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Metaparadigm
The four central nursing concepts: Person, Environment, Health, Nursing
Florence Nightingale
Environment Theory
Environment Theory
Healing through proper environmental control
Key Focus (Nightingale)
Fresh air, light, warmth, cleanliness, nutrition
Jean Watson
Theory of Human Caring
Human Caring
Caring is the essence of nursing
Carative Factors
Ten caring factors that promote healing
Ann Boykin
Nursing as Caring Theory
Nursing as Caring
All persons are inherently caring
Virginia Henderson
Need Theory
Need Theory
Nurse helps patient gain independence
14 Basic Needs
Breathe, eat, eliminate, move, sleep, dress, temperature, hygiene, safety, communication, worship, work, play, learn
Faye Abdellah
21 Nursing Problems
21 Nursing Problems
Patient-centered problem-solving approach
Dorothea Orem
Self-Care Deficit Theory
Self-Care Deficit
The patient needs nursing when unable to perform self-care
Wholly Compensatory
Nurse provides all care
Partially Compensatory
Nurse and patient share care
Supportive-Educative
Nurse primarily teaches and supports
Sister Callista Roy
Adaptation Model
Adaptation Model
Person adapts to environmental stimuli
Focal Stimulus
Immediate stimulus requiring attention
Contextual Stimulus
Other contributing factors
Residual Stimulus
Unclear or indirect influencing factors
Physiologic Mode
Physical adaptation
Self-Concept Mode
Psychological adaptation
Role Function Mode
Social role adaptation
Interdependence Mode
Relationship adaptation
Dorothy Johnson
Behavioral System Theory
Behavioral System
The person is a system of behaviors seeking balance
Myra Levine
Conservation Model
Conservation
Maintaining wholeness and integrity
Energy Conservation
Preserve energy for healing
Structural Integrity
Maintain body structure
Personal Integrity
Maintain self-worth
Social Integrity
Maintain social relationships
Betty Neuman
Systems Model
Systems Model
Client is an open system affected by stressors
Intrapersonal Stressor
Occurs within the individual
Interpersonal Stressor
Occurs between individuals
Extrapersonal Stressor
Occurs outside the individual
Primary Prevention
Before stress occurs
Secondary Prevention
Early treatment after stress
Tertiary Prevention
Recovery and rehabilitation
Joyce Travelbee
Human-to-Human Relationship Theory
Empathy
Sharing another's experience
Sympathy
Desire to reduce suffering
Rapport
Therapeutic connection and trust
Hildegard Peplau
Interpersonal Relations Theory
Orientation Phase
Patient seeks help; relationship begins
Identification Phase
Patient works with nurse
Exploitation Phase
Patient uses available services
Resolution Phase
Relationship ends as goals are met
Imogene King
Goal Attainment Theory
Transaction
Nurse and patient set goals together
Personal System
Individual person
Interpersonal System
Interacting individuals
Social System
Larger societal groups
Ida Jean Orlando
Deliberative Nursing Process Theory
Immediate Need for Help
Focus of nursing action
ADPIE
Assessment, Diagnosis, Planning, Implementation, Evaluation
Ernestine Wiedenbach
Helping Art of Clinical Nursing
Central Purpose
Goal nurse wants to accomplish
Prescription
Nursing action to achieve goal
Madeleine Leininger
Transcultural Nursing Theory
Culture Care
Culturally congruent nursing care
Emic
Folk or insider knowledge
Etic
Professional knowledge
Culture Shock
Disorientation in a new culture
Cultural Competence
Ability to provide effective cross-cultural care
Martha Rogers
Theory of Unitary Human Beings
Energy Field
Fundamental unit of living and environment
Openness
No boundaries between person and environment
Resonancy
Continuous change in energy patterns
Helicy
Unpredictable continuous change
Integrality
Mutual interaction of person and environment
Margaret Newman
Health as Expanding Consciousness
Expanding Consciousness
Health is awareness and meaning, not merely absence of disease