Theoretical Foundations of Nursing Essay

4299 Words May 27th, 2011 18 Pages

“I think one’s feelings waste themselves in words; they ought all to be distilled into actions which bring results.” Florence Nightingale (1860)
Florence Nightingale defined Nursing as “the act of utilizing the environment of the patient to assist him in his recovery” (1860/1969), that it involves the nurse's initiative to configure environmental settings appropriate for the gradual restoration of the patient's health, and that external factors associated with the patient's surroundings affect life or biologic and physiologic processes, and his development.
Environmental Factors Affecting Health
Defined in her environmental theory are the following
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The Nurse-Patient Relationship
Henderson stated that there are three levels comprising the nurse-patient relationship:
1. The nurse as a substitute for the patient. In times of illness, when the patient cannot function fully, the nurse serves as the substitute as to what the patient lacks such, as knowledge, will, and strength in order to make him complete, whole and independent once again.
2. The nurse as a helper to the patient. In situations where the patient cannot meet his basic needs, the nurse serves as a helper to accomplish them.
3. The nurse as a partner with the patient. As partners, the nurse and the patient formulate the care plan together. Both as an advocate and as a resource person, the nurse can empower the patient to make effective decisions regarding his care plans.

Dynamic Nurse-Patient Relationship
“The role of the nurse is to find out and meet the patient's immediate need for help. The patient's presenting behavior may be a plea for help, however, the help needed may not be what it appears to be.”
Ida Jean Orlando (1961)
Orlando's theory was developed in the late 1950s

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