NUR 513 Topic 4 Discussion 2 Paper

Topic 4 DQ 2

Florence Nightingale Environmental Theory and the Interpersonal Theory Developed By Peplau

Nursing theories let health care workers give a distinctive contribution to their patients’ care. Florence Nightingale’s environmental theory stressed physical environment manipulation as a fundamental component of nursing care. Nightingale created 13 environmental canons and described each one in detail (Gilbert, 2020). Her key canons are ventilation, light, noise, room cleanliness, bed and linen cleanliness, personal hygiene, and eating. Nightingale’s theory relates to patient care because, modifying a patient’s surroundings in accordance with her 13 canons can assist the patient to regain his or her normal health or bring the patient back to health (Gilbert, 2020). As a result, Nightingale established a foundation for giving comprehensive treatment to patients, which is still valid today.

NUR 513 Topic 4 Discussion 2 Paper

The Environment Theory incites behavioral change because it focuses on patient care instead of the nursing process, the patient-nurse relationship, and the individual nurse. Consequently, it fits the requirements of particular patients because environmental factors affect different patients differently depending on their circumstances and illnesses, and the nurse must address the factors on a case-by-case basis to ensure they are modified in a way that cares for an individual patient and his or her needs. The theory’s advantages are that environmental elements that might lead to illness progression have been discovered (Gilbert, 2020). The nurse can work around the clock and alter environmental elements to avoid future illness outbreaks. The theory’s disadvantage is that it presupposes that the illness process is a direct effect of the environment, which is not always the case. Environmental theory ethical concerns include evaluating and explaining circumstances to develop formal behaviors, expressions, and dimensions for both morality and ethics colliding with legally specified tasks.

The interpersonal theory developed by Peplau emphasizes the interpersonal interactions and therapeutic connection that develops between the nurse and patient. Peplau’s interpersonal focus pertains to patient care because the theory encourages the nurse to attend to the interpersonal processes that occur between the nurse and patient, which include the nurse-client engagement, communication, pattern integration, and the nurse’s duties (Suhariyanto et al., 2018). The interpersonal theory incites behavioral change by simplifying the natural flow of the nurse-patient relationship, which leads to flexibility in any nurse-patient contact and consequently generalizability.

One of Peplau’s theory’s merits is that it has assisted later nursing theorists and clinicians in developing more therapeutic solutions for positions that exhibit the dynamic nature typical of clinical nursing. One of the shortcomings is that, whereas Peplau emphasized the nurse-client connection as the core of the nursing practice, health promotion and maintenance were underemphasized (Suhariyanto et al., 2018). Ethical issues related to interpersonal theory is that the theory cannot be used on a patient who does not have a perceived need, such as withdrawn individuals.

References for NUR 513 Topic 4 Discussion 2 Paper

  • Gilbert, H. A. (2020). Florence Nightingale’s Environmental Theory and its influence on contemporary infection control. Collegian (Royal College of Nursing, Australia)27(6), 626–633.
  • Suhariyanto, Hariyati, R. T. S., & Ungsianik, T. (2018). Improving the interpersonal competences of head nurses through Peplau’s theoretical active learning approach. Enfermeria Clinica28, 149–153.