Nursing Theory

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Introduction Open heart surgery is very invasive, requiring the sternum to be spread apart, which enables the surgeon to access the heart. Diodato and Chedrawy (2014) estimate that nearly 300,000 coronary artery bypass graft surgeries occur every year (p.2). Once the surgery is finished the sternum is closed and the patient is sent to the Intensive Care Unit (ICU) for recovery. This is where patient care needs to have a focus on healing and recovery.
Many theorist have developed methods to meet patient care needs, but for this paper this author has chosen three theorists, Nightingale, Peplau and Henderson. There are similarities and differences amongst them and this paper will attempt to explore the history and provide insight into them.
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Her work, the Environmental theory is thought to have changed the face of nursing practice and is still applicable to this day. At the core of Nightingales theory is the belief that environmental influences such as physical, psychological and social, have effects on the health of the patient. The major concepts of her theory include nursing, person, environment and health. Where nursing is an intervention that has an effect on the environment to promote health and recovery. Person is a diverse individual that needs to be assessed from all aspects of health. Environment being the effect on health which could be manipulated so that it would promote healing. Health is prevention of disease through the control of the environment. There are also ten sub concepts to her theory which consist of ventilation and warming, light, noise, health of houses, variety, bed and bedding, personal cleanliness, nutrition and taking food, chattering hopes and advices, and social considerations. These sub concepts are environmental influences that build the framework for disease prevention and health …show more content…
The first phase is Orientation; the moment when the nurse and patient meet as strangers and define the problem. Next is the Identification; here the patient works independently of the nurse, expressing feelings of belonging but capability, and the development of a nursing care plan. The third phase is Exploitation; this is when the patient understands fully the plan of care, takes advantage of the help being offered and feels like part of the team. The final phase is Resolution; the patient no longer needs help and the relationship is terminated.
Virginia Henderson Virginia Henderson is considered the “mother of modern day nursing”. Her work with the Need theory attempts to define the unique role of nursing care. Henderson’s Need theory places emphasis on the importance of the nurse assisting patients in gaining independence in relation to health and recovery. The central focus is on assisting patients to meet their basic human needs until which time they can care for themselves. There are four major concepts addressed in Need theory:
• Individual- the patient as a whole is made of physiological, psychological, sociological and spiritual

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