Florence Nightingale's Environmental Theory Quiz

Florence Nightingale's Environmental Theory

• Focuses on the impact of the environment on patient recovery.
• Emphasizes the importance of clean air, clean water, efficient drainage, cleanliness, and light.
• Advocates for creating a supportive and healing environment for patients.
• Suggests that patients should have access to fresh air, light, warmth, cleanliness, quiet, and proper diet.

Sub-Principles of Environmental Theory:

• Fresh Air: Provides variety and helps patients avoid boredom and depression.
• Variety: Use cards, flowers, pictures, books or puzzles to engage the patient.
• Light: Adequate light is essential, and sunlight is best.
• Personal Cleanliness: Patients should be bathed frequently, and nurses should wash their hands regularly.
• Cleanliness of Rooms: The room should be dry, well-lit, and free from dust, dirt, mildew, and dampness.
• Food Intake: Assess and document the amount of food and liquids the patient ingests at every meal.
• Food and Nutrition: Provide variety and consider patient food preferences.
• Chattering Hope and Advices: Avoid talking without reason or giving advice without facts. Talk to the client as a person and stimulate their mind.
• Observation of the Sick: Make and document observations about the patient's condition.

Jean Watson's Theory of Human Caring

• Focuses on the concept of human caring and its role in the healing process.
• Emphasizes caring as a central element of nursing practice.
• Values compassion, love, and spiritual connection as vital aspects of care.

Sub-Principles of Human Caring:

• Caritas: Love, charity, and the fundamental motive of caring science.
• Caring Communion: A form of intimate connection that characterizes caring.
• Invitation: The act of welcoming the patient into the caring communion.
• Suffering: An ontological concept described as a human being's struggle between good and evil.
• Reconciliation: The drama of suffering between two entities involved in a constant mutual interaction and change.

Dorothea Orem's Self-Care Deficit Model

• Focuses on the individual's ability to perform self-care and how nurses can assist them.
• Emphasizes the importance of promoting self-care and identifying when patients have self-care deficits.
• Utilizes three theories:
  • Theory of self-care
  • Self-care deficit theory
  • Theory of nursing systems

Key Concepts of Orem's Self-Care Theory:

• Self-Care: Activities individuals initiate and perform to maintain life, health, and well-being.
• Self-Care Agency: The human ability to engage in self-care, influenced by age, development, life experiences, sociocultural orientation, health, and resources.
• Self-Care Requisites: Actions directed towards the provision of self-care.
• Universal Self-Care Requisites: Actions that are common to all individuals and include maintaining air, water, food, elimination, and rest.
• Developmental Self-Care Requisites: Actions necessary to maintain health during developmental stages.
• Health-Deviation Self-Care Requisites: Actions necessary to maintain health during illness.
• Self-Care Deficit: The difference between self-care demands and self-care abilities.

Nursing Roles in Orem's Model:

• Wholly Compensatory: The nurse performs all self-care activities for the patient.
• Partially Compensatory: The nurse performs some self-care activities for the patient.
• Supportive-Educative: The nurse teaches the patient how to perform self-care activities.