Compre 4 Flashcards
What is Hildegard Peplau’s theory
Theory of interpersonal relations
Who said that nursing is therapeutic because it is a healing art
Peplau
Theory that emphasizes nurse-client relationship as the foundation of nursing practice / partnership between nurse and client; no passive treatment on both sides
Peplau
Peplau is known as
2 answers
“Mother or Psychiatric Nursing”
“Nurse of the century”
Theory which states that nurses should apply principles of human relations at all levels of experience
Peplau’s Interpersonal Relations Theory
METAPARADIGM
“Strives in its own way to reduce tension generated by needs”
Man/ person
METAPARADIGM
“Word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal
Health
METAPARADIGM
Forces outside of the person and put in the context of culture
Society or Environment
METAPARADIGM
Significant, therapeutic, interpersonal process; human relationship between individuals who are sick to respond to the need for help
Nursing
Tip:
nurse-patient relationship/ interaction
pag may word na “therapeutic”
Peplau
A professional and planned relationship between client and nurse that focuses on the client’s needs, feelings, problems and idead
Therapeutic nurse client relationship
4 PHASES OF THE THERAPEUTIC NURSE-PATIENT RELATIONSHIP
Nurse meets the patient and the two are strangers; identifies the type of service needed by the patient.
The “nurse assessment” stage
Orientation phase
4 PHASES OF THE THERAPEUTIC NURSE-PATIENT RELATIONSHIP
Selection of the appropriate assistance by a professional.
Patient begins to feel as if he/ she belongs/ decrease feeling of helplessness
Development of “nursing care plan”
Identification phase
4 PHASES OF THE THERAPEUTIC NURSE-PATIENT RELATIONSHIP
Uses professional assistance for problem-solving alternatives.
Patient feels like an integral part of the helping environment.
Explore and understand underlying problems. This phase is the implementation of the nursing care plan towards meeting the goals set in identification phase
Exploitation phase
4 PHASES OF THE THERAPEUTIC NURSE-PATIENT RELATIONSHIP
Termination of the professional relationship since the patient have met through the collaboration of patient and nurse; dissolve ties between them
Resolution phase
6 MAIN ROLES IN PEPLAU’S THEORY
Nurse receives the patient the same way patient meets a stranger in other life situations; nurse must build trust
Stranger
6 MAIN ROLES IN PEPLAU’S THEORY
Imparts knowledge in reference to the need and interest of the patient
Teacher
6 MAIN ROLES IN PEPLAU’S THEORY
Provides specific information needed by the patient to understand a problem
Resource person
6 MAIN ROLES IN PEPLAU’S THEORY
Integrate the meaning of current life situations and provide guidance and encouragement to make changes
Counselor
6 MAIN ROLES IN PEPLAU’S THEORY
Helps patient clarify the domains of dependence, interdependence and independence, and acts as an advocate for the patient
Surrogate
6 MAIN ROLES IN PEPLAU’S THEORY
Helps patient tale on the maximum responsibilities for meeting his/ her goals
Leader
4 LEVELS OF ANXIETY
positive state of heightened awareness; can take in all available stimuli
Mild anxiety
4 LEVELS OF ANXIETY
Decreased perceptual field; solve problems only with assistance. Another person can redirect the person to the task
Moderate anxiety
4 LEVELS OF ANXIETY
Feelings of dread and tremor; person cannot be redirected to the task;
has scattered details and physiologic symptoms of tachycardia, diaphoresis and chest pain
Severe anxiety
4 LEVELS OF ANXIETY
Loss of rational thoughts, delusions, hallucinations and complete physical immobility and muteness; person may bolt and run aimlessly exposing to injury
Panic anxiety
What is Ida Jean Orlando’s theory
Deliberative Nursing process theory
What theory emphasizes the critical importance of the patient’s participation in the nursing process; reciprocal relationship between patient and nurse
Orlando’s deliberative nursing process theory
Who separated nursing from medicine where as the nurses are determining nursing action rather than being prompt by physician’s order
Orlando
Who Developed mental health concept as “patients have their own meaning and interpretations of situation and therefore nurses must validate their inferences and analyses with patient before drawing conclusions”
Orlando
METAPARADIGM
The focus of nursing practicd
Human/ person (orlando)
METAPARADIGM
replaced by a sense of helplessness as the initiator of a necessity for nursing
Health (orlando)
Who completely disregarded environment in her theory
Orlando
METAPARADIGM
efforts to meet individual’s need for help requires proper training
Nursing ( orlando)
5 subconcept of Jean orlando
The organizing principle. Finding out and meeting the patient’s immediate needs for help. Providing direct assistance to the patient.
Function of professional nursing
5 subconcept of Jean orlando
Patient’s problematic situation. Through this, nurse finds the patient’s immediate need for help.
Presenting behavior
5 subconcept of Jean orlando
Internal response. The patient perceives objects with his or her five senses; automatic thought causing the patient to act
Immediate reaction
Marks the beginning of the nursing process discipline
Nurse reaction
Nursing action that is: Decided upon for the reasons other than the patient’s immediate need.
Automatic Nursing Actions
Nursing actions that is: decided upon after ascertaining a need and then meeting this need
Deliberative nursing actions
6 subconcept of Jean orlando
Investigation into the patient’s needs. Observation shared and explored with the patient is immediately useful in ascertaining and meeting his or her need. Checks the validity of it by exploring it with the patient
Nursing Process Discipline
6 subconcept of Jean orlando
Resolution to the patient’s situation; result to his or her actions are evaluated to determine whether his or her actions served to help the patient
Improvement
Who incorporated the Nursing Process (ADPIE) in her theory
Orlando
5 Nursing process
The nurse uses a nursing framework to collect both subjective and objective data about the patient
Assessment
5 Nursing process
Nurse’s clinical judgement about the health problems; can be confirmed through using links to defining characteristics, related and risk factors
Diagnosis
5 Nursing process
Address each of the problems identified in the diagnosis. Problem is given a specific goal or outcome. By the end of this stage, nurse will have nursing care plan
Planning
5 Nursing process
Using the nursing care plan
Implementation
5 Nursing process
Nurse looks at the progress of the patient toward the goals set in the Nursing care plan
Evaluation
What is Travelbee’s theory
Human to human relationship model
Travelbee’s concepts
A stereotype and category
Patients
Travelbee’s concepts
Classification and category
Illness
Travelbee’s concepts
Necessity for good nursing and fundamental part of this theory
Communication
Interactional Phases of human to human relationship model:
first impression; stereotyped or traditional roles
Original encounter
Interactional Phases of human to human relationship model:
Time when Relationship begins
Emerging identities
Interactional Phases of human to human relationship model:
Ability to share in the person’s experience
Empathy
Interactional Phases of human to human relationship model:
When the nurse wants to lessen the cause of patient’s suffering
Sympathy
Interactional Phases of human to human relationship model:
Described as nursing intervention that lessens the patient’s suffering. Relation as human to human being
Rapport
Health according to travelbee
Individually defined state of wellbeing in accord to self-appraisal of physicals, emotional and spiritual status.
Subjective health
Health according to travelbee
Measured by physical examination
Objective health
Theory that stated “everything the nurse said or did with an l person helped to fulfill the purpose of nursing
Travelbee’s human to human relationship model
What is madeleine Leininger’s theory
Transcultural nursing
Branch of nursing which focuses on comparative study and analysis of cultures
Transcultural nursing
Study of nursing care belief, values and practices
Ethnonursing
Formal and cognitively learned professional care
Professional Nursing Care
Involves dynamic patterns and features of interrelated structural and organizational factors of a particular culture
Cultural and social dimension
What Western culture focuses on in the traditional concepts of health and disease
Western culture focus is more internally oriented.
What Eastern culture focuses on in the traditional concepts of health and disease
The focus is outside the individual
Health concepts held by many cultural groups may result in people bot choosing to seek western medical treatment as they do not view the illness as coming from within themselves
Traditional concepts of health and disease
Refers to assisting, supporting, enabling behaviors that ease or improve a person’s condition
Care
Values and beliefs that assist, support or enable another person to maintain well-being
Cultural care
Outlook of a person based on a view of the world
World view
Care practice that have special meaning in the culture
Folk health or well being system
Folk illness are generally learned syndromes that individuals from particular cultural groups claim to have and form
Traditional concepts of illness causality
Learned by each generation through both formal and informal life experienced
Concept of culture
In-depth examination of one’s own background
Cultural Awareness
Retain and or preserve relevant care values so that clients can maintain their well-being, recover from illness or face handicaps and/or death
Cultural preservation or maintance
Adapt/ negotiate with others for a beneficial or satisfying health outcome
Cultural care accommodation or negotiation
Change or greatly modify client’s life ways for a new, different and beneficial health care pattern
Cultural care repatterning or restructuring
Model that enables nurses to develop critical and complex thoughts towards nursing practice
Sunrise model
What is nola pender’s theory
Health promotion model of nursing
Purpose of health promotion model of nursing
Promote healthy lifestyle
Health is a positive dynamic state rather than simply the absence of disease
Definition of health promotion model of nursing
Tip: “promote health”
Nola pender
Nola Pender’s concepts
Biological, psychological and socio-cultural.
Personal Factors
Nola Pender’s concepts
Age, gender, body mass,
Personal biological factors
Nola Pender’s concepts
Self esteem, self motivation, personal competence
Personal psychological factors
Nola Pender’s concepts
Race, ethnicity, socioculturation, education, and socio-economic status
Personal socio-cultural factors
Nola Pender’s concepts
Positive outcomes that will occur from health behavior
Perceived benefits of Action
Nola Pender’s concepts
Anticipated, imagined or real blocks and personal cost of understanding a given behavior
Perceived barrier to action
Nola Pender’s concepts
Judgement to personal capacity to organize and execute a health-promoting behavior
Perceived self efficacy
Nola Pender’s concepts
Subjective positive or negative feeling based on stimulus properties
Activity related affect
Nola Pender’s concepts
Cognition concerning behaviors, beliefs or attitudes of the others.
Interpersonal influenced
Personal perception and cognitions of any given situation or context that can facilitate or impede behavior
Situational influences
Nola Pender’s concepts
The intention and identification of a planned strategy leads to implementation of health behavior
Behavioral outcomes commitment to plan of action
Nola Pender’s concepts
Competing demand Which individuals have low control because there are environmental contingencies like other responsibilities; competing preferences are alternating behavior over which individuals every relatively high control over thingd
Immediate competing demand and preferences
The purpose of this model is not to cure disease bit to promote healthy lifestyle
Pender’s HealthPromotion model
