Interpersonal Theory and the Nurse-Client Role Nursing is a field that requires constant review and transformation of its original scope of practice as the world also evolves into a more technological and interconnected society. Along history there had been astonishing breakthroughs and discoveries that have changed the course of action in the health care field. However, among all these changes the unique values that make up the essence of nursing continue to thrive. Some of these characteristics are empathy, establishment a holistic view of the patient, critical thinking and care through a trust relationship. This last aspect plays a crucial role in a successfully executed nursing process. Therefore, the present work aims to describe and explain the principles of Hildegard Peplau’s Interpersonal Theory and its implications in the nurse-client relationship through different nursing roles. Interpersonal Theory The focus of Peplau’s theory is to achieve goals through the practice of an interpersonal relationship with the patient. This midrange, goal oriented theory states that this relationship is established once a nurse is able to interiorize and understand self-behaviors in order to help others …show more content…
Introduction of the nurse identity and purpose are key in establishing a trust relationship. Resource Role As implied by its name, in this role the nurse works as a resource determinant by providing the patient information about his or her health condition. Teaching Role This role is performed by the nurse after having successfully identified the informational needs of the patient. If the patient is not completely aware or informed about a condition, treatment, or therapy, the nurse act as an educator and provides knowledge and instructions. Counseling
In fact, it is important to the patient’s healing. Before a patient comes to my floor, I look up their history and reasons for admission. This is the gathering or pre-orientation phase. The orientation phase for the bedside nurse would be when the patient arrives on the floor. The nurse introduces their self to the patient and begins establishing trust. The nurse asks the patient questions to see what their expectations are and clarifies the expectations of the hospital or unit. The nurse then explains the plan of care to the patient and answers any questions. In the working phase, the nurse is the patient’s advocate and addresses any problems the patient has. The nurse assures the patient they will research any problems and find out the answers as quickly as possible. Once the nurse finds the answers, he/she relays the information to the patient and the family. He/she may give the patient educational materials, show them a video or simply provide an explanation from the provider. During the resolution phase, the nurse provides discharge information. He/she answers any questions related to discharge and provides the patient with instructions post discharge from the hospital. If the nurse has established a relationship and trust with the patient, the hospital stay and discharge should leave the patient confident that they are well enough for discharge home or to a facility.
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).
Everyday in this world, elderly, adults, teens or children become ill or get into accidents and need medical attention. Whether these elderly, adults, teens or children are taken to a hospital, pediatrician, specialist, or clinic, a doctor and a nurse will tend to them. The nurse plays a role that is just as important as the doctor. Nurses work very closely with the families as part of the caring process. Every member of the family plays a role in different ways. The nurses are there to help the patient as well as the family step through the illness or injury. They provide information for the prevention of future illness and injury, and help to comfort the patient and his/her family. It is vital that a nurse understands that to be a nurse, you need a certain personality and understanding of the field.
performs diagnostic test and analyze the results. Duties of a nurse vary depending on the field of
They can be described as an advanced practice registered nurses who are mainly educated as well as trained to provide health maintenance and promotion for treating acute and chronic illness. Nurse practitioners are required to perform various duties on the daily basis including assessing patients, managing the psychosocial as well as physical health status of patients. They analyze the source of information, identify possibilities for health care problems and select, implement as well as evaluate appropriate treatment. Also, they diagnose, perform diagnostic as well as therapeutic processes, administer and dispense therapeutic measures such as medical devices and
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.
The nurse should understand the patient’s health situation and provide care that will best suit the patient’s situation. This could include allowing the patient to express his or her feelings about anything and the nurse just lending an ear and being there for the patient.
Berg, L., & Danielson, E. (2007). Patients’ and nurses’ experiences of the caring relationship in hospital: an aware striving for trust. Scandinavian Journal of Caring Sciences, 501-506.
This paper explores the personal philosophy I have as a nursing student and what I intend to convey throughout my nursing career. A philosophy is “an analysis of the grounds and concepts expressing fundamental beliefs (Merriam-Webster’s online dictionary, n.d.). Before entering into any profession it is important to evaluate your personal philosophy about the profession, as it pertains to values and principles in which believe in to guide your practice. The field of nursing is more than treating a physiological ailment, but it involves providing quality care for the individualized needs of each patient, hence being client centered. My philosophy of nursing integrates the importance of knowledge base practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care (Scottish Intercollegiate Guidelines Network, 2010). Additionally, a vital aspect of nursing is effective interpersonal relationships with other healthcare professionals to promote quality patient care. Moreover, my philosophy includes the importance the client-nurse relationship to aid in health promotion to prevent illness and increase the level of health of clients.
The purpose of this paper is to discuss Hildegard Peplau’s interpersonal relations theory with an application to a case study. Peplau’s career as a nurse theorist will also be discussed along with an examination of her theory.
They perform physical exams when someone needs released to return to work, school, and sports. They perform health histories so a patient knows what his or her health backgrounds are and what they are capable of inheriting. Nurses provide health promotions, counseling, and education. They give health promotions through schools, after checkups, and before you are released from the hospital. They give counseling when a patient is struggling to becoming healthy after a long term sickness. Nurses can provide education through school courses for anyone who is interesting in pursuing a nursing degree. They interpret a patient’s information and makes critical decisions with the doctor. They can direct and supervise care delivered by other healthcare personnel. If a nurse is a registered nurse (RN), then they are in charge of the lower nurse ranks such as LPNs (licensed practical nurses) and nurse aides. Nurse also conduct research in support of improved practice and a patient’s outcome. Nurses are so compassionate for others, that they will everything in their power to find some sort of treatment that can offer a patient a chance to be cured
The patients current medical status, signs and symptoms, past medical problems, and family history should all be assessed by the nurse. When this information is given, medical professionals have a better idea of what the patient is likely experiencing and what the care plan should be.
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
She developed the theory through empirical study of the nursing practice (Sampoornam, 2015). It was published in her book The Dynamic Nurse-Patient Relationship and was revised in 1972. The key concepts of the nursing process theory are function of professional nursing, presenting behavior, immediate reaction, nursing process discipline, and improvement (Sampoornam, 2015). The key concept professional nursing is the nurses thought. Nurses need to evaluate if the patient needs help and how they can meet the patient’s needs. Presenting behavior is realization of the nurse that the patient has a problem. This can be done through complaints, questions, demands or statements. It can also be through emotions like crying, shouting or laughing. Immediate reaction is how the nurse perceives the needs and reacts to them. Nursing process discipline is how the nurse is going to use her knowledge to meet the needs of the patient. Improvement is to become better and increase knowledge to effectively treat patients and improve patient outcomes. The nursing process theory addresses each concept of the metaparadigm: Person, health, environment, and nursing. Person- each person has their own perceptions and feelings of their needs. Health- is the mental and physical discomfort of the person. Environment- is the way the nurse and patient view the surroundings, how they feel, and how they think. Nursing- nurse provides the care that their patient needs without judgement of the patient (Bender & Feldman,