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Copy of Dorothy Johnson
Transcript of Copy of Dorothy Johnson
Born in Savannah, Georgia
Youngest of seven children
Attended community college for 2 years
Moved to Miami Beach, Florida
Worked as a live-in nanny
Earned bachelor's degree in nursing at Vanderbilt University in Nashville
Received a master's degree in nursing from Harvard University
Pediatric staff nursing
Nursing professor at Vanderbilt and UCLA
Retired from teaching after having open heart surgery
She received many awards and traveled often to teach her theories
Attachment or affiliative subsystem
Incorporate psychological, physiological, social, spiritual and cultural factors that impact health care within communities.
Integrate concepts of health education when providing care in community settings
“Nursing, defined by Johnson, is an external force that acts to preserve the organization and integration of the patient’s behavior
>Participate in community services designed to improve health care of communities
>Identify areas of community service designed to improve the health care of target populations.
*It is essential to focus on the needs of the community with which you’re working
to an optimal level by means of imposing temporary regulatory or control mechanism or by providing resources while the patient is experiencing stress or behavioral system imbalance.”
Determination of the existence of a problem
Management of nursing problems
Evaluation of behavioral system balance and stability.
Diagnostic classification of problems.
Nursing practice focuses on “restoration, maintenance, or attainment of behavioral system balance” and optimum stability for the individual. Johnson's Nursing Diagnostic and Treatment Process encompasses four steps
Implication for Community Health Work
a. History (client & family behavioral history, family dynamics, social and economic status)
b. Efficiency and effectiveness of client obtaining goals
c. Determine if behavior is purposeful & predictable
d. Make conclusions about drive strength, direction, and interaction
1. Internal Subsystem Problems:
a. Inconsistency among subsystems
b. Behavior is inappropriate for the ambient culture
2. Intersystem Problems:
a. Entire behavioral system is dominated by one or two subsystems
b. A conflict exists between two or more subsystems
Goals: restore, maintain, or attain the client's behavioral system balance
1. Determine balance or lack thereof in client’s subsystems
2. For client with an illness in the biological system, assess ability to maintain equilibrium
Elements of Structure
Drive or Goal
Relation of Theory to Clinical Objectives
*Implement professional nursing roles when providing care for the community-based client.
Diagnose population stability and instability based on community assessment.
*Evaluation of behavioral system balance and stability