Hildegard Peplau Research Paper

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).

Florence Nightingale, considered the founder of modern nursing, first began to establish nursing as a profession during the Crimean War. Since then, nursing theorists have continued to expand on the thought that patients are made up of more than just the symptoms they present with, Abraham Maslow, Carl Jung, Dr. Larry Dossey and Dorothy Johnson, but none more so than Jean Watson. She developed a theory of human caring that contained several core concepts, these concepts lay forth the ground work for how we, as nurses, should care for a patient. These concepts included transpersonal caring relationships (going beyond ego to higher “spiritual” caring

The purpose of this paper is to compare and contrast nursing theorists from the four categories which are identified by Meleis as: Needs, Interaction, Outcome and Caring. (Meleis, 2012, Chapter 9) I have chosen Faye Abdellah, Imogene King, Myra Levine and Jean Watson as the grand theorists that I would like to explore for this study in contrast and comparison. This decision was made, in part, due to the fact that all of these theorists were born and educated in the twentieth century and I felt that their theories might be more applicable to my nursing practice. The information contained in the tables was obtained from several sources in an

Peplau defines nursing as the therapeutic interpersonal, serial, goal- oriented process. A health-focused human relationship( Meleis, p 165, 2012)

My personal definition of nursing is taking care of my patient as a whole; using my knowledge, being compassionate and caring, respectful and honest. Taking care of the; spiritual, physical and emotional aspect of the patient, and taking into consideration their family and environment. Learning about the different theorists I associate myself the most with Hildegard Peplau. Peplau believed that the relationship between the patient and the nurse was focus of attention, rather than the patient only as the unit of attention. (Chitty & Black p.314-315). Using Peplau’s theory my relationship begins with my patients as strangers and I try to

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).

Peplau’s work is well-known and several publications have used her interpersonal relations in nursing theory in various settings and contexts. Various research applications of Peplau’s interpersonal relations theory include application in emergency and rural nursing (Senn, 2013), patients with long-term serious mental illness (Kim & Kim, 2007), psychiatric workforce development (Armstrong & Kelly, 2007), adolescents with mental health problems (Davies & Huws-Thomas, (2007), and healthcare professionals and ethnopharmacology (Warren, 2008).

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.

Each professional discipline has a responsibility to identify concepts that provide a general description of the discipline. It is these concepts that comprise the profession’s metaparadigm (Fawcett, 1984). Much of the philosophy and theory of nursing stems from the work of Florence Nightingale. The diaries, letters, and books that she left behind containing her statements and beliefs have been fundamental to the development of the concepts comprising the nursing metaparadigm (Selanders, 2010). Fawcett’s (1984) stated there was a general consensus among scholars that the concepts of nursing were person, environment, health, and nursing.

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.

Florence Nightingale’s vision of nursing in the mid-1800s began an evolution of nursing philosophies and theories that encouraged the progression and development of nursing knowledge, quality of care, and the advancement of nursing from a vocation to an academic discipline and profession (Alligood, 2013, pp. 3-7). As nursing knowledge and theory flourished, it became necessary to structure nursing theories into an integrated system. Jacqueline Fawcett’s proposal of four global nursing concepts “as a nursing metaparadigm served as an organizing structure for existing nursing frame-works and introduced a way of organizing individual theoretical works in a meaningful structure” (Alligood, 2013, p. 4). The four concepts of the metaparadigm of nursing include: person, environment, health, and nursing. By understanding the history of nursing development and the metaparadigm of nursing, one can explore this author’s personal philosophy of nursing in respect to the four concepts of the metaparadigm of nursing.

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

“The basic concept of the theory is that the nurse and patient communicate information, set goals together, and then take actions to achieve those goals. It describes an interpersonal relationship that allows a person to grow and develop in order to attain certain life goals. The factors that affect the attainment of goals are roles, stress, space, and time” (Nursing Theory, 2011).   King desired to advance the profession of nursing by developing a framework and theory that can be understood and used by all nurses, in any situation. She not only developed the theory but she always remained active in the profession and availed herself to nursing students around the clock to aid with their knowledge and application of the theory right up until her sudden death in 2007.

Like any scientific discipline, the nursing profession has evolved over time. Nurses, once regarded as housemaids and lower class citizens, now hold positions of authority and stature in our modern society. These changes in the profession are attributed to the many nurse theorists who devoted their lives to the improvement of patient care. Through their theoretical advancements, the public perception of nursing has gone from dismissive to reverential. Today, our culture considers the nursing profession to be one of the most rewarding and respected career paths an individual can pursue. Through a review of one such patient theorist, Dorothea Orem, one can witness this change in the perception of the nursing profession. As a first semester student in a professional nursing course of study, Orem has already influenced my personal nursing philosophy.

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