Hildegard Peplau, The Theory of Interpersonal Relations
Onuffer, Angela
Pennsylvania State University
NURS 390 US Transitions and the Professional Nursing Role Hildegard Peplau’s Theory of Interpersonal Relations
Hildegard Peplau born on September 1, 1909, lived until March 17, 1999, and 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 and received her masters and doctoral degrees from teacher’s college in Columbia university in 1947. Peplau an Army Corp nurse from 1943
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Frequently patients are not physically able to undergo more traditional treatments, their only option is to have a procedure done in IR, where minimally invasive techniques are used. Patients require education regarding the procedure and post procedure care. Many of our procedures involve placement of specialty lines, tubes and drains. According to Gastmans, throughout the nurse–patient relationship, the nurse and patient work together to become more knowledgeable in the care process (Gastmans, 1998). The importance of maintenance and care of the drain is stressed to the patient and family members. We teach the patient how to care for their drains and when they would need to call for assistance. We make follow up appointments in IR for every patient who receives a line, tube or drain in 4-6 weeks post procedure, and we continue to follow their care until the line, tube, or drain is no longer needed. We give the patient IR contact information so if there is ever a question or problem with their line, tube, or drain they can contact us directly, preventing unwanted trips to the emergency room.
References Barker, P. (1998). The future of the theory of interpersonal relations? A personal reflection on Peplau’s legacy. Journal of Psychiatric and Mental Health Nursing, 5, 213-220. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/9807351
Deane, W. H., & Fain, J. A. (2016). Incorporating Peplau’s Theory of Interpersonal Relations to Promote Holistic Communication Between Older Adults and Nursing Students. Journal of Holistic Nursing, 34(1),
Karla Homolka is a prime example of a person who has committed a violent crime. The story of who Karla Homolka is and what she had done is very well known, not just in Canada but all over North America. After hearing the story of what her and Paul Bernardo did many people would wonder why, why and how could two people commit such violent acts. There are many theories that criminologists could use to try and explain the reasoning behind the actions of Karla Homolka, one would like to believe that there are reasons and not just that she was an evil person.
2013). Inappropriate use of urinary catheter in patients as stated by the CDC includes patients with incontinence, obtaining urine for culture, or other diagnostic tests when the patient can voluntarily void, and prolonged use after surgery without proper indications. Strategies used focused on initiating restrictions on catheter placement. Development of protocols that restrict catheter placement can serve as a constant reminder for providers about the correct use of catheters and provide alternatives to indwelling catheter use (Meddings et al. 2013). Alternatives to indwelling catheter includes condom catheter, or intermittent straight catheterization. One of the protocols used in this study are urinary retention protocols. This protocol integrates the use of a portable bladder ultrasound to verify urinary retention prior to catheterization. In addition, it recommends using intermittent catheterization to solve temporary issues rather than using indwelling catheters. Indwelling catheters are usually in for a longer period. As a result of that, patients are more at risk of developing infections. Use of portable bladder ultrasound will help to prevent unnecessary use of indwelling catheters; therefore, preventing
The emergency department (ED) is an essential component of the health care system, and its potential impact continues to grow as more individuals seek care and are admitted to the hospital through the ED. Invasive procedures such as central lines are placed with increased frequency
Craven, R., & Hirnle, C. (2009). Fundamentals of nursing: Human health and function (6th ed.). Philadelphia: Lippincott.
There are many outpatient surgical procedures and one of them is an incision and drainage
The Canadian health care system is struggling to provide quality care to the growing number of older adults in our acute and long-term care settings. This paper is a self-reflective analysis of caring for the older adult and how communication, clinical skills, and proper hygiene are essential in providing high quality care to older clients. This paper will help determine my weaknesses and strengths, so I can continue to grow as a Practical Nurse and help Canada’s health care system. For the purpose of maintaining confidentiality, I have named my patient Mrs. Holistic in order to adhere to the code of ethics, according to the laws and regulations of the College of Licensed Practical Nurses of Newfoundland and Labrador. Communication One of the fundamental ways to care for an older adult is to have effective communication skills, this allows for you to establish a “therapeutic relationship” (College of Nursing of Ontario, 2006).
It helps to define how a nurse’s interactions with patients establish trust and a working relationship between the nurse and the patient. Deane & Fain (2015) studied Peplau’s Theory as a way to help nursing students with their relationships with older adults. With the increase of geriatric patients that will occur over the next few years, Deane & Fain (2015) felt that young nurses coming out of school my have some attitudes of ageism. Therefore, they wanted to determine if Peplau’s Theory would help these new graduates with their nurse-patient relationships. They concluded that Peplau’s Theory would be beneficial in teaching holistic care and communication to nurses. “Through the fostering of holistic practice, nurses will have an increased ability to process the feelings, thoughts, and emotions they may have toward their patients” (Deane & Fain, 2015).
overcoming elderspeak. Journal of Gerontological Nursing, 30(10), 17-25. Retrieved from CINAHL Plus with Full Text database.
There have been an incidents of prolonged hospital stay due to central line infections putting patients at risk for mortality, morbidity, and increase in medical cost. When central lines are placed at bedside or in interventional radiology, the inserter is required to document the steps and sterile procedure that took place in the electronic health record. Furthermore, with weekly and as needed dressing changes, nurses are required to use central line bundles and document what was used (ex: Chloraprep, biopatch, tegaderm, etc.) to track how the dressing was done. From these documented records, staff can gather data and measure the compliance of sterile procedure. Additionally, if a patient with a central line develops a fever without an unknown cause physician will order blood culture from the central line if catheter-related infection is suspected. If the test comes back positive, the team will initiate antibiotics immediately. By integrating electronic health records it can assist in CLABSI prevention strategies, raise the standard for best practices, and essentially reduce central line infections. With the quarterly results of CLABSI in our unit, CVC committee have re-educated the staff on appropriate dressing changes using sterile technique, transitioned to a different end
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
70). I believe that the patient’s needs always take priority. A good nurse-patient relationship is important when taking care of patients. If a patient can trust the nurse taking care of him or her and they have a good rapport, the patient’s experience will be positive. Peplau’s theory is considered to be an interaction theory, an interaction theory, “revolve[s] around the relationships nurses form with patients” (Colley, 2003, p. 34). I believe that if a nurse does not have a good rapport with the patient, he or she will not be able to heal adequality. The patient might focus more on him or her not getting along with the nurse and thinking that the nurse does not care, then taking the time to make sure that he or she is healing properly. The patient may not ask for pain medication when they are in pain because he or she does not want to deal with the nurse. The environment also has a lot to do with the patient feeling better and healing
One day, this writer happened to see another nurse changing a Peripherally Inserted Central Catheter Line dressing. As a nurse leader, this writer asked the nurse why she is changing the dressing. The caregiver explained dressing changes can prevent infection to the site and there are lot of patients readmitted because of central line infections and subsequent complications. This nurse demonstrated good kn...
The purpose of Pepau’s theory of interpersonal relationships in nursing is to focus on nurse-patient relationship and identify different roles nurse take when caring for patient. Consensus exist that theories are made up of ideas called concept and statement about...
Peplau published her Theory of Interpersonal Relations in 1952, and in 1968, interpersonal techniques became the crux of psychiatric nursing. The Theory of Interpersonal Relations is a middle-range descriptive classification theory. According to (Senn, 2013, p. 31), middle-range theories focus on a portion of reality or human experience, involving a selected number of concepts. Peplau’s theory was influenced by Henry Stack Sullivan, Percival Symonds, Abraham Maslow, and Neal Elger Miller.
The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in