Hildegard Peplau Flashcards
Was born in 1900 in Pennsylvania as the daughter of immigrant parents. She graduated with a diploma from Pottstown Hospital School of Nursing in 1931.
Hildegard Peplau
The mother of psychiatric nursing.
Hildegard Peplau
This theory was influenced by Freud, Maslow, and Sullivan’s interpersonal relationship theories, and by the psychoanalytical model
Hildegard Peplau
Interpersonal Relations Theory
Was honored for her many contributions to the profession of nursing and was elected fellow in the American Academy of Nurses and Sigma Theta Tau
Hildegard Peplau
Focuses on the relationship between the nurse and the patient
Interpersonal Relations Theory
Peplau addresses all of nursing’s metaparadigm concepts, but remains primarily concerned with one aspect of nursing: how persons relate to one another.
Interpersonal Relations Theory
According to _____ , the nurse-patient relationship is the center of nursing
Peplau
Phases in nurse-patient relationships
a.
b.
c.
a. Orientation phase
b. Working phase
c. Termination phase
This is the initial interaction between the nurse and the patient wherein the latter has a felt need and expresses the desire for personal assistance.
Phases in nurse-patient relationships
Orientation Phase
in some cases, this need may not be readily identified or understood by the individuals who are involved.
Phases in nurse-patient relationships
Orientation Phase
It is in this phase that the nurse needs to assist the patient to realize what is happening.
Phases in nurse-patient relationships
Orientation Phase
at the end of this phase, the nurse and the patient concurrently strive to identify the problem and are becoming more comfortable with one another
Phases in nurse-patient relationships
Orientation Phase
phase where perceptions and expectations of both the nurse and patient take place. Throughout this phase, both the patient and nurse must clarify each other’s perceptions and expectations.
Phases in nurse-patient relationships
Working Phase
Phases in nurse-patient relationships
Working Phase
the patient’s response to the nurse can be one of the three:
b.1.
b.2.
b.3.
b.1. participate with and be interdependent with the nurse
b.2. be autonomous and independent from the nurse
b.3. be passive and dependent on the nurse
Throughout this phase, the patient works collaboratively with the nurse to meet challenges and work toward maximum health. Thus, the nurse aids the patient in using services to help solve the problem.
Phases in nurse-patient relationships
Working Phase
this is where the nurse and the patient terminate their therapeutic relationship as the patient’s needs have already been met by the collaborative efforts between the nurse and the patient.
Phases in nurse-patient relationships
Termination phase
the patient becomes independent from the nurse.
Phases in nurse-patient relationships
Termination phase
occurs only with the successful completion of the previous phases.
Phases in nurse-patient relationships
Termination phase
Peplau originally described these roles that emerge during the phases of the nurse patient relationship
Peplau
Nursing Roles
one who imparts knowledge concerning a need or interests
Nursing roles
Teacher
this role strengthens the nurse-patient relationship as the nurse becomes a listening friend, an understanding family member, and someone who gives sound and empathic advises
Nursing roles
Counselor
one who carries out the process of initiation and maintenance of group goals through interaction
Nursing roles
Leader
the nurse provides specific answers to questions, especially health information, and interprets the treatment or medical plan of care
Nursing roles
Resource person
one who takes the place of another
Nursing roles
Surrogate
the nurse provides physical care using clinical skills
Nursing roles
Technical expert
identification of patterns within the interpersonal relationship between two or more persons that link or bind them and enable them to transform energy into patterns of action that bring satisfaction or security in the face of a recurring problem.
Pattern integration
occurs when the behavior of one person fits with and complements the behavior of the other
Pattern integration
Complementary
occurs when the same or similar behaviors are used by both persons
Pattern integration
Mutual
occurs when different behaviors used by two persons alternate between the two persons
Pattern Integration
Alternating
occurs if the behaviors of two persons do not fit but the relationship continues
Pattern integration
Antagonistic
A person is an organism that lives in an unstable equilibrium.
Peplau
Person
“Health” is a word that symbolizes movement of
personality and other ongoing human processes that directs the person towards creative, constructive, and productive community living
Peplau
Health
Peplau has a narrow perception of the environment, which is a major limitation of her theory. She implicitly defined it as “forces existing outside the organism and in the context of culture from which norms, customs, and beliefs are acquired.”
Peplau
Environment
Nursing is a human relationship between an individual who is sick, and a nurse who is educated to recognize and to respond to the need for help.
Peplau
Nursing
