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Florence Nightingale's Environmental Model: Family Crisis Oriented Personal Evaluation Scales

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Florence Nightingale’s environmental model discusses caring for the family as well as the patient and the effect the environment has on the patient’s healing (Friedman et al., 2003). Even though Florence Nightingale did not present this theory, her views on the environment’s impact is the foundation of this model. She compared the impact of home care to hospital care environment. Florence Nightingale believed that hospital settings with a bad environment will negatively impact the patient’s healing and an unsatisfactory home environment can bring sickness among the healthy (Friedman et al., 2003). She also valued caring for the patient and family members to promote optimal health. This is similar to Roy’s adaptation model stating environmental …show more content…

These concepts still apply and are implemented in today’s nursing care in multiple health care organizations. For example, changes in my current health care organization during construction of the replacement hospital expanded room sizes and designed additional sitting areas in patient rooms to include family members in the nursing care. Family Crisis Oriented Personal Evaluation Scales (F-COPES) is an assessment tool to assess the how family members adjust psychologically to the stress and evaluate their coping mechanisms (Friedman et al., 2003). An article in a nursing journal discussed the use of this tool to evaluate a group of heart transplant patients in a study to measure coping behaviors. The F-COPES tool measured five different coping strategies, including: acquiring social support, reframing, seeking spiritual support, mobilizing family to accept help and passive appraisal, with Scottish and American patients (Kaba & Shanley, 1997). This article determined that American heart patients were found to score higher acquiring social support and mobilizing family to help. In this example, the F-COPES tool evaluates the coping mechanisms of the four components of the nursing metaparadigm with the heart transplant patient (person) coping with the stress by incorporating help from the environment (family) to promote optimal

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Throughout the novel, Skenandore brings in nineteenth-century medical practice, allowing the reader to utterly understand the evolution of the medical field. She wrote her story based on the nursing principles championed by Florence Nightingale. Nightingale is known as the founder of modern nursing. Nightingale’s theory of nursing is, “the nurse must use her brain, heart, and hands to create healing environments to care for the patient's body, mind, and spirit” (Riegel et al., 2021). These principles called for strict rules of hygiene and cleanliness, which Skenandore wrote about substantially.

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Under Martha's leadership, Eva's Home Care has become a trusted provider of in-home care services in the community, known for its exceptional quality of care and dedication to client satisfaction. Martha is committed to providing a supportive and empowering work environment for her caregivers, fostering a culture of respect and professionalism. She understands the critical role that caregivers play in the lives of their clients, and she takes great care to ensure that her team is trained and equipped to provide the highest level of care

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Kaakinen et al. (2015) states that approaching family as a client is centered on each individual family members well-being that create the sum of a family. An example of this approach is well demonstrated by my family’s primary care provider (PCP). My mother, father, sister, and I all routinely see the same primary care provider. Near the end of 2014 my mother was diagnosed with breast cancer, and in early 2015 my father was diagnosed with colon cancer.

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In the hospital boom following World War II, Florence Nightingale’s original concept of hospitals was replaced by hospitals that prioritized efficiency over human comfort and healing. A typical hospital configuration became a deep span, multi-floor block (or platform) with a patient tower placed on top (as a podium). Building technology aided in this transformation with a new ability to create long span structures, mechanically ventilated interior spaces, and movement of people vertically with elevators. Circulation patterns were confusing without any external cues of directionality, setting or hierarchy. Ultimately, the attitude of the hospital as a well-tuned machine took precedent over more humanistic factors for the patients, staff, and

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Overall, the articles exposed certain patterns linking the caregiving to relationship quality. Given the data, Quinn et al. (2009) used both ABC-X and Stress Process Models (SPM) to determine quality of the relationship and its impact on both individuals well-being influenced by caregiving. SPM outlines a four stage developmental process of caregiving adaption: contextual underlying causes of stress, caregiver stress, resources and mediators, and outcomes of caregiving (Quinn et al. 2009). The most significant is the context and “background” variables which describes the caregiver-patient relationship as an underlying factor as well as caregiver stressor.

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Additionally, knowledge and understanding of nursing home residents vulnerability in a way to provide contact in an accepting manner, as much as possible, maintain their autonomy (Kjolseth et al., 2010, p. 44). Most nursing home residents attempt to acquire autonomy when choosing their treatment options. However, many helpers fail to take residents seriously about symptoms till it is too late. In order to aid nursing home residents in an effective manner, one must not only integrate preferences and options, but also refine nursing home environments (Choi et al., 2008, p. 545). The changes in the nursing home facilities may range from no longer including structured activities to making residents feel at home.

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The caring role for persons diagnosed with cancer can pose significant challenges for family carers (Lawn et al 2013). Feelings of being overwhelmed with the caring role burden in family carers is reported and significant (Dunne & Rogers 2013). Carers are likely to report mood, anxiety and depressive disorders (Bailey & Grenyer’s 2013). Studies indicate that anxiety and depression not only affect cancer patients but also have a major negative impact on their family carers (Grunfeld et al. 2004). Stressful circumstances are likely to occur among family carers for cancer patients and cause anxiety in form of generalized anxiety disorder, panic attacks and post-traumatic stress disorder (American Cancer Society 2010).

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(2002), highlighted that the spouse of the patient is likely to experience fatigue, have bad mental health, and the illness will even cause a strain to their relationship. This is due to the stress that is brought about from financial problems, changes of roles among the family, and the limited opportunities of life when one’s spouse suffers from chronic illness (Patterson and McCubbin, 1983 cited in Roberts et al.,

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This study found that caregivers experience uncertainty in similar ways to patients who have life altering

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She played an important role in promoting nursing as an essential and educational element for public health through her inspiring letters and publications. Theory As the proponent of the first nursing theory, Florence Nightingale gave the Environmental theory that focused primarily on the patients and their surrounding environment. The theory as reflected in the words of Nightingale (1860/1982) states that the major objective of a nurse is to provide their patient the best possible condition for nature to act upon him and the responsibility of reducing noise, relieving patients’ stress and anxieties, and helping them relax and sleep, lies with the nurse. The main theme of the theory was the nurse’s

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However, she was able to link the person’s health with the environment through nursing so she was able to interrelate all four concepts into one circumstance (Potter & Perry, 2013). The primary focus of the first concept, nursing, is that the nurse is to give the patient the best possible conditions to thrive in by controlling the factors that affect the health and healing and taking “charge of somebody’s health” (Nightingale, 1860 p. 1). The person in the environmental model was never really defined by Nightingale, but is multidimensional and simply the patient receiving the care. The person is impacted by the environment which leads me into the third concept of environment.

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Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015).

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Nursing Theorists and their Theory 1.Florence Nightingale- Nightingale’s theory of the Environment is mainly focused on the environment, she believed that, the environment has a great importance that can be used to improve and encourage healing. With proper ventilation, clean air, lack of noise , proper lighting, and adequate elimination of waste. Are a few factors she believed and can be observed and maintained. 2.Sister Calista Roy- Roy’s Theory is based on, in which the individual views biopsychosocial being, in which a person adapt with the constant change of the environment.

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Complexity • Thirteen sub-concepts are to be there in Nightingale’s theory. • The outcomes of application of the theory is patient will remain free of disease by means of healthy environment (Nightingale, 1859). d. Generality • The purpose of the theory is to provide a proper guideline to the nurses through the manipulations to the environment, in order for the patient to receive care and conquer positive health changes. •

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A general hospital is set up to deal with different types of illness and injury. Roman military were among the first hospital with naturally lit and cross ventilated wards separated from each other to avoid cross-infection (heathcote,2010). Among the first set of recommendations for hospital garden design were those written by the German horticultural theorist Christian Cay Lorenz at the end of the eighteenth century (Cooper Marcus, 2014). 2.4.2 Nursing home Nursing home is a health care for patient who does not required treatment from hospital but can’t be cared for at home. Most of the nursing home provides nursing aides and skilled nurses.

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