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Obtained nursing training in 1851 from Germany
Pioneered the concept of formal nursing education
Influenced the philosophy of nursing Her strongest influence was education,
observation and hands on experience 1860 – published Notes on Nursing
Considered as the first nursing theorist Information on her theory has been
obtained through interpretation of her writings
Her theory significantly influenced 3 other groups of theories – Adaptation theory, Need theory and Stress theory.
First published nursing theory (1860) Relates person with environment Stresses the healing properties of the
physical environment Nursing puts patients in the best conditions
for nature to act upon them “Nature alone Cures”
Consists of physical elements where the patient is being treated
Affects all other aspects of the environment Cleanliness of environment relates directly
to disease prevention and patient mortality. Aspects of the physical environment
influence the social and psychological environments of the person
Can be affected by a negative physical environment which then causes stress
Requires various activities to keep mind active. (i.e appealing food, a pleasing environment)
Involves communication with the person about the person and about other people
( therapeutic, soothing and unhurried communication)
Involves collecting data about illness and disease prevention
Includes component of the physical environment- clean air, clean water, proper drainage
Consists of a person’s home or hospital room, as well as the total community that affects the patient’s specific environment.
Theory focused on environment. Environment – “ All the external conditions
and influences affecting the life and development of an organism and capable of preventing, suppressing or contributing to disease, accidents or death.”
Health of houses Ventilation and
warming Light Noise Variety Bed and bedding Cleanliness of
rooms and walls
Personal cleanliness
Nutrition and taking food
Chattering Hopes and Advices
Social considerations
Every women is a nurse – responsibility for someone’s health.
Person (patient) is being acted upon by the nurse or affected by the environment.
“Patient is passive”- Not influence the nurse or the environment.
Health is maintained through the prevention of disease via environmental health factors.
Environment – ‘chief source of infection’.
Referred to by Nightingale as “The patient”
A human being acted upon by a nurse, or affected by the environment
Has reparative power to deal with diseases
Recovery is in the patient’s power as long as a safe environment exists
The foundational concept of Nightingales theory
The external conditions and forces that affect one’s life and development
Includes everything from a persons food to a nurses verbal and nonverbal interactions with the patient.
Maintained by using a person’s healing powers to the fullest extent
Maintained by controlling the environmental factors so as to prevent disease
Disease is viewed as a reparative process: instituted by nature
Nurses help patient through their healing process
Provides fresh air, light, warmth, cleanliness, quiet and a proper diet.
Facilitates patient’s reparative process by ensuring the best possible environment
Influences the environment to affect health
Supports the nursing process.
SIMPLICITY Simple and logical enough to allow visual
representation.GENERALITY
Attempts to provide general guidelines for all nurses in all times.EMPIRICAL PRECISION
Concepts and relationships are frequently stated implicitly and are presented as established truths.
No provision for empirical examination