Ernestine Wiedenbach

2205 Words Apr 9th, 2015 9 Pages
Ernestine Wiedenbach Ernestine Wiedenbach was a pioneer in nursing theory and nursing philosophy. She was an author, nurse-midwife, and teacher. Clinically she specialized in nurse midwifery and it was at Yale teaching that her nursing theories were developed. Wiedenbach was recognized for her work in writing the first maternity nursing text book that focused on family-centered care. (Barger, Faucher, & Murphy, 2015). Her theories were influenced by Ida Orlando, Patricia James and William Dickoff who were all colleagues at Yale. Wiedenbach was passionate about nursing and she longed for further knowledge. Wiedenbach asked questions like what do nurses do and why they do it? (Wylie, 2010) It was from questions like this her …show more content…
During this step the nurse is assessing the situation, or the patient’s “need-for-help” (Wiedenbach, 1963, p 56). This is done through observation and physical assessment. Nurses also need to observe non-verbal cues to identify the true patient need because sometimes it is through observing inconsistencies in information that the nurse is receiving from multiple sources and in multiple ways that the patient’s need is revealed. After identifying the need-for-help, the next step in the nursing process is ministration. The nurse uses her experience and knowledge to develop a mutual plan and goal with the patient. This is an inter-active process and the goal that is established can be nurse-driven, patient-driven or mutually driven. The final step in the nursing process is validation. This is when the goal is evaluated and the nurse can see if the need and goal were indeed the help that the patient desired. To be effective in nursing practice, the nurse must use her knowledge, judgment and skills in every interaction with her patients. (Necor, 2014) The last of the four components of clinical nursing is art. Art is the systematic application of care and the knowledge needed to achieve the set goal. (Wylie, 2010). Nursing art is how the individual nurse responds to a patient’s situation. The nurse’s response may be rational, reactionary or deliberate.
In 1970, Wiedenbach expanded on her nursing theory because the theories of her day were not