Krystenn Fowler Scott Kowalewsky

LOVE

SUN

CLEAN COMFORT
This would be a perfect environment for a patient according to Florence.

 Nightingales theory focuses on using knowledge of nursing with knowledge of sanitation. She thought that nurses should alter the environment to best fit the needs of their patients.

(Venes, 2009)

 She came from a wealthy family. Her education was supervised by her father, he went to the University of Coolidge. Her curriculum included:
Latin, Greek, Modern Language, History, Philosophy, and Music
(Attewall, 1998)

 In 1948 she was teaching children and was exposed to some environments in poverty. Then, she knew that she wanted to do some good (Attewall, 1998). She described having a divine calling to serve others (Payne, 2010). She disagreed with her family and society on nursing, and looked for ways to educate herself (Payne, 2010).

 In the Crimean War 1854, Nightingale and 37

other nurses were able to decrease mortality rates from 43% to 2% in 6 months. Nightingale and her crew did that by: Bathing soldiers Freeing them from dirty uniforms Nurturing them Feeding them
(Payne, 2010)

 Nightingale thought nursing was not only about caring for the sick, but healing.
Restoration and promotion of health Documented what worked and did not work in statistics and diagrams

(Payne, 2010)

 Highly religious Harriet Martineaus sociological views on living conditions of children and the elderly Sidney Herbert, a reformer for providing better living conditions and resources. He invited Nightingale to be the superintendent of nurses for the Crimean War.
(Cole, 2010)

Nightingale's philosophy is not unique to nursing, it is part of what nursing is today!

Her philosophy was influenced by many of her past experiences including: -Taking care of the less fortunate. -Restoring the health of many soldiers during the Crimean War.

During her time taking care of the soldiers she began to realize by bathing them, freeing them of their soiled uniforms, and keeping them in a comforting environment helped their recovery tremendously.

NURSING-humanitarian, science, restoration and promotion of health (Payne, 2010). HUMAN BEING- mind, body and spirit (Payne,2010).

ENVIRONMENT- Pure air and water; cleanliness; efficient drainage; light; and noise control, as crucial components in healing the sick (Bowman, 2005).
HEALTH- free from diseases, ability to recover from disease or in a natural state (Venes, 2009).

Person

Health

Nursing

Environment

Nightingale's philosophy adequately describes these four concepts. -Her philosophy is all about the person she is caring for and everything she did was to promote that person's health. -The environment was her main concern. The environment had to be clean, bright, and comfortable for the patient. -By caring for the person and making the environment the best it could be, she believed this would promote the person's health. -She would assess the person, diagnose them, plan, implement and evaluate with every person she had.

Nightingale's philosophy is far from being a narrow view. Promoting a healthy environment is used throughout the world in the medical field. Her philosophy is important to use in any situation on any unit! One nurse that went off of Nightingale's philosophy and expanded it was Virginia Henderson. Henderson came up with the 14 basic needs. Some of the needs that go off of Nightingale's philosophy are: *Avoid dangers in the environment and avoid injury. *Keep the body clean and well groomed and protect the integument. *Maintain body temperature within normal range by adjusting clothing and modifying the environment. Nightingale's philosophy is definitely specific and can be acted out and applied to all nursing settings.

Like stated earlier, Nightingale's philosophy is still used to this day by nurses. One main example where the environment is the main consideration to promote comfort, healing, and rest would be home care. Home care is becoming known throughout the world. Nurses now go into homes where people are the most comfortable and care for them and make sure their environment is in the best condition for them to heal. Another example would be in long-term health facilities. Residents are allowed to modify their environment how they want it. "Interestingly, Nightingale suggested that patients might benefit from visits by small pets" (Chitty and Black, 2011). This idea from Florence was revisited and is being used today!

 http://www.slideshare.net/redwed/flore

nce-nightingale-presentation
http://ebn.bmj.com/content/4/3/68.full

Attewall, A. (1998, March 1). Florence nightingale. Retrieved from http://www.ibe.unesco.org/fileadmin/user_upload/archive/publications/ThinkersPdf/nightingalee.P DF Bowman, K. (2005). Environmental health advocacy: words of wisdom from Florence Nightingale. Washington Nurse, 35(2), 21. Cole, B. (2010, Jan 25). Florence nightingale: One womans vision . Retrieved from http://lib.byu.edu/exhibits/nightingale/downloads/HouseofLearningLecture.pdf Donald Venes, M.D., M.S.J., ed. 2009. Taber's Cyclopedic Medical Dictionary - 21st Ed. Philadelphia, PA. F. A. Davis Company. ISBN 0-8036-1560-4, ISBN 978-0-8036-1560-1. STAT!Ref Online Electronic Medical Library. http://0online.statref.com.libcat.ferris.edu/document.aspx?fxid=57&docid=69948. 10/9/2012 8:54:38 PM CDT (UTC -05:00). Payne, K. (2010). Science, healing, and courage: the legacy of Florence Nightingale. Tennessee Nurse, 73(2), 8. Chitty, K.K., and Black, B.P. (2011). Professional Nursing: Concepts and Challenges. (6th Ed) Maryland Heights, MO: Saunders

The area in which you work has suffered from a natural disaster and your hospital is overfilled with patients. You do not have enough staff to care for patients, but you have volunteers on hand from the community to help. Using Nightingales philosophies in nursing practice, what could you tell the volunteers to help your staff care for patients? (Hint; see link on slide 14)
(Answer to case study is in the word document attached)