Hildegard Peplau Flashcards
Theory of Hildegard Peplau
Theory of Interpersonal Relations
Nursing is an ____________________________ because it involves interaction betwwen two or more individuals with a common goal.
interpersonal process
Nursing is an interpersonal process because it involves
interaction betwwen two or more individuals with a common goal.
focuses on the interpersonal process and therapeutic relationship that develops between the nurse and client.
Theory of Interpersonal Relations
The client is an individual with a
felt need
Psychodynamic nursing involves:
- understanding of one’s behavior
- helping other identify felt difficulties
- applying principles of human relations to the problems that arise at all levels of experience
The three sequential phases in the interpersonal nurse-patient relationship are as follows:
- Orientation Phase
- Working Phase
- Working Phase
- Exploitation Phase - Termination Phase (Exploitation Phase)
Problem defining phase
Orientation Phase
starts when client meets nurse as stranger
Orientation Phase
defining problem and deciding type of service needed
Orientation Phase
Nurse responds, explains roles to client, helps identify problems and to use available resources and services
Orientation Phase
The individual has a felt need and seeks professional assistance. The nurse helps the individual to recognize and understand his/her problem and determine the need for help.
Orientation Phase
Factors influencing Nurse in Orientation Phase
Values
Culture race
Beliefs
Past Experiences
Expectations
Preconceived ideas
Factors influencing Patient in Orientation Phase
Values
Culture race
Beliefs
Past Experiences
Expectations
Selection of appropriate professional assistance
Identification Phase
Patient begins to have a feeling of belonging and a capability of dealing with the problem which decreases the feeling of helplessness and hopelessness
Identification Phase
The patient identifies with those who can help him/her. The nurse permits exploration of feelings by the patient in undergoing illness as an experience that reorients feeling and strengthens positive forces in the personality and provides needed satisfaction
Identification Phase
Use of professional assistance for problem solvinng alternatives
Exploitation Phase
Advantages of services are used and based on the needs and interests of the patients
Exploitation Phase
Individual feels as an integral part of the helping environment
Exploitation Phase
The individual may make minor requests or attention-getting techniques
Exploitation Phase
The peinciples of interview techniques must be used in order to explores, understand and adequately deal with the underlying problem
Exploitation Phase
Patient may flunctuate on independence
Exploitation Phase
During this phase, the patient attempts to derive full value from what he/she is offered through the relationship. The nurse can project new goals to be achieved through personal effort and power shifts from the nurse to the patient as the patient delays gratification to achieve the newly formed goals
Exploitation Phase
Nurse must be aware about the various phases of communication
Exploitation Phase
Nurse aids the patient in exploiting all avenues of help and progress is made towards the final step
Exploitation Phase
Termination of professional relationship
Resolution Phase
The patient’s needs have already been met by the collaborative effort of patient and nurse
Resolution Phase
Now they need to terminate their therapeutic relationship and dissolve the links between them
Resolution Phase
Patient drifts away and breaks bond with nurse and healthier emotional behavior is demonstrated and both become mature individuals
Resolution Phase
The patient gradually puts aside old goals and adopts new goals.
Resolution Phase
Nurse and patient come together as strangers; meeting initiated by patient who expresses a “felt need,” work together to recognize, clarify, and define facts related to the need.
Orientation Phase
Patient participates in goal setting; has feeling of belongingness and selectively responds to those who can meet his/her needs
Identification Phase
Patient actively seeks and draws knowledge and expertise of those who can help
Exploitation Phase
Occurse after othe rphases are completed successfully
Termination (Resolution) Phase
Peplau advocates that the roles of the nurse in the nurse-patient interpersonal relationship are as follows:
- Stranger
- Teacher
- Resource Person
- Counselor
- Surrogate
- Leader
recieves the client in the same way one meets a stranger in other life situations. Provides an accepting climate that build trust
Stranger
who imparts knowledge reference to a need or interest
Teacher
one who provides a specific needed information that aids in the understanding of a problem or new situation
Resource Person
helps to understand and integrate the meaning of current life circumstances; provides guidance and encouragement to make changes
Counselor
helps to clarify domains of dependence, interdependence and independence and acts on client’s behalf as an advocate
Surrogate
helps client assume maximum responsibility for meeting treatment goals in a mutually satisfying way
Leader
Additional Role include:
- Technical expert
- Consultant
- Health teacher
- Tutor
- Socializing agent
- Safety agent
- Manager of environment
- Mediator
- Administrator
- Recorder observer
- Reseacrher
A developing organism that tries to reduce anxiety caused by needs
Person
Existing forces outside the organism and in the context of culture
Environment
A word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal and community living.
Health
A significant therapeutic interpersonal process. It functions cooperatively with other human processes that make health possible for individuals in communities
Nursing
became the crux of psychiatric nursing
interpersonal techniques
is a middle-range descriptive classification theory
Theory of Interpersonal Relations
Theory of Interpersonal Relations is a
middle-range descriptive classification theory
Theory of Interpersonal Relations was influenced by
Henry Stack Sulliva, Percival Symonds, Abraham Maslow and Neal Elger Miller
defines the problem
orientation phase
