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Monday, January 21, 2019

In Focus: Faye Glenn Abdellah’s Patient

For years, the existence and acceptance of breast feeding theories in contrasting settings and aspects of treat serve has transform the occupation in diverse slipway both here and abroad. The utilization of such(prenominal) theories has provided the treat community with peculiar(prenominal) knowledge and ways to enhance and develop skills and attitudes of breast feeding passkeys in the practice of the profession. It has greatly helped in creating and sustaining our professed(prenominal) independence from the field of treat by guiding our educational organization, query methods and practice towards safe and quality carry off to diligents (Marriner-Tomey, 1994 McLe more than & angstrom Hill, 1965).The signifi flowerpotce of studying nursing theories does not end with the benefits it whitethorn serve the profession in general. It also helps an undivided, either a savant or a nursing professional in several ways. An individual is able to develop critical thinking skill s, able to differentiate determine and hypotheses and able to find out purpose of functions in relation to the field of practice of the nursing profession (Kozier, Erb, & Oliviere, 1995).In line with this, this paper attempts to decompose and evaluate a relevant nursing conceitual mystify authored by a renowned hold in theorist Faye Glenn Abdellah, utilize the J. Fawcetts cloth of Analysis and Evaluation of Conceptual Models of Nursing.Influenced by Virginia Hendersons 14 principles of nursing, Maslows hierarchy of needs and Erik Erickson stages of suppuration, Abdellah formulated her structural stupefy with the goal of teach and evaluating students and at the same time emphasize the need to create a soundbox of knowledge exclusive to our profession that leave alone help in gaining independence from the control of the medical checkup professiontowardpatient-centeredcargon (Sigma Theta Tau supranational awarding familiarity of Nursing, 1998).Faye Glenn Abdellah a uthored the typology of 21 nursing problems which was initi eithery published in the 1960 magnetic declination of Patient-Centered Approaches to Nursing. Since its initial appearance, the typology had major(ip) impact on the nursing profession as considerably as on the development of other nursing theories (Sigma Theta Tau International Honor society of Nursing, 1998).Abdellahs typology of 21 nursing problems is a conceptual model which describes the earthshaking concerns of nursing instead of linking different relationships into phenomena. The conceptual model is chiefly concerned with patients needs and the role of nurses in problem identification using a problem-solving shape up. Abdellahs rick is categorize under the nursing philosophy category in the sense that her change declare is based on analysis, rationalization, look for and logical argument instead of using experiential methods.Logically speaking, Abdellahs model can be described as inductive since she derived observations from previous studies which became the basis for her conceptualization. Philosophical statements are said to be based on opinions, arguments or propositions of different people. These statements are not observational in nature because such statements based on goal, traditions and/or value cannot be tested for its correctness or wrongness (Marriner-Tomey, 1994).InanalyzingandevaluatingAbdellahstheory, her practisecannotbeseparatedfromthehistoricalbackgroundwheretheconceptualizationofthe21nursingproblemsstarted.Itwasinthemid-fiftieswhenthenursingprofessionfacedalotofdifficultiesarisingfromtherapid societal change and increasing demand for technological advancement. The methods and system used at that timedid not support and meet the demands of the rapid change olibanum creating a backlog in the nursing community. There was a privation of definition of nursing its focus, context and narrowations especially that health carry off deli very(prenominal) to patients is ma inly based on achieving institutional goals to begin with than conflict patients needs. The present system did not assist both the students and professionals in existence attuned with the changes. Abdellah related this to the lack of scientific corpse of knowledge unique to the profession. That is wherefore the formulation of the theory differentiated the practice of nursing from the practice of medicine emphasizing focus on 21 nursing problems that help patient in achieving state of health (Marriner-Tomey, 1994).Abdellah used the problem-solving approach in formulating the theory. She believes that a nurse should be able to identify and solve problems of patients in tack together to provide safe and quality care to patients. This identification of nursing problems, plectron of data necessary to formulating and testing of interventions in assisting patient towards state of wellness closely resembles the nursing process. Abdellah pointed out that patients cannot receive qual ity care if the stairs are done improperly. In my opinion, Abdellahs approach is effective in the sense that the approach guarantees positive guest response if the steps are specifically and carefully executed. This approach also improves a nursing professional skills and attitude by enhancing problem-solving abilities by dint of identification of nursing problems in run across the needs of the patient (Marriner-Tomey, 1994).Abdellahs model includes four (4) fundamental concepts inborn to nursing mortal, environment, health and nursing. The first major concept is the person. The concept of person is described as people having physical, physiological and sociological needs. In her conceptual model, the person or patient is the main reason for the existence of nursing. However, this is rather contradicting since the typology of 21 nursing problems lacks holism. The model entails that a person returns to an improved state notwithstanding by resolving each problem identified by a nursing professional. It lacks holism in the sense that the patient or person which, is considered as a whole is not greater than the brotherhood of it parts represented by his problems (Marriner-Tomey, 1994).Another major concept included in her theory is the concept of environment. This concept is the least conferred and least emphasized in her theory. This is mentioned limitedly in problem number 17. The model explains that the patient more oftentimes than not interrelate and act in response to the environment. It also explains that the nurse is also a part of the patients environment gum olibanum the nurse takes responsibility in making the environment conducive for riposte of health. Abdellah also states that environment is also the home and community from where the patient comes from that is wherefore Abdellah emphasized the need to broaden our scope in identifying problems and not limit our scope in the hospital setting (Potter & Perry, 1993).The third concept is heal th. Abdellah discussed health as a state without illness. It is defined as a state without unmet needs and no anticipated or actual impairment. This is clear exemplified in the list of 21 nursing problems. Abdellah also advocates holistic approach to patient-centered care and furthering the relevance of environmental factors in the concept of health (Potter & Perry, 1993).The last major concept is nursing. The concept of nursing is an essential grammatical constituent of her writing. In her model, nursing is defined as provision of service to individuals and families wherefore to society. It is mainly providing service to or for the patient or providing information that will significantly assist the patient in restoring health and alleviating impairment. Abdellah therefore viewed nursing as a helping profession (Sigma Theta Tau International Honor Society of Nursing, 1998)..Although Abdellahs cogitation provided a comprehensive meaning of the four major concepts, there are no statements in Abdellahs writing that states any(prenominal) direct relationships among the four concepts. Each concept was only defined implicitly and no relational statements can be made out of it. The model is mainly concerned on development of a unique body of knowledge, which is nursing, by which identification of nursing problems and utilization of the problem-solving approach assists patients in meeting their needs. The model is said to have limited concepts and is only presented in a structural list. After Abdellahs work has been published, her formulation of the 21 nursing problems has been a helpful pricking in the areas of nursing practice, nursing research and nursing education (Sigma Theta Tau International Honor Society of Nursing, 1998).In our nursing practice, Abdellahs typology of 21 nursing problems has helped nursing professionals in dealing with patient care in an orderly and well-structured manner. In using this typology, a nursing professional, with the prob lem-solving approach, is able to identify patients problems, plan for his care and implement nursing interventions for the identified problem in a scientific manner. This problem-solving method has transformed our practice as we attempt to focus our attention to the client himself rather than focus on clients medical condition which is more of the objective of the medical profession. Nursing professionals have also learned and soundless the rationale behind each and every action we deliver to the client (Sigma Theta Tau International Honor Society of Nursing, 1998).Abdellahs work has also provided significant changes in the area of nursing research as well since her work is basically based on research too. Many theories have been true since the introduction of Abdellahs work. The present nursing diagnosis classification system is presumed to be an outgrowth of this typology. This nursing philosophy continues to be a favorite(a) basis of nursing studies at present (Sigma Theta Tau International Honor Society of Nursing, 1998).Nursing education also benefited from Abdellahs work. As previously explained, there was a lack of scientific body unique to our profession that hindered our independence from the medical profession. Abdellahs work presented such unique body and gave the nursing profession a chance to come out of the control of the medical model. Gaining professional autonomy has helped the nursing community project a professional identity element that has been widely accepted all over the world (Potter & Perry, 1993).Abdellahs nursing philosophy brings about nursing activities that meet not only clients needs but of the society as well in the long run if each goal is carefully achieved through the problem-solving approach making this nursing philosophy socially significant. Abdellahs work is socially significant because the 21 nursing problems elicit relevant nursing actions that lead to the improvement and restoration of clients health experiment al condition which in turn aids the client in resuming activities of daily documentation increasing his productivity level thus benefiting the society (Potter & Perry, 1993).In conclusion, Abdellahs typology of 21 nursing problems remedied the predicaments faced by the profession in earlier times. It has helped teach and evaluate students competency through its formulation. It provided a means of gaining autonomy from the practice of medicine through the creation of a scientific body of knowledge unique to nursing.Abdellahs work is very straightforward and uncomplicated. It explicitly described the major concepts essential to nursing such as nursing itself, nursing problems and the problem-solving approach through which the problems can be intervened. The concepts of health, person and environment which are now included in the scope of nursing are also implied.The goals of this model vary but all are directed to affect nursing. The extensive goal of this model is to in the main elicit positive transformation in nursing education go its subgoals would include providing a scientific basis for practice and a tool in evaluating students capacity and competency (McLemore & Hill, 1965).To date, Abellah did not only meet the goal of her work. Her work has also affected different aspects of nursing nursing practice, nursing research and nursing education in general. As emphasized in this paper, Abdellahs overall contribution to the body of nursing is the acquisition of professional autonomy and professional identity through the creation of the 21 nursing problems. Her problem-solving approach increases our assessment and critical-thinking skills needed in identifying clients concerns to properly plan, select and implement our healthcare. It also enhances and promotes nurse-patient interaction as we make patients the central focus of care instead of steering on the disease process (Parascandola, 1994).Nursing has been practiced as profession for more than a century. The profession was based merely on rules, concepts and experiences passed on by professionals to students. It was only in the advent of serious discussion and testing of theories that nursing has been established as a science. Through Abdellahs work and the development of other relevant nursing theories, we have proven that our profession can stand by itself and achieve our goals towards patient-centered care (Parascandola, 1994).ReferencesKozier, B., Erb, G., & Oliviere R. (1995). rudiments of nursing Concepts, process and practice (5th edn). Redwood City, Ca Addison-Wesley.Marriner-Tomey, S. (1994). Nursing theorists and their work (3rd edn). St. Louis Mosby.Parascandola, J. (1994). In Leadership in public health, women in the public health service. Retrieved January 26, 2007 from http//www.uic.edu/sph/chs/php/PUBLICATIONS/WOMEN%20IN%20THE%20PUBLIC%20HEALTH%20SERPotter, P. and Perry, S. (1993). Fundamentals of nursing Concepts, process and practice (3rd edn.) St. Loui s C.V. MosbyMcLemore, D. & Hill, R. (1965). Role change and culture in nursing.The Pacific Sociological Review, 8(1).Mullins, N. (1986). Mosbys Medical and Nursing mental lexicon (2nd edn). St. Louis C.V. Mosby Company.Sigma Theta Tau International Honor Society of Nursing. (1998). Interview with Faye G. Abdellah on nursing research and health policy. Journal of Nursing Scholarship, 30(3),215-219.

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