Susan Felicia Virginia Henderson RN MSN

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    Virginia Henderson, RN, MSN

    Nursing Theorist

    Susan Felicia, RN

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    Background

    Well known author, theorist and nurse educator

    Born in Kansas City, Missouri on November 30,

    1897; Died March 19, 1996 1937with others, created nursing curriculum

    for the National League of Nursing

    patient centered and organized around nursingproblems rather than medical diagnoses

    (Henderson, 1991, p.19)

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    Definition of Nursing

    Henderson is famous for a definition of

    nursing: "The unique function of the nurse is

    to assist the individual, sick or well, in theperformance of those activities contributing to

    health or its recovery (or to peaceful death)

    that he would perform unaided if he had thenecessary strength, will or knowledge"(Wills,

    2007,p.139)

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    Hendersons 14 Activities for

    Client Assistance(Henderson,1991,p.22-23)

    Breathe normally

    Eat and drinkadequately

    Eliminate body waste

    Move and maintaindesirable posture

    Sleep and rest

    Suitable clothesdressand undress

    Maintain bodytemperature

    Keep the body cleanand well groomed

    Avoid dangers in the

    environment Express emotions, fears,

    needs and opinions

    Worship ones faith

    Work for clients senseof accomplishment

    Participate in recreation

    Learn, satisfy, discover

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    Concepts

    Metaparadigm

    Nursing, health, patient and environment

    Educated under a medical model transformed

    into a nursing model

    Empirical vs. Esthetic Pattern of Knowing

    Art, Science and Teachingcannot be divided

    and examined separately living and an appreciation for human life are

    the sinequa non of the modem nurse(Halloran, 1996,p.20)

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    Nursing Theory

    Inuit means 'human beings' - phrase without

    bias associated related to race, nationality or

    sex (Halloran, 1996,p.18)

    Goal of nursing is to help people be free of

    nursing care as soon as possible returning the

    patient to a state of independence or the

    baseline of autonomy at the onset of his/herillness

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    Research

    Testability of the practice and outcomes ofnursing

    Each of the 14 activities can be the basis for

    research (Wills, 2007, p.140) Interpretation: quantitative and qualitative

    research has been beneficial in evaluating this

    theory due to the combination of actions (14activities) and the assumed devotion of thenurse to his/her patients (affective evaluation)

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    Application to Practice

    Current practicecardiac step down unit specializingin heart failure

    Goal of nursing care is to return the patient to his/heroptimal self care ability via education on diet,medications, daily weights and follow up appointmentsto the physician

    Challengesdue to co morbidities associated withheart failure, some patients may not have the desire or

    capability to return to their pre-admission state,therefore, the nurse must accept the patientsperspective and definition of wellness

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    Question?

    How does the nurse accept indifference torecovery?

    Sometimes frustration

    Labeling the patient non compliant Accepting the limitations of the patients ability to

    move beyond the disease

    Reach out on the patients behalf for psychological

    and emotional support (consult a professional)

    What would you do?

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    References

    Halloran, E.. Journal of Advanced Nursing. Virginiahenderson and her timeless writings.23.(1996,p.17-24).

    Henderson, V. A.The Nature of Nursing Reflectionsafter Twenty Five Years. New York. NationalLeague for Press.

    McEwen, M., Wills, E. Theoretical Basis for Nursing.Wills, E. Grand nursing theories based on human

    needs.Philadelphia. Lippincott Williams &Wilkins.