Theoretical Foundation of Nursing: Florence Nightingale

1. Graduate School (2nd Trimester S.Y 2017-2018)
October 28, 2017

2. MOTHER OF MODERN NURSING
FLORENCE NITINGALE
“Lady with the Lamp”
Crimean War

3. o Place: Florence, Italy
o Victorian woman
o She was a wife of an
aristocrat
o Birth: May 12, 1820
(International Nurses Day)
“Religious calling”
Florence Nightingale

4. • Ptr. Theodor Fleidner as the 134th
* “lady with the lamp” because she was carrying the
lamp at night when she was looking for wounded
soldiers in the Crimean War
*mortality rate of the wounded soldiers from 42.7%
to 2.2% :intervention in the environment.
July 6, 1851
• Graduated after 3 months.

5. WHAT IS NURSING?
“The act of utilizing the environment
of the patient to assist him in his
recovery” - Nightingale (1869)

6. February 7, 2017
 16 years old
“God Spoke to me in silence
And he called me to service”
DUM VIVIMUS, SERVIMUS

9. Health of Houses
Ventilation and
Warming
Light
Noise
Taking Food –
What Food?
Cleanliness-Rooms
and Walls/Personal
Bed and Bedding
Variety
Observation of
the Sick
Petty
Management

11. Environmental Factors
Pure or fresh air
Light Pure water
Cleanliness Efficient drainage
HEALTH

12. Metaparadigm in Nursing
1. Nursing
- must place the patient in the best condition for
nature to act upon him
- It should provide for the patient the major
components of the environment .
- should fully maximize the reparative process of
a patient by controlling the environment

13. - Nursing should provide care to the sick as
well as the healthy
- Health promotions must be initiated by the
nurse
Metaparadigm in Nursing
1. Nursing

14. 2. Person
- Views the person as a passive recipient of care
- The nurse should control the environment
- The nurse should perform the task to and for
the patient
Metaparadigm in Nursing

15. 3. Health
- “ Health is a well being and using every power that
the person has to the full extent.
- “Disease” is a reparative process that the nature
instituted for a want of attention
Metaparadigm in Nursing

16. - Maintenance of health can be done through the prevention of
disease by controlling the environment.
- Health must be the goal of nursing therefore the nurse must
assist
- The nurse must provide assistance for the patient to stay in
balance with the environmental factors
3. Health
Metaparadigm in Nursing

17. 4. Environment
- Physical environment is very important because
everything that surrounds the patient have an impact
on their health
- She believed that sick, poor people could benefit from
environmental improvement.
Metaparadigm in Nursing

19. 1. Proper Ventilation
2. Light effects to the body
3. Cleanliness and Sanitation
4. Warmth, Quiet and Diet Environment
CONCERNS OF ENVIRONMENTAL
THEORY

20. CONCERNS OF ENVIRONMENTAL
THEORY
5. Unnecessary Noise
6. Dietary Intake “Food Intake”
7. Avoidance of Psychological Harm

22. •Her work in the mid 1800’s provided the basis for modern
nursing especially both in education and practice.
• Her exposure to the Crimean War leads to the
development of an epidemiological approach to improve
the quality of the environment for the injured and ill at
Scutari.
1. What is the historical context of the theory?

23. 2. What are the basic concepts and
relationships presented by the theory?
The major concepts of this theory is the canons of
the environmental model which includes ventilation,
noise, air, health of houses, variety in the
environment, light, bedding, cleanliness, chattering
hopes and nutrition.

24. 3. What major phenomena of concern to
nursing are presented?
•Nightingale’s main focus is the
environment and its manipulation to
help the patient attain maximum health.

25. 4. To whom does this theory apply? In what
situations? In what way?
•The environmental theory is very general
that it can be applied in all kinds of
environments such as homes, community,
and work sites and even in the most
complex type of hospital intensive care
environment. The concepts of pure air, light,
noise and cleanliness are much applicable
across specific environment

26. 5. Does this theory affect critical thinking in the
nursing practice?
Manipulation of the environment could
lead to the betterment or further
downgrade of the health of person
therefore critical thinking needs to be
utilized.

27. 6. Does this theory affect critical thinking in the
nursing practice?
• The environmental theory has directed the
nursing interventions towards the modification
of the environment.
• With the emphasis that noise, light, and
ventilation can be and should be controlled and
variety should be provided in order to maximize
the patient’s response to intervention.

28. NIGHTINGALE’s & the Nursing Process
ASSESSMENT DIAGNOSIS
PLANNING INTERVENTION
EVALUATION

29.  REFERENCE
Books
• George, Julia B.(2001). Nursing Theories: The Base for Professional
Nursing Practice. Upper Saddle River NJ:Prentice Hall
• McEwen Melanie and Wills, Evelyn M.(2007) Theoretical Basis for
Nursing (2 ed.) Philadelphia:Lippincot Williams & Wilkins
• Octaviano, Eufemia F. and Balita, Carl E.(2008). Theoretical
Foundations of Nursing: The Philippine Perspective. Philippines :
Ultimate Learning Series
Journals
• (2012,02) Metaparadigm in
Nursing.StudyMode.com.www.studymode.com/essays/Metaparadigm
-in-Nursing-911796.html