ideas, models and theories in nursing -. Hildegard Peplau

Within this weblog post, we will look at the theory of Hildegard Peplau little closer to us all, mainly because this was among the first many people to different theories integrated into their theory. Especially work of psychiatrists and psychologists had an influence here


Table of Contents:Reading Time: five minutes / 1,045 words.The theory of Hildegard Peplau – definition and details.Influences of the theory of Hildegard Peplau.The theory of Hildegard Peplau refers towards the motivation theory of Maslow’s personality theory of Miller and the stimulus-response model of Pavlov, Adorno, Erickson, Freud and Fromm had been other influences. Most influence and significance, nonetheless, had Harry Stuck Sullivan with his performs (Psychiatry) for Peplau. An assumption of Sullivan is the fact that Human obtained by the want for gratification in addition to a wish driven by security.

Around the basis of those several excitation developed Peplau its process-oriented model. The knowledge in psychiatric nursing contributes to this method.In its definition of nursing Peplau coined the term psychodynamic care, which supplies the meaning of your Pflegenden- patient partnership at the center. Peplau it comes to recognizing and to clarify what takes place when a nursing supportive turns a patient. Your assumption right here is: »The personality of a nurse who’s responsible for the learning approach with the patient is important; the promotion of character to mature folks will be the responsibility of care and nursing education. Methods of processing and understanding of interpersonal relationships ought to so be content of teaching « (Kuehne Ponesch 2004, p 127).

The 4 phases in the nurse – patient partnership.According Peplau there are four phases of nurses -Patient partnership which produce information about on which level of improvement, the sentence rewrite partnership is:Orientation identification exploitation selection.Declaration around the 4 phases. »In the orientation phase, the patient has a desire to become helped professionally as a consequence of a disorder (feel require). The suffering will be the first step within the improvement with the personality. The nurse assists the patient’s problems and must identify and know in order to derive appropriate subsequently Support in. What is stated to be uncomplicated to understand by the patient, to give him the possibility of active participation. In this phase the basis for additional cooperation in between the caregiver as well as the patient arises. 1 can speak of a « partnership relationship ».

Within the Identifiktionsphase an identification with the patient with the people that deliver him help is. The connection amongst the caregiver along with the patient is strengthened by trust will be constructed. It truly is prepared the technique to actively participate as a patient in the care approach. The knowledge gained in a illness circumstance also can promote or inhibit an impact on an active participation within a connection approach because the understanding in the patient in wellness matters. A normally very good amount of education includes a favorable impact around the linguistic expression plus the understanding and becoming understood to be made. When the patient is passive and he can not bring himself to the care events with 1, it truly is to reflect the process of nursing the partnership as well as the related fears.

In the stage of exploitation or use phase, the patient maximum advantage for addressing his suffering need to draw in the connection. This only succeeds when he far better comprehend his situation learns and makes use in the solutions provided. The force of nurses is thereby transferred to the patient, new ambitions is often formulated and pursued. The nurse offers the patient the feeling of optimistic « mother enjoy. »In the stage of the selection or replacement of old, are no longer relevant for the patient objectives are discarded and new ones sought. The patient frees himself from the partnership using the caregiver and is after again open towards the connection uptake outdoors the wellness sector. He takes more than once more even the duty for themselves. This approach is frequently parallel using the healing method and indicates a recovery. It isn’t uncommon that nurses have difficulty letting go of the patient and satisfy personal dependency demands. The release process which has always to start from the patient is complex by « (Kuehne Ponesch 2004 S.127ff).

Definition of health and illness within the course of action. »Health, by » be accomplished growth.  » that is equated with development of personality development, takes place, if it truly is doable to integrate disease experience inside the character and understand from them. Peplau sees a target inside a inventive, constructive, productive and above all socially recognized life. It defines disease as an inevitable human encounter. If you happen to could make sense on the illness, it can be observed as a development knowledge « (ibid. P.129).

duties of care.In Peplau care is to assume the job of various roles and hence get to know the patient and support. If this fails, then chronicity could be the result. The unused capabilities of individuals should be identified and implemented for the purposes of prevention of diseases. The nurse assumes the following roles inside the care method model: part from the unknown, the assistant, teacher’s function, leadership, deputy function, advisory function.Some behaviors inside these roles that holds the caregiver will need to, according Peplau show nurses in no case:Sufferers with tales of their own lives to bother the patient raise the darling individuals and to recognize this in their daily function the patient for little orders exploit Disputes involving individuals referee to play; To respond when sufferers decrease himself to dependency tendencies just like « I am dependent and helpless » to respond; go over the behavior of other caregivers together with the patient; To engage in buddy relationships with sufferers; making ambiguous statements.Goals of care.The objective is always the improvement with the personalities of every person involved inside the connection procedure!Plays a major function, the constructive development within the spirit of creativity, productivity and neighborhood. Peplau talks here even care as an educational tool.