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Ernestine Wiedenbach's Contribution To The Development Of Clinical Nursing Practice

976 words - 4 pages

Ernestine Wiedenbach's theory has contributed to the development of clinical nursing practice by influencing core concepts in practice, such as the nursing process, and by contributing to the goal of nursing, which is to attend to a patient's needs by assessing their need for help in the clinical setting/
The helping art of nursing is seen in all nursing practice involving the individual, and it uses the basis of nursing practice, the basis being the nursing process. The nursing process is a systematic problem-solving approach first applied by Orlando in 1961 and involved four key steps which includes assessment, planning, intervention and evaluation (Potter, Perry, 2006, p. 68). According Alligood and Tomey (2010), Wiedenbach also developed a personal nursing steps in which the nurse can identify a patient's need for help by:
1.Observing behaviors consistent or inconsistent with their comfort,
2.Exploring the meaning of their behaviour,
3.Determining whether they can resolve their problems or have a need for help,
4.Determining whether they can resolve their problems or have a need for help”
Orlando's Nursing Process is related to Wiedenbach's process of identifying a patient's need for help because they both follow the same care trajectory from initial observation and assessment to intervention and evaluation. Since these two theories follow the same trajectory, they can be applied in similar situations in clinical nursing practice.
Wiedenbach's process of identifying a patient's need for help can be applied when a nurse is directly providing care for a patient. Richard and Johnson (2007) used Wiedenbach's nursing theory to guide nursing practice, where the nurse identifies the needs of the patient and their need for help in coping with pain and anxiety. Their study was concerned with the therapeutic affects of music in helping patients cope with pain and anxiety. The researchers used Wiedenbach's help term, which is identified as “a deliberate action that enables individuals to overcome whatever hampers their ability to function.” The help, in this study, was the use of music to help with coping skills. Therefore, by going through this thought process the nurse is observing the patient's ability to cope or be comfortable, exploring the meaning of their behaviour, which is that they are in pain due to a negative stimulus. The study then determined the patient's need for help with pain and finally implemented music as a deliberate action to try to hamper the patients need in order to cope. This research study also integrates Wiedenbach's concept of mutual decision-making, which is important in this context because the study involves continuous interaction with the patient, which in this theory is a practice that is truly valued. So, by identifying the patient's need for help, having the nurse apply their art of helping, and by following the patient's need for help process, the researchers were able to implement and test for the...

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