Virginia Henderson's Needs Theory And Oncology

Virginia Henderson is famous for her definition of nursing, “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge, and to do this in such a way as to help him gain independence as rapidly as possible" (Blais, 2012). Her philosophy supports that caring is the foundation, the center of all patient healing.

“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.

I personally define nursing as aiding in the recovery and survival of another person using the specialized knowledge, ability, and critical thinking skills attained through study and experience. The word nurse translates in Latin to nourish. This Latin translation reveals that nurses nourish when a person is in need. Angelo Gonzalo (2011) states, “Nursing is an art through which the practitioner of nursing gives specialized assistance to persons with disabilities which makes more than ordinary assistance necessary to meet needs for self-care” (Major Concepts section, para. 1). Nursing requires a diligent and hardy person to be able to assess the situation, access the appropriate knowledge and skills, and accordingly provide the care a person needs.

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

I knew there are multiple nursing theories from previous discussion. However, I did not realize there were so many that I would be interested in. Some were much more philosophical than I was comfortable with, yet others captivated me. For the purpose of this assignment, I decided to look more closely at the Theory of the Nurse as Wounded Healer by Dr. Marion Conti-O’Hare. The notion of a wounded healer originated with Greek mythology but was coined by psychologist, Dr. Carl Jung in 1951(Daneault, 2008). Dr. Jung believed that “the disease of the soul could be the best possible form of training for a healer” and that “only a wounded [healer] could heal effectively” (Daneault, 2008). Dr. Conti-O’Hare’s theory assumes nine concepts. A few included the following:

The role of the nurse in the healthcare setting is to be supportive, informative, advocate and help patient through their treatment journey through the use of language- verbal and non-verbal.

Virginia Henderson who is called the first lady of nursing defined nursing as the unique function the nurse performs to help the individual sick or well, conscious or unconscious perform that contributes to recovery , peaceful death or health promotion. These are functions an individual would have performed without assistance all things being equal.

“Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles” (ICN 2010)

Nursing is primarily assisting the individual (sick or well) in the performance of those activities contributing to health or his recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will, or knowledge. (as cited in Cox, Cline, & Reed, 2007, p. 93)

According to the American Nursing Association, “ Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (Association, Scope and Standards of Practice, 2010).

According to Pepau the goal of nursing is to help the patient find their felt problem. The nurse and patient work together therefore they develop relationship between each other’s. These two individuals with common aim have interpersonal relation. Nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care ( Pepau 1952). Nurse plays several roles in this relationship. As a resource person, nurse gives adequate information that help patient understanding of issues. As a counselor: a nurse helps patient to incorporate the sense of current life change event, and provides advice for change. Nurse plays role of leader by making sure patient undertakes maximum engagement to achieve treatment goals.

A nurse does this by helping the patient staying comfortable and warm for physical, emotionally by providing therapeutic communication, and spiritually by inspiring purpose in the patient's life or providing religious support in their time of need.

Respectively, the American Nurses Association (2010c) currently defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (p.10).

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).

Nursing theorist Virginia Henderson (1897-1996), often referred to as the “First Lady of Nursing”, developed a nursing model based on the 14 components of activities of daily living. The paper discusses the importance of applying these components to the nursing practice. She emphasized the importance of increasing the patient’s independence so that progress after hospitalization would not be delayed (Henderson 1991). Henderson’s Theory and the main concepts are discussed using a case study approach on a specific client to better explore the theory and how it influenced the nursing practice. Henderson’s principles and practices of Nursing laid a ground work for