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Peplau
BS Nursing (BSN)
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HILDEGARD PEPLAU- INTERPERSONAL RELATIONS
THEORY
(PREPARED BY: GIANINA MARCELO)
“The kind of person that the nurse becomes makes a substantial difference in what each patient will learn as he or she receives nursing care.”
Regarded by many as, “Psychiatric Nurse of the Century” Born on September 1, 1901 at Reading, Pennsylvania Considered a renowned nursing leader with her writings and researches Has an excellent skill in leadership which prevented the American Nurses Association from the point of bankruptcy. 1943, received her Bachelor of Arts in Interpersonal Psychology in Bennington College in Vermont 1947, finished her Masters in Arts in Psychiatric Nursing from Teacher’s College, Columbia 1953, finished Doctor of Education in Curriculum Development
Metaparadigm in Nursing
Person
A man, an organism that lives in unstable balance in a given system
Health
The word symbolizes movement of the personality and other ongoing human processes that directs the person towards creative, constructive, productive and community living One’s health can be achieve and maintained by meeting his needs which she referred to as the psychological demands and interpersonal conditions.
Environment
Forces outside the organism and in the context of the socially-approved way of living Derived from norms, customs and beliefs
Nursing
Significant, therapeutic interpersonal process Nurses, together with the other members of the health team offer health services, projecting health holistically while considering the socio-economic, spiritual emotional and physical aspect of a person.
Uses interpersonal model as a way to explore and to identify the needs of a person seeking professional help.
Interpersonal Relations Theory
Described the nurse-patient interaction as a four phase phenomenon Each phase is unique and has distinguished contributions on the outcome of the nurse-patient interaction. Important concept in Psychiatric Nursing, formulated a therapy out of it.
Phases of the Nurse-Patient Relationship
- Orientation
Initial interaction between the nurse and he patient In the latter part, the patient felt the need and express the desire of a professional help The nurse assist the patient in recognizing and understanding the patient experience
- Identification
The nurse explore the experience and needs of the patient that will lead to the feeling of relatedness Very important that the nurse assist the patient in reorienting his feeling and sustaining constant positive environment
- Exploitation
In this phase, the patient derives the full value of the relationship as he moves on from a dependent role to an independent one New goals are projected by the nurse but the power is shifted and held by the patient as these goal will be achieved by personal or self-efforts
- Resolution
Final stage/ phase Patient earns independence over care and gradually puts aside old goals and formulates new one
The nurse as a leader must act for the patient’s best interest Achieved through cooperation and active participation
Surrogate Role
Temporary care giver Creates environment where it is previously felt (example: care of a mother) The nurse must assist the patient to make sure that the role is temporary
Counseling Role
Has the greatest emphasis in nursing Strengthens the nurse-patient relationship as the nurse becomes a listening friend, a family member or someone who gives sound and emphatic services The core of the interpersonal technique is for the patient to remember the experience and how it could integrate with his life.
Acceptance by the Nursing Community
Many nursing experts call Peplau as the one who brought new perspective, a new approach in the and new theoretical foundations in nursing practice. Used in Psychiatric Nursing dealing with women with depression Used by students to build significant nurse-patient interaction.
Application of Theory
Assessment In utilizing the model, the nurse is in the role of stranger and then moves in to explore the patient’s feelings with care accompanied with respect and courtesy. Diagnosis Fatigue r/t perceived overwhelming role and emotional demands Risk for Impaired Parent-Infant Attachment
Implementation Assess further causative or contributing factor related to the feelings expressed Allow to express her feeling regarding the effects of emotional fatigue Help identify factors and let her strategize how to minimize or reduce them Assist in identifying strengths, abilities and interests
Peplau
Course: BS Nursing (BSN)
