FLORENCE NIGHTENGALE

The Lady With the Lamp

Group #4

Autumn DavisElizabeth Godin

Stephanie MansfieldTara Scholtz

John WoodcoxKristen Ziolkowski

FLORENCE’S MODEL • Environment was the main focus

• 5 main interests• Pure air• Pure water• Efficient drainage• Cleanliness • Light

FLORENCE’S MODEL• Florence was gifted with math and

introduced graphs and documents to show statics and trends

PATIENT CAREFlorence Nightingale worked diligently to provide a safe and clean environment for her patients. After taking into account the alarmingly high mortality rates she began implementing the use of clean practices and adequate dietary intake.

Dietary

Diet for chronically ill patients should be monitored

Intake should be monitored Meal scheduling Meals should be edible Meals should be prepared with clean

water

Historical Evolution of the Model

THEN – 1800’S NOW - 2010

Unclean environmentNo formal education for

nurses No evidence based

practice No rounding

No respect for nursing

Formal education Sterile/clean environment

Use of empirical evidence

Recognition of nursing as a profession

METAPARADIGMSPERSON

• Florence believed a person was an individual and treated them as such. They had four components.

• Biological• Psychological

• Social• Spiritual

Metaparadigms

HEALTH Being well Use all resources Control health through environment Disease is repetitive Nutrition is vital Six D’s of diseases

Dirt- Provide a clean environment Drink- Fresh Water Diet- Proper diet Damp- Clean dry environment Drafts- Fresh air was required with minimal noise Drain- proper drainage and sewage removal

Metaparadigms

ENVIRONMENT Influenced health Vital to recovery

External and internal environment

Keep it Dry

Metaparadigms

NURSING

Nursing is a profession Responsible for environment Needs formal education Is an art and a science Distinct and separate from medicine

Unique Thoughts Started the thought process on holism

Developed the use of empirical evidence

Cleanliness Nutrition

Rounding

Health is “not only to be well, but to be able to use well every power that we have” – Florence Nightingale

How we Use This In Clinical Practice

We now have evidence based practice Standards of care Holistic medicine Hand washing Clean/sterile technique Rounding Emotional support

How We Use This in Assessment

Subjective and objective information Holistic medicine Hourly rounding The interview process Documentation

Education

Who is Flo? You know! Base our teaching on her knowledge

ADLs Diet Rounding Environment Clean technique

Current Research

Nightingale’s ideas currently still practiced Research continues to expand and evolve through

Evidence Based Practices- continually evolving, new ideas being introduced

Holistic Medicine – gaining popularity, more widely used, seen as being effective

Nurses are able to incorporate holistic nursing into their practice by understanding the principles of nursing and psychophysiological modalities

Methodologies are advancing, originating from Florence particularly in research

How research is done, why it is done, the development, conduction and implementation

Date collection and statistical analysis continues to expand

Current Research

Society Takes responsibility for the

implementation of clean and safe practices Searches for clean water and

provides sanitation Encourages staff to keep a clean

environment Contributed to a decrease in

mortality and morbidity

Current Research

Education Continually advancing

Greater public awareness Studies, research and educational tools are

available and being used today Organizations began getting involved- facilitating

further research and improving practices CURN Conduct and Utilization Research in Nursing

Strengths

Driven & Heroic- throughout the era of the Crimean War Hard working- during a time of mans work Bravery- traveled to countries riddled with illness, warranted

for cleaner environments, encouraged staff to clean barracks, provide edible food and gather supplies

Advocate- Wrote hundreds of letters to government officials informing them of the current conditions and advocating for better practices

Practiced holistic nursing- finding patients money, housing and food

Hospital administration- Maintained accurate records and relied on statistical information to help make the best decisions.

Teaching – setting up nursing schools and teaching students

Limitations Then

Although Florence Nightingale had many good ideas, women were often rejected when they attempted to become involved in medicine.

Privacy was not an issue and soldiers were kept in small areas without blankets.

Soldiers may have been unwashed and still in the same clothing they came to the hospital in as sanitation was not of large concern.

Limitations Then

Lack of knowledge may have helped spread cholera and malaria.

A women attempting to change the way a professional man practices was seen as a personal attack.

Restrictions prevented women from having careers even though their services were much needed.

Limitations Then

Few schools existed that could train and produce an educated nurse. Nursing was for working class women and not considered respectable.

KING’S COLLEGE IN LONDON

Limitations Now

The price of receiving adequate medical care has become almost unaffordable for the average working class family.

The opportunity to profit from provided medical care and much needed prescription drugs has increased.

The endless resources (internet) has provided many with inaccurate information they now base medical decisions on.

New Insights

Florence Nightingale suspected there may be germs present that could be passed from one patient to another. Today we know this to be true and use hand washing, germicides, and gloves to help prevent the spread of disease and infection (germs).

Florence Nightingale used measurement to track improvement, the same concept many of us see on a skin and wound assessment sheet.

New Insights

Florence Nightingale wrote the first textbook on nursing, today nurses teach fellow nurses through the use of classrooms and nursing textbooks.

The Nightengale in the East

Her heart it means good for no bounty she'll take, She'd lay down her life for the poor soldiers sake.

She prays for the dying, she gives peace to the brave,She feels that the soldier has a soul to be saved.The wounded they love her as it has been seen,

She's the soldier's preserver, they call her their Queen.May God give her strength, and her heart never fail,

One of heaven's best gifts is Miss Nightingale.

References Attewell, A. (2010). Florence Nightingale's relevance to nurses. Journal of

Holistic Nursing, 28(1), 101-106. doi: 10.1177/0898010109357245 Audain, C. (2010, July 2). Florence nightingale [Biographies of woman

     mathematicians]. Retrieved October 14, 2010, from Agnes Scott College      website: http://www.agnesscott.edu/lriddle/women/nitegale.htm

Hacking, S. (2010). Florence Nightingale-a case study in excellence. Retrieved September/ October, 2010, from http://ezinearticles.com/ ?Florence-Nightingale---A-Case-Study-in-Excellence&id=5141589

Kearney-Nunnery, R. (2008). Advancing your career: Concepts of profession nursing (4th ed.).

Philadelphia, PA: F.A. Davis Company. (Original work published 1997) Men in nursing. (2010). Retrieved October 9, 2010, from All nursing

schools database. Selanders, L. (2010). The power of environmental adaptation: Florence

Nightingale's original theory for nursing practice. Journal of Holistic Nursing, 28(1), 81-88. doi: 10.1177/0898010109360257

Stanley, D. & Sherratt, A. (2010). Lamp light on leadership: Clinical leadership and Florence Nightingale. Journal of Nursing Management, 18(1), 115-121. doi: 10.1111/j.1365-2834.2010.01051.x

Questions

1.) What do you think are some practices that may seem insignificant today but could have a profound impact on the future of patient care.

2.) Compare and contrast the use of fresh air in hospitals.

3.) Florence wrote letter to congressman often explaining to them the current situations. Explain how you could take more of an active role improving hospitals, payor sources or overall patient care.