Florence Nightingale 's Theory Of Modern Nursing

1747 Words7 Pages
“Apprehension, uncertainty, waiting, expectation, fear of surprise, do a patient more harm than any exertion. Remember he is face to face with his enemy all the time, internally wrestling with him” (Nightingale, 1992, p. 22). Fortunately, in the nineteenth century, Florence Nightingale recognized uncertainty could cause harm to her patients (Nightingale, 1992). Equally important to the nursing profession are the nursing theorists, their work, and the evolution of the theories that followed Florence Nightingale, the founder of modern nursing (Alligood, 2014). One of the many theorists that followed the founder of modern nursing, Florence Nightingale, was Merle Mishel (Alligood, 2014). However, Florence Nightingale’s theory is different than Mishel’s theory. Nightingale’s theory is a grand theory, a term given to theories with the broadest scope (Alligood, 2014). Mishel’s theory is classified as a middle range theory, one with a narrower scope than the grand nursing theories (Alligood, 2014). For this assignment, Nightingale’s grand theory, Mishel’s middle range theory, and Madeleine Leininger’s culture care theory will be discussed. Each theory can improve nursing care in professional practice and research. Nursing is a complex art and science (Joel, 2006). Consequently, one nursing theory does not fit every patient’s need. While nursing theories encompass many different beliefs, policies, and procedures, nurses choose from many theories and can utilize some or all of each relevant theory. Furthermore, nursing theory provides nurses with principles and helps generate further nursing knowledge (Alligood, 2014). To gain a better understanding of Merle Mishel’s uncertainty in illness theory, the theory will be compare... ... middle of paper ... ...ent patient populations. Major Assumptions Once health care professionals have a firm foundation on Mishel’s uncertainty in illness theory, understanding the theory’s assumptions will assist nurses apply evidence-based practice to the real world situations. In Mishel’s reconceptualized version of the theory, the major assumption is related to uncertainty and the way in which individuals function when presented with a chaotic state. A fluctuation in control can create chaos while enhancing an individual’s willingness to change (Alligood, 2014). Uncertainty occurs when an individual cannot adequately categorize an illness related event because of lack of sufficient cues (Alligood, 2014). This uncertainty in life can take many forms. Mishel describes uncertainty in the form of unpredictability, inconsistent information, complexity, and ambiguity (Alligood, 2014).
Open Document