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INTERPERSONAL RELATIONS THEORY

THERINE A. HADJI TAIB , RN.

HILDEGARD PEPLAU

PSYCHIATRIC NURSE OF THE CENTURY

March 7, 1999 Sherman Oaks, California

SEPTEMBER 1, 1909 READING, PENNSYLVANIA

EDUCATIONAL BACKGROUND
Bachelor Of Arts In Nursing
1931 Pottstown, Pennsylvania Hospital School of Nursing

Bachelor Of Arts In Interpersonal Psychology


1943 Bennington College Vermount

Master Of Arts In Psychiatric Nursing and Doctor Of Education


1947 And 1953 Columbia, New York

METAPARADIGM IN NURSING
MAN ORGANISM Who lives in an unstable balance of a given system Word symbolizes movement of personality

PERSON

HEALTH

INTERPERSONAL RELATIONS THEORY

Physiological Demands and Interpersonal conditions

ENVIRONMENT
Forces outside the Organism -> Norms , Customs and Belief

NURSING
THERAPEUTIC INTERPERSONAL PROCESS

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 Six primary roles of the nurse

ADMISSION
INTENSIVE

TREATMENT PERIOD
CONVALESCENCE

AND REHABILITATION

DISCHARGE

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.a

PHASES OF NURSE-PATIENT RELATIONSHIP

Exploitation- patient attempts to explore, understand and deal with the problem, and gains independence on achieving the goal Resolution- termination of the therapeutic relationship to encourage emotional balance for nurse and patient ( difficult for both patient and nurse as psychological dependence persists)

NURSING ROLES
Role of the Stranger
Role of the Resource Person
Leadership Role

Teaching Role
Counseling Role

Surrogate Role

NURSE

Stranger

Unconditional Surrogate Mother

Counselor Resource Person Leader Surrogate: > Mother > Sibling

Adult Person

PATIENT NURSE PATIENT RELATIONSHIP

Stranger

Infant

Child

Adolescent

Adult

ORIENTATION-------IDENTIFICATION-------EXPLOITATION---------------------------------------------RESOLUTION

ANALYSIS

Simplicity

Generality Empirical Precision


Derivable Consequence

..APPLICATION 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 clients needs to be assessed. Application of the theory helped provide comprehensive care to the client)

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
gets admitted to the unit, nurse helps the patient to recognize and understand that they have cancer and the importance of treatment.
Patient

IDENTIFICATION
Patient

takes the time to internalize the diagnosis, the nurse participates in helping the patient to do so.

EXPLOITATION
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.
The

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.

The kind of person that the nurse becomes makes a substantial difference in what each patient will learn as he or she receives nursing care

THANK YOU..