Henderson’s Definition of Nursing In nursing, many theories have emerged that highlight the role of nurses in health care. Of these, Henderson’s Definition of Nursing became influential as Virginia Henderson brought it to the forefront in her 1955 Textbook of the Principles and Practice of Nursing (Abrams, 2007, p. 382). Per Renece Waller-Wise (2013), Henderson’s Definition of Nursing is “primarily helping people (sick or well) in the performance of those activities contributing to health, or its recovery (or peaceful death) that they would perform unaided if they had the necessary strength, will, or knowledge” (p. 31). Waller-Wise (2013) also pinpointed that the aforesaid would be carried out in a manner that would promote gaining independence (p. 31). Therefore, this nursing process is geared towards “helping patients attain, retain, or regain optimum health” (Schmieding, 1990, p. 464). In order to make improved health possible, it requires understanding what the patient’s needs are (Abrams, 2007, p. 383). Once identified, the nurse can respond to the patient’s self-care deficit and work towards patient autonomy (Risjord, 2014, p. 36). According to Johansson in Patient satisfaction with nursing care in the context of health care: a literature study (2002), Henderson’s nursing theory emphasizes the importance of “individual-oriented” care that is aimed at reaching “the greatest possible degree of self-efficacy” through a nurse-patient relationship that is accepted and
The purpose of this paper will be to explain the components of Dorothea Orem’s self-care deficit theory, the current significance of the theory, and the application of this particular nursing theory. A nursing theory is an explanation of a division of nursing that “describes, explains, predicts, or prescribes” that particular division. (Perry, Potter, Stockert, & Hall, 2013, p. 41). Orem developed her personal theory, the self-care deficit theory, to assess a patient’s ability to perform vital daily tasks and how it affected the patient’s. (Hartweg & Pickens, 2016). This theory is a grand theory, which means it can be used in almost all areas of nursing. There are five components or methods that compose this theory that nurses will practice when working with a patient who needs to reach the self-care deficit. (Edney, Jaime, & Young, 2016). It is used today and has been included in several studies that have proven it to be effective in shortening hospital visits when used on critically ill patients. (Hohdorf, 2010). This particular theory has helped advance nursing practice since Orem’s first publication.
“If a patient is cold, if a patient is feverish, if a patient is faint, if he is sick after taking food, if he has a bed-sore, it is generally the fault of not of the disease, but of the nursing. I use the word nursing for want of a better” (Nightingale, 1860, p. 8). While Nightingale stressed the impact of one’s environment to promote healing, Virginia Henderson aimed to establish on the fundamental needs as a knowledge base to guide Professional nursing practice. Henderson emphasized on fourteen components required for effective nursing care which includes: breathing normally, eating and drinking adequately, elimination of body wastes, movement and posturing, sleep and rest, select suitable clothes-dress and undress, maintaining body temperature, keeping body clean and well groomed, avoiding dangers in the environment, communication, worship according to one’s faith, work accomplishments, play or participate in various forms of recreation, and learn, discover, or satisfy the curiosity (Fernandes et al., 2015). Her division of the fourteen components acknowledged patient needs with a holistic approach that is applied through the nursing process in a clinical setting.
Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded
Virginia Henderson’s contribution to the nursing profession has been very influential. One of her contributions is her well known definition of nursing which request the nurse to be an expert independent practitioner equipped with the right knowledge in basic nursing care to achieve the goals of proper patient care (McCrae, 2012). Her definition along with the fourteen basic needs brought huge changes in nursing practice. The fourteen fundamental needs gives support and assistance to provide proper nursing care. In addition, Henderson also understood the importance of using the nursing process, she stated as part of the nursing process, it was vital for the nurse to collect, analyze and develop an optimal plan of care to ensure the best quality of care and patient outcomes (McCrae, 2012). Henderson defined nursing as a concept. Henderson regarded person, health, environment and nursing as follows, Person: The patient is a person who needs support attaining independence and well-being or sometimes peaceful passing. The body and mind are one entity, not to be separated in care. Patient and
Dorthea E. Orem’s self-care model emphasizes both a patient 's ability and responsibility to care for themselves. Self-care as defined by Orem as “the practice of activities that individuals initiate and perform on their own behalf to maintain life, health, and well-being” (Catalano, 2015, p. 58). Since individuals function at varying levels, Orem has identified three levels of nursing care: wholly compensated care, partially compensated care, and supportive developmental care. This theories goal is to help each individual reach his or her maximum level of function and to take responsibility for his or her health (Catalano, 2015). Self-reliance is also core value in my own personal life. I believe that a person who is capable of performing any part of their own self-care should be encouraged to do so because it will help them become independent, improve their psychosocial status, and promote self worth at a time when they rely so heavily on other people for their care. Orem’s theory matches my own belief of the importance of independence and self-reliance because the main goal is to help patients become as self-reliant as possible in their healthcare. This theory emphasizes the important role of education in nursing in order to enable them to take control of their own health. Because of health deficits, some individuals may require more assistance from care providers. However, even these patients should be encouraged and allowed to do whatever they are able to do for
The nursing process does not merely treat the patient as a physical body, but rather treats the patient holistically. The central philosophy of Dorothea Orem's self-care deficit nursing theory "is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they're able" (Dorothea Orem, 2012, Nursing Theory). However, although self-care may be the core of Orem's theory, the decision to engage in self-care must be facilitated by the patient's social and physical environment, of which the family can play a critical role in shaping.
The profession of nursing requires a capacity and joy for caring and healing others both mentally and physically. Nurses spend their careers caring for patients and their families often in the worst and most frightening periods of their lives. Nursing responsibilities can be lengthy, stressful and physically and emotionally demanding. The demands of the nursing profession coupled with the nursing shortage and longer work hours put even more stress on nurses. Despite these extreme demands, many nurses do not fully appreciate the importance self-care. Yet without proper care for themselves, nurses are not able to provide the best care for their patients.
My definition of nursing is that of someone who genuinely cares about the well-being of others and helps heal those who are ill. Nursing is both an art and a science because in order to understand a patients diagnosis you must know the pathophysiology and basic lab values. The science part of nursing allows us to make judgments on medication orders doctors prescribe, procedures, and practices. Art is also apart of nursing because as nurses we must have intuition, compassion, and warmth towards our patients. It is what allows us to therapeutically communicate with our patients. A person can have the science part, but not master the art and therefore, that person may be uncompassionate towards a patient. I have see nurses in clinical settings
I realized I wanted to be a nurse after I had my 2nd ACL surgery, my senior year of high school. I had to stay in the hospital 3 days in order to recover, and I was very lucky to have such a wonderful and caring nurse. She made me feel as if I was her only patient. I will never forget how well I was taken care of and how comfortable she made me feel. I was young and scared, but she was reassuring, because she made me feel as if I had my own mother taking care of me. She was the reason I wanted to become a nurse, because I wanted to make others feel the way she made me feel. My personal definition of nursing is encompassed within that one nurse. A nurse should be loving, compassionate, dependable, competent, empathic, responsible,
In this module’s Assignment, you will draft a formal paper expressing your personal philosophy of nursing paper. In this paper, you will provide a framework for your personal practice of nursing and reflect on why you chose nursing as a profession. Your paper will define how you interact with patients, family members, other nurses, and other health care professionals.
Kristen M. Swanson’s Caring Theory is the solution in bridging the gap between nursing practice and theory. It offers an explanation of the links between patient well-being and the caring process (Tonges & Ray, 2011). Swanson explained that nurses should be able to demonstrate that they care about their patients, and that caring about their wellbeing is as important as their patients’ current medical problem (Tonges & Ray, 2011).
The two theories that have helped to form my personal perspective on nursing are Erickson; and Rogers. Helen Erickson’s model is based on caring for an individual patient based on their own unique needs and perspective (Nursing Theories and Models, 2017). Erickson’s model took concepts from several other theorists such as Maslow, Padget, Seyle, and Lazarus and combined them to create a nursing model that takes care of each individual patient based on their needs ( Reed, 2017). This theory helps me to be more cognizant of the individual needs of my patient, not all patients regardless of disease process are the same. Each patient may have different underlying factors or circumstances that affect their health and current situation. Rogers’ theory is broader, viewing nursing as both an art and science, promoting health and wellbeing to patients regardless of where they are (Nursing Theories and Models, 2017). The science of nursing involves the knowledge and research of nursing, and the art is applying that science for the betterment of the patient. This theory views an individual as part
This essay will explore a needs orientated approach to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. It is intended to identify a patient with biopsychosocial needs that requires nursing intervention. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff.
Developing a nursing philosophy is important to a nurse as it serves as a guide and is the foundation for personal nursing practice. Following a personal nursing philosophy can enhance your nursing career, make you a better nurse and improve patient outcomes. However, it is difficult to choose one nursing theorist, as there are viewpoints from several theorists that align with my personal theories. Choosing one theory is not only difficult, it is possible to change a theory during your nursing career or draw from various theories while working with patients and their families depending on the situation. Consequently, nurses are taught the foundation of multiple theorist and there does not seem to be one correct model. It is a matter of finding one that fits your
The salient point in Henderson’s definition is describing the duty of a nurse as one that cares or assists an individual whether sick or well in obtaining a state of health in order to live an independent lifestyle (paraphrased). Henderson also described the independent and dependent role of nurses and the importance of a collaborative work with the other members of the multi-disciplinary health care team especially the doctors (Henderson, 1966). The Royal College of Nursing, on the other hand, described nursing as the utilization of clinical judgement in extending the care necessary for the people to maintain and achieve an optimum state of life throughout their lifetime (RCN, 2003). Other significant definitions of nursing were those given by the World Health Organization (WHO) and the American Nurses Association (ANA).