THEORY IN NURSING FINAL (Ch. 7) grand theories based on human needs – Flashcards
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florence N.: Nursing, what it is and what it is not
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3 tenets of her philosophy: 1. healing 2. leadership 3. global action -nursing is an independent profession -model based on anticipating and meeting patient needs -inductivley derived, abstract, descriptive 5 essential needs to get a healthy house: 1. pure air 2. pure water 3. efficient drainage 4. cleanliness 5. light -nursing an art, medicine a science -developed nursing programs: kings college, st thomas
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Virginia Henderson: principals and practice of nursing
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-work was inductive -assumed that: nurses care for ppl until they can care for themselves; pts want to return to health, nurses are willing to serve, nurses should be educated in science and art -14 activities for client assistance -believed research should be clinical
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Henderson's 14 activities for client assistance
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1. breath normally 2. eat and drink adequatley 3. elimination 4. move, maintain desirable posture 5. sleep and rest 6. dress and undress 7. body temp 8. clean and well groomed 9. avoid dangers and dangering others 10. communication 11. faith 12. acomplishment 13. play 14. satisfy curiosity
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Faye G. Abdellah: patient centered approaches to nursing
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-human needs theory -inductive -uses he for docs and she for nurses -referred to nursing diagnosis -developed 21 nursing problems -10 steps to identify clients problems -10 nursing skills to be used in developing a tx typology -distinguished b/t nursing diagnosis and nursing functions
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Dorothea E. Orem: self care deficit nusing theory
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-focus of person as an agent -3 nested theories: 1. self care 2. self deficit 3. nursing systems -other concepts: self care reqs, universal, developmental and health deviation self care reqs, deliberate action, product of nursing
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Dorothy Johnson: behavioural system model
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-focus is on needs, human as behavioural system, relief of stress as nursing care. *4 assumptions*: 1. drives serve as focal pointsaround which behaviours are organized to achieve specific goals; 2. behaviour is differentiated and organized within the prevailing dimensions of set and choice 3. the specialized parts/ subsystems of the behavioural system are structured by dimensions of goal, set, choice and actions; each has observable behaviours 4. interactive and interdependent subsystems tend to achieve and maintain balance between and among subsystems through control and regulatory mechanisms *seven subsystems:* 1. attachment/ affiliated subsystem (serves the need for security through social inclusion/ intimacy) 2. dependence subsystem (behaviours trying to get attention) 3. ingestive (requirements for food and fluids) 4. eliminative (functions to excrete wastes) 5. sexual (sexual needs) 6. aggressive (functions in self and social protection and preservation) 7. achievement (controlling the self or environment)
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Betty Neuman: neuman system model
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*see other ch.7 quizlet