Applying Nursing Theory to a Practice Problem Essay
October 3, 2012
Introduction Our first class in the masters in nursing program, has been focused on nursing theorists. We have learned about Grand Theories, which are theories that are very broad and difficult to test and Middle Range Theories, which are also broad theories but narrow enough to be testable. We have learned how to study the different theories, looking at how we can utilize theories to evaluate practice. I have been in a nursing leadership role for many years. Approximately 8 years ago, I lead a group of nurses to develop a shared governance nursing model in our organization. Shared governance is having staff involved with making decisions related to unit …show more content…
Her career continued into the military where she was stationed in England working with British and American psychiatrists. After the war, Peplau worked to reshape the mental health system in the United States through the passage of the National Mental Health Act of 1946. Peplau was an educator, public speaker and trainer. She is known for her writing, workshops and seminars on interviewing techniques, interpersonal concepts, and group therapy in psychiatric hospitals.
Peplau believed that the nurse-client relationship was the foundation of nursing practice. Peplau’s theory focuses on the interpersonal processes and therapeutic relationships that develop between the nurse and the client. This theory stresses the importance of the nurse’s ability to understand their own behavior to help others. Peplau developed four phases of the nurse-client relationship. These phases can be linked to the nursing process. 1) Orientation (Assessment) – problem defining phase. The client seeks assistance, asks questions, and shares needs and past experiences (data collection). The nurse responds and helps identify concerns and available resources and services. 2) Identification (Planning) – both the nurse and the client have factors that influence their relationship. These include values, culture and beliefs, past experiences, expectations, and preconceived ideas. The end result is mutually setting goals. 3) Exploitation phase