Applicability of Abdellah's Theory

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Applicability to Nursing Service 
by Group E's Odessa Medina


According to Abdellah’s theory, “Nursing is based on an art and science that mold the attitudes, intellectual competencies, and technical skills of the individual nurse into the desire and ability to help people, sick or well, cope with their health needs”(Abdellah et al, 1960). She formulated the 21 Nursing Problems, that serves as guide in determining patients’ needs, guide care and promote use of nursing judgement.

In the medical field, there are different types of nurses who work in varied areas. These nurses have one thing in common, the nursing process. It is considered an essential core of practice for the registered nurse to deliver holistic, patient-focused care. The nursing process is the procedure nurses use to manage patient care. This process is the basis of how nurses think and operate in clinical settings. It is widely accepted and has been suggested as a scientific method to guide procedures. The process has been defined as a systematic and dynamic way to deliver nursing care. Effective implementation of the nursing process leads to improved quality of care.

The use of Abdellah’s 21 nursing problems in the nursing process includes: assessment, nursing diagnosis, planning, implementation, and evaluation(Abdellah and Levine, 1986).
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Assessment
This is the first step in the nursing process. The nurse uses a systematic, dynamic way to collect and analyze data about a client. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. The data can be collected in different ways such as conducting an interview, physical examinations, asking about patient’s health and family history and general observation. The nursing problems will serve as guide for data collection.

Diagnosis
The nursing diagnosis is the nurse’s clinical and educated judgment about the client’s response to actual or potential health conditions or needs. The diagnosis is the basis for the nurse’s care plan and it is used to determine the course of treatment.

Planning
Based on the assessment and diagnosis of the nursing problem, the nurse establishes measurable and achievable goals for the patient.

Implementation
Nursing care is implemented according to the decided plan of action. This plan is specific and focus on achievable outcomes. Implementation includes monitoring patient for any changes or improvements, direct care for the patient, giving health education and contacting the patient for follow-up, so continuity of care for the patient during admission and in preparation for discharge is very important.

Evaluation
After all the nursing interventions are implemented, the nurse evaluates both the patient’s status and the effectiveness of the nursing care. Depending on the patient outcome, the care plan is modified as needed. In the event that the patient’s condition did not improve or the goals are not met, the nursing process is repeated from the first step.


 Applicability of the theory to Education
by Group E's Raquel  Lim Masaga

One of the main reasons why Faye Abdella continues to shine on is because of her relentless efforts towards uplifting and continuously improving nursing education and research. She upheld that the nurses should pursue higher education, which, in turn, would shape their character, build and advance their knowledge, and enhance skills to better care for their patients.

Her famous seminal works, Better Nursing Care Through Nursing Research and Patient-Centered Approaches to Nursing, have revolutionized the focus of nursing practice from a disease-centered to a patient-centered approach (Wayne, 2014). With her 21 nursing problems and the strategy of nursing process, the nursing education and nursing practices today evolve around these areas and is the basis of the nursing curricula (Atkins, 2017).

Abdellah’s dedication of more than 60 years in the advancement of nursing profession is the epitome of nursing world today. No matter where there is nursing care in the globe, and however medical technology has advanced, or health policies/ standards have been updated in the nursing practice; all of the progress still have the elements of her contributions, which are considered as the core principles of modern day nursing (Wayne, 2014).

As health is an ever-changing state, we are reminded through her life, that we need to continuously seek and learn ways to improve our practice, quality of service to our patients and enhance our technical skills individually or administratively.


References List:

Abdellah, F.G., & Levine, E. (1986). Better patient care through nursing research (3rd ed). New York: McMillan

Abdellah, F.G., Beland, I.I., Martin, A., and Matheney, R.V. (1960). Patient-centered approaches in Nursing. New York : McMillan

Atkins, D. (2017).  Faye Glenn Abdellah: Nurse, officer, educator. Retrieved from https://circulatingnow.nlm.nih.gov/2017/03/24/faye-glenn-abdellah-nurse-officer-educator/


Wayne, G. (2014). Faye G. Abdellah’s 21 nursing problems theory. Retrieved from https://nurseslabs.com/faye-g-abdellahs-21-nursing-problems-theory/




Applicability to Research
by Group E's Ma. Rhoda Mifa

Extensive nursing research has brought numerous advances throughout the history of medical profession. Since Faye Abdellah is a researcher herselfshe believed that nursing research is vital to our chosen field to improve problem-solving skills. Abdellah considers her greatest accomplishment being able to “play a role in establishing a foundation in nursing research as a science” (Tomey and Alligood, 2014).

In fact, her researches on patient problems and needs serve as one of the foundations in the development and formulation of Nursing Diagnoses. Her contribution to Nursing theory development provided researchers systematic analysis of research reports and creation of 21 nursing problems that guide comprehensive care (Tomey and Alligood, 2014). Some of her researches paved the way to the idea of progressive patient care. In this framework, critical care patients were treated in an intensive care unit, followed by a transition to immediate care, and then home care (Wayne, 2014). Nowadays, these phases of progressive care have been essentially applied to restore health and independence through varieties of hospital and home care institutions.

References List:

Tomey, A. & Alligood, M. (2014). Nursing theorists and their work (8th ed.). Missouri: Mosby.

Wayne, G.(2014). Faye G. Abdellah-Pioneer of 21 Nursing Problems. Retrieved from https://nurseslabs.com/faye-g-abdellah/

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