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Joyce Travelbee: Human to Human Relationship Model
Transcript of Joyce Travelbee: Human to Human Relationship Model
Marnel Espino, RN Travelbee:
Human to Human Relationship Model
“ A nurse does not only seek to alleviate physical pain or render physical care- she ministers to the whole person. The existence of suffering, whether physical, mental or spiritual is the proper concern of the nurse.”
-Joyce Travelbee Life Story After 3 hours of discussion the students will be able to:
a. familiarize the life story, accomplishments and significant contributions of Joyce Travelbee.
b. thoroughly understand Travelbee’s metaparadigm in Nursing.
c. appreciate and understand her Human to human relationship Model and its significance in the nursing community. Objectives: born in 1926
she was psychiatric nurse, educator and writer Joyce Travelbee (1926-1973) 1956, she completed her BSN degree at Louisiana State University
1959, she completed her Master of Science Degree in Nursing at Yale University. Educational Background 1973,she started a doctoral program in Florida. Educational Background
1952, Psychiatric Nursing Instructor at Depaul Hospital Affilliate School, New Orleans.
She also taught Psychiatric Nursing in Charity Hospital School of Nursing in Louisiana State University, New York University and University of Mississippi. Work Experiences -Director of Graduate Education in Louisiana State University School of Nursing until her death. -1970, Project Director at Hotel Dieu School of Nursing in New Orleans. Work Experiences 1963, started to publish articles and journals in nursing.
1966 and 1971, publication of her first book entitled Interpersonal Aspects of Nursing. Publications
1969, when she published her second book Intervention in Psychiatric Nursing: Process in the One-to-One Relationship. Publications Human being
Is a unique, irreplaceable individual who is in the continuous process of becoming, evolving and changing Person
Measured by subjective
and objective health Subjective Health
- An individually defined state of well being in accord with self-appraisal of physical-emotional-spiritual status. Health Objective Health
- An absence of discernible disease, disability, or defect as measured by physical examination, laboratory tests, assessment by a spiritual director, or psychological counselor. Not clearly defined
Defined human conditions and life experiences encountered by all men as sufferings, hope, pain and illness. Environment Nursing "an interpersonal process whereby the professional nurse practitioner assists an individual, family or community to prevent or cope with experience or illness and suffering, and if necessary to find meaning in these experiences.” -“The nurse is responsible for helping the patient avoid and alleviate the distress of unmet needs.” Ida Jean Orlando Catholic Charity Institutions Theoretical Sources Viktor Frankl
Theoretical Sources - proposed the theory of logotherapy -humanistic revolution Human to Human Relationship Model 1. Original Encounter
-First impression by the nurse of the sick person and vice-versa. - Stereotyped or traditional roles Interactional Phases of Human-to-Human Relationship Model: 2. Emerging Identities
- the time when relationship begins
-the nurse and patient perceives each others uniqueness Interactional Phases of Human-to-Human Relationship Model: 3. Empathy
- the ability to share in the person’s experience Interactional Phases of Human-to-Human Relationship Model: 4. Sympathy
- when the nurse wants to lessen the cause of patient’s suffering.
- goes beyond empathy.
“When one sympathizes, one is involved but not incapacitated by the involvement.”
- therapeutic use of self Interactional Phases of Human-to-Human Relationship Model: Interactional Phases of Human-to-Human Relationship Model: 5. Rapport
- Rapport is described as nursing interventions that lessens the patient’s suffering.
- Relation as human being to human being - “A nurse is able to establish rapport because she possesses the necessary knowledge and skills required to assist ill persons and because she is able to perceive, respond to and appreciate the uniqueness of the ill human being.” Interactional Phases of Human-to-Human Relationship Model: -are in consecutive order
developmentally achieved by the nurse and the patient
as their relationship progress.
Logical Form - An inductive theory that uses specific nursing situations to create general ideas. Interactional Phases of Human-to-Human Relationship Model Hospice:
-self-actualizing life experience.
-assumption of the sick role.
-meaning of life, sickness and death. Practice -teaches nurses to understand the meaning of illness and suffering. Education -applied in the theory of caring cancer patients. Research -not consistent in clarity and origin.
-used different terms for the same definition.
-focus more on adult individuals who are sick and the nurse’s role in helping them to find meaning in their sickness and suffering.
-dealt with families and their needs but not the community Clarity not evident
contains different variables. Simplicity -has wide scope of application but applicable only to those patients in distress and life changing events. Generality -low measures of empirical soundness.
-result of lack of simplicity.
-defines concepts theoretically but does not define them operationally.
-the model has not been tested. Empirical Precision -development of quality of caring.
-it is useful because of its ability to describe, explain, predict and control a phenomena.
-explains the variables that affect the establishment of a therapeutic relationship between nurses and patients.
-lack of empirical precision also creates lack of usefulness. Derivable Consequences 1. Octaviano, E.F. & Balita, C.E. (2008). Theoretical Foundations of Nursing: The Philippine Perspective. Philippines: Ultimate Learning Series, 93-98.
2. Tomey, A.M. & Alligood, M.R. (2002). Nursing Theorists and Their Work. 5th ed. Missouri: Mosby, 418-425. References: Online sources:
1.http://currentnursing.com/nursing_theory/Joyce_Travelbee.html retrieved on December 2,2012
2.http://joycetravelbee.blogspot.com/ retrieved on December 2, 2012
3.http://slsucoam.blogspot.com/2008/09/joyce-travelbee-human-to-human.html retrieved on December 2, 2012 Thank you!