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1.

The field of nursing is guided by its own body of knowledge which can be divided into categories
based on the level of abstraction. The most abstract is the nursing metaparadigm which includes the
concepts of person, nursing, health and environment. Next, there are philosophies which are beliefs
based on certain values. The more concrete categories are conceptual models and theories. Both focus
on specific concepts and how they are related but theories often have testable and observable
outcomes, which makes it more concrete.

2. Nursing Theories and Theorists.

 Florence Nightingale - Environment theory: Provides fresh air, warmth, cleanliness, good diet,
quiet to facilitate person’s reparative process.
 Hildegard Peplau - Interpersonal theory: A significant, therapeutic, interpersonal process that
functions cooperatively with others to make health possible
 Virginia Henderson - Need Theory: “She must in a sense, get inside the skin of each of her
patients in order to know what he need”
 Fay Abdella - Twenty One Nursing Problems: A comprehensive service to meet patient’s needs
 Ida Jean Orlando - Nursing Process theory: The deliberative nursing process is set in motion by
the patient’s behavior.
 Dorothy Johnson - System model: External regulatory force that is indicated only when there is
instability.
 Martha Rogers -Unitary Human beings: Fundamental unity of things that are unique, dynamic,
open, and infinite.
 Dorothea Orem - Self-care theory: The nurse then meets the self-care needs by acting or doing
for; guiding, teaching, supporting or providing the environment to promote patient’s ability.
 Imogene King - Goal Attainment theory: The nurse and patient mutually communicate, establish
goals and take action to attain goals. Each individual brings a different set of values, ideas,
attitudes, perceptions to exchange.
 Betty Neuman - System model: The person is a complete system, with interrelated parts;
maintains balance and harmony between internal and external environment by adjusting to
stress and defending against tension-producing stimuli.
 Sister Calista Roy - Adaptation theory: The person is an open adaptive system with input
(stimuli), who adapts by processes or control mechanisms (throughput).
 Jean Watson - Philosophy and Caring Model: Concerned with promoting and restoring health,
preventing illness.:
 Madeleine Leininger - Culture Care Diversity and Universality: According to transcultural nursing,
the goal of nursing care is to provide care congruent with cultural values, beliefs, and practices
 Lydia E. Hall - The Core, Care and Cure: The core is the person or patient to whom nursing care is
directed and needed. The core has goals set by himself and not by any other person. The core
behaved according to his feelings, and value system.
 Patricia Benner - From Novice to Expert: movement from reliance on past abstract principles to
the use of past concrete experience as paradigms
3. Why is theoretical foundation important in nursing? Nurses need a theoretical base to demonstrate
knowledge about the science and art of the profession when they promote health and wellness for their
patients, whether the patient is an individual, a family, or a community (Porter, 2010). A nursing theory
helps to identify the focus, means, and goals of practice.

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