9/28/2020

Helping
Helping Art
Art of
of
Clinical
Clinical Nursing
Nursing
Maricar Fajardo
Rudolf Cymorr Kirby Martinez

Theorist Background 2

Born on August 18,1900 in Hamburg, Germany

Died on March 8, 1998

Education:
B.A from Wellesley College in 1922
R.N from John Hopkins School of Nursing 1925
M.A from Teacher’s College, Columbia
University 1934

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METAPARADIGMS

TOTALITY

MIDDLE RANGE THEORY

PRESCRIPTIVE THEORY

THESIS STATEMENT 4

The nurse’s individual philosophy

or central purpose leads
credence to nursing care

(Wiedenbach, 1963)
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ASSUMPTIONS 33 Essential
Essential Component
Component of
Philosophy
Philosophy
of

(1) Reverence for the gift of life

(2) Resolution to act dynamically in
relation to one’s belief.
33Essential
Essential Component
Componentof
of
Philosophy
Philosophy
(3) Respect for dignity, worth, autonomy
and individuality of each human being

Patient’s
Patient’s need
need for
for help
help
Patient’s are dependent human
beings willing to utilize help
Characteristic
Characteristic of
of aa
professional
professional nurse
nurse
Clarity, Mastery, Ability, Interest,
Dedication
(Meleis, 2005)

METAPARADIGMS 6

Fulfills responsibilities, has

resources to maintain self, Professional service rendered to an
Functioning being individual who has a need for help

PERSON NURSING

HEALTH ENVIRONMENT
Not defined. Group of objects, policies,
setting atmosphere, time,
human beings, happenings.

(George, 1995)
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CONCEPTS: 7

Central Purpose
Purpose and Philosophy

Realities
3 Kinds of Voluntary Actions:
1. Mutually understand &
agreed upon action
2. Recipient directed action
3. Practitioner directed action
(George, 1995)
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8
AGENT

RECIPIENT

THE GOAL PRESCRIPTIONS

THE MEANS

FRAMEWORK

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THEORY PROPOSITIONS

CONGRUENT NURSE AND MUTUALLY UNDERSTAND EXPLORATION AND

PATIENT PERCEPTION OF AND AGREEND ON VALIDATION OF NURSE’S
THE NEED FOR HELP NURSING PATIENTS PERCEPTION

(Aligood, 2014)

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NURSING SITUATION:
“When the nurse has determined the central
purpose and has develop the prescription, she
must consider the reality of the situation in
which she is to provide nursing care”

(George, 1995)
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1 WIDE IMAGE AND TEXT

TODAY IS ANOTHER DAY

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Critique of Theory 12

Strengths: Weaknesses:
• Theory gives guidelines for • Theories must be consistent with
implementing the nursing process other validated theories, laws and

• Contributes to the body of knowledge principle

in nursing • Limited to individuals who are

• Theory can be used by practitioners conscious in a hospital setting

to guide and improve their practice • Limited in its pwer of prescription

(George, 1995)

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Reference List:

Aligood M.R.,(2014). Nursing Theorist And Their Work. (8th Edition). Riverport Lane: Elsevier
Meleis, A. (2005). Theoretical Nursing: Development & Progress. (Third Edition). Lippincott
Williams & Wilkins, p. 369-376
George, J.B., (1995). Nursing Theorist: The Base for Professional Nursing Practice. (Fourth
Edition). Norwalk, Conneticut: Appleton & Lange
Wiedenbach, E. (1963). The helping art of nursing. AJN The American Journal of Nursing, 63(11),
54-57.
Wiedenbach, E. (1970). Nurses' wisdom in nursing theory. The American journal of nursing, 1057-
1062.

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