Virginia Henderson
The Principles and Practice of Nursing
“I believe that the function the nurse performs is primarily an independent one – that of acting for the patient when he lacks knowledge , physical strength, or the will to act for himself as he would ordinarily act in health, or in carrying out prescribed therapy. This function is seen as complex and creative, as offering unlimited opportunity for the application of the physical, biological, and social sciences and the development of skills based on them.” (Henderson, 1960)
Major Concepts
Human or Individual
Henderson considers the biological, psychological, sociological, and spiritual components.
She defined the patient as someone who needs nursing care, but did not limit nursing to illness care.
Society or Environment
She did not define environment, but maintaining a supportive environment is one of the elements of her 14 activities.
She sees individuals in relation to their families but minimally discusses the impact of the community on the individual and family.
She supports the tasks of private and PUBLIC HEALTH agencies keeping people healthy.
She believes that society wants and expects the nurse’s service of acting for individuals who are unable to function independently.
Health
Health was not explicitly defined, but it is taken to mean balance in all realms of human life.
Nursing
Henderson believed that “the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible.” (Henderson, 1991)
Subconcepts
14 Activities for Client Assistance
Physiological
1. Breathe normally
2. Eat and drink adequately
3. Eliminate body wastes
4. Move and