NRS 430 CLC Nursing Theory Conceptual Model Nursing Theory & Conceptual Model

NRS 430 CLC Nursing Theory Conceptual Model Nursing Theory & Conceptual Model

Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model. (Alex Cortes)

• Florence Nightingale’s Environmental Theory describes that a disease can be healed by changing the patient’s environment.
• A patient needs to be viewed as an individual that is multidimensional such as considering their spiritual, psychological and biological needs.
• Altering the patient’s environment is the most important concept in this nursing theory.
• Environmental factors include: clean water, fresh air, minimal noise levels, adequate hygiene, good food supply, sanitation, sunlight.

• Setting appropriate environmental factors have always been important in providing excellent patient care that promote healing and relieving pain.
• Environmental factors influence a person’s mental and physical status.
• For example, if a patient has a fever, they require a cooling environment with hydration and limited stimulation. If this same patient has a fever and is in a hot environment, without water and heavy stimulation, the fever will increase and there will not be a good outcome.
• This theory proves the conceptual model by illustrating how all these environmental factors truly impact the patient’s mind, body and soul.

Explain how the nursing theory incorporates the four metaparadigm concepts.

(CARLY WALLMEYER)

Metaparadigm:

• The foundation of concepts that are fundamental to a theory.
• Concepts Include:

○Nursing – Nursing Actions (applying knowledge and skill)

○Health – Defined by Person (quality and wellness of health, access to healthcare)

○Person – Recipients of Care (spiritually, culture, family/friends, socioeconomic status)

○Environment – Internal and External Factors relating to the patient

• Applying the 4 metaparadigm concepts to the nursing process is essential to provide patient care as a whole.

(Branch, Deak, Hiner, Holzwart, 2020)

Applying the Four Metaparadigm Concepts to

Florence Nightingale’s Environmental Theory

• Nursing-
• Health-
• Person-
• Environment-

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Provide three evidence‐based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each. (CASSIDY WRIGHT)

An author’s client in community clinical during her undergraduate studies in 2009 was a 60-year-old lady who had recently undergone coronary artery bypass grafting. It was a four-person middle-class family living in a two-room apartment. When the author first entered the house, he noticed an awful smell throughout the house since only one window was open, resulting in a bright but poorly ventilated surroundings.

During the examination, it was discovered that the patient had been experiencing pain, itching, and redness in her stitches since the previous day, and that her body temperature had also increased. Her wound was red with purulent discharge, and her temperature was 38 degrees Celsius. The patient had an infection in her wound and needed to be taken to the hospital right away. Patient’s bed linen was discovered to be dirty and wrinkled while transporting her from bed to chair. Inquiring with her daughter-in-law, it was discovered that the bedding had not been changed in the previous week because she does not leave her bed for long enough for the bed linen to be changed.

The patient is only offered an assisted bath twice a week, and her garments are not changed on a daily basis.

To intervene, the author assisted the patient’s  daughter in law in changing  bedding and giving her a bath. She also taught her sponging techniques, so that if she can’t give the patient shower every day, she can give her sponge twice a day. She opened all the windows to make the building brighter and more ventilated, and she took personal and bed hygiene as a topic and provided a session to teach it.

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