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Nightingale and Henderson

Nightingale and Henderson

Nightingale and Henderson
QUESTION
Select theories of either Nightingale and Henderson or King and Peplau. Compare and contrast two primary elements of each selected pair of theories. (minimum 250 words)
Provide examples of how the selected pair of theories may relate to your practice. (minimum 250 words)
Analyze how your selected pair links nursing theory and spiritual care when planning interventions and suggesting resources for patient care. (minimum 250 words)
Nightingale and Henderson

ANSWER
Discussion Forum

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Discussion Forum
Comparison and Contrasting Two Primary Elements of Each Selected Pair of Theories (Nightingale and Henderson)
Florence Nightingale is viewed as the founder of what can be described as modern nursing, attributed to her dedication to furthering nursing practice. She played a central role in defining the value of nursing related to the unsanitary health care environment, which was common during the Crimean war in 1854. In the nursing profession, Virginia Henderson is described as a modern-day Florence Nightingale attributed to her role in furthering the importance of the nurse-patient relationship.
Nightingale considered patients from a holistic point of view, which would determine the quality of care offered. Her theory stems from the fact that the patient’s environment must be considered a determinant of overall success outcomes. She believed in the need to focus on physical, intellectual, and spiritual components to define a patient’s health outcomes. Parker & Smith (2010) note that a patient’s health depends on “five environmental components; clean air, pure water, efficient drainage, cleanliness, and light” (p.49). Henderson viewed nursing based on the need for nurses to provide for patient’s needs. Ahtisham & Jacoline (2015) discuss Henderson’s viewpoint arguing that it was directed towards maintaining health, recovery, or achieving a peaceful death.
Like Nightingale, Henderson believed that treatment effectiveness would depend on the physical, spiritual, and intellectual health components. Her theory extends Nightingale’s understanding of nursing by supporting the need for such components to bring out nursing efficiency. However, Henderson’s theory differs from that of Nightingale when focusing on care. Nightingale considered the value of nursing based on environmental factors, while Henderson considers specific patient needs to determine the quality of care offered, personalized for each patient.
Examples of How the Selected Pair of Theories May Relate to My Practice
When applying Nightingale’s theory to my practice, I will focus much of my attention on a patient’s environment, which will determine his/her health. Zborowsky (2014) notes that every aspect of a patient’s health acts as a critical contributor to his/her health outcomes; hence, the need for such considerations. Therefore, that would highlight the need for me to consider my patients’ environments when determining their health needs. For example, if a patient comes complaining of abdominal pain, I would focus on treating him/her, but I would want to learn more about his/her environment to determine the contributing factor to the pain. Above giving him/her medication, I would also ensure that he/she is within a safe, clean, and quiet environment that would support his/her eventual health outcomes.
Henderson’s theory may also relate to my practice because each of the components associated with this theory can be of great value. I work towards establishing a positive framework for improved health outcomes. Waller-Wise (2013) notes that Henderson’s theory gives nurses a holistic view of what to expect as they maximize patients’ outcomes with the view being to improve on their health. The theory will allow me to reposition myself as I work towards establishing proactive measures to improve on my patients’ health outcomes. In the same example of a patient experience abdominal pain, the nursing interventions I put in place will focus on assessing the patient and would be inclined to provide pain relief. It is within my responsibility to evaluate every aspect of the patient’s health to determine whether they would achieve the best possible health outcomes matching their needs and demands.
How My Selected Pair Links Nursing Theory and Spiritual Care When Planning Interventions and Suggesting Resources for Patient Care
Nightingale considered spiritual care an essential aspect of nursing, arguing that it was one of the critical resources nurses ought to use to achieve patient healing (Rahim, 2013). She argued that nurses are responsible for manipulating their environments when planning interventions for their patients, depending on patients’ needs. For example, a nurse may opt to give a Christian patient a Bible or any other Christian-related text during his/her stay in the health care environment. The objective is to establish a clear spiritual relationship with the patient to improve his/her ability to achieve healing. The theory also suggests that the resources selected must align with a patient’s spiritual needs, where it becomes much easier for patients to receive the best quality of care.
Henderson’s theory states that nurses have the responsibility of providing patients with the opportunity to practice their faith when needed as a way of enhancing their health outcomes (Nicely & DeLario, 2011). Therefore, the theory can be applied to Nightingale’s theory because nurses would create a spiritual environment that would support the quality of care. The nursing interventions selected must align with patients’ needs by establishing structured approaches to maximize his/her health outcomes. For example, a nurse may arrange for a patient to receive daily visits from a chaplain or a spiritual leader who will help provide him/her with the spiritual care needed. The expected outcome of such visits is that they would guarantee effectiveness in the care offered; thus, promoting a positive attitude among patients towards the health services provided.

References
Ahtisham, Y., & Jacoline, S. (2015). Integrating nursing theory and process into practice; Virginia’s Henderson needs theory. International Journal Of Caring Sciences, 8(2), 443-450.
Nicely, B., & DeLario, G. T. (2011). Virginia Henderson’s principles and practice of nursing applied to organ donation after brain death. Progress in Transplantation, 21(1), 72-77.
Parker, M. E., & Smith, M. C. (2010). Nursing theories and nursing practice. Philadelphia: F.A. Davis.
Rahim, S. (2013). Clinical application of Nightingale’s environmental theory. i-manager’s Journal on Nursing, 3(1), 43.
Waller-Wise, R. (2013). Utilizing Henderson’s Nursing Theory in Childbirth Education. International Journal of Childbirth Education, 28(2).
Zborowsky, T. (2014). The legacy of Florence Nightingale’s environmental theory: Nursing research focusing on the impact of healthcare environments. HERD: Health Environments Research & Design Journal, 7(4), 19-34.

Nightingale and Henderson

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