Nursing is an interpersonal process of close interaction between nurses and patients. Hildegard Elizabeth Peplau, American nurse; mother and founder of modern psychiatric nursing. In 1952 Hildegard Peplau analysed and documented findings conducted through four phases of the interpersonal theory. The interpersonal theory explains the purpose of nursing that helps patients identify their mental and physical difficulties; also referred to as psychodynamic nursing. Peplau was working as a medical assistant in psychiatric nursing in Columbia, New York 1947 and became an executive director and president of the American Nurse Association. She focused on the nurse-patient connection, that is formed through a professional relationship influenced by verbal and Nonverbal communication. The interpersonal theory promotes four different aspects of nursing care, however, Hildegard's Peplau's interpersonal theory is replicated and implemented in modern, nursing practice through seven types of nursing roles; although the interpersonal theory is proven to be used in …show more content…
These five factors are replicated and demonstrated in modern nursing practice, these factors are recognised to improve a patient's health and well-being.
The element of listening is implemented to have the ability to interpret and listen to a patient's primary information or to understand a family relative's concern, as well as ensuring accuracy when reporting medical issues to another health care professional, as well as being able to demonstrate precision when explaining and analysing symptoms, diagnosis and progress. As stated previously communication is used to collaborate analysed data about the patient to ensure the patient is provided with professional and accurate interpersonal nursing
With many theories on nursing, the nurse must determine which approach is best suited to her particular skills and patient population. In 1952 Hildegard E. Peplau presented her theory on interpersonal relations in regard to nursing care and practice, providing a model for nurses to aid patients in healing and overcoming illness through personal interaction (Cherry & Jacob, 2011, p. 96).
With this interpersonal learning not only allows for the nurse to become comfortable with who they are as a caregiver, they are better equipped to accept other members for their uniqueness. Interpersonal learning is essential for psychiatric nursing practice particular in regards to the therapeutic use of self, as self-awareness and understanding of one's perspective can deter the nurse from imposing their personal beliefs onto the group, preventing objective practice as well as growth and communication from contributing group
By giving nurses a sense of identity, nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service (Draper 1990).Hildegard Peplau, one of the role model of nursing theorist, established a theory of interpersonal relationships in nursing. Her reason is the goal of the nurse-client relationship is to give a quality nursing care moving forward to health promotion and maintenance. The purpose of this paper is to conduct a basic assessment of her theory.
Hildegard Peplau’s middle-range theory, Interpersonal Relations, established in 1948 and highlighted the nurse-patient relationship as the groundwork of nursing practice. Peplau supports each role individually, the nurse and the patient, by ensuring that equal participation is implemented to reach a mutual goal. For example, the role of the patient reflects vulnerability and the expectation to be open to the health care providers throughout care and treatment plan. Subsequently, the nurse is supposed to facilitate a reciprocated relationship by noting the client’s behavior, defining the client’s illness, creating the most proper care for the client, understanding the physician’s treatment plan and confirming it, and intervening when required (Sue Penckofer, 2013).
Research in the professional practice of nursing was built upon a wide variety of theories that were presented by many well-known nursing theorists. Nursing theories that may be recognized today include Florence Nightingale’s Environmental Theory, Dorothea Orem’s Self-Care Deficit Theory, Madeleine Leininger’s Cultural Care Theory, and Hildegard Peplau’s Interpersonal Process Theory. These individuals and their respective theories
Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patient’s family.
Introduction According to Iyer (2010), every person that is alive is made up of cells. These cells are basically the practical component of all organisms that are known to live. Similarly, concepts are the essential components and the construction blocks of theory growth (George, 2010). As the cells begin to develop, divide, and grow into a life form that is complex, concepts (whichever experiential or abstract) when they have been examined tested and authorized with examination progresses into a body of awareness, control, or science (George, 2010). The objective for this essay is to be able to analyze and compare the essential concept descriptions of Hildegard E. Peplau's Interpersonal Relations in nursing theory and and also including that of Ida J. Orlando's theory of Nursing Process Discipline. This essay will also bring out the concept statement, philosophies, metaparadigms, and conceptual model of Madeleine M. Leininger's theory of Culture Care Diversity and Universality (also understand: Universality and Transcultural Nursing Theory and Theory of Culture Care Diversity were both being expended back and forth). This essay also talks about how and where the philosophy of Transcultural Nursing could be pertained to the nursing area. Comparison and Examination of the central ideas of Orlando's and Peplau's philosophies Peplau's concept of Interpersonal Associations in nursing and Orlando's Nursing Process
As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.
Peplau utilized both deductive and inductive reasoning in her theory development work (Reed & Shearer, 2011). The deductive reasoning methods used were that Peplau integrated ideas from a number of theories into her theory of interpersonal relations. Influenced by works of Sigmund Freud, particularly his interest in unconscious motivation as well as Harry S. Sullivan’s theory of interpersonal relations all contributed to her development of the theory of interpersonal processes in nursing, For example she refers to Sullivan’s concepts of anxiety, self-system and modes of experiencing. (Peterson & Bredow, 2017). She also incorporated into her theory some elements from developmental psychology and learning theory (Armstrong & Kelly, 1995) and some ideas of the humanistic psychologists, Abraham Maslow, Rollo May and Carl Rogers. (Peterson & Bredow, 2017). For example, Peplau’s systematic approach to establishment of nurse-patient relationship and therapeutic intervention are ideas that resonated with Martha Rogers' theoretical assumptions about human pattern and organization. (Armstrong & Kelly, 1995).
The interpersonal theory of nursing by Peplau was examined in accordance with Chinn and Kramer (2011). The purpose of the theory was described to improve the
This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)
Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.
Hildegard Peplau was born on September 1, 1909, and she lived until March 17, 1999, she was raised in Reading, PA by her parents. In 1918 Hildegard witnessed the devastating flu epidemic which greatly influenced her understanding of the impact of illness and death on families. Hildegard graduated in 1931 from the Pennsylvania school of nursing, received her bachelor’s degree in interpersonal psychology in 1942, received her masters and doctoral degrees from
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
The therapeutic nurse-patient relationship is known as a close and consistent connection approaching during patients’