Patients in the psychiatric population on inpatient units often do not present with a stable health status. In one article, a person’s health is described as a continuous changing process of personal commitment that a person lives, incarnating his or her own value priorities (Carroll, K., Yancey, N., Doucet, T., Morrow, M., Wang, C., & Karnick, P, 2008). Some who enter the unit are depressed, have delusions, are drug intoxicated, or hallucinating, to name a few conditions. A common example would be a young male who enters the psychiatric unit under the influence of alcohol. As the patient became sober, he realizes his location and became agitated. Therefore, it is imperative to implement a therapeutic milieu for patients to reduce the occurrence of agitation or violence. Phoenix (2013) recommended frequent safety observation checks. Providing care with dignity reduces potential risk of injury. Staff need to be proficient and proactive in the psychiatric setting. If any changes in the behavior of a patient is noted, they need to communicate with other members of the staff.
Nightingale’s Grand Theory of the Environment Nightingale’s environmental model incorporates four metaparadigm concepts: person, environment, health, and nursing.