence as rapidly as possible
the principles and practice of nursing
whats this theory; the mean balance in all realms of human life
the principles and practice of nursing
which theory states “nurses should be educated at the university level in both arts and sciences”
the principles and practice of nursing
concepts of the principles and practice of nursing
nursing, health, environment, patient
whats this theory; to enhance the nurse-patient relationship to provide holistic health
the principles and practice of nursing
this theory was created to assist with nursing education and is most applicable to education and practice
Patient-centered approaches to nursing
whos theory is this;
Patient-centered approaches to nursing
Faye G. Abdellah
Patient-centered approaches to nursing
a.) patient
b.) client
c.) person
d.) consumer
this theory is considered to be a
“Human needs theory”
Patient-centered approaches to nursing
refers to the object of nursing as “patient” rather than a client or a consumer
Patient-centered approaches to nursing
which theory;
the need to appreciate the interconnectedness of social enterprises and social problems
Patient-centered approaches to nursing
nursing problems presented by?
individuals receiving nursing care
nursing functions are?
nursing activities that contributed to the solution for the same nursing problem
a group of health professionals trained at various levels, and often at different institutions, working togehter to provide health care
health care team
requires that nursing identify those nursing problems that depend on the nurse’s use of their capacity to conceptualize events and make judgements about them
professionalization of nursing
individual who needs nursing care and who is dependent on health care providers
patient
a service individuals and families to the society, which helps people cope with their health needs
nurse
was constructed to be useful to nursing practice with the impetus fot it being nursing education
the patient-centered approach
whos theory is this;
The self care deficit nursing theory
dorothea orem
where did dorothea orem referenced her theory?
parson’s structure of social action and von bertalanffy’s system theort
currently, SCDNT is referred to as
Self-care science and nursing theory
orem’s SCDN theory is most notably in the concept of
individual and of the nursing system
orem delineated three nested theories
-theories of self care
-self care deficit
-nursing systems
a human regulatory function to supply needed for continued life
self care
controlling human or environmental factors that affect the human functioning
self care requisites
action knowingly taken wit some motivation
deliberate action
common to all humans
universal self-care requisites
necessary for growth and development
developmental self care requisites
whos theory is this
The behavioral systems model
dorothy johnson
dorothy johnson’s goal is to
conceptualize nursing for education of nurses at all levels
dorothy johnson’s theory is focused on
-needs
-human as a behavioral system
-relief of stress from nursing care
second belief from dorothy johnsons theory is
behavior is differentiated and organized
which theory
the person experiencing a disease more important than the disease itself
The behavioral systems model
johnson’s model is both ____&_____
stated and derived
first belief from dorothy johnsons theory is
focal points around which behaviors are organized to achieve specific goals
third belief from dorothy johnsons theory is
parts of behavioral systems are structured by goal, set, choice, and actions
in The behavioral systems model, the concept of humans are defined as
strives to make continual adjustments
which thoery
health is the opposite of illness
The behavioral systems model
serves the need for security through social inclusion or intimacy
attachment or affiliative subsystem
Man is a system that indicates the state of the system through behaviors
behavioral system
Consequences or purposes of actions
function
Input that the system must receive to survive and develop
functional requirements
Process of maintaining stability
homeostasis
State in which the system output of energy depletes the energy needed to maintain stability
instability
Balance or steady-state in maintaining balance of behavior within on acceptable range
stability
A stimulus from the internal or external world that results in stress of instability
stressor
The parts of the system that make up the whole
structure
That which functions as a whole by virtue of organized independent interaction of its parts
system
A minisystem maintained in relationship to the entire system when it or the environment is not disturbed
subsystem
The system’s adjustment to demands, change or growth or to actual disruptions
tension
Factors outside the system that influence the system’s behavior but which the system lacks power to change
variables
The point that differentiates the interior of the system from the exterior
boundaries
serves the need for security through social inclusion or intimacy
. Attachment or affiliative subsystem-
fulfills the need to supply the biologic requirements for food and fluids
Ingestive subsystem
functions to excrete wastes
Eliminative subsystem
serves the biologic requirements of procreation and reproduction
Sexual subsystem
functions in self and social protection and preservation
Aggressive subsystem
functions to master and control the self or the environment
3 requirements of humans according to johnson
protected
nurtured
stimulated
functions to master and control the self or the environment
Achievement system
Basic survival factors common to human beings, they are located in the central core and represent basic client system energy resources
basic structure
The flexible line of defense is the outer boundary of the client system.
boundary lines
The process within which matter, energy, and information provides feedback for corrective action to change, enhance, or stabilize the system.
feedback
The amount of system instability, resulting from stressor invasion of the normal line of defense
degree of reaction
A protective, accordion-like mechanism that surrounds and protects the normal line of defense from invasion by stressors.
flexible line of defense
The matter, energy, and information exchanged between client and environment that is entering or leaving the system at any point in time.
input/output
Protection factors activated when stressors have penetrated the normal line of defense, causing a reaction symptomatology.
lines of resistance
A process of energy conservation that increases organization and complexity, moving the system toward stability or a higher degree of wellness
negentrophy
An adaptational level of health developed over time and considered normal for a particular individual client or system; it becomes a standard for wellness-deviance determination.
normal line of defense
A system in which there is a continuous flow of input and process, output, and feedback it is a system of organized complexity where all elements are in interaction.
open system
The return and maintenance of system stability, following treatment of stressor reaction, which may result in a higher or lower level of wellness.
reconstruction
A state of balance or harmony requiring energy exchanges as the client adequately copes with stressors to retain, attain, or maintain an optimal level of health, thus preserving system integrity.
stability
Intervention modes for nursing action and determinants for entry of both client and nurse into the health care system.
prevention as intervention
Environmental factors, intra-, inter- and extrapersonal in nature, that have potential for disrupting system stability.
stressors
is the condition in which all system parts and subparts are in harmony, with the whole system of the client.
wellness
indicates disharmony among the parts and subparts of the client system
illness
The progenitor to the SSOC
sense of coherence
The analytic structure for evaluating the effectiveness of interventions in the plan of care and the current level of health.
situational sense of coherence
The extent to which one feels that the problem demands posed by the situation are worth investing energy in and are challenges for which meaning or purpose is sought rather than burdens.
meaningfulness
The extent to which one perceives the stimuli present in the situational environment deriving from the internal and external environments as making cognitive sense, in that information is ordered, consistent, structured, and clear, vs. disordered random or inexplicable.
comprehensibility
The extent to which one perceives that resources at one’s disposal are adequate to meet the demands posed by stimuli present in the situation.
manageability
3 components of intrasystem
detector
effector
acceptor
intersystem
communication and negotiation
The process by which the nurse seeks to understand the client’s unique model of the world.
modeling
Lifetime growth and development are continuous processes. When needs are met, growth and development promote health.
need satisfaction and lifetime growth and development
The idea that persons are undivided and all elements of the person interact to promote health.
holism
A perception of well-being that includes quality of life and ability to find meaning in existence and to enjoy positivity toward a future whether in a state of illness or wellness.
health
The process by which the nurse understands the client’s unique model within the context of scientific theories and uses the model to plan interventions that promote health for the client.
role modeling
Knowledge, resources, and action of the client; knowledge considers what has made the client sick, what will make them well
self care
The dependence on support systems while maintaining the independence of the individual.
affiliated individualization
The individual’s response to external and internal stressors in a health and growth-directed manner.
adaptive potential
Nurses’ connect with people to assist them to heal and grow, using all the acquired skills of nursing, from life’s beginning to its end.
nursing
Nursing commitment to practice ethically and recognize all person’s “worldviews to nurture and facilitate growth”
social justice
A state and process of being and becoming integrated and whole.
health
The human adaptive system”
person
Conditions, circumstances, and influences that affect the behavior of humans as adaptive systems
environment
The “process and outcome whereby thinking and feeling persons as individuals or in groups use conscious awareness and choice to create human and environmental integration
adaption
The “promotion of adaptation in each of the four modes”
goal of nursing
Those stimuli that are the proximate causes of the situation.
focal stimuli
Those immeasurable and unknowable stimuli that also exist and may affect the situation.
residual stimuli
All other stimuli in the internal or external environment, which may or may not affect the situation.
contextual stimuli
“A major coping process involving four cognitive-emotive channels. perceptual and information processing, learning, judgment, and emotion”
cognator subsystem
“A basic type of adaptive process that responds automatically through neural, chemical, and endocrine coping channels
regulator subsytem
The structures and processes aimed at system maintenance and involving values and daily activities, whereby participants accomplish the primary purpose of the group and contribute to the common purposes of the society.
stabilizer control processes
The internal subsystem that involves structures and processes for growth.
innovator control processes
