Water pollution and poor air quality remain to be the greatest barriers to nightingale theory. Nightingale's Philosophy in Nursing Practice | Nurse Key Accessibility Applied in advanced practice clinics and hospital units, i. Having close family or friends near to the patient, although it could sometimes be a hindrance, would ultimately improve the environment for the patient. Methods: Her ingenuity to ensure adequate nutrition promoted healing, thus reducing wound infections or development of cholera and dysentery. She also created roles for her staff that reflected patient need.Sphere #1: Direct Patient CareNightingale independently developed her role, an unprecedented and pioneering feat. Theory is applied in addressing the increasing challenge in nursing burnout. Sanitary conditions were improved while nurses worked as capable assistants to physicians and raised the British soldiers morale by acting as bankers, sending the injured mans wages home, wrote letters to their families, and read to the wounded. Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BCEmail: cwward@carilionclinic.org, Marion Kyner, MSN, RN, CNSEmail: mkyner@kinex.net. Accessibility To discuss the development of Nightingale's Environmental Theory in the 19th century and its application in contemporary 21st century nursing practice. Nightingale, Florence (18201910). She viewed unnecessary noise, including noise from the female dress, as cruel and irritating to the patient. iii. It also has three major principles including homeodynamic, resonance, delicacy and integrity. The greatest barrier to effective application of any nursing theory is trying to employ the wrong type of theory, or model, in a particular nursing situation. endobj Outcomes through Change Agency. As a woman, Nightingale was beautiful and charming that made every man like her. She is recognized as the founder of modern nursing. Nightingale's life and impact on patient care, nursing and nursing practice, and healthcare systems and organizations parallel the clinical nurse specialist (CNS) roles and three . Florence Nightingale also believed that variety was important to the healing process. These organic deposits would then stay on the sheets and other bedding, negatively affecting the environment. Florence Nightingale was raised on the family estate at Lea Hurst, where her father provided her with a classical education, including German, French, and Italian studies. Nightingale wanted meat de-boned and gristle removed before serving, a request that caused medical officers to complain about giving too much indulgence to soldiers; they overruled her for that moment (Andrews, 1929, p. 149). Viking (2008); Penguin (2009). Jones & Bartlett. It also enables the evaluation, identification of dissonance and harmony among patients. Florence Nightingales opposition to state registration of nurses. This lack of understanding may point to an inadequate educational background and lead to unsatisfactory patient care. Nightingale believed that there were many natural elements that could help a patient begin to have their health restored. These processes are: To achieve her outcomes, [Nightingale] secured and channeled resources as she revised workflows and created new systems in a way similar to a CNS practice.Nightingale, too, demonstrated each of the processes to achieve her project outcomes as she applied and evaluated care provision; engaged stakeholders; established and utilized standards of care; identified environmental factors that affected patient care and care outcomes; anticipated next steps; and disseminated her findings.