Peplau theorized that nurse-patient relationships must pass through three Using this therapeutic form of communication, nurses provide .. in nursing: A philosophical-ethical analysis of the work of Hildegard E. Peplau. The therapeutic relationship between the patient and the nurse .. and nursing communication was Hildegard Peplau (, , , ). Peplau. Peplau's theory is also refered as psychodynamic nursing, which is the understanding of The nurse and patient work together so both become mature and Now they need to terminate their therapeutic relationship and.
She wanted more out of life, and knew nursing was one of few career choices for women in her day.
Peplau's Theory of Interpersonal Relations: Hildegard. E. Peplau
She witnessed the devastating flu epidemic ofa personal experience that greatly influenced her understanding of the impact of illness and death on families.
Hospitals and physicians saw women in nursing as a source of free or inexpensive labor. She then worked as a staff nurse in Pennsylvania and New York City.
A summer position as nurse for the New York University summer camp led to a recommendation for Peplau to become the school nurse at Bennington College in Vermont. There she earned a bachelor's degree in interpersonal psychology in Here she met and worked with leading figures in British and American psychiatry.
After the war, Peplau was at the table with many of these same men as they worked to reshape the mental health system in the United States through the passage of the National Mental Health Act o In the early s, Peplau developed and taught the first classes for graduate psychiatric nursing students at Teachers College. Peplau was a member of the faculty of the College of Nursing at Rutgers University from to At Rutgers, Peplau created the first graduate level program for the preparation of clinical specialists in psychiatric nursing.
Peplau was a tireless advocate for advanced education for psychiatric nurses. She thought that nurses should provide truly therapeutic care to patients, rather than the custodial care that was prevalent in the mental hospitals of that era. During the s and s, she conducted summer workshops for nurses throughout the United States, mostly in state psychiatric hospitals. In these seminars, she taught interpersonal concepts and interviewing techniques, as well as individual, family, and group therapy.
Peplau was an advisor to the World Health Organizationand was a visiting professor at universities in Africa, Latin America, Belgium, and throughout the United States. A strong advocate for research in nursingshe served as a consultant to the U. Surgeon General, the U. She participated in many government policy-making groups. She served as president of the American Nurses Association from toand as second vice president from to Peplau emphasized the nurse-client relationshipholding that this relationship was the foundation of nursing practice.
Her book, Interpersonal Relations in Nursing, was completed in Publication took four additional years, mainly because Peplau had authored a scholarly work without a coauthoring physician, which was unheard of for a nurse in the 's.
At the time, her research and emphasis on the give-and-take of nurse-client relationships was seen by many as revolutionary. The essence of Peplau's theory was creation of a shared experience between nurse and client, as opposed to the client passively receiving treatment and the nurse passively acting out doctor's orders. Nurses, she thought, could facilitate this through observation, description, formulation, interpretation, validation, and intervention.
For example, as the nurse listens to her client she develops a general impression of the client's situation. The nurse then validates her inferences by checking with the client for accuracy.
The result may be experiential learning, improved coping strategies and personal growth for both parties. Peplau's Six Nursing Roles[ edit ] Peplau describes the six nursing roles that lead into the different phases: Peplau states that when the nurse and patient first meet, they are strangers to one another. Therefore, the patient should be treated with respect and courtesy, as anybody would expect to be treated. Selected Works of Hildegard E.
Peplau's Theory - A Nurse/Patient Collaboration - Ausmed
Integrated knowledge development in nursing 6th Ed. The evolution of the psychiatric clinical nurse specialist: An interview with Hildegard E. Perspect Psychiatr Care ;35 327— Nurs Times ;89 The orientation phase of the nurse-client relationship: J Adv Nurs ;20 3: Forchuk C and Dorsay JP.
Hildegard Peplau meets family systems nursing: J Adv Nurs ;21 1: Pub Health Nurs ;22 5— A literature review of the progress of the psychiatric nurse-patient relationship as described by Peplau. Iss Mental Health Nurs ;26 9: The value of Peplau;s theory for mental health nursing. Br J Nursing ;5 Nursing theorists and their work 5th Ed. Philosophical and theoretical perspectives for advanced nursing practice 2nd Ed. Jones and Bartlett; Theoretical basis for nursing. A feminist critique of psychiatric nursing discourse.
Issues Ment Health Nurs ;17 4: The human science basis of psychiatric nursing: J Adv Nursing ; The unrecognized paradigm shift in nursing: Implications, problems and possibilities pp. Traditions, insights, questions pp. Burns N and Grove SK. Old hat, new feather: Working with nursing models.
J Commun Nursing ;13 2: Releasing the therapeutic potential of the psychiatric nurse: A human relations perspective of the nurse-patient relationship. J Psychiatr Mental Health Nursing ;12 1: Chenitz C and Swanson J. From practice to grounded theory: