Florence Nightingale developed a theory of nursing that focused on manipulating the patient's environment. She identified key environmental factors like ventilation, warmth, light, noise, cleanliness, and nutrition. Nightingale believed nurses should control these environmental aspects and modify them to put the patient in the best condition for healing. Her model views the patient, nurse, and environment as interconnected. The nurse's role is to assess, plan, implement, and evaluate environmental modifications to support the patient's ability to regain their health. Nightingale's theory emphasized the importance of the environment and established nursing as distinct from medicine.

1. FLORENCE
NIGHTINGALE
THEORY OF NURSING
Presented by - Mamta
Lecturer
CON, DMCH

2. INTRODUCTION
 Florence Nightingale was borne in Florence,
Italy, on 12th May,1820.
 She had a broad knowledge of science,
mathematics, literature, philosophy, history,
politics, economics & arts.
 She became a heroine in Great Britain as a result
of her work in the Crimean war

3.  During the Crimean campaign, Florence
Nightingale gained the nickname "The Lady
with the Lamp",
 Florence Nightingale Began her nursing training
in 1851 in Germany Pioneered the concept of
formal nursing education. Her experience in
treating sick/injured soldiers in the Crimean
War strongly influenced her philosophy of
nursing.
 She died on 13th August, 1910.

4. Nightingale’s Environmental Model
 Nightingale viewed the manipulation of the physical
environment as a major component of nursing care.
 She identified ventilation, warmth, light, noise, variety,
bed and bedding, cleanliness of rooms & walls &
nutrition as major areas of the environment the nurse
could control.
 When one or more aspects of the environment are out
of balance the client must use increased energy to
counter the environmental stress.

5.  Health of houses
 Ventilation & warming

6. Light
 Noise
 Bed & Bedding

7. Personal cleanliness
 Nutrition & taking food

8. Nightingale’s environmental model
& nursing’s metaparadigm
 Nightingale did not invent or define the four major
concepts used to organise theory. They evolved from
an analysis of nursing curricula.
 The four concepts according to her are-
NURSING- “what nursing has to do…….is to put the
patient in the best condition for nature to act upon
him.” Nightingale stated that nursing “ought to signify
the proper use of fresh air, light, warmth, cleanliness &
proper selection & administration of diet – all at the
least expense of vital power to the patient.”

9.  Based on her definition of nursing, the following
definitions of human beings, environment, and
health can be deduced.
 HUMAN BEINGS- human beings are not
defined by Nightingale specifically. They are
defined in relationship to their environment &
the impact of the environment upon them

10.  ENVIRONMENT- she focused on ventilation,
warmth, noise, light & cleanliness.
 HEALTH-she did not define health specifically.
She believed “nature only cures.” she believed
that nursing should provide care to healthy as
well as the ill and discussed health promotions
an activity in which nurses should engage.

11. NURSE OBSERVER PRACTITIONER
ENVIRONMENT
client
NURSE
VARIETY
LIGHT
BEDDING
CLEANLINESS
CHATTERING
HOPES HEALTH OF
HOUSES
AIR
NOISE
VENTILATION

12. NIGHTINGALE AND THE NURSING
PROCESS
 In the assessment of clients Nightingale
advocated two essential behaviors by the nurse-
(1) ask the client what is needed
or wanted
(2) observation of the patient

13. Nursing diagnosis are based on
Analysis of the conclusions gained from the
information in the assessment

14.  Planning includes identifying the nursing
actions needed to keep clients comfortable, dry
& in the best state for nature to work on. It is
focused on modifying the environment to
enhance the client’s ability to respond to the
disease process.

15.  Implementation takes place in the
environment that affects the client & involves
taking action to modify that environment.
 Evaluation is based on the effect of the
changes in the environment on the client’s
ability to regain their health at the least expense
of their energy.

16. Nightingale’s model for nursing practice

17. Nightingale & the characteristics of
a theory
 Theories can interrelate concepts in such a way
as to create a different way of looking at a
particular phenomena.
 Theories must be logical in nature
 Theories must be relatively simple yet
generalizable
 Theories can be used by practitioners to guide
and improve their practice.

18.  Theories must be consistent with other validated
theories, laws & principles but leave open
unanswered questions that need to be
investigated.