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The Leadership And Legacy Of Florence Nightingale

1232 words - 5 pages

The Leadership and Legacy of Florence Nightingale

Pamela Passmore

Theoretical Foundations of Nursing Roles and Practice/510


Dolores Diehl

The Leadership and Legacy of Florence Nightingale

Florence Nightingale is known as the founder of modern nursing. Her contributions and influence not only to the nursing profession, but to the public health care system, is unparalleled. She was instrumental in establishing multiple processes and practices that are still in current practice. She has influenced many nursing theorist and prevailing theories during her career. Many of her changes continue to influence theory development today.
Before discussing the effects ...view middle of the document...

She raised the standards of nursing by promoting education, and incorporating responsibility into practice. Under her direction, the care of patients changed dramatically. Florence believed the death rate could be reduced by providing patients with basic needs such as keeping the patient clean, dry, well nourished, and rested. At that time, with few standards of care, the death rate was very high.
Florence was responsible for elevating the status of nursing to a respectable and respected profession. Her desire for nurses to be educated and important members of the healthcare profession was revolutionary. Physicians collaborating with nurses on an equal basis as they do today, went far beyond her expectations. Florence's theories were the foundation for all future nursing practice. She set the groundwork for all theorists to follow. Her patient care models of care are still relevant today. They continue to be the building blocks for all current nursing theories.
The first nursing theory was developed by Florence Nightingale, although she did not refer to it as such at that time. Many nursing theorists have expanded upon the ideas and practices of Florence Nightingale over the past 150 years. One of her theories was the patient directed care philosophy. The patient is psychologically open to the needed care. There is a mutual understanding and respect between the nurse and the patient. The nurse is providing assistance in accordance with the patient needs, and at their direction.
Ida Jean Orlando's Deliberate Nursing Process Theory correlates and expands upon this theory. Her approach is described as a disciplined nursing process. Orlando states, "‘the function of the professional nursing is conceptualized as finding out and meeting the patient's immediate need for help'" (Crossan and Robb, 1998). She incorporates the nursing process utilizing three principal components; patient behavior; nurse reaction; and nursing interventions benefiting the patient. Orlando states the "deliberative nursing process is set in motion by the patient's behavior…The nurse reacts to patient's behavior and forms basis for determining nurse's acts. Nurses' actions should be deliberative, rather than automatic” (Nursing Theorists, 2011).
Upon Florence's return from the Crimean war, she had developed the foundation for what is known today as evidenced based practice (EBP). This theory reflected her ideals of health care and nursing practice. Florence was determined that the senseless deaths from poor standards of care she witnessed during the Crimean war should never occur again. She called on the Royal Commission to investigate the causative factors for the high number of deaths. Florence worked closely with a team of experts and set out to examine the causative factors. Florence had a "philosophy that favored a systemic approach…for Nightingale, this entailed the best possible research, access to the best available government statistics and...

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