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Analysis of florence nightingale theory
Discuss a framework of Nightingale theory for practice
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The roots of comfort can be discovered back to the work of Nightingale who described comfort as a primary outcome for nursing (Kolcaba, 2015). Kolcaba spent many years executing research to create the Theory of Comfort which was developed from other nursing theories. Many nursing theories examine comfort. Watson’s Theory of Caring uses comfort to adjust the internal and external environments of a patient (Watson & Nelson, 2012). Roy’s Theory of Adaptation focus on the nurse heling patients by providing comfort for adaptation (Saleem Punjani, 2013). The overall goal is to provide comfort to the patient and their family.
Beside nurses practice is turning patient every two hours to ensure comfort and preventing bed sores. According to Fragala
Katherine Kolcaba is a nursing theorist who developed the Theory of Comfort in 1990. It is a “middle range theory for health practice, education and research” (Kolcaba, 2011) with a focus on comfort. The three forms of comfort that Kolcaba describes are relief, ease and transcendence. It is these terms that my organization utilizes in documentation of pain and comfort in the electronic health record.
Family centred care and comfort care theory both work for the well being of patient. Family centred care focus to work with family while providing care for the sick child. Family and pediatric staff works in collaboration to make care plan that works the best for sick child (Coyne, O'Neill, Murphy, & Costello, 2011). Similarly, comfort care theory focus on child’s physical, psychospiritual, sociocultural, and environmental aspects. “When comfort needs are addressed in one context, total comfort is enhanced in the remaining context” (Kolcaba & Dimarco, 2005, p. 190). When nurses apply comfort care theory, it is to achieve holistic care of sick children by focusing on all aspects (Kolcaba
When the nursing team hourly rounds on their patients it is shown to have a unique relationship. There is a decrease call light usage, decrease in falls, decrease patients developing pressure ulcers, and decrease patient anxiety. With hourly rounding patient
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
Nursing is a nurturing profession, and caring is an essential component of its practice. Caring for others, however, is stressful. The goal of nursing is to help people gain a higher degree of harmony within the mind, body and soul, which generates self-knowledge, self- reverence, self- healing and self-care processes while increasing diversity. This goal may be pursued through the implementation of ten carative factors, via the human-to-human caring process and caring transactions, or clinical caritas processes.
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
As nurses frequently interact with the patients, they are the ones exploring evidence-based practice to identify ways to modify the hospital environment and use more nonpharmacological methods to promote sleep to help the body repair itself (Robinson et al., 2005). Florence Nightingale noted patients require proper nutrition, sleep, quiet, and “unnecessary noise harms the patient” (Robinson et al., 2005, p. 263). Nurses have identified many ways to help patients get rest, including relaxation techniques, music, warm blankets, warm drinks, massage, and aromatherapy (Robinson et al., 2005).
One must have the full desire to help and care for people in order to have an enjoyable career as a nurse. Nurses are known for the care and compassion shown to the patients and this is comforting for both patients and their families. Caring for a patient can raise their spirits and can inspire a better outlook on their situation. As a nurse, I want to care for all my patients with the hope of improving their health and outlook on their life. I chose Jean Watson because she understands that caring is the core of nursing and believes caring promotes a better health than only performing medical care. She was the first grand theorist that focused on the aspect of caring for the patient while also caring for yourself as the nurse. Watson’s theory
Comfort is important to caring in nursing because it is the nurse 's job to try and help the patient feel at ease and be pain free.
Jean Watson’s Theory of Caring. Since its establishment as a profession more than a century ago, nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore, it is in a constant process of being redefined.
When I became a nurse, in my heart, I knew that I was a caring person; however, I did not have a caring theory driving my practice. After studying Watson’s Human Caring Science Theory, the theory is consistent with my values, which emphasizes a holistic approach with mind, body, and spirit through a caring nurse patient relationship in an environment that promotes healing, comfort, and dignity. Human Caring Science gives the privilege of viewing human life with wonder, respect, and appreciates small and large miracles, which allows the inner world of the patient and nurse to come together in a unique human relationship, in the here and now moment (Watson, 2012, p. 24).
Nursing behaviors that improve patient comfort are as simple as positioning and repositioning, knowing patients special comfort habits, and advocating for family presence (Kolcaba & DiMarco, 2005). It is important to use a measurement tool to assess comfort and remember to reassess for a positive outcome or plan a new intervention. Comfort is associated with the pursuit of healthy behavior, increased patient satisfaction, and better cost-benefit ratios (Kolcaba & DiMarco, 2005). Although Watson’s caring model is a broad philosophy that applies to nursing practice in general, nurses utilizing this theory would find Kolcaba’s middle-range comfort theory aligns well within the framework those
The purpose of this paper is to define my professional nursing philosophy. I will utilize the nursing metaparadigm as a framework for integrating the concepts of person, environment, health, and nursing into my nursing practice. Secondly, I will discuss Jean Watson’s theory of human care and how this has personally impacted my profession as a nurse and guided my nursing philosophy.