Abdellah-King

Faye Abdellah

  • Lifespan: March 13, 1919 - February 24, 2017

  • Career Highlights:

    • Pioneer in nursing research who developed 21 Nursing Problems.

    • First nurse and woman to serve as Deputy Surgeon General.

    • Shifted focus from disease-centered to patient-centered care.

    • Developed Patient Assessment of Care Evaluation (PACE).

    • Published works: "Better Nursing Care through Nursing Research" and "Patient-Centered Approaches to Nursing".

21 Nursing Problems Theory

  • Originated in the 1960s, emphasizing a patient-centered approach.

  • Nursing defined as the integration of art and science aimed at helping individuals cope with health needs.

  • Key tenets:

    1. Address interconnected social issues impacting health (e.g., poverty, racism).

    2. Advocate for nursing education reform and ongoing professional development.

11 Nursing Skills

  1. Observation of health status

  2. Communication skills

  3. Application of knowledge

  4. Patient and family education

  5. Work organization

  6. Resource utilization

  7. Problem-solving

  8. Leadership and delegation

  9. Therapeutic use of self

  10. Nursing procedures

  11. Personal resource management

Major Concepts of the 21 Nursing Problems

  • Categorized into three areas:

    1. Physical, Sociological, Emotional Needs

    2. Interpersonal Relationships

    3. Common Elements of Patient Care

  • Based on Henderson’s 14 Basic Human Needs.

Patient Care Needs

  1. Basic Needs: Hygiene, physical comfort, safety, body mechanics.

  2. Sustenance: Oxygen, nutrition, elimination, fluid balance.

  3. Remedial Needs: Emotional expression, communication, interpersonal relationships.

  4. Restorative Needs: Accepting limitations, community resource utilization.

Problem Solving in Nursing

  • Steps:

    1. Identify the problem

    2. Gather data

    3. Formulate hypotheses

    4. Collect data to test hypotheses

    5. Adjust hypotheses as needed

Metaparadigm in Nursing

  • Individual/Person: Unique needs and holistic approach to care.

  • Health: Aim to address total health needs and promote balanced health.

  • Environment: Focus on societal influences at various levels.

  • Nursing: Identify and address both overt and covert health issues.

Application in Research, Education, and Practice

  • Research: Focus on nursing knowledge and patient problem identification.

  • Education: Transition from medical concepts to patient-centered approaches.

  • Clinical Practice: Adapt problem-solving frameworks to enhance patient care and health outcomes.

Ernestine Wiedenbach

  • Lifespan: 1900 - 1998

  • Legacy: Defined nursing art through deliberative action.

  • Education: BA from Wellesley College, BS in Nursing from Johns Hopkins.

Nursing Actions per Wiedenbach

  1. Rational Response: Analyzed clinical judgment.

  2. Reactionary Response: Immediate actions in emergencies.

  3. Deliberate Response: Methodical and goal-oriented planning.

Four Components of Nursing Practice

  1. Identify help needed.

  2. Provide necessary assistance.

  3. Validate effectiveness of help.

  4. Coordinate resources.

Lydia Hall

  • Lifespan: 1906 - 1969

  • Major Contributions: Developed the Care, Core, and Cure Model, which emphasizes the holistic experience of the patient through three interrelated components:

    • Care: Represents the interpersonal relationship between the nurse and the patient.

    • Core: Focuses on the patient’s psychological/inner self.

    • Cure: Involves the scientific knowledge applied to health care.

Joyce Travelbee

  • Lifespan: 1924 - 1973

  • Major Contributions: Known for her Human-to-Human Relationship Theory, emphasizing the importance of communication and emotional connections in patient care. Her significant events include developing the theory while working with psychiatric patients, where she highlighted the nurse's role in alleviating suffering through effective communication.

Roper, Logan, and Tierney

  • Significance: Developed the Activities of Daily Living (ADLs) Model, which focuses on the individual's ability to perform daily activities and the impact of health on these activities. The model categorizes 12 activities that nurses can assess and assist patients with, allowing for a holistic evaluation of care.

Ida Jean Orlando Pelletier

  • Lifespan: 1926 - 2007

  • Major Contributions: Developed the Deliberative Nursing Process Theory, which highlights the nurse's role in identifying patient needs and providing individualized care. Significant events during her life included her experience as a psychiatric nurse which shaped her focus on the importance of understanding patient responses.

Jean Watson

  • Lifespan: Born 1940

  • Major Contributions: Known for her Theory of Human Caring, which emphasizes the importance of caring in nursing. She argues that caring and the nurse-patient relationship are essential for healing. Significant events include her work in establishing programs centered on human caring in nursing education.

Madeleine Leininger

  • Lifespan: 1925 - 2012

  • Major Contributions: Developed Transcultural Nursing Theory, highlighting the need for culturally competent care. She paved the way for understanding the impact of culture on health care practices. Significant events include her establishment of the first graduate program in transcultural nursing.

Dorothea Orem

  • Lifespan: 1914 - 2007

  • Major Contributions: Creator of the Self-Care Deficit Nursing Theory, focusing on patients' ability to perform self-care in maintaining health. Significant events include her extensive work in nursing education and publications that influenced nursing curricula.

Martha Rogers

  • Lifespan: 1914 - 1994

  • Major Contributions: Developed the Science of Unitary Human Beings, which posits that humans and their environment are integral and interlinked energy fields. Significant events include her writings that have influenced nursing theory and education worldwide.

Imogene King

  • Lifespan: 1923 - 2007

  • Major Contributions: Known for her Goal Attainment Theory, focusing on mutual goal setting between nurse and patient. Significant events include her involvement in the development of nursing curricula and her role in professional nursing organizations advocating for nursing practice with defined goals.

Lydia Hall

  • Lifespan: 1906 - 1969

  • Major Contributions: Developed the Care, Core, and Cure Model, which emphasizes the holistic experience of the patient through three interrelated components:

    • Care: Represents the interpersonal relationship between the nurse and the patient.

    • Core: Focuses on the patient’s psychological/inner self.

    • Cure: Involves the scientific knowledge applied to health care.

Joyce Travelbee

  • Lifespan: 1924 - 1973

  • Major Contributions: Known for her Human-to-Human Relationship Theory, emphasizing the importance of communication and emotional connections in patient care. Her significant events include developing the theory while working with psychiatric patients, where she highlighted the nurse's role in alleviating suffering through effective communication.

Roper, Logan, and Tierney

  • Significance: Developed the Activities of Daily Living (ADLs) Model, which focuses on the individual's ability to perform daily activities and the impact of health on these activities. The model categorizes 12 activities that nurses can assess and assist patients with, allowing for a holistic evaluation of care.

Ida Jean Orlando Pelletier

  • Lifespan: 1926 - 2007

  • Major Contributions: Developed the Deliberative Nursing Process Theory, which highlights the nurse's role in identifying patient needs and providing individualized care. Significant events during her life included her experience as a psychiatric nurse which shaped her focus on the importance of understanding patient responses.

Jean Watson

  • Lifespan: Born 1940

  • Major Contributions: Known for her Theory of Human Caring, which emphasizes the importance of caring in nursing. She argues that caring and the nurse-patient relationship are essential for healing. Significant events include her work in establishing programs centered on human caring in nursing education.

Madeleine Leininger

  • Lifespan: 1925 - 2012

  • Major Contributions: Developed Transcultural Nursing Theory, highlighting the need for culturally competent care. She paved the way for understanding the impact of culture on health care practices. Significant events include her establishment of the first graduate program in transcultural nursing.

Dorothea Orem

  • Lifespan: 1914 - 2007

  • Major Contributions: Creator of the Self-Care Deficit Nursing Theory, focusing on patients' ability to perform self-care in maintaining health. Significant events include her extensive work in nursing education and publications that influenced nursing curricula.

Martha Rogers

  • Lifespan: 1914 - 1994

  • Major Contributions: Developed the Science of Unitary Human Beings, which posits that humans and their environment are integral and interlinked energy fields. Significant events include her writings that have influenced nursing theory and education worldwide.

Imogene King

  • Lifespan: 1923 - 2007

  • Major Contributions: Known for her Goal Attainment Theory, focusing on mutual goal setting between nurse and patient. Significant events include her involvement in the development of nursing curricula and her role in professional nursing organizations advocating for nursing practice with defined goals.