Hildegard Peplau Theory
Hildegard Peplau graduated in June 1943 with a BSN from Bennington College in Vermont. Her main focus was psych. After she graduated, she enlisted in the Army Nurse Corps with the intention on the front lines in psychiatry. She worked at a hospital in Shugborough Park, Staffordshire, England. Peplau lived in a nissan hut with six to seven people. There she became acquainted with noted psychiatrists. One of them was Meninger, chief U.S psychiatric consultant to the office of the surgeon general. There were so many people that would come in with psychiatric problems that doctors would take 6 week crash courses on psychiatry then practice. Peplau was the sole nurse permitted to audit the courses and was the only nurse in charge without a physician present. She witnessed physicians doing experiments on patients. When a soldier would come in they would automatically start them on deep sleep treatments, putting them in a partial coma. Peplau did not think this was ethical. That is when she introduced the idea of walking and talking with patients and would have them discuss their traumatic experiences. This is where her interpersonal relationship theory began (Silverstein 2008).
Nursing Process
Peplau used personality and communication skills to help patients as the “therapeutic use of self” . A nurse will develop and learn this with practice. A therapeutic approach will help relate effectively with patients, families, and other health car professionals. The nursing process can only start after the nurse makes a relationship with a patient. There are three phases of the nursing process. Orientation, working, and termination phase (Black 2014).
The orientation phase starts with the nurse introducing her/himself...
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This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
The concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Person refers to the person undergoing nursing care which includes individuals, families, groups, and communities (MacIntyre & McDonald, 2014, p.63). It is evident that each person may be unique with different biological, psychological, social, and spiritual depth (Thorne, 2010, p.66). Therefore, it is necessary for nurses to realize that each person at the centre of any nursing care will experience different feelings in regards to their body as a whole. The theorist, Parse, defines the concept of person as being “linked to an unfolding process, the relating of value priorities, meaning, and quality of life” (Wu, 2008, p.6). Also those human beings are free and choose in situations that arise from personal experience and becoming with the universe (Thorne, 2010, p.71). The nurses’ role in regards to this theory is to act encourage individuals in their human becoming process. Wu (2008) looks at the p...
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
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The purpose of this paper is an overview of Jean Watson’s Theory of Caring. This theory can be taken into account as one of the most philosophicaly complicated of existent nursing theories. The Theory of Human Caring, which also has been reffered to as the Theory of Transpersonal Caring, is middle – range explanatory theory. (Fawccett, 2000) The central point of which is on the human component of caring and actual encounter between the client and the caregiver. Jean Watson has stated that her work was motivated by her search of a new meaning to the world of nursing and patient care. “ I felt a dissonnance between nursing’s (meta) paradigm of caring-healing and health, and medicines’s (meta) paradigm of diagnosis and treatment, and concentration on disease and pathology”. (Watson, 1997,p.49)
The 1900s came with a new set of treatments and cause chaos in the psychiatric hospitals. The electroshock therapy was introduced in the 1950s, it was said that the reason for this was to control the brain waves and somehow help the patients recover much faster. The treatments had a constant cycle. Women were given the treatment on Mondays and Thursdays, and men on tuesdays and Fridays. The patients were woken up at the crack of dawn and were dragged “begging, pleading, crying, and resisting” to the treatment area(Quest for a Cure: Care).
Tomey, A.M., & Alligood, M.R. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO: Saunders Elsevier.