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Interactional Phases

How Does this Theory Inform or Constrain Knowing??

  • Original encounter
  • Emerging identities
  • Empathy
  • Sympathy
  • Rapport

Theotrical Underpinnings

Human to Human Model

Joyce Travelbee

Assumptions of Model

History & Development

Principles for Nurse to Keep in Mind

Joyce Travelbee

Human to Human Relationship Model

  • Involvement with Catholic Charity institutions
  • Influenced by her instructor Ida Jean Orlando, and Hildegarde Peplau
  • Also influenced by Holocaust survivor Viktor Frankl creator of the Theory of Logotherapy

What Does This Theory Overlook ?

  • Help clients find meaning
  • Help patient maintain hope
  • Be aware of own spiritual and ethical beliefs
  • Go in with a plan
  • Born 1926
  • Psychiatric Nurse Educator (1952)
  • Completed BSN at Louisiana State University (1956)
  • Completed her Masters of Science in Nursing at Yale (1959)
  • Developed Human to Human Relationship Model
  • Died 1973 (47 years old) while striving to complete her PhD

- Existentialism (Soren Kierkegaard)

- Logotherapy (Viktor Frankl)

Illness = Unhealthy

Does not mention health promotion or prevention

FOCUS

- mental health and the idea of returning to a caring model

PURPOSE

- thought the purpose of nursing is to help the patient and family deal with health experiences and find meaning in them.

A nurse does not only seek to alleviate physical pain or render physical care – she ministers to the whole person. The existence of the suffering whether physical, mental or spiritual is the proper concern of the nurse.”

- Joyce Travelbee

Metaparadigm Concepts

Current Nursing Application

Person : Both the nurse and patient are human beings

Health: Subjective and Objective

Environment: No specific definition

Nursing: Interpersonal process

Human to Human Model can be used with any patient experiencing distress and/or life changing events.

ex. hospice care, complex care, acute care.

CASE STUDY

You walk into the room of your 89 year old resident and see her very distraught and has a history of depression. You ask her what happened. She explains to you that her best friend in the residence just passed away and she has no other friends here. She is upset that she is losing everyone around her and fears she will be the next one to die.

Explain how you as a nursing student would react using Travelbee's Humanistic Theory.

*Keep in mind Erikson's Developmental Stages, and possible assessments that may be done (N133, N142/143)

CASE STUDY

  • Perform spiritual assessment, mental health assessment
  • Talk about her beliefs about death
  • Help her maintain hope, without giving false reassurance
  • Help her find meaning in both her grief and her own illness (Integrity VS Despair)
  • Use sympathy and empathy

References

Q & A

Human to human relationship model. (2013, September 9). Retrieved from

http://currentnursing.com/nursing_theory/Joyce_Travelbee.html

Jormin, R., Augustsson, B. A., (2003). Patients with dual diagnosis- A caring perspective based on Travelbees’ theory of nursing [Abstract]. Theoria Journal of Nursing Theory, 12(4), 3-14.

Joyce Travelbee nursing theory: Human to human relationship model. (2014). Retrieved from http://nursinglibrary.info/joyce-travelbee-nursing-theory-human-to-human-relationship-model/

Tomey, A. M., Alligood, M. R. (2002)Nursing theorists and their work (5th ed.) Missouri, USA: Yvonne Alexopoulos

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