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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

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