Faye Abdellah was a pioneering nurse who helped shift the nursing profession's focus from disease-centered to patient-centered care. She developed a nursing theory that identified 21 common nursing problems and proposed a problem-solving framework involving assessment, diagnosis, planning, implementation, and evaluation. Abdellah's theory conceptualized key concepts like health, nursing, the person, and environment, and aimed to establish an evidence-based, logical approach to nursing practice centered around the individual patient.
Faye Abdellah was a pioneering nurse who helped shift the nursing profession's focus from disease-centered to patient-centered care. She developed a nursing theory that identified 21 common nursing problems and proposed a problem-solving framework involving assessment, diagnosis, planning, implementation, and evaluation. Abdellah's theory conceptualized key concepts like health, nursing, the person, and environment, and aimed to establish an evidence-based, logical approach to nursing practice centered around the individual patient.
Faye Abdellah was a pioneering nurse who helped shift the nursing profession's focus from disease-centered to patient-centered care. She developed a nursing theory that identified 21 common nursing problems and proposed a problem-solving framework involving assessment, diagnosis, planning, implementation, and evaluation. Abdellah's theory conceptualized key concepts like health, nursing, the person, and environment, and aimed to establish an evidence-based, logical approach to nursing practice centered around the individual patient.
1919, in New York City to a father of Algerian Heritage and Scottish Mother. She dedicated her life to nursing, as a researcher and educator,helped changed the profession’s focus from a disease-centered approach to a patient-centered approach. Abdellah also served as a public health nurse for 40 years helping to educate Americans about the needs of the elderly and the dangers posed by AIDS,addiction,smoking, and violence As a nursing professor,she developed teaching methods based on scientific research. Abdellah continued to work as a leader in the nursing profession into her eighties. Abdellah’s family subsequently moved to New Jersey where she attended high school. Years later, on May 6, 1937, the German hydrogen-fueled airship Hindenburg exploded over Lakehurst. Where 18-year old Abdellah and her family then lived, and abdellah and her brother ran to the scene to help. In a interview with a writer for Advance for Nurses, Abdellah recalled: “I could see people jumping from the zeppelin and I didn’t know how to take care of them,so it was then that I vowed that I would learn nursing”. Abdellah earned a nursing diploma from Fitkin Memorial Hospital’s School of Nursing, now known as Ann May School of Nursing.It was sufficient to practice nursing during her time in the 1940’s, but she believed that nursing care should be based on research, not hours of care. Abdellah went on to earn three degrees from Columbia University: a Bachelor of Science degree in nursing in 1945, a Master of Arts degree in physiology in 1947 and a doctor of education degree in 1955. With her advanced education, Abdellah could have chosen to become a doctor. However, as she explained in one of her interviews that she wanted to be an M.D. because she could do all she wanted to do in nursing, which is a caring profession. According to Faye Glenn Abdellah “Nursing is based on an art and science that molds the attitudes, intellectual competencies, and technical skills of the individual nurse into the desire and ability to help people, sick or well, cope with their health needs” Abdellah and colleagues developed a list of 21 nursing problem. They also identified 10 steps to identify the client’s problems and 11 nursing skills to be used in developing treatment typology. 10 steps to identify the client’s problem: Learn to know to the patient Sort out relevant and significant data Make generalizations about available data in relation to similar nursing problems presented by other patients. Learn to know to the patient Sort out relevant and significant data Make generalizations about available data in relation to similar nursing problems presented by other patients. Identify the therapeutic plan Test generalization with the patient and make additional generalizations Validate the patient conclusions about his nursing problems Continue to observe and evaluate the patient over a period of time to identify any attitudes and clues affecting his behavior Explore the patient’s and family’s reaction to the therapeutic plan and involve them in the plan Identify how the nurse feels about the patient’s nursing problems Discuss and develop a comprehensive nursing care plan Observation of health status Skills of communication Application of Knowledge Teaching of patients and families Planning and organization of work Use of resource material Use of personnel resources Problem-solving Direction of work of others Therapeutic use of the self Nursing procedures TWENTY – ONE NURSING PROBLEMS 1. To maintain good hygiene and physical comfort. 2. To promote optimal activity: exercise, rest, sleep 3. To promote safety through prevention of accidents, injury, or other trauma and through prevention of the spread of infection. 4. To maintain good body mechanics and prevent and correct deformity 5. To facilitate the maintenance of a supply of oxygen to all body cells 6. To facilitate the maintenance of nutrition for all body cells 7. To facilitate the maintenance of elimination 8. To facilitate the maintenance fluid and electrolyte balance 9. To recognize the physiological responses of the body disease condition – pathological physiological, and compensator 10. To facilitate the maintenance of regulatory mechanisms and functions 11. To facilitate the maintenance of sensory function 12. To identify and accept positive and negative expressions, feelings, and reactions 13. To identify and accept interrelatedness of emotions and organic illness 14. To facilitate the maintenance of effective verbal and nonverbal communication 15. To promote the development of productive interpersonal relationships 16. To facilitate the progress toward achievement and personal spiritual goals 17. To create or maintain a therapeutic environment 18. To facilitate awareness of self as an individual with varying physical, emotional, and developmental needs 19. To accept the optimum possible goals in the light of limitations, physical and emotional 20. To use community resources as an aid in resolving problem that arises from illness 21. To understand the role of social problems as influencing factors in the cause of illness a) Nursing - Nursing is a help profession. Nursing care is doing something to or for the person or providing information to the person with the goals of meeting needs, increasing or restoring self-help ability, or alleviating impairment. b) Person - Abdellah describes people as having physical, emotional, and sociological needs. c) Health - Describes health as state of mutually exclusive of illness. d) Environment - The environment is the home or community from which patient comes. A) Assessment – Nursing problems provide guidelines for the collection data b) Diagnosis – The results of data collection would determine the client’s specific overt or covert problems. c) Planning – The statements of nursing problems most closely resemble goal statements. Therefore, once the problem has been diagnosed, the goals have been established. d) Implementation – Using the goals as the framework, a plan is developed and appropriate nursing interventions are determined. f) Evaluation – The most appropriate evaluation would be the nurse progress or lack of progress toward the achievement of the stated goals. Abdellah’s theory has interrelated the concepts of health, nursing problems, and problem solving. Problem solving is an activity that is inherently logicall in nature. Framework focus on nursing practice and individuals. The results of testing such hypothesis would contribute to the general body of nursing kno wledge Easy to apply in practice. Thank you for listening!