At the end of this Presentation YOU all will be able INSHALLAH to;

Discus a brief history of Florence Nightingale. Discus the major concepts provided by Florence Nightingale. Explore the need base concept of Florence Environmental Theory. Identify the effect and role of environment on patient in healing process.

Discus the practical use of Environmental theory in Nursing.

A Brief Introduction of
Born - 12 May 1820 Founder of nursing. The first nursing theorist. Also known as She explained her environmental theory in her famous book Notes on Nursing: What it is, What it is not . She was the first to propose NURSING required specific education and training.

 Her contribution during Crimean war is well-known.

She was a statistician, using bar and pie charts, highlighting key points. International Nurses Day, is observed in

respect to her contribution to Nursing. Died -

Natural laws Mankind can achieve perfection Nursing is a calling Nursing is an art and a science Nursing is achieved through environmental alteration Nursing requires a specific educational base Nursing is distinct and separate from medicine

1. 2. 3. 4. 5. 6. 7. 8.

Ventilation and warming Light, Noise Cleanliness of rooms/walls Health of houses Bed and bedding Personal cleanliness Variety Taking food. What food?

 She stated in her nursing notes that nursing "is an act of utilizing the environment of the patient to assist him in his recovery" (Nightingale 1860/1969),that it involves the nurse's initiative to configure environmental settings appropriate for the gradual restoration of the patient's health, and that external factors associated with the patient's surroundings affect life or biologic and physiologic processes, and his development.

Environmental factors affecting health

Pure or fresh air Pure water Sufficient food supplies Efficient drainage Cleanliness Light (especially direct sunlight)

PROVISION OF CARE BY ENVIRONMENT

The factors posed great significance during

Nightingale's time, when health institutions had

poor sanitation, and health workers had little

education and training and were frequently

incompetent and unreliable in attending to the

needs of the patients.

 Also emphasized in her environmental theory is the provision of a quiet or noise-free and warm environment, attending to patient's dietary needs by assessment, documentation of time of food intake, and evaluating its effects on the patient.

Nightingale's theory was shown to be applicable

during the Crimean War when she, along with

other nurses she had trained, took care of

injured soldiers by attending to their immediate

needs, when communicable diseases and rapid

spread of infections were rampant in this early

period in the development of disease-capable

medicines.

 The practice of environment configuration

according to patient's health or disease

condition is still applied today, in such cases as

patients infected with Clostridium tetani

(suffering from tetanus), who need minimal

noise to calm them and a quiet environment to prevent seizure-causing stimulus.

 "Patients are to be put in the best condition for nature to act on them, it is the responsibility of nurses to reduce noise, to relieve patients anxieties, and to help them sleep." As per most of the nursing theories, environmental adaptation remains the basis of holistic nursing care. She emphasized subservience to doctors. She focused more on physical factors than on psychological needs of patient.

 www.currentnursing.com/nursing_theory www.en.wikipedia.org/wiki/Talk:Nightingale's _environmental_theory