Nursing Theory Presentation

Keesha Holden-White & Marie Laramee

Background
Born -March 1919

Faye G. Abdellah

Nursing Diploma from Fitkin Memorial Hospital

Columbia University Bachelors Degree in Nursing 1945 Masters Degree in Physiology 1947 Doctorate in Education 1955

Accomplishments (McEwen, 2007)

U.S. Public Health Service Chief Nurse Officer Deputy U.S. Surgeon General Uniformed Services University of Health Sciences Founder and First Dean, Graduate School of Nursing Yale University School of Nursing Nursing Instructor
Dr. Faye Glenn Abdellah RN, Ed.D., Sc.D., FAAN RADM(Ret.), USPHS

Research (Lessing, 2004)

Assisted in international nursing research studies during the Korean War (China, Japan, Australia, Russia) Abdellahs research findings led to the first federally-tested coronary care unit in Connecticut Theory and research data led to the establishment of the Office of Long-Term Care

Faye G. Abdellahs Theory

1960

Abdellahs model describes concerns of nursing rather than a theory describing relationships among phenomena. Her theory provides a foundation for determining and organizing nursing care (McEwen,

Nursing is based on an art and science that mold the attitudes, intellectual competencies, and technical skills of the individual nurse into the desire and ability to

help people, sick or well, cope with their health needs (Nursing Theories, 2010)

Originated from nursing practice & desire to promote patient-centered comprehensive care Shifts focus of the profession from disease centered to patient centered Concepts of health, nursing problems, and problem solving are interrelated Describes nursing as a service to society

(McEwen & Wills, 2007)

Patient-Centered Approaches to Nursing is..

A Human Needs Theory Human beings have universal and objective needs for health and autonomy and a right to their optimal satisfaction. Focus
Nursing Education Nursing Practice

Purpose
To guide patient care in the hospital and community settings (McEwen, 2007)

What is patient-centered care?

http://www.youtube.com/watch?v=C4Ijr4E2870

Abdellahs Typology of Nursing Problems

(Nursing Theories, 2010)

Purpose

To provide a method to evaluate a students experiences and means of evaluating a nurses competency based on outcome measures

Three Areas 1. Physical, sociological, and emotional needs of the patient 2. Types of interpersonal relationships between the nurse and the 3.

patient The common elements of patient care

Abdellahs Typology of Nursing Problems

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. To promote good hygiene and physical comfort To promote optimal activity, exercise, rest, and sleep To promote safety through prevention of accidents, injury, or other trauma and through the prevention of the spread of infection To maintain good body mechanics and prevent and correct deformities To facilitate the maintenance of a supply of oxygen to all body cells To facilitate the maintenance of nutrition of all body cells Purpose To facilitate the maintenance of elimination To guide care and To facilitate the maintenance of fluid and electrolyte balance promote use of To recognize the physiologic responses of the body to disease conditions nursing judgment To facilitate the maintenance of regulatory mechanisms and functions To facilitate the maintenance of sensory function To identify and accept positive and negative expressions, feelings, and reactions To identify and accept the interrelatedness of emotions and organic illness To facilitate the maintenance of effective verbal and nonverbal communication To promote the development of productive interpersonal relationships To facilitate progress toward achievement of personal spiritual goals To create and maintain a therapeutic environment To facilitate awareness of self as an individual with varying physical, emotional, and developmental needs To accept the optimum possible goals in light of physical and emotional limitations To use community resources as an aid in resolving problems arising from illness To understand the role of social problems as influencing factors in the cause of illness
(McEwen & Willis, 2007)

10 Ways to Identify a Clients Problem

Learn to know the patient
Sort out relevant and significant data Analyze and make generalizations

Continue to observe and evaluate

the patient over time to identify any attitudes and clues affecting his behavior
Explore the patients and familys

about available data

Identify the therapeutic plan Test generalizations with the patient

reaction to the therapeutic plan and involve them in the plan

Identify how the nurse feels about

the patients nursing problems

Discuss and develop a

and make additional generalizations

Validate the patients conclusion about

comprehensive nursing care plan

his nursing problems

(McEwen & Wills, 2007)

Nursing is the use of problem solving approach with key

nursing problems related to health needs of people

(Abdellah et al., 1960)

Requirements of Care
Classified in 4 Levels 1. Sustenal Care 2. Remedial Care 3. Restorative Care 4. Preventative Care

21 Nursing Problems
Sorted into 4 groups 1. Problems r/t comfort, hygiene and safety 2. Physiologic Balance 3. Psychological and Social Factors 4. Sociologic and Community Factors

Nursing Diagnosis
(Nursing Theory, 2010)

2000
Inducted into the National Womens Hall of Fame
(www.greatwomen.org)

We cannot wait for the world to change.......... Those of us with intelligence, purpose, and vision must take the lead and change the world. Let us move forward together!......I promise never to rest until my work has been completed! Faye G. Abdellah
(www.encyclopedia.com)

Applying Abdellahs Theory to Current Nursing Practice

Marie: I find that parts of the theory fit my physician office work well as it states that it aims to help people, sick or well, cope with their health needs (Nursing Theories, 2010) and that is the goal of primary care in physician offices. The 21 nursing problems are relevant to the office setting just as they are to the hospital.
Keesha In the critical care setting, my current practice has shifted from nursing care exclusive to the disease to addressing the patients immediate health care needs. Abdellahs Theory equips me with specific guidelines as to how I can better manage a variety of patient conditions in the ICU.
Abdellahs Ten Ways of Identifying a Clients Problem is utilized in the clinical setting and are necessary in initiating and implementing the nursing care plan.

Nursing programs encourage nursing students to utilize patient- centered approaches in the clinical setting

Problem solving approach is utilized by practitioners in guiding treatment plans within their practice. Especially within practices that deals with clients who have specific health care needs and specific nursing problems (Nursing Theories, 2010)