Nightingale’s Notes on Nursing Model

(Author’s name)

(Institutional Affiliation)

Questions for Analysis

What is the historical evolution of the conceptual model?

Nursing has three main eras which include the intuitive nursing period, the apprentice nursing period and the educated nursing period which was also referred to as the Nightingale era that lasted between the 19th and the 20th centuries. Nursing in this period was influenced by war, social consciousness arousal and increased opportunities in education for women. The notes were written in the 1860s (Nightingale, 1859).

Who founded the model?

Florence Nightingale (Shisler, 2007)

What was occurring in the historical milieu?

During this time there was awakening of social consciousness, there were numerous wars and women were given more opportunities to access education. This influenced the conceptual model greatly.

What has been written or discussed regarding the model in the recent years?

The model is regarded as the mother of modern nursing (Sampson, 2008).

What approach to develop of nursing knowledge does that model exemplify?

The model exemplifies the kind of nursing knowledge that is acquired from formal training and training through training attained in both medical schools and hospitals. The model exemplifies nursing that should include both practice and theory (Sampson, 2008).

Upon what non- nursing assumptions was the conceptual model based? How are nursing’s four metaparadigm concepts explicated in the model?

The assumptions of the model include humans can attain perfection, natural laws, nursing as a calling, nursing as a science and art, and achieving nursing goals through alterations in the environment. The four metapradigms are person, environment, nursing, and health. The person is referred to as patient, health concerns nurses as professionals in the medicine, environment is shown as anything that might affect the recovery if a patient and nursing is seen as caring in the model (Sampson, 2008).

How is person defined and described?

Patient

How is environment defined and described?

Anything that can affect the recovery of a patient

How is health defined? How are wellness and illness differentiated?

Health is shown as something that can be negotiated and something that is contextual. Wellness is when one is alive and when one does not suffer. Illness is when one suffers or dies as a result of suffering.

How is nursing defined? What is the goal of nursing?

Nursing is caring. The goal of nursing is to care for patients back to health.

How is the nursing process described

Medical treatment that is hands- on, a compassion paradigm

If concepts are present that are not metaparadigm concepts, what are they? How are they defined? How do they relate to other concepts within the model?

These are concepts that support the metaparadigm concepts. They include such concepts as management, food intake, and giving advice and hope. These concepts support and fortify the effects of the metaparadigm concepts (Nelson & Rafferty, 2010).

What statements are made about the relationships among the concepts in the model?

That they are all related and depended on one another

In summary what are the 5- 10 main bullet points of the model?

To guide nurse on the proper ventilation and warming required in hospitals

To guide nurses on the appropriate health of houses

To show nurses how to manage their sick houses and patients

To guide them on the effects of noise, variety

To show nurse the best kinds of food for patients

To guide them on personal cleanliness, observation of patients, importance of hope and advice and cleanliness of hospitals (Selanders, 2010).

Select a scenario. Discuss the implications for practice using the conceptual model in relation to the experience with the client.

There was a rime I was taking care of an elderly cancer patient. He used to lie in bed a lot and after a while I realized that he always seemed uncomfortable and like he was in pain. Since he could not talk because he had become so weak, I had to determine what the problem was by myself. I gave him pain medicine but things did not change. I realized that I kept the windows closed and curtains drawn most of the time. I decided to open them and change his sheets, give him a bath and change his clothes. After I was done, he looked more peaceful and he even managed to sleep. I later realized, as Nightingale’s notes points out, that most sufferings or symptoms that seem to be incident or inevitable to the disease are usually not symptoms of the disease, but of other things like want of light, fresh air, cleanliness and warmth (Nelson & Rafferty, 2010).

References

Nelson, S. & Rafferty, A. (2010). Notes on Nightingale: The Influence and Legacy of a Nursing Icon. Cornell University Press.

Nightingale, F. (1859). Notes on nursing: what it is, and what it is not. London: Harrison.

Sampson, D. (2008). The central role of nursing in health care. J Health Serv Res Policy, 13:185—187.

Selanders, L. C. (2010). The power of environmental adaptation: Florence Nightingale’s original theory for nursing practice. J Holist Nurs, 28 (1): 81- 8.

Shisler, C. (2007). Evaluating your nursing collection: a quick way to preserve nursing history in a working collection. J Med Libr Assoc. 95 (3): 278- 83.