Nightingale Paper
Sarah Soares DeCastro
University of Massachusetts Dartmouth
NUR 261-05: Concepts of Scholarship In Nursing
Professor Chen
21 February 2023
Evidence-Based Practice In Nursing
Evidence-based practice in nursing is defined as a "Problem-solving approach to the delivery of health care that integrates the best evidence from well-designed studies with patients’ preferences and values and the clinician’s expertise, which includes internal evidence gathered from patient data" (Fain, 2021, p. 21). It is a practice that stems from the idea that medical professionals should base their decisions about how to treat patients less on tradition or experience and more on the results of scientific evidence. Evidence-based
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Florence Nightingale was a British nurse, born in Florence, Italy, on May 12, 1820.. She wrote the novel to inform, and make a change to better the future of nursing. Due to Nightingale’s environmental views on how nature can have an impact on a patient's general health, her work in the book serves as an example of evidence-based practice. Lighting, cleanliness, ventilation, fresh water, and effective drainage are a few of these elements. The Nightingale states “It is the unqualifies result of all my experience with the sick, that second only to their need of fresh air is their need of light; that, after a close room, what hurts them most is a dark room. And that it is not only light but direct sun-light they want” (Nightingale, 1969, p.46). She came to the conclusion that light is crucial to a patient's health based on her expertise and observations from her prior interactions with …show more content…
Nightingale touched on the topic in the beginning of the book and throughout the rest of the chapters in the novel. She discussed the cleanliness of rooms, bedding, houses, and etc. She stated "Every nurse ought to be careful to wash her hands very frequently during the day. If her face too, so much the better. One word as to cleanliness merely as cleanliness" (Nightingale, 1969, p. 53). Through her environmental theories, which included ten elements such as ventilation and warming, light, noise, the health of the houses, beds and bedding, variety, personal cleanliness, food, offering hope, and observation and recording, Nightingale developed plans for improving cleanliness within the nursing practice. Nightingale thought that if these ten components were balanced properly, nature would be able to heal the body of any sickness or illness. It intrigued me because her concept on cleanliness improvements developed guidelines for hygienic and secure hospitals, and it is presently utilized by every healthcare facility all over the
This theory provides a framework for understanding the different ways that nurses know and use their empirical, ethical, personal, and aesthetic knowledge in their practice. Carper suggests that incorporating these key components of knowing, combined with the science available, improves patient centered care and better outcomes. Empirical knowledge uses evidence based practice with current research and up to date scientific knowledge that the nurse continues to learn throughout practice. A nurse also applies the basic ethical principles to guide their patient care, such as respecting patient autonomy and ensuring non-maleficence while being treated medically for their health concerns. To provide holistic care, the nurse may also very cautiously apply personal knowledge from their own experience and value system to impact their practice, making sure to reflect on personal biases and keep their own feelings in check while ultimately respecting the patient’s wishes.
Throughout the novel, Skenandore brings in nineteenth-century medical practice, allowing the reader to utterly understand the evolution of the medical field. She wrote her story based on the nursing principles championed by Florence Nightingale. Nightingale is known as the founder of modern nursing. Nightingale’s theory of nursing is, “the nurse must use her brain, heart, and hands to create healing environments to care for the patient's body, mind, and spirit” (Riegel et al., 2021). These principles called for strict rules of hygiene and cleanliness, which Skenandore wrote about substantially.
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
Contributions Florence Nightingale has impacted my nursing practice. She came into a hospital setting that had low standards and the environment had caused more problems for the patients than the war. She made efforts to clean up the facilities. She kept records of the changes and was able to show that a more aseptic environment was crucial to the healing process. This is something that I use in my daily tasks as a nurse.
However, she was able to link the person’s health with the environment through nursing so she was able to interrelate all four concepts into one circumstance (Potter & Perry, 2013). The primary focus of the first concept, nursing, is that the nurse is to give the patient the best possible conditions to thrive in by controlling the factors that affect the health and healing and taking “charge of somebody’s health” (Nightingale, 1860 p. 1). The person in the environmental model was never really defined by Nightingale, but is multidimensional and simply the patient receiving the care. The person is impacted by the environment which leads me into the third concept of environment.
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).
The sanitary conditions would be disgusting. However, Nightingale made it a goal to make sure that didn’t happen. Although Nightingale had many achievements, such as some that earned her the name “the lady with the lamp”, the most recognized are her part in the Crimean war, how she cared for her patients, and advancing modern medicine. So what was Florence’s impact on the future?
The theory was developed out of the need to increase comfort in patient care (Petiprin, 2019). It provides a taxonomical grid that is easy to understand and apply to nursing care plans and procedures such as immunizations. The conceptual frameworks components can be directly related to the project components. References Ali. (2022). Comparison of Two Nursing Theories Orem’s Theory of Self-Care Deficit & Kolcaba’s Comfort Theory.
The simplicity part of nightingale theory is used in resident education when they are discharged home after rehabilitation from the nursing home. Nurses made it simple enough for resident and family to understand. In addition to patient recovery, ventilation is a huge part of patient healing. Breathing pure and clean air prevents air contamination. Sanitized, clean, and free of clutter environment is necessary to prevent bad hygiene, the risk of infection and fall risk to the residents from their recovery process.
She played an important role in promoting nursing as an essential and educational element for public health through her inspiring letters and publications. Theory As the proponent of the first nursing theory, Florence Nightingale gave the Environmental theory that focused primarily on the patients and their surrounding environment. The theory as reflected in the words of Nightingale (1860/1982) states that the major objective of a nurse is to provide their patient the best possible condition for nature to act upon him and the responsibility of reducing noise, relieving patients’ stress and anxieties, and helping them relax and sleep, lies with the nurse. The main theme of the theory was the nurse’s
Nursing Theorists and their Theory 1.Florence Nightingale- Nightingale’s theory of the Environment is mainly focused on the environment, she believed that, the environment has a great importance that can be used to improve and encourage healing. With proper ventilation, clean air, lack of noise , proper lighting, and adequate elimination of waste. Are a few factors she believed and can be observed and maintained. 2.Sister Calista Roy- Roy’s Theory is based on, in which the individual views biopsychosocial being, in which a person adapt with the constant change of the environment.
Complexity • Thirteen sub-concepts are to be there in Nightingale’s theory. • The outcomes of application of the theory is patient will remain free of disease by means of healthy environment (Nightingale, 1859). d. Generality • The purpose of the theory is to provide a proper guideline to the nurses through the manipulations to the environment, in order for the patient to receive care and conquer positive health changes. •
She was a visionary and ethical leader who influenced others to carry out their professional duties with principle-based focus and a commitment to service. In my opinion, she is most famously quoted as saying: “To be a good nurse, you must first be a good person.” As a visionary and ethical leader, her inspirational and values-based theory can, and should be applied to every profession. I can tie personal relevance to Nightingale’s teachings in the way I carry out my current duties and responsibilities to others.
Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015).
A general hospital is set up to deal with different types of illness and injury. Roman military were among the first hospital with naturally lit and cross ventilated wards separated from each other to avoid cross-infection (heathcote,2010). Among the first set of recommendations for hospital garden design were those written by the German horticultural theorist Christian Cay Lorenz at the end of the eighteenth century (Cooper Marcus, 2014). 2.4.2 Nursing home Nursing home is a health care for patient who does not required treatment from hospital but can’t be cared for at home. Most of the nursing home provides nursing aides and skilled nurses.