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Instructions:
1. Compare and contrast the 2 theories
( Nightingale Theory and Orems theory)
with regard to the Quality and Safety Education for Nurses
(QSEN) competencies below: 3 QSEN
·
Quality Improvements (QI): Applying evidenced based information to evaluate patient outcomes and to design, test and implement changes to the healthcare delivery model. These changes stive to continually improve the quality of care.
·
Safety: The importance of patient safety, it also acknowledges the need to explore provider safety issues. Recognizing unsafe practice, errors, shortcuts, error reporting systems, medication pumps, national patient safety initiatives and regulations.
·
Informatics: The utilization of technology and information to manage patient care, prevent medical errors, enhance decision making and encourage collaborative communication. The competency acknowledges that technology can paly an impactful role in preventing medical errors.
2.
Compare nursing theories
· Compare Florence nightingale and Orems
· Contrast Florence nightingale and Orems
Florence nightingale Theory:
“What nursing has to do… is to put the patient in the best condition for nature to act upon him” (Nightingale, 1859/1992)
Nightingale stated that nursing “ought to signify the proper use of fresh air, light, warmth, cleanliness, quiet, and the proper selection and administration of diet – all at the least expense of vital power to the patient.” She reflected the art of nursing in her statement that “the art of nursing, as now practiced, seems to be expressly constituted to unmake what God had made disease to be, viz., a reparative process.”
Dorothea Orem’s Self-Care Deficit Theory:
“The act of assisting others in the provision and management of self-care to maintain or improve human functioning at the home level of effectiveness.” It focuses on each individual’s ability to perform self-care, defined as “the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.”
“The condition that validates the existence of a requirement for nursing in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or
injury
, or in coping with their effects. With children, the condition is the parent’s inability (or guardian) to maintain continuity for the child the amount and quality of care that is therapeutic.” (Orem, 1991)