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Peplau's Interpersonal Nursing Theory

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Peter Mammoliti

on 29 January 2014

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Transcript of Peplau's Interpersonal Nursing Theory

Peplau's Interpersonal Nursing Theory
Peplau's Interpersonal
Nursing Theory
Claire Cyr, Peter Mammoliti, Joeann Siu, Bethany Steinman
Hildegard Peplau
Mother of psychiatric nursing
Identified the core of nursing as the nurse-patient interpersonal relationship
Her work: "Interpersonal Relations in Nursing", completed in 1948, published in 1952
Nursing is not only about relationships with patients...
Working together as a group
The value a group holds for its members
Enhances commitment
Increases with open expression, acceptance and support

Peplau's Interpersonal Nursing Theory
Alligood, M. A. (2010). Introduction to nursing theory: Its history, significance, and analysis. In Alligood, M. A. & Tomey,A. M.
Nursing Theorists and Their Work
(7th ed.) (pp. 2-13). Missouri: Mosby Elsevir.

Arnold, E. C. & Boggs, K. U. (2007).
Interpersonal relationships: Professional communication skills for nurses
. St Louis, Missouri. Saunders. 264- 271

A SMART Way (2012). Retrieved from http://inside.lhsc.on.ca/article/smart-way-enhance-mental-health-care

Forchuk, C. (1991). Peplau’s theory: Concepts and their relation.
Nursing Science Quarterly
, 4(2), 54-60.

Forchuk, C. (1994). The orientation phase of the nurse-client relationship: Testing Peplau's theory.
Journal of Advanced Nursing
, 20(3), 532-537. doi:10.1111/j.1365-2648.1994.tb02392.x

Forchuk, C. (1995). Uniqueness within the nurse-client relationship.
Archives of Psychiatric Nursing
, 9(1), 34-39. doi:http://dx.doi.org.proxy1.lib.uwo.ca/10.1016/S0883-9417(95)80015-8

Forchuk, C., Reynolds, W., Sharkey, S., Martin, M., & Jensen, E. (2007). Transitional discharge based on therapeutic relationships: State of the art.
Archives of Psychiatric Nursing
, 21(2), 80-86. doi:http://dx.doi.org.proxy1.lib.uwo.ca/10.1016/j.apnu.2006.11.002

Forchuk, C., Westwell, J., Martin, M., Bamber-Azzapardi, W., Kosterewa-Tolman, D., & Hux, M. (2000). The developing nurse-client relationship: Nurses' perspectives.
Journal of the American Psychiatric Nurses Association
, 6(1), 3-10. doi:10.1177/107839030000600102

Peden, A., Laubham, K., Wells, A., Staal, J., & Rittman, M. (2010). Nurse-patient relationship theories: Hildegard Peplau, Joyce Travelbee, and Idea Jean Orlando. In M. Parker & M. Smith (Eds.),
Nursing theories & nursing practice
(3rd ed., pp.
67-80). Philadelphia: F. A. Davis.

Dr. Cheryl Forchuk
1. Phases of the Nurse-Client Relationship
Orientation Phase

- Establish parameters of relationship
- Develop trust
Working Phase
Resolution Phase
- Identify the patient's problem
- All issues resolved
- Preventative strategies
Not a linear process!
2. Communication
3. Pattern Integration
- Verbal
- Non-verbal
- Empathetic linkages
- Mutual
- Complementary
- Antagonistic
- Mixed
Role of the Nurse
- Uses concepts and processes
- Self understanding
- Competencies
- Employs roles:
- Stranger
- Resource
- Teaching
- Counseling
- Surrogate
- Active Leadership
- Technical Experts
Role of the Patient

Develop competencies:
- Interpersonal
- Problem solving
- Community living

Leads to greater self-understanding
Alligood Critical Analysis of Theory
- definitions of concepts
and sub-concepts very detailed
and thorough

- complex, many concepts and sub-concepts; complete but not brief!
Alligood Critical Analysis of Theory
- can be applied to a wide variety of clinical situations (with a few exceptions)

- proven ability to generate hypotheses; subject to empirical research by Dr. Forchuk

- focus on interpersonal relationships! Research has shown ability of use of theory to generate positive outcomes
complexity! no theoretical frameworks
many concepts and sub-concepts
application to community settings?
cannot be used with a nonverbal client

"anything clients act out with nurses will most probably not be talked about, and

- Hildegard Peplau, 1989

- Friend & strong supporter
of Peplau's work
- Many years testing Peplau's theory
- Created diagrammatic representation of Peplau’s theory
- Developing practical applications
Practical Applications
- Transitional Discharge Model (TDM)
Hospital staff remain involved in community living after discharge
Multiple benefits to patients

- Mental Health Engagement Network (MHEN)
Mobile App
Nurse & Client Variables
- Tested the relationship between nurse and client variables:
other relationships

- Preconceptions were best predictor

- Combination of variables was even more predictive

- Correlation between length of orientation phase and length of hospitalization
Classic vs. Alternate Phases
- Therapeutic transfer
Peplau's Interpersonal Nursing Theory
The Myth of the Angry Patient

nurse-client problem solving --> both mature and grow
client empowerment
health promotion focus
phases of nurse-client relationship can be long or short-term
positive clinical outcomes: Dr. Forchuk’s research
that which is not discussed cannot be understood
We support Peplau's theory of interpersonal relationships!
Full transcript