Faye Glenn Abdellah developed a theory of nursing centered on identifying and solving patients' overt and covert nursing problems using a problem-solving approach. She identified 21 common nursing problems and developed an assessment, diagnosis, planning, implementation, and evaluation framework for addressing these problems. Abdellah's theory focused nursing care on the whole patient and family within their environment.
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
The state of having addressed basic needs for ease, relief, and transcendence met in 4 contexts of experience (physical, psychospiritual, sociocultural, and environmental)
Comfort involves identifying the comprehensive needs of patients, families, and nurses and addressing those needs.
Ergonomics- comfort at the workplace, promotes optimum function or productivity (Kolcaba &Kolcaba, 1991)
NANDA- comfort in terms of pain management
Confortare Latin- to strengthen gently
This is the Roy Adaptation Model presented by Callista Roy.
This presentation includes assumptions of the theory, major concepts,meta paradigms and theory's strengths and weaknesses. It also includes the types of stimuli and coping systems of theory.
BIOGRAPHY OF FAYE GLENN ABDELLAH, AS AN EDUCATOR AND RESEARCHER, INFLUENCED FAYE ANDELLAH IN THE DEVELOPMENT HER OWN MODEL OF
NURSING, ABDELLAH’S TYPOLOGY OF 21 NURSING PROBLEMS, ASSUMPTION, CONCEPT, STEPS TO IDENTIFY THE CLIENT’S PROBLEM, 11 NURSING SKILLS, USE OF 21 PROBLEMS IN THE NURSING PROCESS AND LIMITATIONS
The state of having addressed basic needs for ease, relief, and transcendence met in 4 contexts of experience (physical, psychospiritual, sociocultural, and environmental)
Comfort involves identifying the comprehensive needs of patients, families, and nurses and addressing those needs.
Ergonomics- comfort at the workplace, promotes optimum function or productivity (Kolcaba &Kolcaba, 1991)
NANDA- comfort in terms of pain management
Confortare Latin- to strengthen gently
This is the Roy Adaptation Model presented by Callista Roy.
This presentation includes assumptions of the theory, major concepts,meta paradigms and theory's strengths and weaknesses. It also includes the types of stimuli and coping systems of theory.
BIOGRAPHY OF FAYE GLENN ABDELLAH, AS AN EDUCATOR AND RESEARCHER, INFLUENCED FAYE ANDELLAH IN THE DEVELOPMENT HER OWN MODEL OF
NURSING, ABDELLAH’S TYPOLOGY OF 21 NURSING PROBLEMS, ASSUMPTION, CONCEPT, STEPS TO IDENTIFY THE CLIENT’S PROBLEM, 11 NURSING SKILLS, USE OF 21 PROBLEMS IN THE NURSING PROCESS AND LIMITATIONS
According to Faye Glenn Abdellah's theory, “Nursing is based on an art and science that molds the attitudes, intellectual competencies, and technical skills of the individual nurse into the desire and ability to help people, sick or well, cope with their health needs.”
Running head GRAND THEORIST REPORT 17GR.docxcowinhelen
Running head: GRAND THEORIST REPORT 1
7
GRAND THEORIST REPORT
Grand Theorist Report
Grand Canyon University: NUR 502
April 24, 2018
Grand Theorist Report
There are many grand nursing theories that have helped to set the foundation for the nursing profession. Faye Abdellah was one of the first pioneers for shaping nursing as a profession using her framework for Patient-Centered Approaches to Nursing. Abdellah’s theory is easy to apply to nursing practice in a healthcare institution because her framework is readable and clear (McEwen & Wills, 2014). In addition, another rationale for implementing her theory into practice at a healthcare institution is the fact that it clearly addresses the four metaparadigms—person, environment, health, and nursing. In this paper, we will discuss the theorist Faye Abdellah, her theory on Patient-Centered Approaches to Nursing, and how this theory can be integrated into practice at a healthcare institution.
Description of Theorist
Faye Abdellah was born in New York City on March 13, 1919. Abdellah decided at a very young age she wanted to pursue a career in nursing. She received her original certification in nursing from Fitkin Memorial Hospital. She continued her study of nursing at Columbia University getting her BA in Nursing along with her doctorate degree, which focused on psychology and education (Dewey, 2016).
Abdellah was highly influential in the profession of nursing. She was the Chief Nursing Officer and Deputy United States Surgeon General until 1993, and she was ranked as a Rear Admiral. She retired in 2000 from her last position as Dean of the Graduate School of Nursing at the Uniform Services University of Health Sciences (McEwen & Wills, 2014). As a whole, throughout her career Abdellah received many academic honors for her achievements in nursing. Her main focus was to reshape nursing as a profession by encouraging nurses to look past a physical illness or diagnosis and see “patients as people with a complex of emotional and psychological needs” (Dewey, 2016, n.p.). Clearly, this concept of looking at patients as more complex beings significantly helped to influence and shape her Patient-Centered Approaches to Nursing.
Category of Theory
Abdellah’s Patient Centered Approaches to Nursing is considered a grand nursing theory that is based on human needs. She believed that patients should be seen as ‘people’ who have individual unique needs that require personalized care from nurses. Furthermore, Abdellah developed her theory based on how she practiced while providing care to patients—which is what helps to make the theory highly applicable. McEwen & Wills (2014) further explain that Abdellah’s theory is applicable not only in the hospital setting, but also in the community setting.
Assumptions Underlying the Theory
Abdellah’s original theory did not have any stated assumptions; however, as time passed she did add the following six assumptions related to: 1) change ...
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"Nursing is based on an art and science that mould the attitudes, intellectual competencies, and technical skills of the individual nurse into the desire and ability to help people, sick or well, cope with their health needs." – Abdellah
ORGANIZATION: According to L. White, "Organization is the arrangement of personnel for facilitating the accomplishment of some agreed purpose through allocation of functions and responsibilities.“
Definition of Professional Organization:
A professional Organization is an organization, usually nonprofit that exists to a particular profession, to protect both public interests and the interests of professionals.
The whole number of people or inhabitants in a country or region” -(Webster’s dictionary)
In sociology, population refers to a collection of human beings.
Scaled down teaching used by a student teacher in a controlled condition of a teacher in order to attain proficiency in a particular teaching skill is called micro teaching
The research approach indicates the basic procedure for conducting research.
Research approach is the technique which the researcher uses to structure a study in order to gather and analyze information relevant to the research question .
A disruptive condition that occurs in response to adverse influences from the internal or external environments
A condition in which the person responds to changes in the normal balanced state
A biological, psychological, social or chemical factor that causes physical or emotional tension and may be a factor in the etiology of certain illnesses.
Most of us have probably become angry on occasion. Let us hope the moment passed quickly, we apologized and moved on. However, anger that is not under control can be extremely harmful, even lethal. It is vital to learn early how to control this emotion.
Stages of labour and alternative therapiesSaima Habeeb
Birth is a normal, healthy part of a woman’s life. This unexplainable happiness is usually accompanied by severe pain due to contractions.
Labour is a health state that most women aspire to, at some point in their lives. The first thought that comes to the mind of an expecting woman regarding her delivery is the pain of labour.
Labour is a normal physiological process, which while should be an occasion for rejoicing
Modern Database Management 12th Global Edition by Hoffer solution manual.docxssuserf63bd7
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Artificial intelligence (AI) offers new opportunities to radically reinvent the way we do business. This study explores how CEOs and top decision makers around the world are responding to the transformative potential of AI.
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2. INTRODUCTION
"Nursing is based on an art and science that
mould the attitudes, intellectual competencies,
and technical skills of the individual nurse into
the desire and ability to help people, sick or well,
cope with their health needs." – Abdellah
Biography and Career of Faye Glenn
Abdellah
1. Born on March 13, 1919 in New York City.
2. Graduated from Fitkin Memorial Hospital
School of Nursing in Neptune, New Jersey, in
1942.
3. First nurse and the first woman to serve as a
Deputy Surgeon General. Her work changed
the focus of nursing from disease-centered to
patient-centered, and began to include the
care of families and the elderly in nursing
care.
3. Her publications include
Better Nursing Care through Nursing
Research and Patient-Centered Approaches to Nursing.
Author of more than 150 publications related to nursing
care, education for advanced practice in nursing, health
care administration, and nursing research.
11 honorary doctorates by various institutions.
These honors recognized her work in nursing research,
development of first nurse scientist training programme
as well as outstanding contribution to health of nation.
She was inducted into the National Women's Hall of Fame
in 2000.
4. INTERNATIONAL SERVICES
Delegation member to Soviet Union, France and China.
Consultant to Japanese Nursing Association.
Consultant in Australia and New Zealand in relation to
nursing education, home care, and research.
Research consultant to the WHO.
Charter Fellow of the American Academy of Nursing, has
served as Vice President and President, and received its Living
Legend Award.
She has been recognized by Sigma Theta Tau as a
Distinguished Research Fellow and was the recipient of the
Excellence in Nursing Award, as well as the first Presidential
Award.
5.
6. ABDELLAH’S PATIENT - CENTERED
APPROACH
In 1955, a subcommittee of the National League for Nursing
Committee on Records was charged with developing a
meaningful clinical record for professional student nurses.
Dr. Abdellah chaired this subcommittee, which soon identified
three barriers to its task:
1. Lack of clear definition of nursing,
2. current philosophy of nursing education was cherished but not
practiced, and
3. Nursing education curricula were not patient – centered.
Using a typology of nursing problems developed in 1953, the
original 58 problems were refined to 21 and validated with the
assistance of faculty from 40 basic collegiate schools of
nursing.
7. This resulted in the
publication of Patient –
Centered Approaches to
Nursing in1960 after at least
three research studies over a
five – year period.
Thus the basis of nursing is
both an art and science that
mould the attitudes,
intellectual competencies, and
technical skills of the
individual nurse into the
desire and ability to help
people, sick or well, cope with
their health needs."
9. A. NURSING PROBLEMS
The client’s health needs can be viewed as
problems, which may be overt as an apparent
condition, or covert as a hidden or concealed
one.
Because covert problems can be emotional,
sociological, and interpersonal in nature, they are
often missed or perceived incorrectly. Yet, in
many instances, solving the covert problems may
solve the overt problems as well. (Abdellah, et al.,
1960).
10. TWENTY-ONE NURSING
PROBLEMS (1960)
1. To maintain good hygiene and physical comfort.
2. To promote optimal activity: exercise, rest, and sleep.
3. To promote safety through the prevention of accidents, injury,
or other trauma and through the prevention of the spread of
infection.
4. To maintain good body mechanics and prevent and correct
deformities.
5. To facilitate the maintenance of a supply of oxygen to all body
cells.
6. To facilitate the maintenance of nutrition of all body cells.
11. 7. To facilitate the maintenance of elimination.
8. To facilitate the maintenance of fluid and electrolyte
balance.
9. To recognize the physiological responses of the body to
disease conditions – pathological, physiological, and
compensatory.
10. To facilitate the maintenance of regulatory mechanisms .
11. To facilitate the maintenance of sensory functions.
12. To identify and accept positive and negative expressions,
feelings, and reactions.
13. To identify and accept the interrelatedness of emotions and
organic illness.
14. To facilitate the maintenance of effective verbal and
nonverbal communication.
12. 15. To promote the development of productive interpersonal relationships.
16. To facilitate progress toward achievement of personal spiritual goals.
17. To create and/or maintain a therapeutic environment.
18. To facilitate awareness of self as an individual with varying physical,
emotional, and developmental needs.
19. To accept the optimum possible goals in the light of limitations, physical
and emotional.
20. To use community resources as an aid in resolving problems arising
from illness
21. To understand the role of social problems as influencing factors in the
case of illness.
13. 11 NURSING SKILLS
Observation of health status
Skills of communication
Application of knowledge
Teaching of patients and families
Planning and organization of work
Use of resource materials
Use of personnel resources
Problem-solving
Direction of work of others
Therapeutic uses of the self
Nursing procedures
14. B. PROBLEM SOLVING
Identifying the problem
Selecting pertinent data,
Formulating hypotheses
Testing hypotheses
Revising hypotheses
ABDELLAH’S PROBLEM SOVING APPROACH
Quality professional nursing care requires that nurses be
able to identify and solve overt and covert nursing
problems.
These requirements can be met by the problem-solving
process
17. METAPARADIGM
HUMAN:
Characteristics of humans are not identified; the 21 nursing
problems cover biological, psychological, and social areas.
Health
Not specifically defined, although total health needs and a healthy
state of mind and body are included as part of comprehensive
nursing service.
Society / Environment
The focus is on the individual and family; society is served through
serving individuals.
Nursing
Discussed as a comprehensive service, based on art and science,
and aiming to help people cope with health needs.
18. ASSUMPTIONS
Learn to know the patient.
Sort out relevant and significant data.
Identify the therapeutic plan.
Test generalizations with the patient and make additional
generalizations.
Validate the patient’s conclusions about his nursing problems.
Continue to observe and evaluate the patient over a period of
time to identify any attitudes and clues affecting this behavior.
Explore the patient’s and family’s reaction to the therapeutic
plan and involve them in the plan.
Identify how the nurse feels about the patient’s nursing
problems.
Discuss and develop a comprehensive nursing care plan.
20. WEAKNESSES
Lack of continued research to link the effectiveness
of use of the 21 nursing problems to successful
outcomes of nursing care.
The label of “nursing problems”
21. CHARACTERISTICS OF THE
THEORY
Abdellah’s theory has interrelated the
concepts of health, nursing problems, and
problem solving.
Problem solving is an activity -logical in
nature.
Framework focus on nursing practice and
individuals.
The results of testing such hypothesis would
contribute to the general body of nursing
knowledge
Easy to apply in practice.
22.
23. ASSESSMENT PHASE
Nursing problems provide
guidelines for the collection
of data.
A principle underlying the
problem solving approach is
that for each identified
problem, pertinent data are
collected.
The overt or covert nature of
the problems necessitates a
direct or indirect approach,
respectively.
NURSING DIAGNOSIS
The results of data collection
would determine the client’s
specific overt or covert
problems.
These specific problems would
be grouped under one or more
of the broader nursing
problems.
This step is consistent with
that involved in nursing
diagnosis
.
24. PLANNING PHASE
The statements of nursing
problems most closely
resemble goal statements.
Once the problem has been
diagnosed, the nursing goals
have been established.
IMPLEMENTATION
Using the goals as the
framework, a plan is
developed and appropriate
nursing interventions are
determined.
EVALUATION
The most appropriate
evaluation would be the
nurse progress or lack of
progress toward the
achievement of the stated
goals..
Progressive Patient Care ::
Models of Nursing Care
Delivery
30. CONCLUSION
Using Abdellah’s concepts of health, nursing problems,
and problem solving, the theoretical statement of
nursing that can be derived is the use of the problem
solving approach with key nursing problems related to
health needs of people. From this framework, 21 nursing
problems were developed.
Abdellah’s theory provides a basis for determining and
organizing nursing care. The problems also provide a
basis for organizing appropriate nursing strategies.