The Helping Art of Clinical Nursing

The Helping Art of Clinical Nursing
Ernestine Wiedenbach
ast updated on January 31, 2012
INTRODUCTION
Ernestine Wiedenbach was born in August 18, 1900, in

Hamburg, Germany.
September 9, 2013 The Helping Art of Clinical Nursing".
Education:
o
B.A. from Wellesley College in 1922
R.N. from Johns Hopkins School of Nursing in

1925
M.A. from Teachers College, Columbia

University in 1934
Certificate in nurse-midwifery from the

Maternity Center Association School for NurseMidwives in New York in 1946..
Career:
o
Wiedenbach joined the Yale faculty in 1952 as

an instructor in maternity nursing.
Assistant professor of obstetric nursing in 1954

and an associate professor in 1956.
She wrote Family-Centered Maternity Nursing in

1958.
She was influenced by Ida Orlando in her works

on the framework.
She died on March 8, 1998.
CONCEPTS AND DEFINITIONS
Wiedenbach defined key terms commonly used in

nursing practice.
The patient
"Any individual who is recieving 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 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 would qualify as a patient.
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 nursing profession that a need-for-help

be based on the individual perception of his own
situation.
Nurse
The nurse is functioning human being.
The nurse no only acts, but thinks and feels as well.
Knowledge
Knowledge encompasses all that has been percieved

and grasped by the human mind.
Knowledge may be :
o
factual
speculative or
practical
Judgment
Clinical Judgment represents the nurses likeliness to

make sound decisions.
Sound decisions are based on differentiating fact from

assumption and relating them to cause and effect.
Sound Judgment is the result of disciplined

functioning of mind and emotions, and improves with
expanded knowledge and increased clarity of
professional purpose.
Nursing Skills
Nursing Skills are carried out to achieve a specific

patient-centered purpose rather than completion of
the skill itself being the end goal.
Skills are made up of a variety of actions, and

characterized by harmony of movement, precision,
and effective use of self.
Person
Each Person (whether nurse or patient), is endowed

with a unique potential to develop self-sustaining
resources.
People generally tend towards independence and

fulfillment of responsibilities.
Self-awareness and self-acceptance are essential to

personal integrity and self-worth.
Whatever an individual does at any given moment

represents the best available judgment for that person
at the time.
KEY ELEMENTS
Wiedenbach proposes 4 main elements to clinical

nursing.
o
a philosophy
a purpose
a practice and
the art.
The Philosophy
The nurses' philosophy is their attitude and belief

about life and how that effected reality for them.
Wiedenbach believed that there were 3 essential

components associated with a nursing philosophy:
o
Reverence for life
Respect for the dignity, worth, autonomy and

individuality of each human being and
resolution to act on personally and

professionally held beliefs.
The Purpose
Nurses purpose is that which the nurse wants to

accomplish through what she does.
It is all of the activities directed towards the overall

good of the patient.
The Practice
Practice are those observable nursing actions that are

affected by beliefs and feelings about meeting the
patients need for help.
The Art
The Art of nursing includes

o
understanding patients needs and concerns
developing goals and actions intended to

enhance patients ability and
directing the activities related to the medical

plan to improve the patients condition.
The nurses also focuses on prevention of

complications related to reoccurrence or development
of new concerns.
PRESCRIPTIVE THEORY
Wiedenbach's prescriptive theory is based on three factors:
The central purpose which the practitioner recognizes
as essential to the particular discipline.
The prescription for the fullfillment of central purpose.
The realities in the immediate situation that influence

the central purpose.
Diagram
CONCLUSION
Nursing is the practice of identification of a patients

need for help through
o
observation of presenting behaviors and

symptoms
exploration of the meaning of those symptoms

with the patient
determining the cause(s) of discomfort, and
determining the patients ability to resolve the

discomfort or if the patient has a need for help
from the nurse or other healthcare
professionals.
Nursing primarily consists of identifying a patients

need for help.

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The Helping Art of Clinical Nursing

Ernestine Wiedenbach was born in August 18, 1900, in

September 9, 2013 The Helping Art of Clinical Nursing".

B.A. from Wellesley College in 1922

R.N. from Johns Hopkins School of Nursing in

M.A. from Teachers College, Columbia

Certificate in nurse-midwifery from the

Wiedenbach joined the Yale faculty in 1952 as

Assistant professor of obstetric nursing in 1954

She wrote Family-Centered Maternity Nursing in

She was influenced by Ida Orlando in her works

She died on March 8, 1998.

CONCEPTS AND DEFINITIONS

Wiedenbach defined key terms commonly used in

"Any individual who is recieving help of some kind, be

The patient is any person who has entered the

The patient need not be ill since someone receiving

A need-for-help is defined as "any measure desired

It is crucial to nursing profession that a need-for-help

The nurse is functioning human being.

The nurse no only acts, but thinks and feels as well.

Knowledge encompasses all that has been percieved

Clinical Judgment represents the nurses likeliness to

Sound decisions are based on differentiating fact from

Sound Judgment is the result of disciplined

Nursing Skills are carried out to achieve a specific

Skills are made up of a variety of actions, and

Each Person (whether nurse or patient), is endowed

People generally tend towards independence and

Self-awareness and self-acceptance are essential to

Whatever an individual does at any given moment

Wiedenbach proposes 4 main elements to clinical

The nurses' philosophy is their attitude and belief

Wiedenbach believed that there were 3 essential

Reverence for life

Respect for the dignity, worth, autonomy and

resolution to act on personally and

Nurses purpose is that which the nurse wants to

It is all of the activities directed towards the overall

Practice are those observable nursing actions that are

The Art of nursing includes

understanding patients needs and concerns

developing goals and actions intended to

directing the activities related to the medical

The nurses also focuses on prevention of

The central purpose which the practitioner recognizes

as essential to the particular discipline.

The prescription for the fullfillment of central purpose.

The realities in the immediate situation that influence

Nursing is the practice of identification of a patients

observation of presenting behaviors and

exploration of the meaning of those symptoms

determining the cause(s) of discomfort, and

determining the patients ability to resolve the

Nursing primarily consists of identifying a patients

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