The concepts are described and the relations among concepts. to facilitate the use of Peplau's theory in research and practice and to facilitate comparison with. Some differences between Peplau's theory and rural nursing can be empirical research findings to validate nursing actions and. practice. Peplau's theory of interpersonal relations provides a framework to study the nurse-patient relationship during the research process. In this paper the authors.
The publisher's final edited version of this article is available at Nurs Sci Q Abstract A confirmatory factor analysis of data from the responses of 12, patients to 16 items on the Consumer Assessment of Healthcare Providers and Systems—Hospital survey was used to test a latent factor structure based on Peplau's middle-range theory of interpersonal relations.
A two-factor model based on Peplau's theory fit these data well, whereas a three-factor model also based on Peplau's theory fit them excellently and provided a suitable alternate factor structure for the data.
Though neither the two- nor three-factor model fit as well as the original factor structure, these results support using Peplau's theory to demonstrate nursing's extensive contribution to the experiences of hospitalized patients. Patients' experiences are defined as their perceptions of phenomena for which they are the best or only sources of information, such as personal comfort or effectiveness of discharge planning.
This survey was created to facilitate public reporting of patient experience data so that consumers could compare hospital scores and make informed choices and hospitals could see their strengths and weaknesses with regard to patients' experiences Centers for Medicare and Medicaid Services [CMS], Though a latent structure following the IOM's conceptual framework should fit most sets of HCAHPS data well, it was hypothesized that a latent structure reflecting a middle-range nursing theory would provide a comparably good fit to the data, given the large role nurses play in many aspects of patients' hospital experiences.
Demonstration of a comparable factor structure based on a middle-range nursing theory would more fully reflect nurses' wide contributions to patients' experiences, as measured by the HCAHPS survey.
If nurses fail to recognize the individual needs of persons, they have their own needs met, but not those of the persons Gastmans, In addition, by knowing the individual needs of the person, the nurse helps to establish caring interactions that are necessary for the nurse-patient relationship. She credited Harry Stack Sullivana psychoanalyst who created the psychiatry of interpersonal relations.
He believed that mental disorders often resulted from inadequate communication. Sullivan thought that when persons interact, they share an interpersonal field rather than act as sole entities and that anxiety could be a disruptive force in this relationship.
He stated that the environment needed to be considered in the treatment of patients. Thus, the manner in which treatment was delivered changed from that of observer to that of participant-observer.
From his work, the term therapeutic environment or therapeutic milieu evolved Kuhns, Peplau believed that nurses were key to fostering the therapeutic milieu. Peplau described the structure of the nurse-patient relationship as one of building trust and helping persons to begin to identify problems orientation phaseassisting patients to work on their problems, which may include providing physical care, health teaching, and counseling working phaseand finally providing closure of their work together termination phase Peplau, Significant work has been done by Forchuk and colleagues in understanding the orientation phase of the nurse-patient relationship Stockmann, Forchuk and Brown developed and tested the Relationship Form, an instrument to measure the phases of the nurse-client relationship, in a community mental-health promotion program.
Forchuk also examined the length of time needed to progress patients with mental illness through the nurse-patient relationship. She reported that those patients who remained in the orientation phase longer also had longer hospitalizations. Forchuk has also studied interpersonal relations in persons with persistent mental illness using nurse-patient dyads. She determined that preconceptions held by the nurse and the patient influenced relationship development. More recently, she examined factors that influence the movement of the nurse-patient relationship from the orientation phase to the working phase Forchuk et al.
She conducted a descriptive, exploratory study of seven women who were once hospitalized for depression. Following an average duration of 11 weeks, there was an improvement in depressive symptoms that was correlated with their self-efficacy and self-esteem. Women who had depressive symptoms were randomized to either an eight week nurse-delivered group intervention for the education and treatment of dysphoric moods depression, anxiety, and anger or usual care.
Throughout each of these phases, it should be clear that the elements of successful recruitment and retention include: According to Peplauthe nurse should identify herself and her professional status, as well as the purpose of the interaction, in this case the research project.
The orientation phase for the study included phone recruitment, a baseline enrollment visit, and the first few weeks of the SWEEP program. In the study reported here, phone recruitment was the first step to building trust. When participants called about the study, the nurses asked how they found out about the study. Participants were asked to describe why they called to participate.
Peplau's Theory - A Nurse/Patient Collaboration - Ausmed
Through this interaction, the nurses were able to understand their needs. Sometimes as reported by Kennedy and Burnettpotential participants were seeking medical care, but were informed that the study was not a replacement for their medical care. If they were in need of healthcare mental or physicalthey were directed to their healthcare provider.
And, if they did not have a healthcare provider, a contact list was provided. Next, the SWEEP program was described and participants were informed that they would be randomly assigned to either the group that gets the nursing intervention or the group that does not.
It is during this time that participants must understand that they may not get the nursing intervention.
Peplau’s Theory – A Nurse/Patient Collaboration
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