Florence Nightingale's Environmental Theory PDF

Florence Nightingale’s Environmental Theory Dr. Lolit H. Avanzado Nightingale’s Environmental Theory Florence Nightingale—is the founder of modern nursing Florence Nightingale's Environment Theory changed the face of nursing practice. She served as a nurse during the Crimean War, at which time she...

Florence Nightingale’s Environmental Theory Dr. Lolit H. Avanzado Nightingale’s Environmental Theory Florence Nightingale—is the founder of modern nursing Florence Nightingale's Environment Theory changed the face of nursing practice. She served as a nurse during the Crimean War, at which time she observed a correlation between the patients who died and their environmental conditions. As a result of her observations, the Environment Theory of nursing was born. Nightingale explained this theory in her book, Notes on Nursing: What it is, What it is Not. The model of nursing that developed from Nightingale, who is considered the first nursing theorist, contains elements that have not changed since the establishment of the modern nursing profession. Though this theory was pioneering at the time it was created, the principles it applies are timeless. Major Concept Nightingale described the concept of ventilation, warmth, light, diet, cleanliness and noise components of surrounding as referred as environment 1. Environment - concepts of ventilation, warmth, light, diet, cleanliness and noise. She focused on the physical aspects of the environment. • She believed that "Healthy surroundings were necessary for proper nursing care." • 2. Nursing is an act of utilizing the environment of the patient to assist him in his recovery” • gradual restoration of health Initiative Nurse Configure environmental settings appropriate for. 3. Patient/Person configure external factors associated with the patient's surroundings that affect life or biologic and physiologic processes, and his development. 4. Health as being well and fully using every power (resource) in living life. • She defined disease as a reparative process that nature instituted from a want of attention 5 Essentials Components of Environment 1. Pure air-to keep the air he breathes as pure as the external air without chilling him.“ 2. Light(especially direct sunlight) - the usefulness of light in treating disease is very important. 3. Cleanliness-the greater part of nursing consists in preserving cleanliness 4. Efficient drainage-all the while the sewer maybe nothing but a laboratory from which epidemic disease and ill health is being installed into the house." 5. Pure water-well water of a very impure kind is used for domestic purposes. And when epidemic disease shows itself, persons using such water are almost sure to suffer. • Any deficiency in one or more of these factors could lead to impaired functioning of life processes or diminished health status. Theoretical Assertions Prevention of interruption is very vital in the reparative process of the patient. Nursing Practice is the application of common sense, observation, perseverance and ingenuity. "If the person wants to recuperate, he needs to cooperate with the nurse." Disease came from the organic materials from the patient and environment not on the germ theory. Sanitation means the manipulation of the environment to prevent diseases. Nursing is the commitment to the nursing works. She gives a little focus on the interpersonal relationship and nurse caring behavior. She believed that the nurse should be moral agents. "Think and act like a nurse.“ Professional relationships, principles of confidentiality and care for the poor to improve health and social condition were the focus of her nursing care. Logical Form • She used inductive reasoning from her experiences and observation which is addressed with logical thinking and philosophy. Importance of Environmental Theory Practice 1. Disease control 2. Sanitation and water treatment 3. Utilized modern architecture in the prevention of "sick building syndrome" applying the principles of ventilation and good lighting. 4. Waste disposal 5. Control of room temperature. 6. Noise management. Education 1. Principles of nursing training. Better practice result from better education. 2. Skills measurement through licensing using testing methods, the case studies. Research 1. Use of graphical representations like the polar diagrams. 2. Notes on nursing. Nightingale’s Canons Ventilation and Warmth Nursing Process and Thought •Check the patient’s body temperature, room temperature, ventilation and foul odor •Create a plan to keep the room wellventilated and free of odor while maintaining the patient’s body temperature Light •Check room for adequate light. Sunlight is beneficial to the patient •Create and implement adequate light in the room without placing the patient in direct light Cleanliness •Check the room for dust, dampness and dirt •Keep room free from dust, dirt and dampness Health of houses Noise Bed and beddings Personal cleanliness •Check surrounding environment for fresh air, pure water, drainage, cleanliness and light •Remove garbage, stagnant water and ensure clean water and fresh air •Check noise level in the room and surroundings •Attempt to keep noise level in minimum •Check bed and beddings for dampness, wrinkles and soiling •Keep the bed dry, wrinkle-free lowest height to ensure comfort •Attempt to keep the patient dry and clean at all times •Frequent assessment of the patient’s skin is essential to maintain good skin integrity Variety •Attempt to accomplish in the room and with the client •This is done with cards, flowers, pictures and books. Also encourage friends or relatives to engage in stimulating activities Chattering hopes and advices •Avoid talking without giving advice that is without a fact •Respect the patient as a person and avoid personal talk Taking food •Check the diet of the patient. Note the amount of food and fluid ingested by the patient at every meal Petty Management Observation of the sick •This ensures continuity of care •Documents the plan of care and evaluate the outcomes to ensure continuity •Observe and record anything about the patient •Continue observation in the patient’s environment and make changes in the plan of care if needed. For listening