Hildegard Peplau's Four Phases Of Nursing

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

The nurse also has to be aware of the nature of the nurse-patient relationship, the environment in which it takes place in, as well as an understanding of the context and the moment of the interactions in order to share a meaningful experience. Finally, nurses have to be passionate about his or her career. Nurse’s care and tend to the patients’ needs because nurses are passionate about the career. Even though the fundamental pattern of personal knowing, it provides a holistic nature of knowing. Many humanistic theories and models of nursing have been derived from personal knowing such as Peplau’s interpersonal relation theory, Kolcaba’s comfort theory, and Jean Watson’s theory of caring.

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

Orientation Stage—involves nurses learning about patients and they initial concerns and needs. Patents also learn about the role of the nurse. Patents are informed about the general purpose of taking with the nurse. The initial purpose is plainly: identifying a problem on which you want to work, helping you figure out what has been happening to you lately, or getting to know what has been bothering you. This first stage is about building trust first before moving on to your initial assessment. Afterwards the nurses job is to manage the patients emotions and providing support and structure to the pt.

The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel

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

There are four phases between the nurse and the patient relationship. The phases include orientation, identification, exploitation, and resolution. In reference to the orientation phase, this is introduced by the nurse. During this phase, the nurse and the patient become familiar with one another, as well as establish a dependable relationship. The following phase, identification, starts to recognize the issues to be incorporated into the relationship. For instance, the main goal is to assist the patient in identifying his or her own responsibilities in the treatment plan, in addition to advocating for interdependence and contribution. During the exploitation phase of the nurse-patient relationship, the nurse and

This theory describes the different phases that a nurse-client relationship goes through. The phases that my patient and I will most likely be working in are the orientation and the identification phases because our relationship will be new. Our interaction will focus on building a mutual trust and understanding, as well as answer basic questions as to why my patient is here and things that she has been struggling with. Depending on how long my patient has been in the program, she may be open to exploring more of her feelings and sharing more about herself with me. Focusing on developing a good nurse-client relationship will help me during my interaction with my patient and will help me understand her needs better.

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).

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).

The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for

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.

For example, RN might be assigned for patients’ assessments, LPN assigned for certain medication administration and nursing assistant helps with care/bathing and feeding patients. All this done under supervision of a team leader another RN (Currentnursing.com, 2015).

Nursing care resolves around the metaparadigms of person, health, environment and nursing, and without these key concepts, the focus of patient care would suffer. Hildegard Peplau’s theory of psychodynamic nursing helps a nurse understand their behavior and help patients identify their difficulties allowing human relation solutions to the problems nurses of all experiences come across. This paper will identify a situation in my nursing school experience that was particularly meaningful to me. The paper will incorporate the four concepts of the nursing metaparadigm and link the situation to Hildegard Peplau’s theory of psychodynamic nursing. Finally, the paper will review your Peplau’s major assumptions and identify how they apply to the situation.