This research is being carried out to evaluate and present an application of middle range theory to the problem. Middle range theories carry those variables that have to be proven and tested i.e. their relationship with research and practice is stronger…
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This research will begin with the statement that middle range theory is a theory which is inclusive, organized and abstract and has a limited scope. It mainly focuses on the concepts of pain, grief, hope, comfort, and quality of life to patients. In addition, mid-range theory focuses on the relationship between nursing and the patients’ environment. This theory was pioneered by Florence Nightingale. She was born in Florence Italy on 12 May 1820. Florence was a second daughter of William and Frances, who was very wealthy. And that made her mother, Frances, to want her to be married to a rich man, however, Florence a devout Christian at age 17 and realized that God called her to serve Him so she could not get married to the man. Even though could not make out how God wanted her to serve him, she, however, discovered it in 1944 and started nursing the sick. This really horrified her parents because by that time nursing was not a respectable job since nurses were often drunk coupled with dreadful conditions of the hospitals. The family really tried to stop her, but she was determined to sacrifice herself even though she had no nursing experience. This made her go to Kaiserwerth in Germany in 1851 to learn. In 1853, Nightingale was offered her first post of reorganizing a small hospital in Harvey Street, London was known as the Institution for the Care of Sick Gentlewomen in Distressed Circumstances. While here, she did an excellent job of reorganizing the hospital....
In 1860, she opened the Nightingale Training School for Nurses at St Thomas Hospital. Nightingale greatly raised the nursing standards. In her old age, Florence suffered from ill health and therefore she went blind and therefore become invalid by the mid-1890s. In 1907, she was awarded the Order of Merit. She died on 13 August 1910 (Nightingale & Valle?e, 2001). She is viewed as a mother the mother of modern nursing because she developed modern nursing by synthesizing the information she gathered in many of her life experiences. She realized that the major component of nursing care is the manipulation of the physical environment (Nightingale & Valle?e, 2001). Nightingale identified that the major areas of the environment that the nurse could control is light, cleanliness of rooms, ventilation and warmth, variety, noise, bed and beddings, walls and nutrition. For the client to counter the environmental stress in case one or more aspects are out of balance, he/she must use increased energy. In her theory, Florence advocated the two essential behaviors by the nurse. Firstly, a nurse should ask what the client needed or wanted for instance asking what the patient believe that is wrong. Secondly, she advocated the use of observation. Nightingale used precise observations that concern all aspects of the patient’s environment and physical health. She outlined that the main role of nurses is to place their patients in the best position so that the nature can act upon him, therefore, encouraging healing (Nightingale & Valle?e, 2001). This is the main application of Nightingale's theory in practice. It was the nurses’ responsibility to assist
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