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Nurse Theorist Faye Abdellah

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Winnie So

on 28 March 2014

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Transcript of Nurse Theorist Faye Abdellah

Nurse Theorist Faye Abdellah
Critique of Theory
Critique of Theory
How clear is this theory?
Short sentences
Simple words
Consistent within the whole theory
Structural clarity
How simple is this theory?
3 areas (physical, emotional, sociological)
The 21 points are all interrelated to the three areas
Simple concept
Critique of Theory
3)How general is this theory?
Specifically focuses on the client
Generalized to the client with specific nursing problems
Hard to generalize outside of this contex
Theory: It is a problem-solving model for resolving identified problems so client can reach complete state of health.
Purpose: To promote client-centered comprehensive nursing care.
Faye Abdellah's theory changed the nursing profession!

WHo is Faye Abdellah?
1919 to present
Worked as a deputy Surgeon General, and was the first woman to ever to do so
Completed her Master's Degree at Columbia University
Nursing pioneer that changed practice from a disease-centered approach to a patient-centered approach
21 areas of focus for the nurse
Critique of Theory
4) Accessibility of theory:
Language is readable and clear.
Logical and simple statements.
Clinical relevance
Relevance has caused a conceptual shift in nursing.
Problem-solving approach was one of the first starts of what is evidence-based practice today.
Critique of Theory
5) Importance of Theory
Abdellah helped transform from disease-centered to patient-centered.
Expanded nurses role to include care of family.
Today, we have shifted to a holistic approach, that includes emotional, psychological and spiritual well-being.
Clinical significance
First 4 nursing problems basic to all patient care
Practical Value
21 problems are used to guide nursing care today.
Critique of Theory
Assessment of relevance of theory.
Experience of clinical setting has allowed us to see the relevance in Abdellah's theory.
Abdellah identified 11 nursing skills that a nurse must possess.
Provides a guideline of how we developed our nursing skills.
Understanding and appreciating the theory.
Significance in nursing practice today.
"Ten steps to identity the client's problem" is the beginning of our nursing process.

Critique of Theory
Breadth, Scope, and Purpose of Theory
4 categories of stages of illness.
Basic Care
Susternal Care
Remedial Care
Restorative Care
11 Nursing Skills that a nurse must possess.
Theory applies to the individual.
Addresses present nursing practice, with potential of future problems.
Research began in ICU, intermediate care, and home care.
Critique of Theory
Ten steps to identify the clients problems Decision Making Framework/Nursing Process
1. Learn to know the patient - “Coming to know” the client
- Assessment
- Identifies questions designed to draw out the client’s unique story
2. Sort out relevant and significant data
3. Make generalizations about available data in relation to similar nursing problems presented by other patients - “Salience”
- Analyzing the gathered information/data
-Identifies knowledge gaps
- Decide which are most urgent on the bases of basic needs
4. Identify the therapeutic plan
5. Test generalizations with the patient and make additional generalizations - Nursing diagnosis and planning
- Developing clinical impressions
6. Validate the patient’s conclusions about his nursing problems - “Pattern recognition”
- Identifying any patterns related to health issues
- “Healing initiatives”
- Implementation of specific therapeutic, preventive and health promotion strategies
7. Continue to observe and evaluate the patient over a period of time to identify any attitudes and clues affecting his behavior
8. Explore the patient’s and family’s reaction to the therapeutic plan and involve them in the plan - “Reflection/praxis”
- Evaluation
- Considers whether the plan addresses the client’s needs and expectations
9. Identify how nurses feel about the patient’s nursing problems
10. Discuss and develop a comprehensive nursing care plan

1) All terms are consistent and easy to understand and are all nursing related.
How terms are defined are consistent within theory.
There are 3 main elements: ten steps to identify client problems, 11 nursing skills and 21 nursing problems.
Majority of theory is focused on 21 nursing problems, but other 2 concepts supplement.
Lessing, M. (2004). Upclose and personal: interview with rear admiral Faye Glenn Abdellah. Journal of Military Medicine, 169(11), 3-11. Retrieved from http://amsus.org/

Potter, P. A. (2009). Critical thinking in nursing practice. In J. Ross-Kerr & M. Wood (Eds.) Canadian Fundamentals of Nursing (pp.146-155). Toronto: Mosby Elsevier

Abdellah, F. G., Beland, I. I., Martin, A., & Matheney, R. V. (1960). Patient-centered approaches in nursing. New York: Macmillan
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