Nursing process with virginia handerson’s theory

THE NEED THEORY

■ Henderson categorized nursing activities into fourteen components, based on human needs.
She described the nurse's role as substitutive (doing for the person), supplementary (helping
the person), complementary (working with the person), with the goal of helping the person
become as independent as possible.

■ Henderson focused on individual care. She described nursing role as assisting individuals
with essential activities to maintain health, to recover, or to achieve peaceful death. She
proposed fourteen components required for effective nursing care (Table I). The first nine
components are physiological. The tenth and fourteenth are psychological aspects of
communicating and learning. The eleventh component is spiritual and moral. The twelfth
and thirteenth components are sociologically oriented to occupation and recreation (Meleis,
2007; George, 2011)

Nursing Theory Process

■ As an application of the logical approach to the solution of the problem.

■ The nursing theory process comprises of six elements; Assessment, Nursing Diagnose,
Outcome, Planning, Implementation and Evaluation.

■ (George, 2011).

ASSESMENT

■ The first step in delivering nursing care.

■ Uses a systematic and dynamic way to collect and analyze data about a client.

■ As basis for formulation of a nursing diagnose and care plan.

■ Assessment includes not only physiological data, but also psychological, sociocultural,
spiritual, economic, and life-style factors as well. (American Nurses Association,2015).

ANALYSIS

■ Assessment is an process contains activity such as parsing, differentiating, sorting

assessment to be classified and re-grouping according to certain criteria and than looking for
the relation and interpreting the meaning.

■ Or we can use the way compare the abnormal condition that found in assessment from
client with the normal condition. And than we find the problem that same with
characteristic limitation a certain diagnosis.

NURSING DIAGNOSTIC
 ■ Clinical decision about individual family, and community responses to actual or potential
health problem, as a basis for selecting nursing interventions to achieve nursing care
outcome in accordance with nurse’s authority

■ But in-depth analysis in accordance with need theory emphasized the prioritized nursing
diagnose to be.

OUTCOMES

■ Outcomes include the goals (results criteria) that we should achieve from nursing care.

■ From outcome we can decide what the nursing intervention that effective and helpful to
achieve health degree that we have specified before.

IMPLEMENTATION

■ After we formulated the intervention in accordance with the outcome we can doing the plan
to client.

■ The interventions helped her to surmount her troubles and regain the lost value in her life or
her health degree.

EVALUATION

■ The outcome of the care plan was successfully achieved or not is found here.

■ If the plan is successful, we can us the plan to maintain client condition to remain stable.

■ If the plan is fail, we must re-assessment other factor that affect client conditions, and than
we can change the intervention with other plan that the effectiveness as same as the with
recent plan.

THEORY CONCEPT AND RELATIONSHIP

■ Henderson used the concepts of fundamental human needs, bio physiology, culture and
interaction communication, which give the theory a dynamic coverage regarding patients
need.

■ It’s design successfully wrap the components of nursing process. Henderson’s need theory is
relevant to Maslow’s hierarchy of human needs.

■ (George,2011).