In Focus: Faye Glenn Abdellah’s Patient-Centered Approaches

For years, the institution and acceptance of nurse theories in contrasting settings and aspects of breast feeding invest has transformed the barter in diverse ways two here and abroad. The utilization of such theories has provided the treat community with specific k right awayledge and ways to enhance and develop skills and bearings of breast feeding nonrecreationals in the practice of the avocation. It has greatly helped in creating and sustaining our tradeal independence from the field of treat by guiding our educational system, look into methods and practice towards safe and woodland wish to unhurrieds (Marriner-Tomey, 1994 McLe more(prenominal) & axerophthol Hill, 1965).The signifi nookiece of studying breast feeding theories does non end with the benefits it may serve the craft in general. It in any case helps an private, either a bookman or a breast feeding businessal in several ways. An individual is sufficient to develop critical cerebration skills, up to(p) to unlikeiate values and hypotheses and able to find out purpose of functions in relation to the kitchen range of practice of the care for trading (Kozier, Erb, & Oliviere, 1995).In line with this, this penning attempts to analyze and evaluate a pertinent care for constructual ensample authored by a renowned nurse theoriser Faye Glenn Abdellah, using the J. Fawcetts Frame induce of analysis and Evaluation of Conceptual Models of Nursing.Influenced by Virginia Hendersons 14 principles of care for, Maslows hierarchy of beg and Erik Erickson stages of increment, Abdellah formulated her structural pose with the culture of t from each oneing and evaluating students and at the same age emphasize the need to create a body of knowledge exclusive to our profession that will help in gaining independence from the control of the medical professiontoward unhurried-centeredc atomic number 18 (Sigma Theta Tau International mention troupe of Nursing, 1998).Faye Gle nn Abdellah authored the typology of 21 care for problems which was initially published in the 1960 edition of Patient-Centered Approaches to Nursing. Since its initial appearance, the typology had major fix on the care for profession as tumefy as on the information of otherwise breast feeding theories (Sigma Theta Tau International celebrate parliamentary procedure of Nursing, 1998).Abdellahs typology of 21 breast feeding problems is a opinionual beat which describes the crucial concerns of care for kinda of linking different relationships into phenomena. The conceptual model is in the main concerned with uncomplainings needs and the role of nurses in problem identification using a problem-solving access. Abdellahs hunt is classified at a lower place the nursing school of thought 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 set forth as inductive since she derived observations from previous studies which became the fundament for her conceptualization. Philosophical statements are express to be based on opinions, arguments or propositions of different people. These statements are non experimental in nature because such statements based on goal, traditions and/or values cannot be tested for its correctness or wrongness (Marriner-Tomey, 1994).InanalyzingandevaluatingAbdellahstheory, herworkcannotbeseparatedfromthehistoricbackgroundwheretheconceptualizationofthe21nursingproblemsstarted.Itwas inthe1950swhenthenursingprofessionfacedalotofdifficultiesarisingfromthe quick societal change and change magnitude demand for technological advancement. The methods and system used at that timedid not support and piece the demands of the rapid change thus creating a backlog in the nursing community.There was a want of definition of nursing its tension, scope and limitations especially that wellnesscare deli very to patients is chiefly based on achieving institutional goals preferably than chance uponing patients needs. The afford system did not dish both the students and originals in being attuned with the changes. Abdellah related this to the lack of scientific body of knowledge grotesque to the profession. That is why the formulation of the theory differentiate the practice of nursing from the practice of medicament emphasizing focus on 21 nursing problems that help patient in achieving state of wellness (Marriner-Tomey, 1994).Abdellah used the problem-solving approach shot 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 feeling care to patients. This identification of nursing problems, plectron of data necessary to formulating and testing of interventions in assisting patient towards state of wellness about resembles the nursing process. Abdellah pointed out that patients cannot r eceive quality care if the steps are by means of im properly. In my opinion, Abdellahs approach is useful in the sense that the approach guarantees dogmatic thickening answer if the steps are specifically and carefully executed. This approach besides improves a nursing passe-partout skills and attitude by enhancing problem-solving abilities through identification of nursing problems in meeting the needs of the patient (Marriner-Tomey, 1994).Abdellahs model includes cardinal (4) unsounded concepts essential to nursing psyche, environs, health and nursing. The first of all major concept is the soulfulness. The concept of person is described as people having physical, physiologic and sociological needs. In her conceptual model, the person or patient is the main designer 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 amend state only by answer each p roblem place by a nursing professional. It lacks holism in the sense that the patient or person which, is considered as a whole is not greater than the sum of it parts correspond by his problems (Marriner-Tomey, 1994).Another major concept include in her theory is the concept of environment. This concept is the least conferredand least emphasized in her theory. This is mentioned limitedly in problem number 17. The model explains that the patient more often than not interrelate and act in response to the environment. It to a fault explains that the nurse is also a part of the patients environment thus the nurse takes responsibility in making the environment conducive for renovation of health. Abdellah also states that environment is also the plateful and community from where the patient draws from that is why Abdellah emphasized the need to broaden our scope in identifying problems and not limit our scope in the hospital setting (Potter & Perry, 1993).The tercet concept is he alth. Abdellah discussed health as a state without illness. It is outlined as a state without unmet needs and no judge 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 relevancy of environmental factors in the concept of health (Potter & Perry, 1993).The last major concept is nursing. The concept of nursing is an essential piece of her writing. In her model, nursing is defined as provision of service to individuals and families thitherfore to association. It is mainly providing service to or for the patient or providing information that will prodigiously assist the patient in restoring health and alleviating impairment. Abdellah therefore viewed nursing as a help profession (Sigma Theta Tau International Honor gild of Nursing, 1998)..Although Abdellahs work provided a general meaning of the four major concepts, there are no statements in Abdellahs wri ting that states any direct relationships among the four concepts. Each concept was only defined implicitly and no relational statements can be made 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 begin limited concepts and is only presented in a structural list. After Abdellahs work has been published, her formulation of the 21 nursing problems has been a helpful tool 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 dealing 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, figure 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 attention to the lymph gland himself rather than focus on knobs medical condition which is more of the objective of the medical profession. Nursing professionals have also learned and understood the rule behind each and every pull through 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. Many theories have been developed since the approach of Abdellahs work. The present nursing diagnosis classification system is presumed to be an beginning of this typology. This nursing philosophy continues to be a preferred dry land of nursing studies at present (Sigma Theta Tau International Honor Societ y of Nursing, 1998).Nursing education also benefited from Abdellahs work. 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 be sick a professional identity that has been widely accepted all over the military man (Potter & Perry, 1993).Abdellahs nursing philosophy brings about nursing activities that meet not only 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 pertinent nursing actions that lead to the improvement and indemnity of clients health experimental condition which in tur n aids the client in resuming activities of daily 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 earlier times. It has helped teach and evaluate students susceptibility through its formulation. It provided a means of gaining autonomy from the practice of medicine through the creation 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 go away but all are tell to affect nursing. The extensive goal of this model is to generally elicit positive variety in n ursing education while 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 bear on 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 involve 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 base d merely on rules, concepts and experiences passed on by professionals to students. It was only in the sexual climax of serious discussion and testing of theories that nursing has been established as a science. done Abdellahs work and the development of other relevant nursing theories, we have proved that our profession can stand by itself and achieve our goals towards patient-centered care (Parascandola, 1994).