Fundamentals of Nursing

DR. JAMES M. ALO, RN, MAN, MAP, PhD.

• Is the act of utilizing the
environment of the px to
Nightingale(1860) assist his recovery.

• Is the dx & tx of human
responses to actual or
ANA (1980) potential health
problems

dr james m. alo 11/11/2012

1. Care 5. Protector/ Client
provider/rehabilitat advocator
or 6. Manager
2. 7. Researcher
Comforter/counselo
r
3. Communicator

4. Educator/Teacher


1. Quality of care 5. Ethics
2. Performance appraisal 6. Collaboration
3. Education 7. Research
4. Collegiality 8. Resource utiization


Theorist Theory/Framework
Nightingale (1860) Manipulating the px environment
Peplau (1952) Interpersonal processes
4 overlapping phases: Orientation, Identificatin,
Exploitation/explanation, Resolution
Henderson (1955) 14 basic needs: breath, eath/drink, eliminate,
posture, sleep, dress, temperature, hygiene,
communicate,, worship, work, play, learn & avoid
dangeer.
Abdellah (1960) Nursing is caring, intelligent, competent, &
technically well-prepared service
Identified 21 specific cliet needs/nsg problems.
Orlando (1961) Nursing is interacting w/ client to meet immediate
needs

Hall (1962) Coined the term “nursing process”
Nsg center on 3 components: CARE, CORE, & CURE
Levine (1966) 4 conservation principles: Conserve client energy, structural,
personal, & social integrity
Johnson (1968) Behavior system model: 7 Basic Needs; security, nurturance,
nourishment, elimination, achievement, self-protection, sex.
Rogers (1970) Science of Unitary Human Beings

Orem (1971) Self Care & Self Care Deficit Theory

King (1971) Goal Attainment Theory: 3 Dynamic interacting systems;
personal, iinterpersonal, social
Neuman (1972) Health Care system Model: goal of nsg is to assist client in
stress(intra, inter, extra-personal) reduction via primary,
secondary, tertiary levels of prevention
Patterson & Humanistic Nsg Practice: requires participants to be aware of
Zderad (1976) their “uniqueness” & @ the same time “commonality” w/ eaxh
other. The essential characteristic is nurturance.
Leininger Transcultural Nsg Model: values, beliefs, & practices
(1978) dr james m. alo 11/11/2012

Roy (1979) Adaptation Model: client as an adaptive system

Watson (1979) Human Caring Model: transpersonal & humanistic

Parse (1981) Theory of Human Becoming: clients are open, mutual, &
in constant interxn w/ environ.

Erickson Modeling & Role-Modeling Theory: Nurses act a role
(1983) model in nurturance

Benner (1989) Caring is central in nsg, creating possibilities for coping &
connecting w/ others.


Ethics Study of good conduct, character & motives,
determining the rightnes / wrongnes of an act
Morals Ones own personal beliefs, opinions, & attitudes that
guide’s ones action.
Values Personal belief about the worth of a given idea,, attitude,
appraisal of what is good.
Autonomy Independence or seld-governance
Beneficence Promoting good to others
Malefi cence Harm or hurt
Nonmaleficence Avoidance of harm
Confidentiality Repect for clients’ privacy
Fidelity Agreement to keep promises
Distributive justice Allocation of goods/services accdg to: equality, need,
merit
Principle of double Promoting good but involving some expected

Safeguards
Collaborates w/
the clients
members of the
right to
health team
privacy
Protect the Safeguard the
public from cient & the
misinformation public

Assumes
Maintain conditiond
responsibility &
of employment
acountability

Imporve
Maintains
standards of
competence
nsg.

Contribute to Exercises
ongoing informed
development Provides judgment
services james m. alo
dr w/ 11/11/2012
respect

 Anything written/printed relied on as a
record of proof.
 Purposes:
 Communication,assessment &
auditing of care,legal documentation,
financial billing, educ of students,
statistic & research.


 Types of Records


 Temperature


 FIGURE


 Thank you.
 -Dr. J.M. Alo


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