Florence Nightingale: Her Ground-Breaking Work In Nursing

Before the existence of the Great War, America had fought in previous wars. In the years before the Great War nursing was not even a word for the women who had helped with the aid of fallen soldiers. Florence Nightingale, who helped in establishing nursing as a career used her efforts in organizing an emergency nursing service (Dahlman 2). Nightingale started off at first with forty women, some of whom were Sisters of Religious Nursing Orders and others hospital-taught women of the old school, not trained in the modern way, but experienced (Dahlman 3). Florence Nightingale founded the Nightingale Training School for Nurses at St. Thomas’ Hospital which was the parent of the modern system of nursing. From her, therefore, we may well date the story of nursing service of the American Red Cross (Dahlman 4).

Over the past two decades, EBP has expanded on Florence's theories. EBP constitutes the combination of clinical expertise, patient values, and research evidence when making decisions about patient care. In the 1990's, it was determined that just increasing knowledge was not sufficient for improving patient outcomes. To obtain better patient outcomes "new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context,

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 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

Grand theories are relatively abstract concepts and help to provide nursing knowledge in a general way. However, this theory is the most complex and widest in scope of the level of theory have been subdivided into Human needs, Interactive and Unitary process theories (McEwen, & Wills, 2014). For this reason, Nightingale’s Environmental theory is part of the grand theory because it encompasses different areas of nursing care. This theory incorporate knowledge made from observing the patient and critical thinking as contrast to empirical and medical care (McEwen, & Wills, 2014). Between these three subdivisions, Nightingale’s theory is also a Human Need Theory because she based her theory on how the environment cause changes in ill patients. Nightingale used inductive reasoning through observation and experiences to obtain laws of health, disease and nursing (pdf).

The environment theory of nursing is a patient-care theory. The delivery of patient centered care is the best delivery of care a patient can receive. Applying Nightingales environmental care theory of manipulation of the patient environment can affect the patient and assist in the delivery of quality of care. The concept of a clean patient environment has an effect on the patient’s recovery and the prevention of spread of diseases (Harvard Libraries, 2012). Using Florence Nightingales environmental theory and concepts will give a

“In these conditions, it was not surprising that in army hospitals, war wounds only accounted for one death in six. Diseases such as typhus, cholera, and dysentery were the main reasons why the death rate was so high amongst wounded soldiers” (Spartacus, 2011, ¶ 10). Nightingale went on to establish sanitary guidelines to improve nursing quality, statistical ways of obtaining data, and most importantly environmental factors to improve patient quality. What we know of Florence Nightingale is that although she was born into a wealthy family, she had a different drive in her life towards helping other humans. Nightingale demonstrated pure altruism, but why? What constitutes for her behaviors and traits, there must be a key to unlocking the personality development of Florence Nightingale.

In an article by Maev Kennedy, “ Florence Nightingale attest that she became a national hero after dramatically reducing the mortality rate at the Scutari hospital during the Crimean war...Official records show that by February 1855, the mortality rate had fallen from 60% to 42.7% and then, once a fresh water supply was introduced, it dropped further to 2.2%.” The death rate had changed from better conditions for sanitation and soldier's hygiene. I think the main reason why Florence Nightingale had become such a sizeable hero is because she thought of options on how to heal soldiers more effectively.According to Henry Wellcome, a pharmaceutical entrepreneur, “"The army is in splendid health, only seven deaths in a week and one of them a fit of apoplexy from drunkenness.” Thus, the death rate had dropped dramatically. The British Army had started to maintain healthy soldiers and prevent diseases.From the evidence here it shows how much of a big improvement the Uk had. The evidence also shows how War journalists improved conditions for soldiers, by showing the situations wounded soldiers were

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

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).

Florence Nightingale is known as the first nursing theorist and founder of modern nursing because her theory on environment changed the face of the nursing practice.  During the Crimean War she observed the correlation between patients and their environment.  As a result, the environmental theory was born which consists of a number of key aspects all centered around “focusing on taking care of the patient's environment in order to reach health goals and cure illness” (Petiprin 2016).  As with any theory there are also core beliefs which make up the theory as a whole.  In regards to the theory I have chosen for my project a few vital things can be said about nursing. Nursing is a calling, it is an art and a science, and it is achieved through environmental alterations.  “The focus of nursing in this model is to alter the patient's environment in order to affect change in his or her health. The environmental factors that affect health, as identified in the theory, are: fresh air, pure water, sufficient food supplies, efficient drainage, cleanliness of the patient and environment, and light (particularly direct sunlight)” (Petiprin

Selanders, 2010 (as cited in Rahim, 2013) concluded that, “Environment is the umbrella concept in the Nightingale theory of nursing. It was her contention that the environment could be altered in such a manner as to improve conditions so that the natural laws would allow healing to occur”. The five environmental components identified by Nightingale, which are necessary to a person’s health, are: clean air, pure water, efficient drainage, cleanliness, and light. These five components are further divided into the following canons: ventilation and warming, health of

Throughout Notes on Nursing, Florence Nightingale expresses the importance of proper care to patients. Another factor of nursing that was effected by Nightingale is the professionalism of nursing and how nursing is not only a science, but an art. Nightingale states how numerous subjects in nursing should be improved upon. The specific chapters that show how Nightingale has improved nursing within Notes on Nursing were Light, Personal Cleanliness, Chattering Hopes and Advices, and Ventilation and Warming. In chapter 9, Light, Florence Nightingale emphasizes the impact of sunlight on the patient and how it improves their health. Personal cleanliness was reviewed in chapter 11. Nightingale explores the importance cleanliness has on a patient. Within chapter 12, Nightingale states how to properly advise the sick, as well as give hope to patients. In chapter 1, Ventilation and Warming, Nightingale states the need for pure air within a patient’s room. These chapters express the importance of properly taking care of patients. The focus of this paper is how it was applied during Nightingale’s time and how it is still relevant today in nursing practice. The chapters within Notes on Nursing have had a profound impact on the practice of nursing today.

Florence Nightingale, a well-educated nurse, was recruited along with 38 other nurses for service in a hospital called Scutari during the Crimean War in 1854 . It was Nightingale's approaches to nursing that produced amazing results. Florence Nightingale was responsible for crucial changes in hospital protocol, a new view on the capabilities and potential of women, and the creation of a model of standards that all future nurses could aspire towards.

Nursing has made much advancement since Nightingale Environmental Theory but the focus on a healthy environment has remained the same. Pulliam (1997) noted in her article that Nightingales’ theory formed a solid foundation for nursing: fresh air, cleanliness, clean water, warmth, proper drainage, plenty of light, and stress free environment provided an optimum environment for healing.