Nursing Theory of fundamental nursing

7/28/2019 Nursing Theory of fundamental nursing

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Tony Suharsono


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Teoritical foundation on which the knowledge baseof the nursing profession has been and is beingbuilt

Nursing theory provides a perspective from whichto define what of nursing, to describe who ofnursing (who is the client) and when nursing isneeded, and to identify the boundaries and thegoal of nursing therapeutic activities.

Theory is fundamental to effective nursing practiceand research


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Basic element that structure a nursing theoryare cancept and proposition

A concept is the basic building block of thetheory

A proposition is the statement that proposes arelationship between concept

Theory is a set of concept and propositionthat provide an orderly way to viewphenomena


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Nursing theory provide a framework forthought in which to examine situations

Nursing theory assist the discipline of nursingin clarifiying beliefs, values, and goals andthey help to define the unique contribution ofnursing in the care of clients

Nursing theory is necessary for the continueddevelopment and evaluation of the disciplineof nursing


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NursingPractice

Nursingresearch

Nursingtheory


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Grand theories Composed of concept representing global and

extremely complex phenomena

Middle range theories Midlle range theory provides a perspective from

which to view complex situation and a direction for

intervention

Micro range theories Explain a spesific phenomenon of concern to the

discipline


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Nightingale was born in 1820 in florenceHer parent were very wealthy and often

traveled abroadAt the age of 17 she believed had been called

of mankindAt the age of 24, Nightingale decided she

needed to help the suffering masses andwishes to work in hospital

She developed nursing theory after her travelto scutari to care for wounded soldiers duringthe Crimean War


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Environtment of the patient could be alteredso as to allow nature to act on the patient

Her work focuses mostly on the patient andthe environtment but also included the nurseand health

Nurses duty to the patients environtment sothat nature could act on the patient and repairhealth


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Environtment Defined as anything that can be manipulated to place

a patient in the best possible condition for nature to actPerson

Refer to the person as the one who is receiving care.Person is a dinamic and complex being

Health Health is not only to be well, to be able to use well

every power we used (prevention and promotion)

Nursing Nurses were to assisst nature to repair the patient


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Ventilation and

warmth

Assess the client body temperature, room

temperature , and room from the fresh air and foul

odors. Develop a plan to keep the room airy and

free of odor

Light Assess the room for adequate light. Develop and

implement adequate light in the clients room without

placing client in the direct light

Cleanliness of room and

walls

Assess the room for dampness, dust. Keep the room

free from dust, dirt,and dampness

Health of houses Assess the surrounding environtment for pure air, pure

water, drainage, cleanliness and light


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Noise Assess the noise level in the clients room and

surrounding area. Attemp to keep noise level to a

minimum

Bed Assess the bed for dampness, wrinkles, and soiling.

Keep the bed dry, wrinkle free

Personal cleanliness Attemp to keep the client dry and clean at all times

Variety Attemp to stimulate variety in the room and with

patient

Chattering hopes and

advices

Avoid talking without reason or giving advice that is

without fact


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Taking food Assess the diet of the client. Take note of the

amount of food and drink ingested

What food Continue with the assessment of the client diet to

include type of food and drink the client likes or dislike

Petty Management Petty management ensures continuity of care

Observation of the sick Observe anithing about client. Record all observation


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Nursing concern man need for self care

action and the provision and management

of it on a continuous basis in order to

sustain life and health, recover from

disease or injury, and cope with their

effects.

Nursing goal overcoming humanlimitations


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Theory of nursing system

Theory of self care defisit

Theory of self care


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Nursing use the nursing process to help

individual meet their self care requisites and

build their self care or dependent carecapabilitiesBasic nursng system categorized according

to the relationship between patient and nurse

action. Wholly compensatory system

Partly compensatory system

Supportive-educative system


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The central idea of of the theory of self caredeficit is that the requirement of person fornursing are associated with the subjectivity ofmature and maturing persons to healthrelated or health care related actionlimitations

A term that expresses the relationshipbetween the action capabilities of individual

and their demmand for careNursing is required because of the inability to

perform self care as the result of limitation


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Self care is a human regulatory fucntion

that individual must, with deliberation,

perform themselves or have performed for

them to maintain life, health, development,

and well being

Self care is an action system

The elaboration of the concept os selfcare, self care demmand and self care

agency


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The Neuman system model reflect nursing

interest in well and ill people as holistic

system and in environtmental influences

on health

Client act in partnership with nurses to set

goal and identify relevan preventionintervention


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Wholistic approachOpen system (function, input and output, feed

back, negentropy, entropy, and stability)EnvirontmentCreated environtmentWellness and illnessClient systemStressor

Degree of reactionprevention as interventionReconstitution


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Nursing Unique profesion that it is concerned with all of the

variable affecting an individual response to stressPerson as client or client system

The client system is dinamic composite ofinterelationship among psysiological, psychological,sociocultural, developmental and spiritual factor

Health Optimal wellness or stability indicate that total system

needs are being metEnvirontment

Internal and external factor that interact with client


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Mother of psiciatric nursing

She taught psicodinamic nursing and

stressed importance of the nurses ability to

understand his or her own behavior to help

other identify perceived difficulties.

She identified four phase nurse-patient

relationship (orientation, identification,exploitation, resolution)


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Proposed and described six nursing role Stranger

Resource person

Teacher

Leader

Surrogate

Counselor


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Person Developing organism in an stable equilibrium

Environment

External factor and significant otherHealth

Interpersonal process that facilitate fordwardmovement of the personality

Nursing To develop interaction between the nurse and the

person


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Nursing Theory of fundamental nursing

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