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Why middle range theory is useful in nursing
Why middle range theory is useful in nursing
Why middle range theory is useful in nursing
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Theory Application and Case Study The purpose of this paper is to discuss Hildegard Peplau’s interpersonal relations theory with an application to a case study. Peplau’s career as a nurse theorist will also be discussed along with an examination of her theory.
Peplau’s Theory Hildegard Peplau was a nursing theorist that had a significant impact on the nursing profession having a nursing career that spanned over 50 years as a staff nurse, researcher, and educator. Peplau has been described as the mother of psychiatric nursing for her dynamic leadership in nursing (Alligood, 2014). In the late 1940’s Peplau began her theory work which was grounded in her clinical experiences in response to the need to develop advance psychiatric nursing
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ix). Peplau’s theory is classified as a middle-range descriptive theory that is focused on the psychological and interpersonal phenomena of the nurse-patient relationship and their therapeutic relation toward a common goal of wellness. According to Alligood (2014), a middle-range theory is focused on a specific phenomenon that links concepts and is pragmatic, which is a viable approach to Peplau’s interpersonal relations theory. The purpose of Peplau’s middle range theory is classified as descriptive providing groundwork for research that seeks to explore and explain while providing additional information about aspects of a situation (Polit & Beck, 2012). Peplau does not describe the metaparadigm of nursing. Peplau uses a model to show the changing aspects of nurse-patient relationships showing overlapping phases (see Appendix for the …show more content…
• Person: an organism that strives in its own way to reduce tension generated by needs whereas the patient is the individual with a perceived need.
• Environment: considering the patient’s culture and moral needs when patients adjust to hospital routine.
• Health: 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. The relationship between the nurse and the patient is the key concept to this theory, which is described as an interpersonal relations process that utilizes a psychodynamic nursing process as “being able to help others identify felt difficulties, and to apply principles of human relations to the problems that arise at all levels of experience” (Kim & Kim, 2007, p. 12). Essentially, this approach allows the nurse to move away from a disease orientation and apply principles of human relations to problems by exploring the psychological meanings of events, feelings, and behaviors and merging them into nursing interventions (Kim & Kim, 2007). Ultimately, the interpersonal relations theory in nursing allows the nurse to improve her skills and thus the nurse-patient relationship, which
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
It helps to define how a nurse’s interactions with patients establish trust and a working relationship between the nurse and the patient. Deane & Fain (2015) studied Peplau’s Theory as a way to help nursing students with their relationships with older adults. With the increase of geriatric patients that will occur over the next few years, Deane & Fain (2015) felt that young nurses coming out of school my have some attitudes of ageism. Therefore, they wanted to determine if Peplau’s
These four concepts play a very important role throughout the care in every single patient we are in contact with. The concept of person is used to represent each individual patient, such as a man or a woman (Chitty & Black, 2014). In the nursing profession, we know that every person is different in their own way from many different factors such as, genetics and environment. As a nurse, we incorporate the different factors that make a person who they are today. According to Chitty & Black (2014), the concept of environment includes all the influences or factors that impact the individual. The environment plays an important role in either promoting or interfering with the patient’s health. The environment can consist of many different systems, such as family, cultural, social and community systems. All these different systems can play a role in the patient’s health. The third major concept of the metaparadigm is health. The concept of health varies from person to person and day-to-day with many different factors included (Chitty & Black, 2014). Health includes every part that makes a person whole, which includes being able to perform their everyday tasks in life effectively. The last concept of the metaparadigm is nursing. Nursing, being the final concept includes all the previous concepts of person, environment and health to create a holistic approach (Chitty & Black, 2014). The holistic approach promotes the well-being of the mind, body and spirit in our
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Poor care does not only result in bad press and public perception but also break the trust between the patient and nurse. Utilising the theoretical framework developed by Todres et all (2009) which explores eight central aspects of what it is to be human. Todres et al (2009). This model can be used to improve nursing care. Referring to the term ‘being treated as human beings’ not being treated as a number or object.
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
In 2005 Fawcett stated “the metaparadigm of professional nursing incorporates four concepts: human beings, environment, health, and nursing” (as sited in Kearney, 2012, p. 4). This paper discusses my philosophy of nursing by stating my own personal definitions, values, and assumptions regarding each of the above mentioned concepts. My paper concludes with an exemplar from my own nursing practice and how I integrated my nursing philosophy into that particular clinical situation.
The purpose of Pepau’s theory of interpersonal relationships in nursing is to focus on nurse-patient relationship and identify different roles nurse take when caring for patient. Consensus exist that theories are made up of ideas called concept and statement about...
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
70). I believe that the patient’s needs always take priority. A good nurse-patient relationship is important when taking care of patients. If a patient can trust the nurse taking care of him or her and they have a good rapport, the patient’s experience will be positive. Peplau’s theory is considered to be an interaction theory, an interaction theory, “revolve[s] around the relationships nurses form with patients” (Colley, 2003, p. 34). I believe that if a nurse does not have a good rapport with the patient, he or she will not be able to heal adequality. The patient might focus more on him or her not getting along with the nurse and thinking that the nurse does not care, then taking the time to make sure that he or she is healing properly. The patient may not ask for pain medication when they are in pain because he or she does not want to deal with the nurse. The environment also has a lot to do with the patient feeling better and healing
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
Nursing’s metaparadigm consists of four concepts. These concepts include the person, health, environment and nursing. The concept of person refers to the recipient of care, which may include a person, their family or even the community. Nurses must respect the unique qualities of each patient, family and community and should provide individualized care to meet those needs. Health refers to an individual’s state of health being a balance between their developmental and behavioral wellness to the fullest extent possible. Since health is dynamic and constantly changing one must constantly adapt to change, which may lead to stressors that can have a negative affect on health if not addressed. Environment refers to all the outside conditions that affect the patient within the setting where health care needs occur. These may include health care needs that are being influenced by factors at home, in school or at the workplace. Finally nursing is the diagnosis and treatment of the current or potential health problems....
Peplau published her Theory of Interpersonal Relations in 1952, and in 1968, interpersonal techniques became the crux of psychiatric nursing. The Theory of Interpersonal Relations is a middle-range descriptive classification theory. According to (Senn, 2013, p. 31), middle-range theories focus on a portion of reality or human experience, involving a selected number of concepts. Peplau’s theory was influenced by Henry Stack Sullivan, Percival Symonds, Abraham Maslow, and Neal Elger Miller.
A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010).
King, I. M. (1971). Toward a theory for nursing; general concepts of human behavior. New York: Wiley.