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Copy of Joyce travelbee

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Bruce Ma

on 22 March 2014

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Transcript of Copy of Joyce travelbee

Joyce Travelbee
Human to human Theory of nursing
Joyce travelbee's
HUman to human Theory
of nursing
Travelbee's theory consist of seven basic concepts

Suffering
- An experience that varies in intensity, duration and depth either physically or mentally
Meaning
- Reason attributed to a person
Nursing
- aid the client and also the family in finding meaning of the health experience by using the nurses spiritual and ethical choices as well as the nurses perception of illness and suffering.
Hope
- a mental state that is characterized by the desire to gain an end or accomplish a goal combined with some degree of expectation that what is desired or sought is attainable.
Communication
- necessity for nursing care
Self-therapy
- through self awareness and self understanding, understanding of human behavior; this process is used to predict one's own and others' behavior
Targeted intellectual approach
- nurses must have a systematic intellectual approach to the patient's situation
Human - human
relationship model
of nursing
Born in 1926 and died in 1973 at the age of 47. (She had just started her doctoral program in 1973)

She was a psychiatric nurse, educator and writer
Interpersonal Aspects of Nursing (1966, 1971)
Intervention in Psychiatric Nursing: Process in the One-to-One Relationship

She taught as a Psychiatric Nursing instructor at Depaul Hospital Affiliate School in New Orleans in 1952

BSN in 1956 at the Louisiana State University

Master of Science Degree in Nursing from Yale University in 1959

Travelbee's theory is based on these two perspectives:
interpersonal relations-the significance of interpersonal environment.
- interpersonal relationships between the nurse and the individual
- the relationship between an individual and family, parent and child.
- empathy
existentialism- finding meaning in life experiences.


Existentialism:
"philosophical movement embracing diverse doctrines but centering on analysis of individual existence in an unfathomable universe and the plight of the individual who must assume ultimate responsibility for acts of free will without any certain knowledge of what is right or wrong or good or bad" (Merriam Webster)

Logotherapy :
a highly directive existential psychotherapy that emphasizes the importance of meaning in the patient's life especially as gained through spiritual values (Merriam Webster)


In her
human to human model
she mentions the following interactional phases:

Original Encounter:
the first impression between nurse and client

Emerging Identities:
the perception between nurse and client as unique individuals - the relationship begins to form

Empathy:
the ability to share the client's experience,


Sympathy:
when the nurse wants to decrease the suffering of the client, without compromising professional abilities.

Rapport:
nursing interventions that lessen the client's suffering by relating to the client as a human being.


Hildegrad Peplau

, whose one main contributions in pyshchiatric mental health (PMH) nurse was the introduction of the nuse-patient relationship (1952).

Ida Jean Orlando
(1961, 1972) The formulation of her theory was influenced by her experiences and what she perceived as a lack of compassionate care. "humanistic revolution" - a return to focus on the caring function towards the ill person.

Victor E. Frankl
, a philosopher who founded logotherapy that is based on the philosophy of existentialism.

References
Nursing Library. (2014). Joyce Travelbee nursing theory: Human to human relationship model. Retrieved from http://nursinglibrary.info
Current Nursing. (2012). Human-to-Human relationship model. Retrieved from http://currentnursing.com
Merriam Webster. (2014). Dictionary and Thesaurus. Retrieved from http://www.merriam-webster.com/
Page, G. (2010). Theoretic basis of psychiatric and mental health nursing. In W. Austin & M.A Boyd Pyschiatric and Mental Health Nursing for Canadian Practice, 2nd edition. pp101-120)
How has her theory helped nursing?

In hospice: understanding illness and suffering enables the patient to accept the sickness but also use it as a life experience of self actualization
Eg. A dying person must find meaning in death before he/she can accept the actuality of death, just as the loved one must find meaning in death before they can complete the grieving process.

She introduces philosophy into nursing.

Took a step towards compassionate nursing and perceives both the client and the nurse as human beings behaving as social creatures who work by forming a relationship based on health goals

Conclusion

We believe that Travelbee's theory was part of the movement towards client centered and empathetic care which was lacking in the days where nurses were regimented to follow orders.
Her theory is empowering nurses to build and maintain an empathetic and sympathetic relationship with a client without compromising professional standards or basics of care.
Her theory is absolutely relevant to nursing today, as it is already incorporated into our programs.
"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
Influential Theorists
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