Professional Documents
Culture Documents
Environmental Model (Florence Nightingale) bodily care (e.g., bathing, feeding, toileting, positioning, moving,
IN SHORT: To help bring back OLOF, you have to change the environment dressing, undressing, and maintaining a healthful environment) and
to HELP bring forth the restorative forces within the patient's body. belongs exclusively to nursing. Nursing is required when people are not
able to undertake these activities for themselves.
A person’s health was the direct result of environmental influences,
specifically cleanliness, light, pure air, pure water, and efficient drainage.
CORE
Through manipulating the environment, nursing “aims to discover the The third area that nursing shares with all of the
laws of nature that would assist in putting the patient in the best helping professions is that of using relationships for therapeutic effect—
possible condition so that nature can effect a cure” (Nightingale, 1859, the core. This area emphasizes the social, emotional, spiritual, and
p. 6). intellectual needs of the patient in relation to family, institution,
community, and the world (Hall, 1955, 1958, 1965).
CURE
Interpersonal Relations in Nursing (Hildegard Peplau)
IN SHORT: There are three stages in a nurse-patient relationship and the This aspect of the patient is shared with medicine.
nurse has roles to play in each of these stages. The nurse may assume medical functions, or help the patient with these
through comforting and nurturing.
Defined the concepts and stages involved in the development of the
nurse-client relationship. From that relationship, she identified the roles Theory of Self-Care (Dorothea Orem)
of the nurse as stranger, resource person, teacher, leader, surrogate, IN SHORT: Self-care is an activity done by the patient. When the patient
and counselor. is unable to perform this task, the nurse takes over.
Select suitable clothes-dress and undress. The behavioral system and the environment are linked by interactions
Maintain body temperature within normal range by adjusting and transactions. We define the person (behavioral system) as being
clothing and modifying environment comprised of subsystems and the environment as being comprised of
physical, interpersonal (e.g., father, friend, mother, sibling), and
Keep the body clean and well groomed and protect the sociocultural (e.g., rules and mores of home, school, country, and other
integument cultural contexts) components that supply the sustenal imperatives of
Avoid dangers in the environment and avoid injuring others. the person (Grubbs, 1980; Holaday, 1997; Johnson, 1990; Meleis, 1991).
Goal-Attainment Theory (Imogene King) Theory of Human Becoming (Rosemarie Rizzo Parse)
IN SHORT: Achieving a favorable outcome equates to effective nursing IN SHORT: Health is in constant change and nurses must help the patient
care. be prepared for that change.
The goal of nursing care is to help individuals maintain health or regain Health is a “constantly changing process of becoming that incorporates
health (King, 1990). Goal attainment represents outcomes. Outcomes values. Because it is not a state, health cannot be contrasted with
indicate effective nursing care. Nursing care is a critical element to disease.” Parse (1987, p. 169) states that “the practice of nursing . . . is a
provide quality care that is also cost-effective. subject-to-subject interrelationship, a loving, true presence with the
other to promote health and quality of life.”
Science of Unitary Human Being (Martha Rogers)
IN SHORT: Nursing is an art! It is in the nurse's creativity to use her
knowledge to best bring back the health of the patient. Interpersonal Aspects of Nursing (Joyce Travelbee)
IN SHORT: The nurse puts his/herself in the patient's shoes to understand
"Nursing is a learned profession: a science and an art. A science is an better how to care for the patient.
organized body of abstract knowledge. The art involved in nursing is the
creative use of science for human betterment” (Rogers, 1990, p. 198). Sympathy, empathy, and rapport help the nurse to comprehend and
relate to the uniqueness of others. Travelbee stressed on the human-to-
human relationship and on finding meaning in experiences such as pain,
Adaptation Model (Sister Callista Roy) illness, and distress.
IN SHORT: The nurse assists the patient in adapting to the patient's new
situation (diseased state).