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Transcript of Hildegard Peplau
Stages of Nurse-Client Relationship
Life and Legacy
Applying to my Practice
Peplaus theory is effortlessly applied to my everyday practice. I move through her four sages of nurse-client relationships unconsciously. I learned the acronym AIDET (Acknowledge, Introduce, Duration, Explanation and Thank you) several years ago at a previous job. I use it in my everyday practice to develop caring and trusting relationships with my patients and families. AIDET and Peplaus theory of interpersonal relations have parallels…
Acknowledge, Introduce = Orientation Phase
Duration, Explanation = Identification and Exploitation Phase
Thank you = Resolution Phase
Developing trust, setting boundaries, promoting independence, and concluding the relationship are important for the well being of each client.
In her interpersonal relationship theory, Dr. Peplau emphasized the nurse-client relationship as the foundation of nursing practice. Her book on her conceptual framework, Interpersonal Relations in Nursing, was completed in 1948. Publication took an additional 4 years because she did not have a coauthoring physician. It was uncommon for nurses to write scholarly articles.
Peplau's research on the give-and-take of nurse-client relationships was seen by many as revolutionary. Peplau went on to form an interpersonal model focusing on the need for a partnership between the nurse and client as opposed to the client passively receiving treatment and the nurses just carrying out doctors orders.
Peplau's theory focuses on the creation of a shared experience between the nurse and client. Her thought was nurses could achieve this through observation, description, formulation, interpretation, validation, and intervention.
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7 Nursing Roles
Stranger: Meets the client just like any other stranger, builds a trusting environment.
Resource: Answers questions, interprets data, exchanges information.
Teaching role: Gives instruction, training. Understands the learner's past experience.
Counseling: Helps client understand current life circumstances; provides guidance and encouragement to make changes.
Surrogate: Helps client clarify need of dependence, interdependence, and independence becomes the client advocate.
Active: Helps client assume maximum responsibility for meeting treatment goals in a mutually satisfying way.
Technical expert: Provides physical care.
Hildegard Peplau was born in Reading, Pennsylvania on September 1st, 1909. After graduating from the Pottstown, Pennsylvania Hospital School of Nursing in 1931 she worked as an operating room supervisor at Pottstown Hospital. She later received a B.A. in interpersonal psychology from Bennington College, Vermont, in 1943, an M.A. in psychiatric nursing from Teachers College, Columbia, New York, in 1947, and an Ed.D in curriculum development from Columbia.
Hildegard Peplau was a member of the Army Nurse Corps and worked in a neuropsychiatric hospital in London, England during WW II. She also did work at Bellevue and Chestnut Lodge Psychiatric Facilities. Peplau holds numorous awards and positions. She retired in 1974. On March 17th, 1999, she died peacefully at home in Sherman Oaks California. She was 89 years old.
Theory of Interpersonal Relations
The Patient and nurse mature as the result of the therapeutic interaction.
The nurse and patient establish a relationship
Preconceptions are settled
Ground rules are set
Early levels of trust are developed
Roles are discussed and understood
Identify problems to be worked on within relationship
Nurses goal is to promote responsibility for self (client)
Client’s now trust the nurse
Client utilizes nurses full ability
Solving immediate problems
Identifying and orienting self to goals for discharge
Client's needs are met
Mutual termination of relationship
Patient is more independent
Patient is better equipped to handle own problems
Peplau’s theory of interpersonal relations. (2014). Retrieved from
Johnson, B. M., & Webber, P. B. (2010). An Introduction to Theory and reasoning in nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health.
Theory of interpersonal relations: factors influencing the blending of the nurse-patient relationship. (n.d.). Retrieved from http://nursingtheories.weebly.com/hildegard-e-peplau.html