As the founder of modern nursing, Florence Nightingale’s Environment Theory changed the face of nursing practice. She served as a nurse during the Crimean War, at which time she observed a correlation between the patients who died and their environmental conditions. As a result of her observations, the Environment Theory of nursing was born. Nightingale explained this theory in her book, Notes on Nursing: What it is, What it is Not. The model of nursing that developed from Nightingale, who is considered the first nursing theorist, contains elements that have not changed since the establishment of the modern nursing profession. Though this theory was pioneering at the time it was created, the principles it applies are timeless.
There are seven assumptions made in the Environment Theory, which focuses on taking care of the patient’s environment in order to reach health goals and cure illness. These assumptions are:
- 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
The focus of nursing in this model is to alter the patient’s environment in order to affect change in his or her health. The environmental factors that affect health, as identified in the theory, are: fresh air, pure water, sufficient food supplies, efficient drainage, cleanliness of the patient and environment, and light (particularly direct sunlight). If any of these areas is lacking, the patient may experience diminished health. A nurse’s role in a patient’s recovery is to alter the environment in order to gradually create the optimal conditions for the patient’s body to heal itself. In some cases, this would mean minimal noise and in other cases could mean a specific diet. All of these areas can be manipulated to help the patient meet his or her health goals and get healthy. Nightingale’s Environment Theory
The Environment Theory of nursing is a patient-care theory. That is, it focuses on the care of the patient rather than the nursing process, the relationship between patient and nurse, or the individual nurse. In this way, the model must be adapted to fit the needs of individual patients. The environmental factors affect different patients unique to their situations and illnesses, and the nurse must address these factors on a case-by-case basis in order to make sure the factors are altered in a way that best cares for an individual patient and his or her needs.
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