SESSION Eight
SESSION Eight
HILDEGARD PEPLAU'S THEORY OF INTERPERSONAL RELATIONSHIP
"Nursing is the interpersonal therapeutic process of functioning cooperatively with other human processes that make health possible for individuals in communities through education that aims to promote forward movement of personality."
"Mother of Psychiatric Mental Health Nursing" and "Nurse of the Century". Four Phases of the Nurse-Patient Relationship (which Peplau identified):
Orientation - the phase in the nurse-patient interaction where the client seeks help and the nurse assists the client to understand the problem and the extent of the help
Identification - characterized by the client who assumes a posture of dependence, interdependence, or independence in relation to the nurse; the nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the client's situation
Exploitation - the client derives full value from what the nurse offers through the relationship; client uses available services based on self-interest and needs; power shifts from the nurse to the client
Resolution - old needs and goals are set aside and new ones are adopted; once older needs are resolved, newer and more mature ones become evident.
Six Proposed Nursing Roles:
One. Stranger Role - is exemplified by the nurse receiving the client in the same way one meets a stranger in other life situations. The nurse provides an accepting climate that builds trust.
Two. Resource Role - the nurse answers questions, interprets clinical treatment data, and gives information.
Three. Teaching Role - the nurse gives instructions and provides training. She also involves analysis and synthesis of the learner's experience.
Four. Counseling Role - the nurse helps clients understand and integrate the meaning of current life circumstances and provides guidance and encouragement to make changes.
Five. Surrogate Role - the nurse helps clients clarify domains of dependence, interdependence, and independence and acts on client's behalf as advocate.
Six. Active Leadership Role - the nurse helps the client assume maximum responsibility for meeting treatment goals in a mutually satisfying way.
SESSION Nine
SESSION Nine
JOYCE TRAVELBEE'S HUMAN-TO-HUMAN RELATIONSHIP MODEL OF NURSING