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Joyce Travelbee
Human-to-Human Relationship Model
by
Pamela Salisbury Smith RN
Understanding Theory
Theory gave rise in nursing history, as nurses moved forward in developing
nursing as a profession and an academic discipline2
Nurses began focusing on specialized knowledge to guide nursing practice2
Theory is a collection of ideas that explain that which is real in existence, and
can be demonstrated3
Nursing theorists have been influenced by such disciplines as anthropology
and sociology3
21st century based nursing theory practice uses models, philosophies, and
theories2
Theory, if we are to continue moving forward, must be a prerequisite for the
survival of our profession2
Joyce Travelbee: Nurse Theorist
History
Psychiatric Nurse, Educator, and Author
Education and Accomplishments:
Louisiana University BSN; Yale
University MSN; Nurse Educator of
DePaul University, Charity Hospital
School, New York University, and
1926-1973 University of Mississippi; Author of
Interpersonal Aspects of Nursing and
Intervention in Psychiatric Nursing
Developed The Human-to-Human
Relationship Model
Based her theory on concepts of
existentialism and logotherapy by Soren
Kierkegaard and Viktor Frankl
Travelbee’s theory influenced nursing,
healthcare, and the hospice movement
Human-to-Human Relationship Model
The need for a “Humanistic Revolution” in nursing, with a renewed
devotion on caring and compassion for patients4
Assist the person, family, or community to avert or palliate the
experiences of sickness and suffering—instilling hope as a maximum goal4
Hope being a mental state with a yearning to finalize or reach a purpose,
with an expectation of gaining that which is desired4
Concept of hope would evolve from psychiatric nursing to patients with
chronic illnesses, requiring long-term care4
To understand the ill patient, is to recognize the person’s uniqueness4
The nurse’s spiritual values and philosophical beliefs, toward suffering,
would be a driving force in helping people to find meaning in their
illnesses1
Human-to-Human Relationship Model
The therapeutic use of self in communicating and establishing relationships4
Finding meaning, during interactions, is essential to the nurse and patient
relationship4
Human-to-Human relationships serve to define and make proficient the
practice of nursing4
Recognizing the importance of sympathy, as well as empathy, in order to
develop human-to-human relationships4
A nurse exhibiting sympathy is an act of courage because the nurse is risking
pain, and one should recognize the dangers involved in sympathy, such as
over-identification, a distorted sense of pity, causing harm to the patient,
becoming too soft hearted, or being will paralyzer to the patient4
Involves working through the phases of initial encounter, emerging identity,
empathy, sympathy, and rapport4
Phases of the Nurse-Patient Relationship
Original Encounter: The need to perceive the human being in the patient,
and vice versa, with the task of breaking the bond of sequence4
Emerging Identities: Patient and nurse begin to recognize the differing
qualities that each possess, transcending roles by separating self and
experiences from one and another—not using oneself to judge others4
Developing Feelings of Empathy: Not sharing another’s feelings, but sharing a
psychological state of another—exhibiting the ability to predict the behavior
of others4
Developing Feelings of Sympathy: Experiencing, sharing, and feeling what
others are experiencing—emotional involvement involving the nurse
transforming sympathy into concrete nursing actions4
Phases of the Nurse-Patient Relationship
2) Alligood, M., R. (2014). Nursing Theory: Utilization & Application. Mosby, Inc., 2-7.
3) Blais, K., K., & Hayes, J., S. (2011). Professional Nursing Practice: Concepts and
Perspectives, 6th ed., Pearson Education, Inc., 97-99.
4) Butts, J., B. & Rich, K., L. (2011). Philosophies and Theories for Advanced
Nursing Practice. Jones and Barlett Learning, LLC, 280-283.
5) Cosgrove, T. (2013, February 27). Empathy: The Human Connection to Patient Caring
[Video file]. Retrieved from https://www.youtube.com/watch?v=cDDWvj_q-o8.
6) Rich, K. (2003). Revisiting Joyce Travelbee’s Question: What’s Wrong With Sympathy?
Journal of the American Psychiatric Nurses Association, 9(6), 202-203.