VIRGINIA HENDERSON
Nursing is the act of assisting the
individual, sick or well, in the
performance of those activities
contributing to health or its recovery (or
to a peaceful death) that he would
perform unaided if he had the
necessary strength, will, or knowledge,
and to do this in such a way as to help
him gain independence as rapidly as
possible.
NURSING: DEFINITIONS
CANADIAN NURSES ASSOCIATION
(CNA)
Nursing is a dynamic, caring, helping
relationship in which the nurse assist the client
to achieve and obtain optimal health. 1987
THEMES THAT ARE COMMON TO THESE
DEFINITION:
Nursing is caring
Nursing is an art
Nursing is a science
Nursing is client-centered
Nursing is holistic
Nursing is adaptive
Nursing is concerned with health promotion,
health maintenance, and health restoration
Nursing is a helping profession
NURSING: DEFINITIONS
AMERICAN NURSES ASSOCIATION (ANA)
1973
Nursing is direct, goal oriented, and adaptable to the needs of the
individual, the family, and community during health and illness.
1980
Nursing is the diagnosis and treatment of human responses to
actual or potential health problems.
1995
ANA acknowledges FOUR ESSENTIAL FEATURES OF
CONTEMPORARY NURSING PRACTICE:
Attention to the full range of human experiences and responses to
health and illness without restriction to a problem-focused orientation.
Integration of objective data with knowledge gained from understanding
of the client or groups subjective experience.
Application of scientific knowledge to the processes of diagnosis and
treatment.
Provision of caring relationship that facilitates health and healing.
NURSE: DEFINITION
NURSE
Comes from a Latin word to nourish or
to cherish
One who cares for the sick, the injured,
and the physically, mentally, and
emotionally disabled
One who advise and instruct individuals,
families, groups and communities in the
prevention, treatment of illness and
diseases and in the promotion of health.
An essential member of a health team
who cares for individuals, families and
communities in disease and illness
prevention and in the promotion of
health and healthy environment.
PATIENT: DEFINITION
PATIENT
Comes from a Latin word, to Suffer or to
Bear
An individual who is in the state of
physical, mental, and emotional imbalance
An individual who seeks for nursing
assistance, medical assistance, or for
surgery due to illness or a disease.
Is an individual who is waiting or
undergoing medical or surgical care. One
who is physically or mentally disabled.
PERIODS OF NURSING
HISTORY
Intuitive Period
Apprentice Period
Educative Period
Contemporary Period
INTUITIVE PERIOD
LOUISE de GRAS
Was the 1st Superior and co-founder of the Community of Sisters
of Charity
NURSING SAINTS
ST. CLAIRE OF ASSISI
Took vows of poverty, obedience to service and
chastity
Founded the 2nd order of St. Francis of Assisi
the poor Claire
FLORENCE NIGHTINGALE
Mother of Modern Nursing
Lady with the Lamp
Born on May 12, 1820 in Florence, Italy
Her SELF-APPOINTED GOAL to change the profile
of Nursing
She compiled notes of her visits to hospitals, her
observations of sanitation practices and entered
Deaconesses School of Nursing at Kaiserswerth,
Germany for 3 months.
EDUCATIVE PERIOD
FLORENCE NIGHTINGALE
Became the Superintendent of the
Establishment for Gentle Women during the
Illness (refers to the ill governess or instructors
of Nursing
She disapproved restriction on admission of
patient and considered this unchristian and
contrary to health care.
Upgraded the practice of Nursing and made
Nursing a honorable profession
Led other nurses in taking care of the wounded
and sick soldiers during the Crimean War
She was designated as Superintendent of the
Female Establishment of English General
Hospital in Turkey during the Crimean War
She reduced the casualties of war by 42%-2%
thru her effort by improving the practice of
sanitation techniques and procedure in the
military barracks
EDUCATIVE PERIOD
2 NURSING ASSOCIATION /
ORGANIZATIONS THAT UPGRADED
NURSING PRACTICE IN US:
American Nurses Association
National League for Nursing Education
CONTEMPORARY PERIOD
World War II present
This refers to the period after World
War I and the changes and
development in the trends and
practice of Nursing occurring since
1945 after World War II.
Includes scientific and technological
development, social changes
occurring after the war.
Nursing is offered in College and
Universities
CONTEMPORARY PERIOD
DEVELOPMENT AND TRENDS:
W.H.O established by U.N to fight diseases by
providing health information, proper nutrition, living
standard, environmental conditions.
The use of Atomic energy for diagnosis and
treatment.
Space Medicine and Aerospace Nursing
Medical equipment and machines for diagnosis and
treatment
Health related laws
Primary Health Care Nurses involvement in CHN
Utilization of computers
Technology advances such as development of
disposable equipment and supplies that relieved the
tedious task of Nurses.
Development of the expanded role of Nurses
CONTEMPORARY PERIOD
FACTORS AFFECTING NURSING
TODAY:
Economics
Consumers Demand
Family Structure
Legislation
HISTORY OF NURSING
(PHILIPPINE SETTING)
EARLY BELIEFS AND PRACTICES
Beliefs About Causation of Diseases:
Caused or inflicted by other person (enemy or
witch)
Evil spirits
Josephine Bracken
Helped Rizal in treating sick people
HISTORY OF NURSING
(PHILIPPINE SETTING)
PERSONAGES:
Melchora Aquino
Took care of the wounded Katipuneros
Francisco Delgado
1st president of Filipino Nurses Association
HISTORY OF NURSING
(PHILIPPINE SETTING)
PERSONAGES:
Cesaria Tan
1st Filipino to receive Masteral Degree in Nursing
abroad
Socorro Sirilan
Pioneer in Social Service at San Lazaro Hospital
Also the chief nurse
Rosa Militar
Pioneer in nursing education
Socorro Diaz
1st editor of PNA magazine called, The Message
Conchita Ruiz
Full time editor of the PNA newly named magazine,
The Filipino Nurse
HISTORY OF NURSING
(PHILIPPINE SETTING)
EARLY NURSING SCHOOLS
Iloilo Mission Hospital and School of Nursing
Established in 1906 under the supervision of Rose
Nicolet (American)
Nursing course 3yrs.
Produced 1st batch of Nursing graduates in 1909
22 nurses
1st TRAINED NURSES:
Nicasia Cada
Felipa Dela Pena
Dorotea Caldito
April 1944 1st Nursing Board Exam at Iloilo
Mission Hospital
HISTORY OF NURSING
(PHILIPPINE SETTING)
Communicator
Integral to all nursing roles
Nurses communicate with the client, support
persons, other health professionals, and people
in the community
Nurses identify client problems and then
communicate these verbally or in writing to
other members of the health team
ROLES OF A NURSE
Teacher
Nurses help clients learn about their health and
the health care procedure they need to perform
to restore or maintain their health.
Nurses assesses the clients learning needs
and readiness to learn, sets specific learning
goals in conjunction with the client, enacts
teaching strategies, and measures learning.
Nurses also teaches unlicensed assistive
personnel to whom they delegate care, and
they share their expertise with other nurses and
health professionals.
Client Advocate
Acts to protect the client
Nurse may represent the clients needs and
wishes to other health professionals, such as
relaying the clients wishes for information to
the physician.
Nurses assist clients in exercising their rights
and help them speak up for themselves
ROLES OF A NURSE
Counselor
Helping a client recognize and cope with
stressful psychologic or social problems, to
develop improved interpersonal relationships,
and to promote personal growth.
Involves providing emotional, intellectual and
psychologic support.
Nurses counsel primarily healthy individuals
with normal adjustment difficulties and focuses
on helping the person develop new attitudes,
feelings, behaviors by encouraging the client to
look at alternative behaviors, recognizing the
choices, and develop sense of control.
Change Agent
Assisting others to make modifications in their
own behavior.
Nurses also often act to make changes in a
system if it is not helping client return to health.
ROLES OF A NURSE
Leader
Influences others to work together to
accomplish a specific goal.
Can be employed at different levels: individual
client, family, groups of clients, colleagues, or
the community
Case Manager
Work with the multidisciplinary health care team
to measure the effectiveness of the case
management plan and to monitor outcomes.
Works with primary or staff nurses to oversee
the care of a specific caseload.
Primary nurse or provides some level of direct
care to the client and family
Helps ensure that care is oriented to the client,
while controlling costs.
ROLES OF A NURSE
Research Consumer
Often use research to improve client care
Have some awareness of the process and
language of research
Be sensitive to issues related to protecting the
rights of human subjects
Participate in the identification of significant
researchable problems
Be a discriminating consumer of research
findings
Role Model
Has good physical appearance
Practices proper hygiene
Practices healthy lifestyle
ROLES OF A NURSE
Administrator
Assumes middle management position
Connects the patient to other services
of the hospital
Preventing Illness
Pain/suffering alleviation
Restoring Health
PREVENTING ILLNESS
Pain/suffering Alleviation
The goal is to provide relief from pain to
promote comfortable healing process
Five fold nursing functions
RESTORING HEALTH
Focuses on the ill client
Extends from early detection of disease to
helping the client during the recovery period
NURSING ACTIVITIES:
Providing direct care to the ill person:
administering medications, baths, and specific
procedures and treatments
Providing diagnostic and assessment
procedures: measuring BP and examining feces
for occult blood
Consulting with other health care professionals
about clients problems
Teaching clients about recovery activities:
exercise that will accelerate recovery after a
stroke
Rehabilitating clients to their optimal functional
level following physical or mental illness, injury,
or chemical addiction
Five fold nursing functions
Creation of a spiritual environment
Provision of spiritual care
Involves comforting and caring for people of
all ages who are dying
Includes helping clients live as comfortable
as possible until death and helping support
persons cope with death.
Work in homes, hospitals, and extended
care facilities
Hospices are specifically designed for this
purpose.