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72 UNIT II Nursing Philosophies

elders who live in her neighborhood. Because of Discuss the theoretical basis of your decision
transportation difficulties, most of them are and action based on your understanding of
unable to visit frequently. One of her neighbors Nightingale’s work.
has reported that she is caring for the patient’s dog, 2. Describe and discuss what nursing diagnoses
a Yorkshire terrier. As you care for this woman, you would make and what interventions
she begs you to let her friend bring her dog to the you would initiate to address the patient’s
hospital. She says that none of the other nurses nutritional status and emotional well-being.
have listened to her about such a visit. As she asks 3. As the patient’s primary nurse, identify and
you about this, she begins to cry and tells you that discuss the planning you would undertake
they have never been separated. You recall that the regarding her discharge from the hospital.
staff discussed their concern about this woman’s Identify members of the discharge team
well-being during report that morning. They said and their roles in this process. Describe how
that she has been eating very little and seems to be you would advocate for the patient based on
depressed. Based on Nightingale’s work, identify Nightingale’s observations and descriptions
specific interventions that you would provide in of the role of the nurse.
caring for this patient.
1. Describe what action, if any, you would take
regarding the patient’s request to see her dog.

CRITICAL THINKING ACTIVITIES
1. Your community is at risk for a specific type of you are practicing nursing as an employee or
natural disaster (e.g., tornado, flood, hurricane, student.
earthquake). Use Nightingale’s principles and 3. You are participating in a quality improvement
observations to develop an emergency plan for project in your work setting. Share how you
one of these events. Outline the items you would would develop ideas to present to the group
include in the plan. based on a Nightingale approach.
2. Using Nightingale’s concepts of ventilation, light,
noise, and cleanliness, analyze the setting in which

POINTS FOR FURTHER STUDY

n Florence Nightingale: The nurse theorists: Portraits Wilfred Laurier University Press. Retrieved from:
of excellence, The Helene Fuld Health Trust http://www.sociology.uoguelph.ca/fnightingale.
(1990), Studio Three Productions, a division of n Nightingale, F. (1969). Notes on nursing: What
Samuel Merritt College, Oakland, CA. (Video/ it is and what it is not. New York: Dover (first
DVD available from Fitne, Inc., Athens, OH.) published in 1859).
n McDonald, L. (Ed.). (2001–present). The collected n The Florence Nightingale Museum. Retrieved
works of Florence Nightingale. Ontario, Canada: from: http://www.florence-nightingale.co.uk.

REFERENCES
Agnew, L. R. (1958). Florence Nightingale, statistician. Beck, D. M. (2010). Expanding our Nightingale hori-
American Journal of Nursing, 58, 644. zon: Seven recommendations for 21st century
Ashley, J. A. (1976). Hospitals, paternalism, and the role of nursing practice. Journal of Holistic Nursing, 28(4),
the nurse. New York: Teachers College Press. 317–326.