200 years of Florence Nightingale: contributions to the professional practice of nurses in hospitals

Ribeiro, Olga Maria Pimenta Lopes; Martins, Maria Manuela Ferreira Pereira da Silva; Trindade, Letícia de Lima; Fassarella, Cintia Silva; Silva, João Miguel Almeida Ventura da; Faria, Ana da Conceição Alves

doi:10.1590/0034-7167-2020-0179

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (suppl 5) • 2020 • https://doi.org/10.1590/0034-7167-2020-0179 copy

200 years of Florence Nightingale: contributions to the professional practice of nurses in hospitals

200 años de Florence Nightingale: contribuciones a la práctica profesional de los enfermeros en los hospitales

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

Analyze the agreement of nurses, who work in hospital institutions, about Florence Nightingale’s conceptions about nursing, people, health and the environment.

Method:

Quantitative, observational and cross-sectional study, with the participation of 3,451 nurses from 36 Portuguese hospitals. Data collection took place from July 2015 to March 2016, using a questionnaire. For analysis, descriptive and analytical statistics were used.

Results:

It was evident that 60% to 70% of participating nurses considered that Florence Nightingale’s conceptions of nursing, person, health and environment were partly in agreement or totally in agreement with their practice. The variables that influenced agreement were: service, condition in which they practice the profession, length of professional practice, academic degree and region of the country.

Conclusion:

Florence Nightingale’s conceptions continue to contribute to professional nursing practice, with the region and the service significantly influencing this continuity.

Descriptors:
Nursing Theory; Nursing; Professional Practice; Nurses; Hospitals

Conceptions	Totally contrary to my practice		Contrary to my practice		No opinion		In accordance with my practice		Totally in accordance with my practice		Total
Conceptions	n	%	n	%	n	%	n	%	n	%	n	%
Nursing
North	15	1.0	292	19.6	211	14.1	650	43.6	324	21.7	1.492	100
Center	4	0.5	104	13.5	185	24.0	312	40.5	166	21.5	771	100
Lisbon and TV	13	1.6	69	8.3	113	13.6	434	52.4	200	24.1	829	100
Alentejo	0	0.0	11	5.2	39	18.3	110	51.6	53	24.9	213	100
Algarve	1	0.7	20	13.7	18	12.3	66	45.2	41	28.1	146	100
Person
North	6	0.4	294	19.7	224	15.0	566	37.9	402	26.9	1.492	100
Center	2	0.3	51	6.6	136	17.6	366	47.5	216	28.0	771	100
Lisbon and TV	2	0.2	44	5.3	85	10.3	411	49.6	287	34.6	829	100
Alentejo	0	0.0	13	6.1	17	8.0	105	49.3	78	36.6	213	100
Algarve	2	1.4	6	4.1	21	14.4	64	43.8	53	36.3	146	100
Health
North	44	2.9	289	19.4	237	15.9	655	43.9	267	17.9	1.492	100
Center	11	1.4	135	17.5	141	18.3	347	45.0	137	17.8	771	100
Lisbon and TV	20	2.4	113	13.6	139	16.8	390	47.0	167	20.1	829	100
Alentejo	4	1.9	19	8.9	37	17.4	95	44.6	58	27.2	213	100
Algarve	5	3.4	25	17.1	25	17.1	70	47.9	21	14.4	146	100
Environment
North	16	1.1	254	17.0	230	15.4	753	50.5	239	16.0	1.492	100
Center	6	0.8	107	13.9	146	18.9	377	48.9	135	17.5	771	100
Lisboa and TV	8	1.0	70	8.4	126	15.2	460	55.5	165	19.9	829	100
Alentejo	2	0.9	11	5.2	42	19.7	97	45.5	61	28.6	213	100
Algarve	4	2.7	14	9.6	19	13.0	80	54.8	29	19.9	146	100

Conceptions	Center		Lisbon and TV		Alentejo		Algarve
Conceptions	Sta*	p*	Sta*	p*	Sta*	p*	Sta*	p*
Nursing
North	573449.5	0.902	547187	< 0.001	136717.5	< 0.001	97011.5	0.021
Center			280146.5	< 0.001	69933.5	< 0.001	49993.0	0.024
Lisbon and TV					86696.0	0.658	60503.5	0.996
Alentejo							15862.5	0.727
People
North	512273.0	< 0.001	492916.0	< 0.001	123370.0	< 0.001	88185.0	< 0.001
Center			284489.0	< 0.001	71034.5	0.001	50911.0	0.049
Lisbon and TV					85959.0	0.515	61162.0	0.823
Alentejo							16105.5	0.531
Health
North	563434.0	0.400	575474.5	0.003	133365.5	< 0.001	110368.5	0.779
Center			303172.5	0.059	70206.5	0.001	58176.0	0.494
Lisbon and TV					79987.0	0.024	65663.5	0.080
Alentejo							18234.0	0.002
Environment
North	563045.0	0.376	548631.5	< 0.000	131294.0	< 0.000	98560.5	0.040
Center			289606.5	< 0.000	69429.5	< 0.000	51985.5	0.115
Lisbon and TV					82539.5	0.108	61368.5	0.764
Alentejo							16770.5	0.173

Conceptions	Estimated parameter			Odds Ratio
Conceptions	Estimate	p value^* * p < 0,05. CI 95% = Confidence interval de 95%.	CI 95%^* * p < 0,05. CI 95% = Confidence interval de 95%.	Razão	CI 95%^* * p < 0,05. CI 95% = Confidence interval de 95%.
Nursing
Lisbon and Tagus Valley	0.448	< 0.001	[0.301;0.596]	1.565	[1.351;1.815]
Alentejo	0.436	0.001	[0.185;0.690]	1.547	[1.203;1.994]
Surgery	0.259	< 0.001	[0.117;0.400]	1.295	[1.124;1.492]
Intensive medicine and urgency	0.431	< 0.001	[0.269;0.593]	1.539	[1.309;1.810]
Person
Centro	0.408	< 0.001	[0.248;0.569]	1.504	[1.281;1.767]
Lisbon and Tagus Valley	0.775	< 0.001	[0.615;0.936]	2.171	[1.850;2.549]
Alentejo	0.821	< 0.001	[0.556;1.086]	2.272	[1.744;2.963]
Algarve	0.708	< 0.001	[0.393;1.025]	2.029	[1.482;2.788]
Intensive medicine and urgency	0.354	< 0.001	[0.205;0.504]	1.425	[1.227;1.656]
Specialist nurse	0.176	0.026	[0.021;0.331]	1.192	[1.021;1.392]
Health
Lisbon and Tagus Valley	0.247	0.001	[0.101;0.394]	1.280	[1.106;1.482]
Alentejo	0.499	< 0.001	[0.240;0.760]	1.647	[1.271;2.138]
Surgery	0.235	0.001	[0.094;0.377]	1.265	[1.099;1.458]
Intensive medicine and urgency	0.214	0.011	[0.050;0.379]	1.239	[1.051;1.461]
Specialist nurse	-0.173	0.043	[-0.340;-0.005]	0.841	[0.712;0.995]
Professional practice time	0.011	0.004	[0.004;0.019]	1.011	[1.004;1.019]
Masters' degree	-0.299	0.006	[-0.511;-0.085]	0.742	[0.600;0.918]
Environment
Lisbon and Tagus Valley	0.402	< 0.001	[0.252;0.552]	1.494	[1.286;1.737]
Alentejo	0.598	< 0.001	[0.330;0.868]	1.819	[1.391;2.383]
Algarve	0.352	0.030	[0.035;0.670]	1.422	[1.036;1.954]
Intensive medicine and urgency	0.194	0.014	[0.042;0.346]	1.214	[1.042;1.413]
Professional practice time	0.008	0.035	[0.001;0.016]	1.008	[1.001;1.016]

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[1] Corresponding author: Olga Maria Pimenta Lopes Ribeiro. E-mail: olgaribeiro@esenf.pt