All professions endeavor to develop a body of knowledge that guides and defines their particular profession, nursing as a profession is no exception. Florence Nightingale is seen as the founder of modern nursing, in that she developed high standards for the care of her patients, including their environment. Nightingale initiated formal education for nurses and advocated for social reform. Knowledge in nursing may have changed over time; Nevertheless, the central tenets and values that have defined the profession of nursing persist. Nursing has historically purposed to care for the infirmed with compassion. Knowing entails how we make sense of ourselves and our environment; Moreover, knowledge is communicating what it is …show more content…
In 1873, Linda Richards became the first nurse to graduate from a formal nursing program. She made several contributions to nursing, the greatest being the establishment of nurse training schools, including the first school of psychiatric nursing at the McLean Asylum in Massachusetts. These nurse training schools taught custodial care of the mentally ill and did not include the integration of psychological theories until the 1950’s (Townsend, 2015). Since then, many theoretical frameworks in psychiatric nursing have drawn from theories in the social sciences. For instance, Hildegard Peplau was impacted by the work of Dr. Henry Stack Sullivan, who moved away from the Freudian psychoanalytic theory of explaining behavior to explaining behavior through the impact of interpersonal relationships. Peplau’s theory of interpersonal relations focused on the interpersonal theory as it relates to the client-nurse relationship, this theory has dramatically impacted psychiatric nursing knowledge and practice (D’Antonio, Beeber, Sills, & Naegle, …show more content…
The patient is represented as a system with five interacting variables (components) and there is a response, this response is modulated by psychological and biological defenses, including personal factors (intra-, inter-, extra-). The goal is to achieve optimal wellness or system stability. This model identifies stressors to the system, as loss, pain, sensory deprivation and cultural change. This young woman was experiencing instability with the stressors of pain, loss and cultural change. As I cared for this patient I assessed her physical, intellectual, emotional and spiritual needs. Interventions take place based on the degree of reaction, resources, and goals (Neuman & Fawcett,