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Concepts & Theories: Hildegard Peplau

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by

Heather Fair

on 6 October 2014

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Transcript of Concepts & Theories: Hildegard Peplau

62
ECG
bpm
References
4 Metaparadigm Concepts
1.
Person:

A developing organism that tries to reduce anxiety caused by needs

2.
Environment:
existing forces outside the organism and in the context of culture
Major Concepts, cont.
- Nursing is an interpersonal process (4 phases):
1.
Orientation Phase
:
Getting aquainted and developing early levels of trust between patient and nurse.

2.
Identification Phase:
Identifying problems to be fixed. Goal of the nurse is to help patient recognize his/her role in fixing problems

3.
Exploitation Phase:
Patient fully trusts his/her nurse and begins identifying and orienting goals

4.
Resolution:
Client reaches complete self-reliance and sense of security
Application
Nursing Practice:
Peplau's theory applies to all aspects of nursing practice. You begin to develop a therapeutic relationship the moment your patient is admitted and you begin the interpersonal process. The nurse can more easily obtain important information from the patient when there is a good patient-nurse relationship.


Research:
This theory applies to research in a research team situation. You develop a therapeutic relationship with your group members throughout your studies.
Shawnee Edwards, Camikka Edwards, and Heather Fair
Hildegard Peplau
Who is Hildegard Peplau?
- The patient-nurse relationship

- "Peplau's theory is based on the premise that the relationship between the patient and the nurse is the focus of attention, rather than the patient only as the unit of attention. (Forchuk, 1993).
Hildegard Peplau's Theory
- Basic nursing training from Pottstown, Pennsylvania, Hospital School of Nursing

- Bachelors Degree in Interpersonal Psychology at Bennington College in Vermont

- Masters Degree and EdD from Teachers College, Columbia University
- Her theoretical and clinical work led to her book titled, Interpersonal Relations in Nursing

appraised for transforming nursing from a group of workers into a profession

- Influenced her theory to be based on an interpersonal nurse-patient relationship

- Interpersonal process has been used universally and implemented into nursing practices

- Now known as "Mother of Psychiatric Nursing
Her Background's Influence
Hildegard E. Peplau
(1909-1999)
So what does her theory mean?
In our words the theory is based on how the nurse and the patient can work together. Peplau is emphasizing the importance of a healthy relationship with the patient, establishing trust, maintaining that trust and helping the patient reach full self reliance.
Black, B.P. (2014). Professional nursing: concepts and challenges (7th ed.). St. Louis, MO: Saunders Elsevier

Sills, G. (2007, January 1). Hildegard Peplau. Retrieved October 1, 2014 from http://publish.uwo.ca/~cforchuk/peplau/obituary.html

Examining the Nursing Theory of Hildegard Peplau. (n.d.). Retrieved October 1, 2014, from http://www.ukessays.com/essays/nursing/examining-the-nursing-theory-of-hildegard-peplau-nursing-essay.php

Peplau's Theory of Interpersonal Relations: Hildegard. E. Peplau. (2012, January 31). Retrieved October 1, 2014, from http://currentnursing.com/nursing_theory/interpersonal_theory.html
Problems/Concerns
As accurate as Peplau's theory is, we feel one thing she did not stress, that she should have, is the boundaries to an interpersonal relationship.

- being too personal
- talking about your own problems
- being too touchy
- Therapeutic patient-nurse relationship
- Hildegard's focus of a therapeutic relationship has two goals:
1. Patient Survival
2. Patient's understanding of his/her health problems and learning from them as he/she creates new behavior patterns

- 6 roles of nurse:
1. Counselor
2. Resource
3. Teacher
4. Technical Expert
5. Surrogate
6. Leader
Major Concepts
4 Metaparadigm Concepts, cont.
3.
Health:
a word symbol that implies forward movement of personality and other ongoing human processes in the direction of creative, constructive, productive, personal, and community living

4.
Nursing:
a significant therapeutic interpersonal process that functions cooperatively with other human processes that make health possible for individuals in communities
-These four metaparadigm concepts work together in order to help form nursing philosophies and provide an organizational structure to make clearer connections between the concepts. The person has human needs that are affected by their environment. Once the environment affects the person’s health in a negative way, nurses make an encounter with the patient and make their contribution. Peplau has a holistic view of nursing, because she focuses on the interpersonal relationship of the whole person
Application
- This theory does guide nursing actions because an interpersonal relationship is something nurses work to create from the moment they meet the patient until he/she is discharged.

- This theory is also for the future because having a good, personal relationship with your patient is always going to be important and will never fade away.
- This is a broad theory, not confined just to nursing. Having trust, communication, and showing that you care is important in any relationship, not just the nurse-patient relationship.

- This theory is relevant to practice, obviously because developing this rapport is necessary and important through your entire nursing career of practice.

- This theory is easily understood because of how emphasized the nurse-patient relationship is throughout nursing school, careers and clinical practice
Application
Education:
This theory applies to both the educator and the student. In a classroom setting, developing a student teacher relationship will help the student become more eager to learn, resulting in a better understanding and better grades. In the health care setting, the nurse educates the patient.This makes the patient feel more comfortable when being educated on their medications and treatments.
Application, cont.
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