In Focus: Faye Glenn Abdellah’s Patient

For years, the existence and acceptance of breast feeding theories in different settings and aspects of breast feeding pr flakeice has transformed the vocation in diverse ways twain here and abroad. The utilization of much(prenominal) theories has provided the nurse community with specific intimacy and ways to enhance and bring kayoed skills and attitudes of nurse artals in the normal of the profession. It has greatly helped in creating and sustaining our professional independence from the field of medicine by head our educational system, inquiry methods and practice towards safe and whole step dole out to forbearings (Marriner-Tomey, 1994 McLemore & Hill, 1965).The implication of studying breast feeding theories does non end with the benefits it may serve the profession in general. It as well as helps an individual, either a student or a care for professional in several ways. An individual is suitable to develop critical thinking skills, able to differentiate v alues and hypotheses and able to baring out purpose of functions in relation to the arena of practice of the nurse profession (Kozier, Erb, & Oliviere, 1995).In line with this, this paper attempts to analyze and evaluate a relevant nurse idealual influence authored by a renowned nursemaid theorist Faye Glenn Abdellah, employ the J. Fawcetts Frame wager of Analysis and Evaluation of abstract Models of care for.Influenced by Virginia Hendersons 14 principles of nursing, Maslows hierarchy of needs and Erik Erickson stages of development, Abdellah suppose her structural stumper with the goal of teaching and evaluating students and at the same cartridge holder emphasize the need to create a automobile trunk of knowledge scoop to our profession that will help in gaining independence from the train of the medical checkup examination professiontoward enduring-centeredcare (Sigma Theta Tau outside(a) Honor aloneiance of Nursing, 1998).Faye Glenn Abdellah authored the typo logy of 21 nursing problems which was initially published in the 1960 edition of Patient-Centered Approaches to Nursing. Since its initial appearance, the typology had major carve upake on the nursing profession as well as on the development of new(prenominal) nursing theories (Sigma Theta Tau internationalistic Honor orderliness of Nursing, 1998).Abdellahs typology of 21 nursing problems is a conceptual model which describes the significant concerns of nursing instead of linking different relationships into phenomena. The conceptual model is mainly concerned with patients needs and the role of nurses in problem identification using a problem-solving onset. Abdellahs work is classified under the nursing philosophical system category in the sense that her work is based on analysis, rationalization, research and logical argument instead of using experiential methods.Logically speaking, Abdellahs model can be described as inductive since she derived observations from previous st udies which became the priming for her conceptualization. Philosophical provincements are said to be based on opinions, arguments or propositions of different multitude. These statements are non experimental in nature because such(prenominal) statements based on goal, traditions and/or values cannot be tested for its rightness or wrongness (Marriner-Tomey, 1994).InanalyzingandevaluatingAbdellahstheory, herworkcannotbeseparatedfromthehistorical reasonwheretheconceptualizationofthe21nursingproblemsstarted.Itwasinthe1950swhenthenursingprofession facealotofdifficultiesarisingfromtherapid societal change and increasing solicit for technological advancement. The methods and system used at that timedid not live on and meet the demands of the rapid change thus creating a backlog in the nursing community. There was a lack of definition of nursing its focus, circumstance and limitations especially that wellnesscare deli genuinely to patients is mainly based on achieving institutional goals rather than meeting patients needs. The present system did not assist both the students and professionals in being attuned with the changes. Abdellah related this to the lack of scientific body of knowledge unique to the profession. That is why the formula of the theory identify 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 set out in formulating the theory. She believes that a nurse should be able to identify and solve problems of patients in order to provide safe and quality care to patients. This identification of nursing problems, selection of data necessary to formulating and scrutiny of interventions in assisting patient towards state of wellness closely resembles the nursing wait on. Abdellah pointed out that patients cannot receive quality care if the steps are done improperly. In my opinion, Abdellahs approach is effective in the sense that the approach guarantees commanding lymph node response if the steps are specifically and cautiously executed. This approach also improves a nursing professional skills and attitude by enhancing problem-solving abilities through with(predicate) identification of nursing problems in meeting the needs of the patient (Marriner-Tomey, 1994).Abdellahs model includes four (4) fundamental concepts essential to nursing person, environment, health and nursing. The scratch line 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 quite contradicting since the typology of 21 nursing problems lacks holism. The model entails that a person returns to an improved state scarce by closure each problem identified by a nursing professional. It lacks holism in the sense that the p atient or person which, is considered as a whole is not greater than the sum 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 snatch 17. The model explains that the patient more often than not interrelate and act in response to the environment. It also explains that the nurse is also a part of the patients environment thus the nurse takes responsibility in making the environment conducive for restoration of health. Abdellah also states that environment is also the home and community from where the patient comes from that is why Abdellah emphasized the need to poke out our scope in identifying problems and not limit our scope in the hospital setting (Potter & Perry, 1993).The third concept is health. Abdellah discussed health as a state without illness. It is defined as a state witho ut unmet needs and no anticipate or actual impairment. This is clearly 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 element of her writing. In her model, nursing is defined as prep of service to individuals and families therefore 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 work provided a comprehensive heart of the four major concepts, there are no statements in Abdellahs writing that states any direct relationships among the four concepts. Each concept was provide d defined implicitly and no relational statements can be do out of it. The model is mainly concerned on development of a unique body of knowledge, which is nursing, through 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 unaccompanied presented in a structural list. After Abdellahs work has been published, her formulation of the 21 nursing problems has been a helpful hawkshaw 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 traffic with patient care in an orderly and well-structured manner. In using this typology, a nursing professional, with the problem-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 assist 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 understood the rationale behind each and every movement 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. legion(predicate) theories have been developed since the introduction of Abdellahs work. The present nursing diagnosing classification system is presumed to be an outgrowth of this typology. This nursing philosophy continues to be a preferred basis of nursing studies at present (Sigma Theta Tau International Honor Society of Nursing, 1998).Nursing education also benefited from Abdellahs wo rk. 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 that has been widely accepted all over the land (Potter & Perry, 1993).Abdellahs nursing philosophy brings about nursing activities that meet not further 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 status which in turn aids the client in resuming activities of insouciant living 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 in the first place 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 initiation 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 mostly elicit positive transformation in nursing education trance 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 focusing 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. I t was only in the advent of serious discussion and testing of theories that nursing has been formal as a science. Through Abdellahs work and the development of other relevant nursing theories, we have proven that our profession can patronage by itself and achieve our goals towards patient-centered care (Parascandola, 1994).ReferencesKozier, B., Erb, G., & Oliviere R. (1995). Fundamentals 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. 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