Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Model
Presented by:
Izalyn N. Irasusta
Established on 1969
1950
1960
1967
Nashville
1969
American
Association Of
Cardiovascular
Nurses
1971
Core Concept
The need or characteristic of
patient and family
influence and drive the
characteristic or
competencies of nurses
Assumptions
biological, psychological,
social
and spiritual entities who
present at a particular
developmental stage
Assumptions
can be described by a number of
characteristics.
All characteristics are connected
and contribute to each other.
Characteristics cannot be looked at
in isolation.
Assumptions
all
allcontribute
contributeto
toproviding
providingaa
context
contextfor
forthe
thenurse-patient
nurse-patient
relationship
Assumptions
of dimensions.
o The interrelated dimensions
paint a profile of the nurse.
Assumptions
GOAL
restore a patient to an optimal
level of wellness as defined by
the patient.
Death can be an acceptable
outcome
The
Thecapacity
capacityto
toreturn
returnto
toaarestorative
restorative
level
levelof
offunctioning
functioningusing
using
compensatory/coping
compensatory/copingmechanisms;
mechanisms;
the
theability
abilityto
tobounce
bounceback
backquickly
quickly
after
afteran
aninsult
insult
Level 3 - Moderately
resilient
Unable to mount a
response; failure of
compensatory/coping
mechanisms; minimal
reserves; brittle
Able to mount a moderate
response; able to initiate
some degree of
compensation; moderate
reserves
Able to mount and maintain
a response; intact
compensatory/coping
Susceptibility to
actual or
potential
stressors that
may adversely
affect patient
outcomes
Level 1 - Highly
vulnerable
Level 3 - Moderately
vulnerable
Level 5 - Minimally
vulnerable
Susceptible;
unprotected, fragile
Somewhat susceptible;
somewhat protected
Safe; out of the woods;
protected, not fragile
The ability to
maintain a steadystate equilibrium
Labile; unstable;
unresponsive to therapies;
high risk of death
Able to maintain steady
state for limited period of
time; some responsiveness
to therapies
Moderately involved
patient/family dynamics
Straightforward; routine
patient/family dynamics;
simple/clear cut; typical
presentation
Extent
Extentof
ofresources
resources(e.g.,
(e.g.,technical,
technical,fiscal,
fiscal,
personal,
psychological
and
social)
the
personal, psychological and social) the
patient/family/community
patient/family/communitybring
bringto
tothe
the
situation
situation
Acharacteristic
Acharacteristicthat
thatallows
allowsone
oneto
to
expect
expectaacertain
certaincourse
courseof
ofevents
eventsor
or
course
courseof
ofillness
illness
Clinical
reasoning,
which
Clinical reasoning, which
includesclinical
clinicaldecision-making,
decision-making,
includes
critical thinking
thinking and
and aa global
global
critical
grasp of
of the
the situation,
situation, coupled
coupled
grasp
with nursing
nursing skills
skills acquired
acquired
with
through
a
process
of
integrating
through a process of integrating
formal and
and informal
informal experiential
experiential
formal
knowledge and
and evidence-based
evidence-based
knowledge
guidelines
guidelines
Level 1
Level 3
Level 5
Level 1
Level 3
Level 5
Nursing activities
activities that
that create
create aa
Nursing
compassionate, supportive
supportive and
and
compassionate,
therapeuticenvironment
environmentfor
forpatients
patients
therapeutic
andstaff,
staff,with
withthe
theaim
aimofofpromoting
promoting
and
comfort and
and healing
healing and
and preventing
preventing
comfort
unnecessary suffering.
suffering. Includes,
Includes, but
but
unnecessary
is
not
limited
to,
vigilance,
is
not
limited
to,
vigilance,
engagement and
and responsiveness
responsiveness ofof
engagement
caregivers, including
including family
family and
and
caregivers,
Level 1
Level 3
Level 5
Level 1
Level 3
Level 5
Level 1
Level 3
Level 5
s
Level 1
Level 3
Level 5
Level 1
Level 3
Level 5
The
The ongoing
ongoing process
process of
of questioning
questioning
and
and
and evaluating
evaluating practice
practice
and
providing
providinginformed
informedpractice;
practice;creating
creating
practice
practice changes
changes through
through research
research
utilization
utilizationand
andexperiential
experientiallearning
learning
Level 1
Level 3
Level 5