Interpersonal Relations Theory : Hildegard Peplau And Psychiatric Nursing

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 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)

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

The nursing fields applies to all areas of Lifespan Development, and nurses work in a setting where they are required to work and interact with other professionals in a effort to bring the best quality of care to their patients. This involves the need for the full understanding how or why a person may behave in any given situation. With the knowledge of psychology nurses will learn to interact with patient all based on different factors such as gender and age. If two patients were undergoing the same procedure, the patient who is younger could be more afraid than the adult (Chron.com). Difficulties in understanding the true meaning of their illness. Nurses must use this broad range of psychological knowledge in order to relate to younger or older patients, improving the nurse-pt relationship; allowing open interaction in communication informing medical professionals

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).

Theory±practice relationship only will be offered here. The content of nurse practitioners ' discourse is the principal concern of this paper.

The purpose of this paper is to study an area of psychiatric nursing that is seen in the American culture through a television show or through a specific patient. The psychiatric illness that is being focused on is borderline personality disorder (BPD). This psychiatric illness is characterized by impulsivity, affective

Change is a hard concept for most, but change in the hospital setting can be beneficial for both staff and patients. According to Mclean (2011), “Every change begins with an ending” (p.79). How people respond to change can make the process easy or hard depending on how the change is presented.

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).

In comparison, Middle range theory is composed by clear propositions and can contain testable hypothesis (Armstrong, & Kelly, 1995). As a result, Peplau’s Interpersonal relationship theory is a middle range theory because the proposition of her theory are testable, specific and limited (Armstrong, & Kelly, 1995). In her theory, she applies the principle of human relationships and explained that the nurse and patient should work together to gain more knowledge in the care process (Gastmans, 1998). She used deductive reasoning in her theory because she integrated ideas of other theorists

In relation to the nursing metaparadigm, Beck’s theory was intended for women with PPD and to serve as an educational tool for nursing students; healthcare professionals including nurses, doctors, mental health care workers and those within social services. Beck did not clearly define health; however, her focus was on mental health as PPD is a mental health disorder. Holistic health was a predominate factor in her theory, referring to the “wholeness” of a person, where the entire being, physically, emotionally, and psychologically are entwined with the environment as one. Beck determined that the interpersonal environment of the individual woman, if unstable, has an outward affect on them as well as on the family. Regardless of the setting of the individual’s environment, variables, be it rich or poor, famous or non famous, different cultures and backgrounds, all are subject to the effects of PPD (Lasiuk & Ferguson, 2005).

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.

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.

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