1. List the four ways Roy defines “environment” and discuss each definition, and include an appropriate example from your clinical experience (or from your own personal experience with illness). Do you find Roy’s ideas about the importance of “environment” in nursing practice useful? Why or why not?
“Specifically with regards to the environment concept, Roy asserts that there are at least four different ways through which it is examined in Nursing studies. In the first approach, the concept is called underspecified meta-paradigm construct, which is compatible with the notion of the environment as a mediating presence. The second view sees environment as the communicative context, that Is, the phenomena under study exist in the social and historical position of the person. The third way to conceptualize the environment is to define it as social positions of an open field, where the nurse 's social position can be seen as positive when related to patients and negative for the profession 's institutional subordination to medicine. Lastly, the environment is still conceptualized as a survey list of extraneous variables, where effects that modify the variables of a hypothesis diminish the generalization of theories”. Enfermagem, L., Rev. (2006, March & April)
Example 1: The first concept is underspecified meta-paradigm construct. During my clinical experience, I was able to care for a patient in the ICU. This man was admitted due to falling off an active construction site
I define my philosophy of nursing within the three nursing domains of person, health, and environment. My goal is to communicate the importance of nursing as a knowledge-based career, depending not only on the nurse fulfilling her role but also on the patient’s compliance. A patient must learn to provide self-care at home in the same capacity as the nurse would provide care in the clinical setting. I discuss various subjects within nursing. I explain why I want to be a nurse, what I believe a nurse’s role is, the different domains of nursing, and where I believe nursing will be in the future. My philosophy demonstrates the interdependence of the nursing domains. You cannot fully evaluate a person without evaluating their health,
This paper will examine the origin of the nursing theory in reference to the Florence Nightingale Theory of Positive Manipulation Of the environment. Initially the paper will introduce the theorist and the context in which the theory was developed. Will critique the theory according to nursing theory critique. The paper will further describe the utility of the theory with respect to practice, administration, education and research will also examine the empirical precision of the theory(testability and logical adequacy). Infact the entire paper demonstrates the understanding of the theory.
The term environment, as it relates to the metaparadigm perspective, is a multilayered view that can explain the understanding of an individual’s perspective (McEwen & Willis, 2011). More specifically, some may believe the environment related to the nursing profession encompasses any setting in which a therapeutic interaction can occur; that is, a hospital, clinic, nursing home, school, corporation, or home (Tourville & Ingalls, 2003). According to McEwen and Willis (2011), however, this perceived way of identifying the environment only limits its domain by making it fixed, uncompromising, and natural. Although the specific setting in which care disperses is vital to understand the nursing discipline, it is not the only factor influencing the phenomena. Internal and external circumstances are a part of one’s environment, and both play a vital role in identifying and altering one’s perspective and philosophy related to the nursing discipline (McEwen & Willis, 2011). Individuals, such as family members, significant others, and lifelong friends that one interacts with also influence
The concept of environment and its integral role in the delivery of nursing care was among the first identified and documented nursing theory since its early days. Florence Nightingale pioneered the profession of nursing and along with it, pioneered the concept of nursing theory. Her environmental theory was patient focused and incorporated five environmental components needed to promote health. Jarrin (2012) supported that the role of nursing is to promote the best possible environment for the patient to assist in their natural reparative process. According to Rahim (2013), as considered as the profession’s first nurse theorist, Florence Nightingale provided the essential foundation in environmental theory. She believed
Roy believes nursing as a key player to help patients to develop coping mechanism and positive outcome from the constant stimuli exposure. Roy’s goal is for the patient to achieve adaptation leading to optimum health, well-being, quality of life, death with dignity, and finding in life by participating in their own care (Roy & Andrews, 1999.)
Florence Nightingale’s nursing theory is probably the most well known in the nursing profession. “Patients are to be put in the best condition for Nature to act on them. It is the responsibility of nurses to reduce noise, to relieve patients’ anxiety, and to help them sleep” (Theories of Florence Nightingale, 2012). This theory emphasizes that environmental factors and adaptation is the basis of holistic nursing care. This theory is important in my opinion because it ensures that the center of focus is on the patient. When patients are hospitalized making them comfortable in a new and strange environment is important to me. Eliminating noise at the nursing station and turning down the lighting in the hallways at night are just a few ways that nurses can improve the environmental factors surrounding patients. During hospitalizations I strive to eliminate any anxiety that my patient may be experiencing. Upcoming procedures and treatments can cause tremendous stress. Simply by providing sufficient information regarding treatments or procedures can be beneficial in reducing anxiety or
In this paper the author provides a real life example of the application of applying Florence Nightingales environmental theory to a practice setting. In an article published in the RN Journals a staff nurse writes about her experience as a floor nurse on an oncology unit and how the surroundings were anything but pleasant. The color of the unit was dark; there was dirty carpeting that lined the unit. Families had nowhere but the hallways to grieve the loss of loved ones and the worrying environment was depressing. This nurse took it upon herself to bring her concerns to hospital administrators; she stepped out on a limb and became the patient family advocate with using the premise of the Florence
The purpose of this paper is to discuss my personal beliefs pertaining to the profession of nursing. As well I will discuss the (4) metaparadigms in nursing which are known as; human beings, environment, health, and nursing, and my personal beliefs on these concepts and how they have similarities to the nursing philosophy of a nursing theorist.
The nursing theory consists of four major concepts including person, health, environment, and nursing. According to the Fundamentals of Nursing, these four concepts “… give nurses a comprehensive perspective that allows you to identify and treat patient’s health care needs at all levels and in all health care settings.” (Potter & Perry, 2009, p. 40) Florence Nightingale’s theory was one of the first models for nursing. The focus of this theory was that nursing consists of caring through the environment and helping the patient overcome their symptoms and changes in function related to their prevailing illness. It also focuses on the manipulation on the environment for the potential benefit of the patient. Florence “… had always seen to the heart of things- that the real nurse must be a dedicated being- that
I believe environment in nursing is having an atmosphere where everyone can function appropriately. When I say that, I am referring to being in a place where co-workers are able to ask questions and we are able to lean on one another. An environment where patients feel comfortable asking the doctors’ questions or even asking the nurses questions without feeling inadequate. The environment of the hospital helps play a huge role in patient care because if we work in a stressed place we then in turn display that in our care.
The Environmental Theory by Florence Nightingale defined Nursing as “the act of utilizing the environment of the patient to assist him in his recovery” (Alice Petiprin, 2014). It involves the nurse’s initiative to make environmental settings appropriate to aid in the recovery of the patient’s health. According to Nightingale all external factors are somehow associated with the patient and affects their life physically, mentally, and socially (Alice Petiprin, 2014).
* A patient’s world can become brighter or darker, secure or threatening through nurses attitude. Watson accepts Nightingale’s concept of environment and states the healing environment expands the persons awareness and consciousness, thus promoting mind-body-spirit wholeness and healing (1999,p.254.) This reminds us to keep the patient’s room tidy and comfortable, and provide spiritual support necessary for total healing.
The concept of environment and its integral role in the delivery of nursing care was among the first identified and documented nursing concept since its early days. Florence Nightingale pioneered the profession of nursing and along with it, pioneered the concept of Nursing Theory. Her Environmental Theory was patient focused and incorporated five environmental components needed to promote health. Jarrin (2012) supported that the role of nursing is to promote the best possible environment for the patient to assist in their natural reparative process. It dates back from the time of ancient Greek philosophers and historians, including Plato, Hippocrates, and Aristotle, whose works are studied by Nightingale in her early years. According to Rahim (2013), as considered as the profession’s first nurse theorist, Florence Nightingale provided the essential foundation in environmental theory. She believed that some laws of nature, when applied and integrated into nursing care, can assist individuals in restoring their health during their illness, and, in those who are already healthy, promote health and prevent illness.
Throughout the history of nursing, there have been many nursing theorists who have each made significant contributions towards the shaping of nursing knowledge. Each of these theorists have differing perspectives and interpretations of how each domain of the nursing metaparadigm fit into their respective theories. The four domains of the nursing metaparadigm are: person, environment, health and illness, and nursing. The purpose of this reflection is to provide an overview of the domains related to the metaparadigm of nursing as well as to introduce this author’s perspective on their developing personal philosophy of nursing. In this paper, the author will take a closer look at each of these areas, how they are individually defined, and how they each fit into the nursing metaparadigm as a whole. At the conclusion of this overview, readers will be introduced to how these theorists and their perspectives have enabled this author to begin to create their own philosophy of nursing.
This metaparadigm serves to explain the full context of health care and of nursing specifically. It is little less than the totality of all things that impact on the recovery of the patient. Home life, mental state, addictions, physical pain, chances of relapse, rewarding work and a host of other variables come to define the context of recovery. All of these clearly impact recovery, or even the patient's desire for recovery. This also includes social and cultural dimensions such as religious belief and general attitudes toward death and suffering.