Psychiatric Nursing Theory

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A Theoretical Approach to Psychiatric Nursing
The importance of theory within the psychiatric nursing setting is to develop foundations for one’s practice. Once a foundation is established nursing theory improves patient care, enhances professional development, improves interpersonal relationships and provides the framework necessary for further educational enhancement. By definition theory is described as “a set of interrelated concepts that provide testable relationships and direction or prediction” (Frisch & Frisch, 2006, p. 27). The purpose of this paper is to define Hildegard Peplau’s theory, discuss the role the nurse has within this theory, explain the different phases utilized, and argue the validity of this theory within the psychiatric
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Within this phase the level of trust and comfort between the nurse and the patient is established (Marchese, 2006). At this stage the patient begins to recognize and respond to the services that the nurse is offering. Within this phase the patient begins to incorporate what they have learned into the regular activities of their daily lives. It is important to note that this phase is when the nurse would utilize the role of counselor and resource person (Pearson, 2008). At this stage the patient has the ability to participate in self-care as well as gain some independence; the goals of both the patient and the nurse have been met thus, the opportunity for future growth is present.
The final phase of Peplau’s theory is the resolution phase. Originally Peplau referred to this phase as the termination phase however, in 1997 Peplau changed the word to resolution (George, 2006). Within the final phase, the goals have been met for patient and the nurse. At this point the patient feels secure within themselves and has begun to gain independence. At this point care is no longer needed and the relationship between the patient and the nurse is
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As this author previously stated theory is a series of steps that are applied to provide care to a patient. If one looks at the process of Peplau’s theory it is clear that there is an order of steps, in this case phases, which are necessary when trying to properly provide care to a patient. Although there are a few limitations to Peplau’s theory such as the theory cannot be used in a patient who doesn’t feel the need to change, or in the case that a patient is withdrawn, Peplau’s theory is valid in that it incorporates the patient’s needs first. As stated in the article Dead poets, nursing theorists and contemporary nursing

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