E.

THEORETICAL FRAMEWORK

We utilized Florence Nightingale’s Environmental Theory. It states that our client

was a post partum who undergone Cesarean Delivery.

Florence Nightingale, often considered the first nurse theorist, defined

nursing over 100 years ago as "the act of utilizing the environment of the
patient to assist him in his recovery". She linked health with five
environmental factors:

• Pure or fresh air

• Pure water
• Efficient drainage
• Cleanliness
• Light, specially direct sunlight

Nightingale's environmental factors attain significance when one

considers that sanitation conditions in hospitals of the mid-1800s were
extremely poor and that women working in the hospitals were often
unreliable, uneducated, and incompetent to care for the ill.

In addition to those factors, Nightingale also stressed the importance

of keeping the client warm, maintaining a noise-free environment, and
attending to the client's diet in terms of assessing intake, timeliness of the
food, and its effect on the person.

Nightingale set the stage for further work in the development of

nursing theories. Her general concepts about ventilation, cleanliness, quiet,
warmth, and diet remain integral parts of nursing and health care today.

In the current setting of our client in Angono General Hospital, she was
clearly deprived of fresh air, pure water, and cleanliness. The OB/CS ward is
not suitable for health recovery since there are foul odors present. Poor
ventilation deprives the client of fresh air. About cleanliness, environmental
sanitation in the OB ward is not properly maintained since the bed linens are
not changed regularly. Dressings and diapers are also not changed as
indicated.

Another theory that we considered is the theory of Jean Watson which

is the Theory of Human Caring. This theory is based on a transpersonal approach to

the understanding of healing. This approach emphasizes the interconnectedness of

human relationships, which comprises a holistic assessment of human being.

Human caring in nursing is not just an emotion, concern, attitude, or

benevolent desire. Caring is the moral ideal of nursing whereby the end is
protection, enhancement, and preservation of human dignity. This involves
values, and a commitment to care, knowledge, caring action, and
consequences.

The nurse and patient are co-participants in the patient’s movement

toward health and wholeness. Within the actual caring situation, each person
seeks a sense of harmony within the mind, body, and soul, thereby
actualizing the real self. Such contact, which touches the soul, has the power
to generate the self-healing process.

In relation to our patient, she could possibly be dependent to us during

hospitalization, but still after discharge, she would need to know something
on self-care or self-healing. In this theory, it is seen that both, the nurse and
patient, are affected and influenced by the nature of the transaction, which
in turn becomes the life history of each person. The protection,
enhancement, and preservation of the person’s humanity, helps to restore
inner harmony and potential healing.

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