ERNESTINE
WIEDENBACH
ERNESTINE WIEDENBACH
ABOUT
EDUCATION
CAREER
- She was born in
August 18, 1900 in
Hamburg, Germany
- Move to New York
in 1902
- She died on March
8, 1998
- 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 nursemidwifery from the
Maternity Center
Association School for
Nurse-Midwives in New
York in 1946..
- She 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 FamilyCentered Maternity
Nursing in 1958 and
Communication: Key to
Effective Nursing (128p)
in 1982.
THE HELPING ART OF
CLINICAL NURSING
Ernestine Wiedenbach developed the conceptual
model of nursing called the Helping Art of Clinical
Nursing, which was influenced by the works of Ida
Orlando.
In her model of nursing, she explains that nursing is the
practice of identification of a patient’s need for help.
The goal of nursing consists primarily of identifying a
patient’s need for help.
The 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.”
Wiedenbach’s theory identifies the patient as “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.”
FOUR MAIN ELEMENTS IN
CLINICAL NURSING
PHILOSOPHY
• The nurse’s philosophy is his or
her attitude and belief about life,
and how that affects reality for
him or her.
• The three essential
components Wiedenbach
associated with a nursing
philosophy are:
- Reverence for life
- Respect for the dignity, worth,
autonomy, and individuality of
each human being
- Resolution to act on personally
and professionally held beliefs.
PRACTICE
PURPOSE
• The nurse’s purpose is
that which the nurse wants
to accomplish through her
actions. It encompasses all
of the activities directed
toward the overall good of
the patient.
• The practice of nursing
consists of the observable
nursing actions affected by
beliefs and feelings about
meeting the patient’s need
for help.
The art
• The Art of nursing includes
- understanding patients needs
and concerns
- developing goals and actions
intended to enhance patients
ability
- 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
2 TYPES OF JUDGMENT IN
DEALING WITH PATIENTS
Clinical judgment
- represents the nurse’s likeliness to make sound
decisions, which are based on differentiating fact
from assumption and relating them to cause and
effect.
Sound Judgement
- is the result of disciplined functioning of mind
and emotions, and improves with expanded
knowledge and increased clarity of professional
purpose.
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
fulfillment of
the central
purpose.
The realities in
the immediate
situation that
influence the
central
purpose.
THANK
YOU!