Hildegard Peplau Theory of Interpersonal Relations.
Hildegard E. Peplau is renown in the nursing profession and other health disciplines and his name is synonymous with interpersonal relationship in nursing. Her conceptualization and description of the process of the nurse-patient interaction is one of her major contributions. Hildegard was born September 1, 1909 in Reading to immigrant parents of German decent. She was raised in a paternalistic family and a paternalistic society. She entered the nursing profession in Pottstown Pennsylvania, where she earned the diploma in nursing. Nursing education during her era was characterized with autonomous, nursing-controlled nightingale era and schools were controlled by hospitals. Women in nursing were seen as the source of cheap or free labor. She worked in the operating room supervision as a fresh graduate, and later moved to New York, where she specialized in surgical nursing. Later, she joined the Vermont College where she headed the nursing staff and earned her baccalaureate degree in psychology. Peplau journey to become a fundamental theorist in nursing is based on her experiential learning (Grayce, 1998). Peplau describes her journey into four transforming experiences. The first is the eleven (1932-1943) years; she served as a summer camp nurse at the New York university summer camp for women physical education major. During these years, she interacted with talented academicians from leading colleges and universities such Vassar and Wiliam. During these years, she interacted with a group of illustrious women who accommodated her as a professional. The second step of her professional growth occurred when she was a nurse and a student at Bennington College. The colle...
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...tributions. Perspectives in Psychiatric Care, 35(3), 10.
Jones, A. (1995). Utilizing Peplau's psychodynamic theory for stroke patient care. Journal of Clinical Nursing, 4(1), 49-54. doi:10.1111/j.1365-2702.1995.tb00010.
Merritt, M. K., & Procter, N. (2010). Conceptualizing the functional role of the mental health consultation–liaison nurse in multi-morbidity, using Peplau's nursing theory. Contemporary Nurse: A Journal For The Australian Nursing Profession, 34(2), 158-166. doi:10.5172/conu.2010.34.2.15
Nyström, M. (2007). A patient-oriented perspective in existential issues: a theoretical argument for applying Peplau's interpersonal relation model in healthcare science and practice. Scandinavian Journal Of Caring Sciences, 21(2), 282-288. doi:10.1111/j.1471-6712.2007.00467.
Ruth E, Katie E & Debra (2009). Psychiatric and mental health nursing. Elsevier.
There are many nursing theories that are being used in the emergency room when the employees are treating psychiatric patients. Jean Watson’s caring theory is seen being used in the emergency room when the staff members are involved in the care of the psychiatric patients (McEwen & Wills, 2014, p. 182). The staff members are trying to provide the patients with holistic care and having a therapeutic environment is important for the patient to receive holistic care. The nurses and staff members are taking time out of his or her busy assignment to sit down, talk with these patients, and make sure that the patient is comfortable and has everything that he or she needs. Hildegard Peplau’s theory of nurse to patient relationship is another nursing theory that is currently being used in the emergency
Nursing’s development from an occupation to a profession follows the devotion and sacrifice of many amazing women throughout history. Considered to be one of the oldest professions, women have performed what could be considered nursing duties since the beginning of time. Although there have been many events and many individuals who have contributed to nursing’s evolution from the occupation it was once considered to the profession that now exists, the development of formal education opportunities and scholarly resources and the women who created them is what fascinates me most. Without knowing, each of the following five women helped lay the groundwork for what Lucie Kelly, RN, PhD, FAAN, eventually termed the eight characteristics of a profession
Nursing is the core of care. The essential is not communication via words or language, but care that is imparted by sincere interest is interdenominational and transcends culture, language, and treatments. Relational consciousness is a significant component of a compassionate nursing practice. Doane, & Varcoe, (2015) state that relational awareness encompasses recognition that individuals are situated and constituted through cultural, interpersonal, social, political and emotional processes. Operating from the center of which we are, with insight and awareness is essential to phenomenological nursing practice. I will be exploring my personal values and beliefs
A Stroke Nurse Practitioner can also be found in areas of both primary and secondary prevention where he or she makes certain that each patient is evaluated and preventative therapies are implemented. Such assessments include brain imaging, dysphagia and hypertension screening. In addition, this NP can act as a coordinator for stroke patients from admission to discharge by meeting with families and rehabilitation centers and providing information and resources to the post stroke patient. This NP is the gateway to educating the nursing staff in recognizing the signs and symptoms of stroke and implementing the facilities stroke protocol.
Stroke not only affect the life of the patient but also their significant others, especially the caregiver. Caregiver is identified as the “hidden patient” (Andolstek et al, 1988). Families maintain the primary care responsibility for elderly with chronic illness and disability (Montgomery et al, 1985). The effects of caregiving span across physical health (Grafstrom et al, 1992; Kiecolt-Glasier et al, 1991), mental well-being (Cochrane et al, 1997) and social life (Luterman, D. ,2008; Bakas et al, 2006).
84). Seven assumptions are the foundation for the Theory of Transpersonal Caring. The first assumption states that the nurse has the moral commitment to protect and enhance the human dignity of the patient. Second, caring is respecting the subjective and spiritual needs of the patient during times of despair, honoring “an I-Thou Relationship rather than an I-It Relationship”(Alligood, 2014, p. 84). For example, honoring his or her needs, routines, or rituals. The theory’s third assumption states that effective caring is accomplished by establishing human connection. The nurse must seek to connect with the inner spirit of another by being present in the moment. The fourth assumption discusses the importance of honoring the wholeness of the person. Watson’s fifth assumption is about finding one’s inner harmony. “The nurse helps another through this process to access the healer within” (Alligood, 2014, p. 85). Assumption six focuses on the practice of caring. Continued growth in physical and mental well-being are essential to advance nursing practice. The nurse’s personal history and knowledge gained from worldly experiences shapes the way he/she may practice. Lastly, the seventh assumption states that the practice of caring is ongoing, and a central part to both nursing and Jean Watson’s Theory of Caring (Alligood,
Mental health nurses are exposed, due a lack of community support, low staffing levels, stigma and client pressures including the risk of violence, The increasing number of mental health patient compare to the decreasing number of beds and capable staff, means that mental health nurses are spending less time per patient and potentially providing a minimum quality of care level , Moreover, mental health nurses are dealing with caring for patients in inappropriate settings, with a reduced level of ,all factors leading to an increase in stress and burnout (Barling, 2001, p. 252; MHCA, 2005, p. 3)
This module has enabled the author to understand the concept of vulnerability, risk and resilience in relation to stroke. Therefore, it will contribute to her professional development and lifelong learning (NES, 2012). Additionally, the author has gained evidence based knowledge of person-centred care, compassion and self-awareness; all of which can be used to inform future practice (Miller, 2008). Consequently, she will be able to provide the appropriate level of care that can make a difference to a person’s recovery.
One of the many theorists that followed the founder of modern nursing, Florence Nightingale, was Merle Mishel (Alligood, 2014). However, Florence Nightingale’s theory is different
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...
Multidiscipline involvement is important within mental health nursing as people with mental health problems have multiple needs, so a variety of expertise is required to meet the needs of these people (Darby et al 1999).
Nursing is more than merely a job, an occupation, or a career; it is a vocation, a calling, a frame of mind and heart. As a nurse, one must value the general good of others over his own. He must devote of himself nobly to ensure the well-being of his patient. However, today’s well-recognized nurses are notably different from nurses of the recent past. Service is the core of the nursing profession, and the essential evolution of the vocation reflects the ever-changing needs of the diverse patient population that it serves. As a profession, nursing has evolved progressively, particularly in its modernization throughout the past two centuries with the influence of Florence Nightingale. The field of nursing continues to grow and diversify even today, as nurses receive greater medical credibility and repute, as its minority representations
A mental health nurse is an important job to help patients recover from a mental health illness. They need to be able to understand and share the patient's feelings and also have good observational skills. A mental health nurse provides support to their patient with a mental health illness and helps them live a positive life. The nurses work on treating specific people such as children or the elderly. Or they work in certain areas such as an eating disorder or depression. A mental health nurses work is usually done as a part of a team, they work with psychiatrists, psychologists, GPs and social workers. The nurses work in various places such as in the patient’s own home, community health centres, hospitals
Peplau served as an Army Corps Nurse from 1943-1945. She then created and taught the first classes for graduating Nursing students at Teachers College. While she was teaching she completed her first book, Interpersonal Relations in Nursing in 1948.It didn’t get published till 1952, as there was not a medical doctor as a co-author.
Throughout history the idea of what it means to be human has developed from simply a physical body to include the body, mind, emotion and spirit of a person. Each of these aspects of humanity as well as the environment in which healing takes place needs to be evaluated to promote optimal healing. In addition, emphasis cannot be exclusive to the patient but must also include the provider’s sense of wholeness. From the first day of nursing school, it is ingrained that to be an effective nurse one must evaluate one’s own opinions and beliefs as they relate to the patient situation before we enter the caregiver role. This idea of self-awareness can facilitate the care process and enhance the human