Florence Nightingale’s Environmental Theory

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The theoretic approach in providing care for an inmate with Human Immunodeficiency Virus is viewed through the lens of Florence Nightingale’s Environmental Theory. Nightingale’s theory involves an environment that allows persons to recover from illness by considering sanitation conditions of factors that include fresh air, pure water, efficient drainage, cleanliness, and light (Berman & Snyder, 2011). Through the idea of Nightingale’s theory, the story of an inmate who is terminally ill is cared for by environmental control and alterations that may be managed to improve unhealthful conditions in the correctional facility.
Concept of patient In relation to Florence Nightingale’s Environmental Theory, the inmate’s view of nursing care has direct influence on biological, psychological, social, and spiritual components in which he exposed to (Selanders, 2010). Biological Biological factors play a role in the inmate immune response. Monitoring medication administration and compliance may help avoid dosing errors and patient noncompliance. As a result, ensuring the proper management may provide positive biological feedback of the body when administering correct treatment.
By providing education to the inmate on natural body changes, the inmate may recognize functions of his body that seem unusual. Furthermore, this increased awareness could encourage him to seek treatment more quickly because of how he perceives the changes of his body. Psychological The therapeutic participation of support groups may inspire psychological stability by keeping the mind educated and active while avoiding misinterpretations and false hopes. Alternative therapies such as mediation may be another great source to assist in psychological stability.
Social Providing condoms and clean syringes to sexually active persons is an essential part of HIV prevention interventions outside prisons, but most US prisons and jails specifically prohibit the distribution and control of these items (Center for Disease Control and Prevention, 2013). As the sexual behavioral cannot be entirely controlled in such facilities, implementing sex education programs and providing free condoms may encourage protection, decrease the spread rate, and increase infection control of HIV in correctional facilities.
Educating the staff of such facility precautions may play a key role in the effort to eliminate the stigma of HIV patients. Spiritual A spiritual connection may help an inmate with HIV cope and find an optimistic meaning of life. Changing the view of an inmate who may see the disease only as unfortunate, the involvement of church services and mindful thinking programs may help the inmate gain a valued, meaningful life. This may eliminate the stressors that a pessimistic view would pose.
As these components are sustained and encouraged throughout the environment, the patient will perceive nursing care as positive and influential to his health and wellbeing Concept of Health Providing care for an HIV positive inmate of a prison facility may pose great challenges on the nurse, the inmate, and other inmates (Center for Disease Control and Prevention, 2013). According to Nightingale’s view on health, any factor that affects patient health is significant to the care a nurse provides (Berman & Snyder, 2011).
When caring for an inmate with HIV in a correctional facility, as a nurse, my perception of health is the ability to alter the surroundings to the best ability possible. For example, as a nurse caring for a patient with HIV in the public hospital setting has easily accessible and abundant amounts of supplies, the supplies may be scarce in that of a prison infirmary. If the supplies are not readily available, the arrival for particular supply request may be extensive.
This deficiency may prolong the disease management process and introduce the client to extended pain and suffering. As a result, the prolonged pain that the client experiences may pose a negative perception of health. Since this is not what I perceive health to be, the development of a quicker system that provides supplies more rapidly would be an approach worth taking. Concept of environment Ventilation and Warming According to Basavanthappa (2007), Nightingale believed that the person who repeatedly breathed his or her own air would become sick or remain sick.
The absence of windows in prison cells result in the lack of fresh air and natural light Basavanthappa, B. T. (2007). In describing my thoughts about inmate exposure to outdoor environment, it seems that it is not a choice of a prisoner, but rather an imperative decision of authorities. The lack of ventilation that results in poor air quality can be detrimental on the mind, body, and soul. Furthermore, in relation to Nightingale’s theory, this issue may halt the healing process and wellbeing.
Extending the hours of outdoor activity may expose the inmate with more natural sunlight and fresh air. The appropriate temperature in an atmosphere of imprisonment should be balanced and comforting and in the purest form as possible. Light and Noise A quiet environment seems nonexistent and impossible in an area of congested population. Implementation of quiet hours in correctional facilities may be of therapeutic effect to the patient with a suppressed immune system. Furthermore, implementation of night lights will provide dark rooms with more light.
Cleanliness of room The participation of health management may include environmental activities associated with an inmate’s room. These tasks include frequent change of bed linen and the maintenance of clean floors and walls. Personal Cleanliness Discouraging the sharing of personal items and encouraging safety practices of infection control may provide protection for inmates living in areas of contamination. Implementing hand washing stations throughout the facility may also reduce the risk of spreading infections.
Permitting additional outfits for individuals of suppressed immunity may be a significant way to reduce the risk of infection. Concept of Nursing The definition of nursing may be defined as the attributes, characteristics, and actions of the nurse providing care on behalf of, or in conjunction with, the client (Berman & Snyder, 2011). When linking the concept of nursing to Nightingale’s theory, she stressed the importance of placing the ill patient in the best environment as possible.
As factors in the environment are altered, the environment will support and promote the health of the ill patient. As quoted by Florence Nightingale, health is “not only to be well, but to be able to use well every power we have” (Nightingale, 1860). Conclusion As the solution to provide care for a patient with HIV in a correctional facility involves manipulation of environmental factors, the disease process may be managed. If all resources were available, the environment will play its role on disease management.
Selanders, Louise C. “The power of environmental adaptation Florence Nightingale’s original theory for nursing practice.” Journal of Holistic Nursing 16.2 (1998): 247-263. Selanders, Louise C. “The power of environmental adaptation: Florence Nightingale’s original theory for nursing practice.” Journal of Holistic Nursing 28.1 (2010): 81-88. Nightingale, Florence. “Cassandra and other selections from Suggestions for thought.” (1992). Jacquelyn, H. Flaskerud, and J. Halloran Edward. “Areas of agreement in nursing theory development.” Advances in Nursing Science 3.1 (1980): 1-8. Attewell, Alex. “Florence Nightingale’s relevance to nurses.” Journal of Holistic Nursing 16.2 (1998): 281-291. Hegge, Margaret. “Nightingale’s environmental theory.” Nursing science quarterly 26.3 (2013): 211-219.

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