Environmental Theory of Florence Nightingale
Theory Description
Scope of theory:Grand Theory
Purpose of the theory:“everyday sanitary knowledge, or the knowledge of nursing, or in other words, of how to put the constitution in such a state as that it will have no disease, or that it can recover from disease.” * Main focus was the control of the environment of individuals and families, both healthy and ill. * Because it explains the totality of the behavior.
Origins of theory: Nightingale’s model of nursing was developed before the general acceptance of modern disease theories (ie, the germ theory) and other theories of medical science. Nightingale knew the germ theory, and prior to its wide publication she had deduced that cleanliness, fresh air, sanitation, comfort and socialization were necessary to healing. She used her experiences in Scutari Army Hospital in Turkey and in other hospitals in which she worked to document her ideas on nursing.
Major concepts:Major areas of the environment: health of houses, ventilation and warmth, light, noise, variety, bed and bedding, cleanliness of rooms and walls, personal cleanliness, and nutrition.
Major theoretical propositions are as follows: Not stated
Major assumptions: NIGHTINGALE'S ASSUMPTIONS 1. Nursing is separate from medicine. 2. Nurses should be trained. 3. The environment is important to the health of the patient. 4. The disease process is not important to nursing. 5. Nursing should support the environment to assist the patient in healing. 6. Research should be utilized through observation and empirics to define the nursing discipline. 7. Nursing is both empirical science and an art. 8. Nursing’s concern is with the person in the environment. 9. The person is interacting with the environment. 10. Sick and well are governed by the same laws of health. 11. The nurse should be observant and confidential.
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