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Background: Florence Nightingale's Theory, emphasizing cleanliness, ventilation, light, and sanitation, remains foundational in nursing. The COVID-19 pandemic highlighted environmental factors in disease transmission, prompting examination of the theory's contemporary relevance. Objectives: This integrative review synthesized research on the application of Nightingale's Environmental Theory in healthcare contexts during the COVID-19 pandemic, identifying contributions, outcomes, similarities, and differences across studies. Methods: An integrative review methodology (Dhollande et al. in J Res Nurs 26:427–438, 2021) was employed, guided by a PICOT question. Systematic searches (2015–2024) were conducted in CINAHL, Medline, EBSCO, and Google Scholar. Inclusion criteria encompassed peer-reviewed, full-text studies (quantitative, qualitative, mixed-methods) in English applying Nightingale's theory to COVID-19. PRISMA 2020 guided screening,6 studies met criteria after screening 2300 records. Results: PRISMA 2020 guided screening; 6 studies met criteria after screening 2300 records. The review highlighted three main application areas of the theory: Infection Control (60%), Nursing Practice (30%), and Statistics (10%). Conclusion: Nightingale's Environmental Theory provided a vital framework for addressing environmental infection risks and guiding nursing practice during COVID-19. Future research must prioritize empirical testing of theory-based interventions and explore its applicability in modern crises.

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From Crimean War to the COVID 19 Pandemic: An Integrative Literature Review Based on Florence Nightingale’s Theory

  • 章节

  • 发表日期：

    2026年

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  • Ayman Awwad,
  • Marwa Asad,
  • Ghada Mohammad Abu-Shosha,
  • Islam Oweidat,
  • Khitam Alsaqer,
  • Anas Khalifeh,
  • Huda Atiyeh

摘要

Background: Florence Nightingale's Theory, emphasizing cleanliness, ventilation, light, and sanitation, remains foundational in nursing. The COVID-19 pandemic highlighted environmental factors in disease transmission, prompting examination of the theory's contemporary relevance. Objectives: This integrative review synthesized research on the application of Nightingale's Environmental Theory in healthcare contexts during the COVID-19 pandemic, identifying contributions, outcomes, similarities, and differences across studies. Methods: An integrative review methodology (Dhollande et al. in J Res Nurs 26:427–438, 2021) was employed, guided by a PICOT question. Systematic searches (2015–2024) were conducted in CINAHL, Medline, EBSCO, and Google Scholar. Inclusion criteria encompassed peer-reviewed, full-text studies (quantitative, qualitative, mixed-methods) in English applying Nightingale's theory to COVID-19. PRISMA 2020 guided screening,6 studies met criteria after screening 2300 records. Results: PRISMA 2020 guided screening; 6 studies met criteria after screening 2300 records. The review highlighted three main application areas of the theory: Infection Control (60%), Nursing Practice (30%), and Statistics (10%). Conclusion: Nightingale's Environmental Theory provided a vital framework for addressing environmental infection risks and guiding nursing practice during COVID-19. Future research must prioritize empirical testing of theory-based interventions and explore its applicability in modern crises.