Ways Of Knowing In Nursing

Great Essays
Ways of Knowing
All professions endeavor to develop a body of knowledge that guides and defines their particular profession, nursing as a profession is no exception. Florence Nightingale is seen as the founder of modern nursing, in that she developed high standards for the care of her patients, including their environment. Nightingale initiated formal education for nurses and advocated for social reform. Knowledge in nursing may have changed over time; Nevertheless, the central tenets and values that have defined the profession of nursing persist. Nursing has historically purposed to care for the infirmed with compassion. Knowing entails how we make sense of ourselves and our environment; Moreover, knowledge is communicating what it is
…show more content…
In 1873, Linda Richards became the first nurse to graduate from a formal nursing program. She made several contributions to nursing, the greatest being the establishment of nurse training schools, including the first school of psychiatric nursing at the McLean Asylum in Massachusetts. These nurse training schools taught custodial care of the mentally ill and did not include the integration of psychological theories until the 1950’s (Townsend, 2015). Since then, many theoretical frameworks in psychiatric nursing have drawn from theories in the social sciences. For instance, Hildegard Peplau was impacted by the work of Dr. Henry Stack Sullivan, who moved away from the Freudian psychoanalytic theory of explaining behavior to explaining behavior through the impact of interpersonal relationships. Peplau’s theory of interpersonal relations focused on the interpersonal theory as it relates to the client-nurse relationship, this theory has dramatically impacted psychiatric nursing knowledge and practice (D’Antonio, Beeber, Sills, & Naegle, …show more content…
The patient is represented as a system with five interacting variables (components) and there is a response, this response is modulated by psychological and biological defenses, including personal factors (intra-, inter-, extra-). The goal is to achieve optimal wellness or system stability. This model identifies stressors to the system, as loss, pain, sensory deprivation and cultural change. This young woman was experiencing instability with the stressors of pain, loss and cultural change. As I cared for this patient I assessed her physical, intellectual, emotional and spiritual needs. Interventions take place based on the degree of reaction, resources, and goals (Neuman & Fawcett,

Related Documents

  • Improved Essays

    Nursing is a complex and vital profession that contributes to the health of people all over the world. Nursing has been around for centuries and greatly evolved and made a significant impact in the field of medicine. The Hawaii Board of Nursing describes this profession as knowledge of the human condition from young to old and how clients relate to others within the environment (Hawaii Board of Nursing, n.d.). While the practice of helping others is noble in thought, it can come with instances of injury or harm to the health provider or the health recipient.…

    • 703 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This fundamental core of caring and responding to human needs has been a guiding instinct that has driven the practices of nursing from one generation to another. Nursing starts from the inner desire that is driven by human nature of nurturing and caring. Prior to the time of Florence Nightingale, nursing was…

    • 455 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Personal Views on the Five Ways of Knowing in Nursing In all areas of health care, knowledge is an important fundamental base for practice. Many theorists in nursing has tried to identify the ways of knowing since the time of Florence Nightingale, although it wasn’t until Carpers seminal article which highlighted the four ways of knowing that types of knowing other than empirical knowledge were identified (Bonis, 2009). While there have been identified five individual ways of knowing, these ways of knowing do not exist in isolation. The nurse must use knowledge from all domains to effectively care for the patient as each contributes to the nursing profession.…

    • 1387 Words
    • 6 Pages
    Superior Essays
  • Great Essays

    Peplau’s Interpersonal Theory and Orem’s Self-Care Model Nursing theories provide structure and guidelines for nursing practice and education. Two of the main theories used today were created by Hildegard Peplau and Dorothea Orem, and have had a large impact on the nursing community. These theories have created many new and innovative ways of looking at the care of patients, and have led to more patient centered care as opposed to disease centered. . Peplau’s interpersonal theory and Orem’s self-care model have many similarities and differences in their framework and main concepts, as well as in their use of the four metaparadigms and the generalizability of their theories.…

    • 1369 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    In some parts of the world, nursing is still striving to be considered a profession (Sabatino et al., 2014). Nursing pioneers have defined concepts and established theories and frameworks in order to lay a strong foundation on which our profession can stand. One of these pioneers, Jacqueline Fawcett, knew that in order for the discipline of nursing to advance, nursing knowledge needed to be developed and tested (Fawcett, 1984). After reviewing the literature on nursing theories that had been developed she found that they were all rooted inconsistent concepts. She identified these repeating concepts as person, environment, health, and nursing.…

    • 636 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Introduction The role of a nurse has been changeable at best and its route into professionalism has been fraught with an arduous struggle to improve education and standards. When considering these standards it is important to examine the differences between regulatory and professional nursing agencies, to understand the code of ethics that guide nursing practice and to be able to effect the professional traits from this code of ethics into practice. During the evolution of nursing, various theories have developed.…

    • 2454 Words
    • 10 Pages
    Great Essays
  • Superior Essays

    Florence Nightingale, born 1820, placed a major influence on creating nursing as a career not just the responsibility of the female guardians (McDonald, 2013). Before the age of Nightingale, nursing was derived from popular culture, however, as the year’s progressed nursing slowly transformed into a career choice (Daly, Speedy & Jackson, 2015). At the age of 20 she began her nursing career, for many years she traveled the world, spending time in hospitals and healthcare setting, allowing her to know to help treat patients across the world. During 1857, Nightingale began her journey into establishing training schools for others that had a similar passion within nursing and caring for others (McDonald, 2013). Opening that first school for nursing has created a major impact on the healthcare setting today.…

    • 1202 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Every patient has biological, psychological, sociological and spirituals needs and a nurse is supposed to be able to connect with them equally. For this reason, I must always strive to provide patient centered…

    • 321 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    ADN Vs BSN

    • 783 Words
    • 4 Pages

    Modern nursing profession has under gone so many developments. Studies shows that before modern nursing, nursing was not skillful. By the effort of Florence Nightingale nursing became an acceptable and respectful occupation. Nightingale contributed educational offerings for nurses. With the innovation of technology nursing practice has been improved.…

    • 783 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Florence Nightingale was a pioneer of nursing, leading a brave crusade of women to tend to the ill during a dangerous time in war. Nursing has been a long part of history even before it was founded by Florence Nightingale. Woman has been performing nursing practices for thousands of years. As with the roles that women play back in 1800, nursing is no different in those times as with women of today's society using traditional care giving that takes place in the comfort of one's own home. In those ancient times of Rome, Emperors were cared for by their wives when they were ill, and midwives where hired to assist in childbirth at home in Egypt.…

    • 914 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Nursing care comes in many forms. Sometimes it is the ability to make someone feel physically comfortable by various means. Other times it is the ability to improve the body’s ability to achieve or maintain health. But often it is an uncanny yet well-honed knack to see beyond the obvious and address, in some way, the deeper needs of the human soul. ~Donna Wilk Cardillo, A Daybook for Beginning Nurses.…

    • 956 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The nursing profession is considered as one of the most and best professions in the United States and around the world. It is rich with great future venues and the opportunities. As the nursing profession is rich in these aspects, there are many options where a person can choose as a clinical nurse specialist (CNS). Most of the CNS areas where the NPs can specialize in can be noted like adult-gerontology acute care (AGPC), family advanced practice, pediatric advanced practice, psychiatric mental health nurse practitioner (PMHNP), women's health advanced practice, and dual adult-gerontology women's health nurse practitioner (AG/WHNP). Among these areas, the most preferred area of practice that would choose from is the PMHNP.…

    • 412 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    The client’s system is dynamic; however, the stability of the system depends on the amount of energy available for the systems (). This central core is surrounded by two lines of defense and a line of resistance for the protection of the core from the environment (). The first protective line, or the flexible line of defense, prevents the invasion of environmental stressors and depends on the lifestyle of a person (good nutrition, normal sleep pattern, low stress). The second line is the normal line of defense which defines the person’s normal state of wellness and represents the normal coping of the system and the response of the system to the environmental stressors. When the lines of defense fail to protect the client’s system, the lines of resistance are activated in the attempt to stabilize the client system and return it to the normal state of wellness, such as the immune…

    • 1545 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    Reality Or Choice Theory

    • 1441 Words
    • 6 Pages

    Glasser, W. (2010). My vision for the international journal of choice theory and reality . International Journal of Choice Theory and Reality Therapy, 29(2), 12. Bradley, E. L. (2014). Choice Theory and Reality Therapy:…

    • 1441 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Note book reflection: 4 fundamental patterns of knowing in nursing. Introduction: according to four fundamental patterns of knowing in nursing. There are distinguished according to logical type of meaning and designed as empirics-the science of nursing, aesthetics –the art of nursing, personal- knowing in nursing knowledge of the self and others in relationship about self awareness and ethics- component of moral knowledge in nursing( Carper,1978).…

    • 693 Words
    • 3 Pages
    Improved Essays