Implications for Use in Nursing
Importance
- Used by nurses since early 1970's
- Fundamental to nursing discipline
- Medium for theoretical growth
- Systematic structure & rationale for activities
- Focus on the person rather than the disease
RESEARCH
- Researchers demonstrate usefulness in clinical practice
- Strategic problem-solving capabilities
- Effective framework for evaluating patient outcomes
EDUCATION
- Used to develop SON undergraduate curricula
- Requires background in systems theory & biological, psychological, sociological sciences
PRACTICE
- Links nursing input with patient health outcomes
- Identifies end product (behavioral system balance)
- Helps patient achieve optimum level of functioning
- Example: UCLA Neuropsychiatric Institute designed patient classification system
Strengths & Limitations
Contribution to
Professional Role Development
STRENGTHS
- serves as means to identify, label, classify phenomena
- Solutions for patient care problems
- Criteria to determine if problem has been solved
- Uses shared language about nursing & nursing practice
LIMITATIONS
- Does not enable nurses to identify interventions
- Wellness is undefined despite reference to physical & social health
- Internal vs. external environment is not clearly defined
References
Improving Patient Outcomes and Practice
Application for Client Assessment
- Allows nurses to categorize observations
- Gain insight into clinical situations
Key Concepts
Dockery, D.S. & Thornbury, G.A. (2002). Shaping a Christian worldview: The foundations of Christian higher education. Nashville TN: Broadman & Holman Publishers.
Parker, M., & Smith, M. (2010). Nursing theories & nursing practice. Philadelphia, Pennsylvania: F.A. Davis Company.
Reynolds, W. (1991). An Evaluation of the Johnson behavioral system model of nursing. Journal of Advanced Nursing. 16(9), 1122-1130.
Smith Fruehwith, S. (1989). An application of Johnson's behavioral model: A case study. Journal of Community Health Nursing. 6(2), 61-71.
Wayne, G., (2014). Dorothy E. Johnson's Behaviioral System Model. Retrieved from http://nurseslabs.com/dorothy-e-
johnsons-behavioral-system-model/
PERSON
- Nursing client = collection of subsystems
- Interrelate to form behavioral system
SUBSYSTEMS
- Maintain integrity of behavioral system
- Manage relationship to environment
- Include:
- Achievement
- Affiliative
- Aggressive/Protective
- Dependency
- Eliminative
- Ingestive
- Restorative
- Sexual
Overview of the Johnson Behavioral Systems Model
Five Core Principles
- Wholeness & order
- continuity & identity
- Stabilization
- Behavioral system balance; development
- Reorganization
- Growth & change
- Hierarchic interaction
- Discontinuity
- Dialectical contradiction
- Motivation for behavior change
Conclusion
- Name one historical element of the JBSM.
- What is one core concept of the JBSM?
- Why is the JBSM important to nursing practice?
- Give one example in which the JBSM could be used in practice.
- Give one example of how the JBM can assist in your professional role development.
- Person = living system in constant interaction with environment
- 8 behavioral subsystems
- Equal distribution of energy
- Environment influences behavioral systems
- Patient behaviors tied to each subsystem
- Maintain/restore patient’s system balance
- Promotes environment that nurtures, protects, stimulates behavioral subsystems
The Johnson Behavioral Systems Model
Objectives
By the end of this presentation, participants will:
- Understand historical background for this model
- Identify at least one core concept of the model
- Explain the importance of the model
- State at least one way in which the model could be used in practice
- Indicate how knowledge of the model can assist in professional role development
Influences
- Florence Nightingale
- Systems theorists
- Stems from:
- Philosophical ideas
- Developmental & general systems theories
- Research
- Johnson’s clinical background as pediatric nurse
Historical Origin of the JBSM
WHO:
- Dorothy Johnson (1919 – 1999)
- One of the first “grand theorists” to present conceptual model
WHEN/WHERE:
- 1919 – born in Savannah, Georgia
- 1938 – AA, Armstrong Junior College
- 1942 – BSN, Vanderbilt University
- 1948 – MPH, Harvard University
- 1949 – 1978, professor at UCLA SON
NUR 550 Theory and Faith Integration
Crystal Jones-Ramos