HILDEGARD PEPLAU

ORIENTATION

IDENTIFICATION

EXPLOITATION

RESOLUTION

These 4 phases encompass the over all interaction between a nurse and client.

Exploitation phase is when the patient begins to take full advantage of the goods and services available.

The patient must have self interest, need, and understanding of these services to use them at their disposal.

Resolution phase is the final phase in nurse client relationship where patients dependance on the health care system is relinquished.

Positive therapeutic outcomes reinforce the patients ability to cope away from the health care system.

SURROGATE ROLE- When the patient associates the nurse with someone from a past relationship. ex. "You remind me of someone"

COUNSELING ROLE -Listening to the patients narrative of events leading to them seeking health care. Coming to know the patient or client.

TEACHING ROLE- A combination of all rolls. Establishing the patients readiness to learn: What the patient knows and/or has interest in learning.

LEADERSHIP ROLE- Where the patient looks to the nurse for direction of healing initiatives and/or definitions of health.

HILDEGARD PEPLAU

HILDEGARD PEPLAU

OVERVIEW

• Explore Hildegard Peplau's theory on interpersonal relationships.
• Define Phases and Rolls of this theory and how they relate to each other.
• Consider her, and how her theory will relate to future practice.
• Examine a scenario and how her theory is applied.

BIOGRAPHY

-Hildegard Peplau was born in Pennsylvania on September 1st, 1909.

-She graduated from Pennsylvania school of nursing in 1931.

-In 1943 she received a B.A. in interpersonal psychology

-In 1947 she received a M.A. in psychiatric nursing

-In 1953 she received an E.D. in curriculum development

-In 1974 she retired

- Passed away March 17, 1999

THEORIES

BIOGRAPHY

4 PHASES OF THE NURSE- CLIENT

RELATIONSHIP

• Based on framework of the Nurse - Client relationships and interpersonal relations
• Establishing the different roles that nurses portray when working with patients or clients
• 6 NURSING ROLES
• PHASES IN THE NURSE CLIENT RELATIONSHIP

LEVEL OF THEORY

• Grand level of theory (McEwen & Willis, 2007)

-Peplau, in her early years, worked as an operating room supervisor in a Pennsylvania hospital.

-During WW II she was a member of the Army Nurse Corps and worked in a neuropsychiatric hospital in London, England.

-She also worked in a few other psychiatric facilities amongst renowned psychologists.

-Hildegard Peplau published over 100 journal articles and 3 books.

-She was the first published nurse theorist since Florence Nightingale.

METAPARDIGMS

PEPLAU'S 6 NURSING ROLES

ORIENTATION PHASE

RESOLUTION PHASE

HEALTH - A dynamic process between illness and wellness. It is contextual and defined by the client.

ENVIRONMENT - The setting of everyday life. Includes beliefs, values, customs as well as the physical world around us.

NURSING - The art and science of holistic care and healing.

PERSON - Has their own unique life experiences that make up who they are. More than the sum of their parts.

STRANGER ROLE- The stare down phase, Where the nurse and patient are unknown to each other. Establishing what expectations each party has.

RESOURCE ROLE- The functioning roll of providing health information to the patient in their situation. Acute or Chronic.

Orientation phase is the initial impression in which the patient understands his or her situation.

Emergency- immediate assistance required

Make Plans - making a doctors appointment, health initiatives

PEPLAU'S 6 NURSING ROLES

EXPLOITATION PHASE

IDENTIFICATION PHASE

Identification phase is how the patient respond to this new understanding of their situation. This may begin with passive receptivity which later develops to a feeling of being fully involved.

Drive, Cue, Response, Reward, Learning