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    Wieden Bach

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    Wiedenbach's Theory outlines a prescriptive theory for nursing with three main factors: central purpose, prescription, and realities. The central purpose reflects the nurse's philosophy of reverence for life, respect for patient dignity and autonomy. The prescription involves mutually agreed upon, patient-directed, or nurse-directed actions. Considering the realities of the patient, nurse, goals, means, and environment, the nurse identifies needs, provides help, and validates the actions taken. Wiedenbach conceptualizes nursing as an art based on helping principles with identification of needs, ministration of help, and validation of actions.

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    Wieden Bach

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    Eka
    42 views4 pages
    Wiedenbach's Theory outlines a prescriptive theory for nursing with three main factors: central purpose, prescription, and realities. The central purpose reflects the nurse's philosophy of reverence for life, respect for patient dignity and autonomy. The prescription involves mutually agreed upon, patient-directed, or nurse-directed actions. Considering the realities of the patient, nurse, goals, means, and environment, the nurse identifies needs, provides help, and validates the actions taken. Wiedenbach conceptualizes nursing as an art based on helping principles with identification of needs, ministration of help, and validation of actions.

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    Teori Falsahah

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    Wiedenbach's Theory outlines a prescriptive theory for nursing with three main factors: central purpose, prescription, and realities. The central purpose reflects the nurse's philosophy of reverence for life, respect for patient dignity and autonomy. The prescription involves mutually agreed upon, patient-directed, or nurse-directed actions. Considering the realities of the patient, nurse, goals, means, and environment, the nurse identifies needs, provides help, and validates the actions taken. Wiedenbach conceptualizes nursing as an art based on helping principles with identification of needs, ministration of help, and validation of actions.

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    © All Rights Reserved
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    Download as doc, pdf, or txt
    42 views4 pages

    Wieden Bach

    Uploaded by

    Eka
    Wiedenbach's Theory outlines a prescriptive theory for nursing with three main factors: central purpose, prescription, and realities. The central purpose reflects the nurse's philosophy of reverence for life, respect for patient dignity and autonomy. The prescription involves mutually agreed upon, patient-directed, or nurse-directed actions. Considering the realities of the patient, nurse, goals, means, and environment, the nurse identifies needs, provides help, and validates the actions taken. Wiedenbach conceptualizes nursing as an art based on helping principles with identification of needs, ministration of help, and validation of actions.

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    of 4

    Wiedenbach’s Theory

    1. Prescriptive theory: a situation producing theory.

     Directs action toward an explicit goal.

     Has three factors:

     Central purpose (nurses philosophy for care)

     Essential to the particular discipline.

     Prescription for the fulfillment of the central purpose, directive

    to activity.

     Realities in the immediate situation that influence the

    fulfillment of the central purpose. Matrix in which the action

    occurs.

     Central purpose

     Philosophy underlies purpose and purpose reflects philosophy,

    Wiedenbach(1969).

     3 components for nursing philosophy:

     Reverence for the gift of life.

     Respect for the dignity, worth, autonomy, and individuality of

    each human being.

     Resolution to act dynamically in relation to one’s beliefs.

     The prescription

     Actions appropriate to implement a plan to carry out the actions in

    accordance with the central purpose. Actions may be voluntary

    (intended response), or involuntary (unintended response).


     3 voluntary actions:

     Mutually understood and agreed upon action. The recipient

    understands the implication of the action and is receptive to it.

     Recipient-directed action. Recipient directs the way the action is

    carried out.

     Practitioner-directed action. Practitioner carries out the action.

     The realities. After the nurse determines the central purpose and has

    developed the prescription she considers the realities. There are five

    realities:

     The agent. Has 4 basic responsibilities

    1. To reconcile assumptions about the realities.

    2. To specify the objectives.

    3. To practice nursing according to the objectives.

    4. To engage in related activities that contributes to self-realization

    and the improvement of nursing.

     The recipient, or patient is vulnerable and is depended on others

    for help and risks losing their individually, dignity, worth, and

    autonomy.

     The goal or directed outcomes the nurse wishes to achieve.

     The means or activities that the nurse is empowered to achieve the

    goals.

     The framework consists of the human, environmental,

    professional, and organizational facilities.


    2. Weidencach’s conceptualization of nursing practice and process.

     Nursing practice is an art, which the nursing action is based on

    the principles of helping. Consists of 4 actions.

    1. Reflex (spontaneous).

    2. Conditioned (automatic).

    3. Impulsive (impulsive).

    4. Deliberate (responsible).

     The nursing practice has 3 components.

    1. Identification of the patient’s needs.

    2. Ministration of help needed.

    3. Validation of the action taken.

     The clinical nursing has 4 components.

    1. Philosophy, personal position of the nurse toward reality.

    2. Purpose, overall goal.

    3. Practice, includes 4 components:

     Identification or need for help.

     Ministration of help needed.

     Validation of the help needed.

     Coordination of help and resources for help.

    4. Art of clinical nursing requires using individual interpretations of

    behavior in meeting needs for help.

     Identification for the need of help involves:


     Observing inconsistencies and acquiring information about

    patient’s needs.

     Determining whether the patient can meet the need for help.

     Determining the cause of the discomfort or need for help.

    Prepared by Ms. Barbara Brooks Fall, 1999

    References:

    Chinn, P., & Jacobs, M. (Eds.). (1987). Theory and nursing (2nd
    ed.). St.Louis: C.V. Mosby.

    George, J. (Ed.). (1985). Nursing theories: the base for professional

    nursing practice (3rd ed.). Norwalk, Connecticut: Appleton & Lange.

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