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Born May 12, 1820 to a Nurse - is ³any person
wealthy family, well educated [female] in charge of the
personal health of another´
In 1837, she wrote about (Nightingale, 1957, p 79).
her ³calling from God´ to
become a nurse. She became Nursing - ³It ought to
a nurse after only 3 months of signify the proper use of fresh
training. air, light, warmth, cleanliness,
quiet, and the proper selection
In 1854 she was and administration of diet - all
requested to care for wounded at the least expense of vital
soldiers during the Crimean power to the patient´
War. (Nightingale, 1957, p. 6).

Notes on Nursing Petty Management -

(published in
1859). Nightingale¶s writings
define and describe her ideas
and beliefs on how these six
environmental components can
be manipulated by the nurse to
provide an optimal environment
for the patient.
³knowing how to manage that
what you do when you are
there, [and what] shall be done
when you are not there´
(Nightingale, 1957, p. 20).
Patient - assumed to be an
individual in need of care.
Disease - ³The reparative.
 |

  
* Born May 12, 1820 in Florence, Italy
* Parents: Edward and Frances
Nightingale
* Well educated, affluent aristocratic
Victorian Family
* Elder sister: Parthenope
]eligious inspiration called her to focus on
the health of the masses

͞¢
  


 
  
͟
- Nightingale, 1837
|

  
* 1851 - Began her nursing training
in Kaiserworth, Germany
* 1853 ʹ superintendent of the
Hospital for Invalid Gentlewomen
in London
* Nov.,1854 ʹ Scutari, Turke
* May 12, 1854 ʹ suffers Crimean
fever
 |

  
* Sept.,1856 ʹ meets Queen Elizabeth
and Prince Albert
* May, 1857 ʹ Polar area diagram
* January, 1860 ʹ Notes to Nursing
* Died: August 13,1910
|

  
* ͞Lady of the Lamp͟

* ͞Governess of India͟
* First to use statistics to guide care delivery
 Florence Nightingale͙
V

 
 
 
 


   



  






    
 
 
 
 

Source: | 
 
 
  (B.M. Dossey), p. 230.
 O



* Individual
* Societal o
 CHANGE
* Professional

* er strongest influence was

education, observation, and
hands-on experience
 O



* ]eligious affiliation and beliefs

nitarian
³`
 `   
 


 `
 Nightingale͛s  

:
* Was not written as a nursing text
* Was a guide to help organize & manipulate the
environment for persons requiring nursing care

* Nightingale originally
wanted women to teach
themselves to nurse and
viewed àà as
͞hints͟ to enable them to
do so
 Nightingale on  


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Source: | 
 
 
  (B.M. Dossey), p. 231.
 à
 

à 


*The first published nursing theory (1860)

* Stresses drain the client of the energy needed

for healing

* Nursing puts patients in the ³best conditions´

for nature to act upon them
 à
 

à 


* ³Nature alone cures´

* ealth is ³the positive of which the pathology is

the negative´

* Stresses drain the client of the energy needed

for healing

    O


O 
 
Î

* the inter-relationship of a healthful

environment with nursing

- eternal influences and conditions can

prevent, suppress, or contribute to
disease or death

    O


O 

Î

Nurses help patients retain their

own vitality by meeting their 

 through control of the
environment

    O


O 

Î

control of the environment for

individuals, families & the
community
Three Types of Environments

* Physical
* Psychological
* Social
 !
O


* Physical
* Psychological
* Social
 

 


Î
* Consists of physical elements where the
patient is being treated
*
ffects all other aspects of the environment

*
spects of the physical

environment influence the social
and psychological environments of
the person
 






Î
* Can be affected by a negative physical
environment which then causes
STRESS

* Involves communication with the

person, about the person, and
about other people
 





Î

* Involves collecting data about illness and

disease prevention

* Consists of a person¶s home or

hospital room, as well as the total
community that affects the patient¶s
specific environment
Components of Nightingale͛s
Environmental Theory:
* Health of Houses
* Ventilation and Warming
* Light
* Noise
* Bed and Bedding
* Cleanliness of ]ooms
and Walls
* Personal Cleanliness
* Nutrition and Taking
Food
* Chattering Hopes and
Advices
* Observation of the Sick
* Social Considerations
 !
O


* Having responsibility for someone͛s health

*Nursing education belongs in the hands of nurses

*Nursing is a discipline distinct from

medicine focusing on the patient¶s
reparative process rather than on their
disease
 !
O

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 !
O


* ]effered as patient
*People are multidimensional, composed of
biological, psychological, social and spiritual
components.

* Passive
 !
O
 

* ealth is ³not only to be well, but to be able

to use well every power we have´.

* Nurses help patients through their healing

process
  

* Nurse was in control of the environment

both physically and administratively

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