The Trailblazing Aspect of Notes on Nursing
As the “mother” of modern nursing, Florence Nightingale introduced the revolutionary nursing theories and methods related to home health, holistic health, health prevention and maintenance, cleanliness, and patient management. Her directives involve nursing practices and healthcare process, which are widely applicable today. The trailblazing aspect of Nightingale’s Notes is her contribution to the design of healthcare facilities.
At the beginning of Notes on Nursing, Nightingale emphasizes the critical success factors for healthcare by writing that “In watching diseases…the thing which strikes the experienced observer most forcibly is this…of the want of fresh air, or of light, or of warmth, or of quiet, or of cleanliness, or of punctuality and care in the administration of diet…” [1]. Nightingale identified ventilation, light, and variety of objects as crucial to healing. These three factors are commonly considered today to evaluate the design of healthcare facilities.
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Keeping “the air within as pure as the air without” is the first rule of nursing, as Nightingale explains [2]. It is more likely that the key to the sustainable design of healthcare facilities is ventilation. It means that “every room must be aired from without–every passage from without” to speed patient recovery time [3]. It is true that poor indoor air quality can promote an unhealthier environment and cause illness. Today, most of the wards have proper ventilation to bring in the fresh outdoor air to reduce the health risks associated with poor indoor air quality. Hence, Nightingale’s theory of ventilation significantly influences the modern healthcare
Jean Watson’s 8th Caritas Process 8 is an extension of her 8th Carative Factor and states, “Creating healing environment at all levels (physical, nonphysical, subtle environment of energy and consciousness whereby wholeness, beauty, comfort, dignity, and peace are potentiated (Being/Becoming the environment)” (Watson, 2008, p. 31). The process can be further defined as the nurse providing, and together with the patient becoming the environment, thus “affecting the entire field” (Watson, 2008, p. 140). Watson believed that to create a healing environment, certain views needed a second look such as Nightingale’s view to “remove noxious stimuli from the external environment…”, “issues related to safety…” by providing comfort, “violation of
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
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
the world with a team of trained matrons & nurses. The standards of nursing improved and
Nightingale, F. (1860).Notes on nursing: what it is and what it is not. New York:D.Appleton And Company.
If Nightingale were alive today, she would find it strange hospitals exist at all. She regarded them as belonging to a stage of "imperfect civilization", and envisaged their end by the year 2000. Florence would have understood the growth of the primary care movement. Having its roots in her own work, she would have been alarmed by the conditions of acute care evident in some hospitals today. High bed-occupancy rates, the poor hygiene, and the lack of space and of privacy .All of which go against the central tenets of her writings.
Ventilation and warmth is the first idea introduced in Florence Nightingale’s novel, Notes on Nursing. “To keep the air he breathes as pure as the external air, without chilling him.” (Nightingale, 2005, p. 9). She indicates the importance of keeping the air clean and fresh, comparable to the external air, without providing discomfort to
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
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
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 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
This paper is going to discuss Boyle’s Law and how it relates to respiratory care. It will define what the law is, how it works, and why it is important to us. We use this law every day without even thinking about it. So many of our everyday activities and actions are related to certain gas laws that have been built into our lives at home and at work. Without many of the gas laws we would not have the advancements that we have today. Boyle’s Law has had a very important role in our lives. It is the reason why we have the medical technology that we have today and why it keeps improving. Because of Boyle’s law, the medical profession saves lives and improves lives every day.
Due to the challenging and changing nature of nursing, many philosophies and theories have been advanced to guide nursing practice, education, and research, and although these nursing practices have changed drastically, some of the initial guidelines have remained consistent in time and are still seen today. Many nurses who serve in resource-scarce settings have stuck to the biomedical model stance of nursing, which was unable to meet all the concerns in managing their clients. Florence Nightingale who served as a nurse during the Crimean war developed her own models of nursing along with the environment, which stated that nurses are able to mediate and manipulate the environment to put the client in the optimal condition for nature to act upon (Pfettscher, Graff, Tomey, Mossman & Slebodnik, 2014). Nightingale’s model of nursing and the environment theories are easily adaptable as well as applicable to numerous client care settings, some of which are being used by Toronto’s Homeless and Corrections Team in trying to decrease Tuberculosis amongst Toronto’s homeless population.
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.
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).