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Behavioral Systems
Theory
Dorothy E. Johnson’s
Biographical Stretch
Who is
Dorothy E. Johnson?
-Born August 21, 1919 in Savannah, Georgia
-Finished her Associates Degree 1938
-Nursing Career Began 1942
- Received Master Degree 1948
-1949-1978 Pediatric Instructor at Vanderbilt University School of Nursing
-1950 First Nursing Publication
-1961 Nursing care facilitated the client's maintenance of a state of equilibrium
-1968 Behavior System Model of Nursing first proposal
1930's
Great Depression ( 1929 - 1939)
Social Security Act 1935
1940's
1950's
1960's
The Media
Behavioral Systems Theory
Four Concepts
1. Humans have two major systems
Biological: role of medicine
Behavioral: role of nursing
2. The patient's behavior is directly influenced by the environment and events that occur in the environment. (metaparadigm)
3. Health is an adaptive response to internal and external stimuli in order to maintain stability and control.
4. Equilibrium
1. System
2. Structure
3. Functions
Three Main Categories
Each category has four assumptions
The Subsystems
Attachment/Affiliative - Serves the need for security through social inclusion or intimacy
Dependency - Behaviors desired to get attention, recognition, and physical assistance
Ingestive - Fulfills the need to supply the biologic requirements for foods and fluids
Eliminative - Functions to excrete wastes
Sexual - Serves the biologic requirements of procreation and reproduction
Aggressive - Functions in self and social protection and preservation
Achievement - Functions to master and control the self or the environment
ssessment
iagnosis
A
D
P
I
E
lan
mplementation
valuation
Assessment
Diagnosis
Plan
Implementation
Evaluation
Sheela,a 30 year-old mother of four, is experiencing signs and symptoms of postpartum depression a month after giving birth to her fourth child. Signs and symptoms were left untreated resulting in a death of septic shock.
(refer to case study handout)
1. What are some things that could have been done to prevent Sheela’s situation?
2. Name the three subsystems that would be a major concern for Sheela.
3. As a nurse, how would you help Sheela reach an equilibrium?
Attachment/Affiliative - Serves the need for security through social inclusion or intimacy
Dependency - Behaviors desired to get attention, recognition, and physical assistance
Ingestive - Fulfills the need to supply the biologic requirements for foods and fluids
Eliminative - Functions to excrete wastes
Sexual - Serves the biologic requirements of procreation and reproduction
Aggressive - Functions in self and social protection and preservation
Achievement - Functions to master and control the self or the environment
Prevention of teenage pregnancies in Soshanguve, South Africa : using the Johnson Behavioural System Model -- 2013
Designing Nursing Care Program Based on Johnson Behavioral Model in Children with Acute Lymphoblastic Leukemia: A Case Study -- 2018
Exploring Voiding Positions Used by Older Women from Diverse Racial/Ethnic Backgrounds - 2017
A Comparative Study on Self-Esteem and Adjustment Among Adolescent Children of Alcoholic and Non Alcoholic Father in a Selected Community in Coimbatore - 2016
Garg, B.S. (N.D). Case study: Postpartum Depression. Retrieved from: http://thenetworktufh.org/wp-content/uploads/2015/10/Postpartum-Depression-Case-Study.pdf
Ghanbari, A., & Pouy, S. (2018). Designing nursing care program based on Johnson behavioral model in children with acute lymphoblastic leukemia: a case study. International Journal of Caring Sciences, 631–638. Retrieved from https://roseman.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=129399305&site=ehost-live
Health Behavioral Theory. (n.d.). Retrieved February 19, 2019, from http://www.nursing-theory.org/theories-and-models/johnson-behavior-system-model.php
Lusk, B. (2000, June 22). Pretty and powerless: Nurses in advertisements 1930-1950. Research in Nursing & Health, 23(3), 229-236. https://onlinelibrary-wiley-com.roseman.idm.oclc.org/doi/abs/10.1002/1098-240X%28200006%2923%3A3%3C229%3A%3AAID-NUR7%3E3.0.CO%3B2-G
Oyedele, O. A., Wright, S. C. D., & Maja, T. M. M. (2013). Prevention of teenage pregnancies in Soshanguve, South Africa: using the Johnson behavioural system model. Africa Journal of Nursing & Midwifery, 15(1), 95–108. Retrieved from https://roseman.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=107968580&site=eds-live
Wang, M. (2016). Exploring voiding positions used by older women from diverse racial/ethnic backgrounds...28th Annual Scientific Session, June 2-6, 2017, Baltimore, Maryland. Nursing Research, 65(2), E35. Retrieved from https://roseman.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=113905240&site=ehost-live
Wayne, G. (2016, December 12). Dorothy E. Johnson - Biography and Works. Retrieved February 18, 2019, from https://nurseslabs.com/dorothy-e-johnson/