Interpersonal Relations - Hildegard E. Peplau, Slides of Nursing

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Interpersonal

Relations

Hildegard E. Peplau

A Middle-Range Nursing Theory Analysis

Ramesh kumar

Hildegard E. Peplau’s

Interpersonal Relations in

Nursing

Theory was published in

Framework for

psychodynamic nursing

Theory was influenced

by Harry Stack Sullivan’s

theory of interpersonal

relations.

Middle range,

descriptive, classification

theory

Theory was published in

Framework for

psychodynamic nursing

Theory was influenced

by Harry Stack Sullivan’s

theory of interpersonal

relations.

Middle range,

descriptive, classification

theory

Interpersonal Relations in Nursing Theory

• Stresses the importance of nurses’ ability to

understand their own behaviors to help others

identify perceived difficulties.

• Emphasizes the focus on the interpersonal

processes and therapeutic relationship that

develops between the nurse and client.

• Four phases of the nurse-patient relationship are

identified

• Six primary roles of the nurse
• Six secondary roles of the nurse
• Stresses the importance of nurses’ ability to

understand their own behaviors to help others

identify perceived difficulties.

• Emphasizes the focus on the interpersonal

processes and therapeutic relationship that

develops between the nurse and client.

• Four phases of the nurse-patient relationship are

identified

• Six primary roles of the nurse
• Six secondary roles of the nurse

4 Phases of nurse-patient relationship  Orientation - client seeking assistance, meeting of nurse-patient, identifying the problem and services needed ( interview process), and guidance.  Identification - identifying who is best to support needs, patient addresses personal feelings about the experience and is encouraged to participate in care to promote personal acceptance and satisfaction.  Orientation - client seeking assistance, meeting of nurse-patient, identifying the problem and services needed ( interview process), and guidance.  Identification - identifying who is best to support needs, patient addresses personal feelings about the experience and is encouraged to participate in care to promote personal acceptance and satisfaction.

Roles of Nurses Primary Stranger Teacher Resource person Counselor Surrogate Leader Secondary Technical expert Mediator Safety agent Researcher Tutor Manager of environment Primary Stranger Teacher Resource person Counselor Surrogate Leader Secondary Technical expert Mediator Safety agent Researcher Tutor Manager of environment

Application of Interpersonal Theory in Nursing Practice

• An article in Current Nursing evaluated using the

theory in nursing practice

• Assessment= Orientation phase
• Nursing diagnosis
• Planning=Identification phase
• Implementing=Exploitation phase
• Evaluation=Resolution phase (the theory allowed client’s needs to be assessed. Application of the theory helped provide comprehensive care to the client)
• An article in Current Nursing evaluated using the

theory in nursing practice

• Assessment= Orientation phase
• Nursing diagnosis
• Planning=Identification phase
• Implementing=Exploitation phase
• Evaluation=Resolution phase (the theory allowed client’s needs to be assessed. Application of the theory helped provide comprehensive care to the client)

Research completed

• British Journal of Nursing had an article researching the credibility of Peplau’s theory, in mental health care, due to the expansion of nursing knowledge and the dynamics of a multidisciplinary team currently used in today’s practice.
• Public Health Nursing did a study, in homecare visits, (testing the use of Peplau’s theory) to work with multi- problem families, to identify interventions, individualized for the members, to see if relationship progression was increased within the family system resulting in optimized care of the patient.
• British Journal of Nursing had an article researching the credibility of Peplau’s theory, in mental health care, due to the expansion of nursing knowledge and the dynamics of a multidisciplinary team currently used in today’s practice.
• Public Health Nursing did a study, in homecare visits, (testing the use of Peplau’s theory) to work with multi- problem families, to identify interventions, individualized for the members, to see if relationship progression was increased within the family system resulting in optimized care of the patient.

Application of theory in “MY” nursing practice

• This theory would be useful with our newly diagnosed cancer patients and

their family. Resistance is met when trying to educate them about the

treatment, encouraging enrolment in studies, and education about how to

care for the patient in their home setting.

• Orientation - patient gets admitted to the unit, nurse helps the patient to

recognize and understand that they have cancer and the importance of

treatment.

• Identification - Patient takes the time to internalize the diagnosis, the nurse

participates in helping the patient to do so.

-- Exploitation - the nurse works to have the patient explore what help is needed

to meet goals, incorporating other disciplines to problem solve (oncologists,

therapists, alternative medicine, etc.).Patient test the limits of the nurses

availability, and the nurse encourages patient to evaluate ways to meet their

final goals.

-- Resolution - when in-patient treatment is complete, the nurse has to evaluate

feelings and remove themselves from the bond that is made, allowing the

patient and family to move on and regain balance in their own lives.

• This theory would be useful with our newly diagnosed cancer patients and

their family. Resistance is met when trying to educate them about the

treatment, encouraging enrolment in studies, and education about how to

care for the patient in their home setting.

• Orientation - patient gets admitted to the unit, nurse helps the patient to

recognize and understand that they have cancer and the importance of

treatment.

• Identification - Patient takes the time to internalize the diagnosis, the nurse

participates in helping the patient to do so.

-- Exploitation - the nurse works to have the patient explore what help is needed

to meet goals, incorporating other disciplines to problem solve (oncologists,

therapists, alternative medicine, etc.).Patient test the limits of the nurses

availability, and the nurse encourages patient to evaluate ways to meet their

final goals.

-- Resolution - when in-patient treatment is complete, the nurse has to evaluate

feelings and remove themselves from the bond that is made, allowing the

patient and family to move on and regain balance in their own lives.