General Systems Theory: Professional Nursing Practice

Nursing care was unscientific and consisted of assisting patients with usual body functions; and was typically administered by women of a religious order or by women who by nature of their lifestyle frequented hospitals. Hospital care was for the poor and destitute; since home based medical care was better than risking additional infections in the dirty, crowded, and disease-ridden hospitals. During the typhus epidemic of 1852, hospital staff and patients suffered the greatest morbidity and mortality. (Ranade , 199817-19)

In society, there are groups that interact with each other. They may be families, churches, government agencies, or anything in between. Those groups can be defined as systems, and in the systems perspective that is what they are referred to (Hutchison, 2017). In the 1960s, Ludwig von Bertalanffy developed the general systems theory in relation to biology, but it was widely publicized and used for various subjects (Hutchison, 2017). Hutchison (2017) summarized Bertalanffy’s theory by saying, “any element is best understood by considering its interactions with its constituent parts as well as its interactions with larger systems of which it is a part.” (p.

Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of

One aspect of nursing that has changed since the early 1800’s is nursing education. There was no question about the credibility of the women providing care to soldiers after the war. For many years untrained nurses and consequently nursing students cared the sick without any supervision. In 1873, the need for educated nurses was sought but was opposed by untrained physicians who thought trained nurses would pose a threat to their jobs (Gary & Hott, 1988). “Nurses have evolved

A system is “A set of interrelated and interdependent parts arranged in a manner that produces a unified whole” (robbins 2006), and Systems theory is the

At this time there was no physician-patient relationship, this being due to the fact that physicians were there to treat the body and the general view was that patients were unable to provide accurate evidence without “feelings and emotions” getting in the way. This Era at the bottom line was about facts, evidence and physical direct ailments. The nursing profession was just starting to be developed in this Era. The “nurses” of this time were family members, nuns, priests, neighbors who were all untrained. The start of some of the founding nurses were seen such as Florence Nightingale. She started to look at sanitary conditions and nutrition, some might say she was the original nurse. Her contribution the start of nursing is very significant. She trained some of the first nurses during the Crimean War and with her training she was able to statistically show how sanitary conditions, cleanliness and nutrition were able to significantly decrease the death rate of Crimean soldiers. In Era I physicians really only took care of one part of the “human”, because as humans we are a composition of the physical, mental and soul. Those three parts are what give us humanity and higher thinking. So Era I does not create a fully encompassing view of medicine.

Second women in medicine until the 19th century women were excluded from almost all professional medicine. Yet they provided almost all medical care. Ordinary people could not afford qualified doctors, treatment and care were provided by the woman of the house, or by a local woman skilled in the art of healing. In prehistoric, hunter-gatherer societies, women could not hunt if they were bearing or caring for children, so they collected plants and grubs. It is probable that the women had greater knowledge of the healing powers of herbs, although evidence is slight. Mothers passed down their knowledge to their daughters. In Western Europe, especially skilled healers were highly respected as ‘cunning’ wise women. Sometimes their herbal knowledge was confused with witchcraft. As most people were illiterate, there are very few records of women 's huge contribution to medicine. The surviving records were written by men, and concentrate on the all-male medical profession. In the 19th century there was a dramatic change in the status of women. Until this time, men controlled all ‘civilized’ societies. In Christian countries men used arguments from the Bible to justify women 's inferior status. Women were expected to be housewives and mothers, and were deliberately excluded from almost all other types of work. For example, by the 17th century, even professional midwives were male. In 19th-century Europe, women began to enter the male-dominated world. In

Women who were midwives or healers were known to be very smart and capable of curing

One of the first nurses to see battle injuries was Ms. Fannie Beers who described the arrival of the first 200 soldiers at a makeshift hospital “they came with some form of disease whether on foot or stretcher, barefoot or on swollen feet”. (12) The battlefront hospitals were only that of open area sites with conditions anything but sanitary, with blood, human waste and amputated limbs covering the ground. The first battle women encountered was with their selves. Only their strong religious faith steeled them against sickening sights of disease and infection. These nurses learned to rein in their feelings and believed patients redemption hallowed their work.

I unfortunately didn’t have enough time to of course to completely solidify my findings. But one thing that is for sure is that the Healthcare field grew in a short amount of time, there was so much intelligence back then that we only think of bone saw but in reality they had things that seemed to defy what should have been normal at the time, and this of course is just a start of my findings. For the research part on woman I found that surprisingly Florence Nightingale wasn’t technically the first Nurse. There had been a pioneer in England that you’ll find in one of my sources listed in the bibliography that isn’t necessarily relevant to make the point. Next I found that woman seemed to pioneer it as a means for a platform to build in a way the woman’s right moment and just because they wanted to help out. Especially when wars broke out there had been fewer men at home and more men in the Homefront. In total I believe that this topic could swing to a different topic in multiple ways such as Healthcare through the ages, the war, how men became nurses, the process of nursing school back then, and as you can see this also goes on. My one un-answered question is how they cured someone back then. There’s mostly home cures but no solid book from a professional that could tell me what exactly they did back then. Overall I believe I’ve covered this

“The power of community to create health is far greater than any physician, clinic, or hospital.” (Mark Hyman). In the Elizabethan Era, most of society was poverty-stricken, which drove communities to improvise to help the sick as real doctors and physicians were too expensive. Barbers and wise women rose to the occasion of helping the sick, although they did not have much medical knowledge. Medical knowledge was also lacked in professional doctors and physicians as their knowledge revolved around their religion, leaving the sick in the mercy of misconceptions. During the 16th century, society suffered from lack of medical knowledge and ignorance to the benefit of sanitation, resulting in misconceptions of faulty doctors that brought expansion of diseases and death.

In terms of a system, the meaning is a consistent arrangement of things connected to form unity or to operate as a whole. These systems are dated back in origins to the 1950’s and 1960’s. In this theory we must understand an individual’s family and how it works for that family daily in the community, neighborhood, social aspect, and etcetera. When one part of the system changes, the whole system changes. When everything is balanced it is said to be in equilibrium or homeostasis which seemingly is a good thing (Poorman, 2003). There are many skills

The folk image of nursing is one that is seen in movies or read about in books. This is the image of the medicine man or village healer. The knowledge in this type of nursing was handed down one generation at a time and primarily cared for the children and elderly of the social groups. The religious image of nursing is from a time when nuns or religious ambassadors took over the primary responsibilities of taking care of the poor, sick and elderly. Not too far a concept from this was the servant image of nursing which was marked by a time when the undesirables of society were charged with caring for the sick and elderly. During times of war, the need for nurses increased and

The General Systems Theory (GST) came about as an effort to describe the systems approach, born from the biological concept of the organism developed in the first part of the 20th century (Von Bertalanffy, 1972). In contrast to the mechanistic systems which are closed and have a direct relationship between a cause and its effect, a biological or social system is open, operating on a principle of equifinality, where regardless of the starting point, the objective can be achieved (Kast & Rosenzweig, 1972). Any system will achieve equilibrium, but an open system can reach a steady state by accessing resources from outside itself (Kast & Rosenzweig, 1972). The underlying assumptions of GST rely on the organization of a company resembling the inner workings of an organism. However, subgroups within organizations can act independently of the the whole, in

Hearing the word midwife leaves many people thinking of unprofessional, inexperienced women who help deliver babies naturally, without the help of medication. In truth, nurse-midwives are registered nurses who have attended additional schooling for women’s health and are taught to make women feel as comfortable as possible. In the beginning, remedies were the females’ legacies, their “birthright”; these females were known as “wise-women by the people, witches of charlatans by authorities”. (Ehrenreich, 1973). “Females were wanderers, traveling from one place to another, healing the sick and wounded.” (Ehrenreich 1973). These women were among the first human healers and they were especially helpful when it came to childbearing. The midwives