Ernestine Wiedenbach Ernestine Wiedenbach was born on August 18, 1900 in Hamburg, Germany. Her family then moved to New York in 1909. Ernestine went on to educate herself by obtaining her Bachelor of Arts degree from Wellesley College in 1922, an R.N. from Johns Hopkins Hospital school of nursing in 1925, a Master of Arts from Teachers College, Columbia Universiy in 1934, and a certificate in Nurse Midwifery from the Maternity Center Association School for NurseMidwives in New York in 1946 where she taught until 1951. In 1952, Wiedenbach joined the staff of Yale where she taught as an instructor of maternity nursing. Named an assistant professor of obstetrics nursing in 1954, and an associate professor of the newly developed maternal and newborn health Master's degree program in 1956, Ernestine Wiedenbach led a very productive career. She also went on to author several books used in nursing and midwifery education including Family Centered Maternity Nursing in 1958. Wiedenbach eventually retired in 1966, and died March 8, 1998 (Ernestine Wiedenbach, 2010).
Theory and Diagram: Prescriptive Theory
Although virtually unknown in the present nursing world, Wiedenbach's prescriptive theory is incorporated into the majority of the nursing care performed on a daily basis. The theory is based on three factors, which are the central purpose that the practitioner recognizes as essential to the particular discipline, the prescription for the fulfillment of central purpose, and the realities of the situation, which influence the central purpose. The theory is based upon an understanding that each provider carries with them a central purpose to incorporate into their care, and that purpose requires a certain prescription or set of interventions to create an acceptable outcome. The third aspect of the theory are the realities which affect both the patients' and the caregivers' perception of the purpose (Nursing, 2012). See Figure 1.
Definition of Nursing
While building her career, Wiedenbach defined key terms commonly used in nursing practice. Her definitions of terms include the patient, a need for help, nurse, knowledge, judgment, nursing skills, and a person. The patient According to Wiedenbach, the patient is any individual who is receiving help of some kind, be it care, instruction or advice from a member of the health profession or from a worker in the field of health. The patient is also any person who has entered the healthcare system and is receiving help of some kind, such as care, teaching, or advice. The patient need not be ill, since someone receiving health-related education of any kind would qualify as a patient (Nursing, 2012). A need-for-help A need-for-help is defined as any measure desired by the patient that has the potential to restore or extend the ability to cope with various life situations that affect health and wellness. It is crucial to the nursing profession that a need-for-help be based on the individual perception of his situation. Often healthcare professionals impose our beliefs onto the patient’s situation and think we know what the patient needs without speaking to them or their families first. A need for help is the basis for patient-centered care (Nursing, 2012). Nurse Interestingly, Wiedenbach defines the nurse as a functioning human being, who not only acts, but thinks and feels as well. By her definition, nearly every person on the planet is a nurse in some manner (Nursing, 2012). Knowledge Knowledge encompasses all that has been perceived and grasped by the human mind, and may be factual, speculative, or practical. Everyone’s level of knowledge is different, and influenced by their culture, education, and past experiences (Nursing, 2012). Judgment Clinical Judgment represents the nurse’s likeliness to make sound decisions based on differentiating fact from assumption, and relating them to cause and effect. This is a skill we are taught progressively throughout our education to become...
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