ideas, models and theories in nursing -. Hildegard Peplau

Within this weblog post, we’ll examine the theory of Hildegard Peplau tiny closer to us all, simply because this was among the initial persons to diverse theories integrated into their theory. In particular work of psychiatrists and psychologists had an effect here


Table of Contents:Reading Time: 5 minutes / 1,045 words.The theory of Hildegard Peplau – definition and information.Influences on the theory of Hildegard Peplau.The theory of Hildegard Peplau refers for the motivation theory of Maslow’s personality theory of Miller plus the stimulus-response model of Pavlov, Adorno, Erickson, Freud and Fromm were other influences. Most influence and importance, however, had Harry Stuck Sullivan with his functions (Psychiatry) for Peplau. An assumption of Sullivan is the fact that Human obtained by the wish for gratification and also a desire driven by safety.

Around the basis of these several excitation created Peplau its process-oriented model. The knowledge in psychiatric nursing contributes to this process.In its definition of nursing Peplau coined the term psychodynamic care, which delivers the which means of the Pflegenden- patient connection at the center. Peplau it comes to recognizing and to clarify what occurs when a nursing supportive turns a patient. Your assumption here is:”The character of a nurse who is responsible for the finding out process with the patient is vital; the promotion of personality to mature many people could be the duty of care and nursing education. Procedures of processing and understanding of interpersonal relationships must so be content of teaching “(Kuehne Ponesch 2004, p 127).

The 4 phases from the nurse – patient partnership.According Peplau you can find 4 phases of nurses -Patient connection which present information and facts about on which level of improvement, the connection is:Orientation identification exploitation selection.Declaration around the four phases.”In the orientation phase, the patient has a wish to be helped professionally due to a disorder (feel want). The suffering could be the initially step in the development with the character. The nurse aids the patient’s troubles and needs to determine and realize so that you can derive proper subsequently Help in. What’s stated to become effortless to know by the patient, to give him the possibility of active participation. In this phase the basis for additional cooperation among the caregiver as well as the patient arises. 1 can speak of a “partnership relationship”.

Inside the Identifiktionsphase an identification in the patient with all the individuals who supply him help is. The relationship in between the caregiver along with the patient is strengthened by trust will be constructed. It can be prepared the approach to actively participate as a patient in the care method. The encounter gained inside a illness predicament can also promote or inhibit an effect on an active participation in a relationship process because the information from the patient in wellness matters. A normally great level of education includes a favorable effect on the linguistic expression along with the understanding and being understood to become created. In the event the patient is passive and he can not bring himself to the care events with one, it can be to reflect the activity of nursing the partnership as well as the related fears.

At the stage of exploitation or use phase, the patient maximum benefit for addressing his suffering should certainly draw in the partnership. This only succeeds when he greater comprehend his predicament learns and tends to make use of the solutions presented. The force of nurses is thereby transferred towards the patient, new objectives can be formulated and pursued. The nurse help paraphrasing provides the patient the feeling of good “mother love.”At the stage with the choice or replacement of old, are no longer relevant for the patient objectives are discarded and new ones sought. The patient frees himself in the partnership using the caregiver and is after once again open towards the connection uptake outdoors the wellness sector. He requires more than once again even the duty for themselves. This approach is often parallel together with the healing method and indicates a recovery. It isn’t uncommon that nurses have difficulty letting go of the patient and satisfy personal dependency wants. The release approach which has usually to begin from the patient is difficult by “(Kuehne Ponesch 2004 S.127ff).

Definition of well being and disease within the procedure.”Health, by” be achieved growth. ” which can be equated with improvement of character growth, requires location, if it can be probable to integrate disease encounter within the personality and find out from them. Peplau sees a target inside a inventive, constructive, productive and above all socially recognized life. It defines disease as an inevitable human knowledge. If you ever could make sense in the illness, it can be observed as a development experience “(ibid. P.129).

duties of care.In Peplau care would be to assume the job of several roles and thus get to understand the patient and support. If this fails, then chronicity will be the result. The unused capabilities of patients need to be identified and used for the purposes of prevention of ailments. The nurse assumes the following roles inside the care process model: function of the unknown, the assistant, teacher’s role, leadership, deputy role, advisory function.Some behaviors within these roles that holds the caregiver really should, according Peplau show nurses in no case:Sufferers with tales of their very own lives to bother the patient raise the darling sufferers and to recognize this in their daily function the patient for little orders exploit Disputes among sufferers referee to play; To respond when patients reduce himself to dependency tendencies for instance “I am dependent and helpless” to respond; go over the behavior of other caregivers using the patient; To engage in buddy relationships with individuals; making ambiguous statements.Targets of care.The objective is continually the development with the personalities of everybody involved inside the connection approach!Plays a significant part, the constructive development inside the spirit of creativity, productivity and community. Peplau talks here even care as an educational tool.