1. FLORENCE NIGHTENGALE
The Lady With the Lamp

2. Group #4
Autumn Davis Elizabeth Godin Stephanie Mansfield Tara Scholtz John Woodcox Kristen Ziolkowski

3. Florence’s Model Environment was the main focus 5 main interests
Pure air
Pure water
Efficient drainage
Cleanliness
Light

4. Florence’s Model
Florence was gifted with math and introduced graphs and documents to show statics and trends

5. Patient Care
Florence Nightingale worked diligently to provide a safe and clean environment for her patients. After taking into account the alarmingly high mortality rates she began implementing the use of clean practices and adequate dietary intake.

6. Dietary Diet for chronically ill patients should be monitored
Intake should be monitored
Meal scheduling
Meals should be edible
Meals should be prepared with clean water

7. Historical Evolution of the Model
Then – 1800’s
Now
Unclean environment
No formal education for nurses
No evidence based practice
No rounding
No respect for nursing
Formal education Sterile/clean environment Use of empirical evidence Recognition of nursing as a profession

8. Metaparadigms
PERSON
Florence believed a person was an individual and treated them as such. They had four components.
Biological
Psychological
Social
Spiritual

9. Metaparadigms HEALTH Being well Use all resources
Control health through environment
Disease is repetitive
Nutrition is vital
Six D’s of diseases
Dirt- Provide a clean environment
Drink- Fresh Water
Diet- Proper diet
Damp- Clean dry environment
Drafts- Fresh air was required with minimal noise
Drain- proper drainage and sewage removal

10. External and internal environment
Metaparadigms
ENVIRONMENT
Influenced health
Vital to recovery
External and internal environment
Keep it Dry

11. Metaparadigms NURSING Nursing is a profession
Responsible for environment
Needs formal education
Is an art and a science
Distinct and separate from medicine

12. Unique Thoughts Started the thought process on holism
Developed the use of empirical evidence
Cleanliness
Nutrition
Rounding
Health is “not only to be well, but to be able to use well every power that we have” – Florence Nightingale

13. How we Use This In Clinical Practice
We now have evidence based practice
Standards of care
Holistic medicine
Hand washing
Clean/sterile technique
Rounding
Emotional support

14. How We Use This in Assessment
Subjective and objective information
Holistic medicine
Hourly rounding
The interview process
Documentation

15. Education Who is Flo? You know! Base our teaching on her knowledge
ADLs
Diet
Rounding
Environment
Clean technique

16. Current Research Nightingale’s ideas currently still practiced
Research continues to expand and evolve through
Evidence Based Practices- continually evolving, new ideas being introduced
Holistic Medicine – gaining popularity, more widely used, seen as being effective
Nurses are able to incorporate holistic nursing into their practice by understanding the principles of nursing and psychophysiological modalities
Methodologies are advancing, originating from Florence particularly in research
How research is done, why it is done, the development, conduction and implementation
Date collection and statistical analysis continues to expand

17. Current Research Society
Takes responsibility for the implementation of clean and safe practices
Searches for clean water and provides sanitation
Encourages staff to keep a clean environment
Contributed to a decrease in mortality and morbidity

18. Current Research Education Continually advancing
Greater public awareness
Studies, research and educational tools are available and being used today
Organizations began getting involved- facilitating further research and improving practices
CURN Conduct and Utilization Research in Nursing

19. Strengths Driven & Heroic- throughout the era of the Crimean War
Hard working- during a time of mans work
Bravery- traveled to countries riddled with illness, warranted for cleaner environments, encouraged staff to clean barracks, provide edible food and gather supplies
Advocate- Wrote hundreds of letters to government officials informing them of the current conditions and advocating for better practices
Practiced holistic nursing- finding patients money, housing and food
Hospital administration- Maintained accurate records and relied on statistical information to help make the best decisions.
Teaching – setting up nursing schools and teaching students

20. Limitations Then
Although Florence Nightingale had many good ideas, women were often rejected when they attempted to become involved in medicine.
Privacy was not an issue and soldiers were kept in small areas without blankets.
Soldiers may have been unwashed and still in the same clothing they came to the hospital in as sanitation was not of large concern.

21. Limitations Then
Lack of knowledge may have helped spread cholera and malaria.
A women attempting to change the way a professional man practices was seen as a personal attack.
Restrictions prevented women from having careers even though their services were much needed.

22. Limitations Then Few schools existed that could train and produce an
educated nurse. Nursing was for working class women and
not considered respectable.
KING’S COLLEGE IN LONDON

23. Limitations Now
The price of receiving adequate medical care has become almost unaffordable for the average working class family.
The opportunity to profit from provided medical care and much needed prescription drugs has increased.
The endless resources (internet) has provided many with inaccurate information they now base medical decisions on.

24. New Insights
Florence Nightingale suspected there may be germs present that could be passed from one patient to another. Today we know this to be true and use hand washing, germicides, and gloves to help prevent the spread of disease and infection (germs).
Florence Nightingale used measurement to track improvement, the same concept many of us see on a skin and wound assessment sheet.

25. New Insights
Florence Nightingale wrote the first textbook on nursing, today nurses teach fellow nurses through the use of classrooms and nursing textbooks.

26. The Nightengale in the East
Her heart it means good for no bounty she'll take,
She'd lay down her life for the poor soldiers sake.
She prays for the dying, she gives peace to the brave,
She feels that the soldier has a soul to be saved.
The wounded they love her as it has been seen,
She's the soldier's preserver, they call her their Queen.
May God give her strength, and her heart never fail,
One of heaven's best gifts is Miss Nightingale.

27. References
Attewell, A. (2010). Florence Nightingale's relevance to nurses. Journal of Holistic Nursing, 28(1), doi: /
Audain, C. (2010, July 2). Florence nightingale [Biographies of woman      mathematicians]. Retrieved October 14, 2010, from Agnes Scott College      website:
Hacking, S. (2010). Florence Nightingale-a case study in excellence. Retrieved September/‌October, 2010, from
Kearney-Nunnery, R. (2008). Advancing your career: Concepts of profession nursing (4th ed.).
Philadelphia, PA: F.A. Davis Company. (Original work published 1997)
Men in nursing. (2010). Retrieved October 9, 2010, from All nursing schools database.
Selanders, L. (2010). The power of environmental adaptation: Florence Nightingale's original theory for nursing practice. Journal of Holistic Nursing, 28(1), doi: /
Stanley, D. & Sherratt, A. (2010). Lamp light on leadership: Clinical leadership and Florence Nightingale. Journal of Nursing Management, 18(1), doi: /j x

28. Questions
1.) What do you think are some practices that may seem insignificant today but could have a profound impact on the future of patient care.
2.) Compare and contrast the use of fresh air in hospitals.
3.) Florence wrote letter to congressman often explaining to them the current situations. Explain how you could take more of an active role improving hospitals, payor sources or overall patient care.