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Nursing Critique

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Jen Kim

on 27 November 2012

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Transcript of Nursing Critique

Nursing Theory Critique Hildegard Peplau Who is Hildegard Peplau? "Nurse of the Century"
"Mother of Psychiatric Nursing" Graduated from Nursing in 1931
- Pottstown, Pennsylvania Hospital
School of Nursing
- B.A. in Interpersonal Psychology in 1943
Bennington College, Vermont
- M.A. in Psychiatric Nursing in 1947
Teachers College, Columbia, NY
- Ed.D in Curriculum Development in 1953
Columbia, NY Interpersonal Relations
in Nursing by Frances Huang, Jennifer Kim
Bhavisha Lal Born in September 1, 1909
Reading, Pennsylvania Her Credentials Her Theory Focus on interpersonal processes
and therapeutic relationships
that develop between
nurse and client Purpose of the Theory To facilitate the development of
problem solving skills within
the context of the interpersonal
relationship between nurse and
client using education and
therapeutic interactions Concepts that Shape
the Theory Nursing is interpersonal - involves human interaction

Interpersonal relations between a nurse and patient may tell us more about the problem than any
technical procedure.

A nurse's ability to understand behaviour (response to illness) is important to helping others identify difficulties How Clear is this Theory semantics
clear definitions of concepts
definitions explicitly and implicitly congruent

easily recognizable underlying concepts
structure is linear but not consistent How Simple is the Theory? How General is the Theory How Accessible is the Theory Let's Chat... Definitions of Nursing Roles
Stranger - receives and accepts patient as is; simple and clear communication to build basis of trusting relationship

Resource Person - provides specific information

Teacher - develops info around what patient knows and what their interests are

Leader - helps patient assume responsibility to healing

Surrogate - taking on roles of others, influenced by past people in life

Counselor - helps integrate meaning of life circumstances Four Phases of
Nurse-Patient Relationship Orientation: patient exhibiting a "felt need" for help from a professional

Identification: selection of appropriate professional assistance

Exploitation: use of professional assistance for problem solving alternatives

Resolution: termination of professional relationship Assumptions 1. Both client and nurse want to take part in an interpersonal relationship

2. Both client and nurse possess maturity and skills to form an interpersonal, therapeutic relationship

3. The client has felt a need

4. The client is able to participate in an interpersonal relationship

5. The relationship will enhance problem-solving and healing

6. All nurses are capable of participating in those roles and having expert knowledge Pertains to psychiatric nurses specifically but can be applied to relationships between clients and any HCP The roles of client and HCP are predetermined and differ greatly from any other human relationship How has relational nursing in the context of the nurse-client relationship changed in practice from Peplau's theory?

How is the DMF related to the phases of the relationship?

How is relational practice related to health promotion? :) Indicators of an effective interpersonal relationship:
-empathic linkages
-progression through stages

Assessing behaviours is an ability accessible to most

applicable to nursing practice, whether it is in the hospital setting, or community setting Need for Relationships confirm self-worth
provide a sense of connectedness with others
support self-esteem Decision Making Framework Getting to know Salience Pattern Recognition Healing Initiatives Evaluation Nurse-Specific Focus

Sets our role apart from other HCP
Beyond task-oriented
Full transcript