Hildegard E. Peplau: The Psychiatric Nursing Legacy of a Legend

2000 ◽  
Vol 6 (2) ◽  
pp. 56-62 ◽  
Author(s):  
Judith Haber
Keyword(s):  
Health Care ◽  
Nursing Practice ◽  
Interpersonal Relations ◽  
Care Delivery ◽  
Self Regulation ◽  
Psychiatric Nursing ◽  
Leadership Role ◽  
Therapeutic Modality ◽  
Patient Relationship ◽  
Nursing Science

Hildegard Peplau is remembered by nurses worldwide as the "mother of psychiatric nursing." Her scope of influence transcended her psychiatric nursing specialty and had a profound effect on the nursing profession, nursing science, and nursing practice. Peplau played a leadership role by influencing and emphasizing the advancement ofprofessional educational, and practice standards, and the importance of professional self-regulation through credentialing. She made a major contribution to nursing science, professional nursing and, of course, to the psychiatric nursing specialty through development of the Interpersonal Relations paradigm, a mid-range theory that has influenced the importance with which the nurse-patient relationship is regarded. The essential nature of the nursepatient relationship and its significance as a therapeutic modality operationalizes Peplau's scholarship and provides the basis for both the art and science of nursing practice. Peplau would challenge psychiatric nurses to thrive in the new millennium through continued commitment to the importance of the nurse-patient relationship, engagement in evidence-based practice, support of competence in information technology, and provision of leadership in influencing the health care paradigm shift to community-based health care delivery.

scholarly journals Community-based curriculum in psychiatric nursing science

Curationis ◽  
2000 ◽  
Vol 23 (2) ◽  
Author(s):  
S Arunachallam ◽  
AC Botes ◽  
A Gmeiner
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Psychiatric Hospitals ◽  
Psychiatric Nursing ◽  
Phase Iii ◽  
Situational Analysis ◽  
Community Based ◽  
Nursing Science ◽  
Contextual Design ◽  
Three Phases

As community-based health care delivery is now a prominent feature of the health care system in South Africa, nursing curricula are being challenged to prepare student nurses for community based nursing roles and responsibilities. The purpose of this study was to describe guidelines for a community-based curriculum in psychiatric nursing science for a nursing college in KwaZulu-Natal. A qualitative, quantitative, exploratory, descriptive and contextual design was employed. To reach the purpose of the study, a situational analysis was done in three phases to identify the principles for a community-based curriculum for psychiatric nursing science. Phase I: A document analysis of relevant government policies and legislation. Phase II: Statistics from psychiatric hospitals and community psychiatric clinics. Phase III: Focus group interviews with nurse educators and literature control and conceptual framework The principles obtained from the three phases were used to formulate the guidelines for a community-based curriculum in psychiatric nursing science (Phase IV). Eight guidelines with practical implications are described for the implementation of a Community-based curriculum in Psychiatric Nursing Science.

Complex Psychological Trauma and Self-Dysregulation: A Theory Synthesis for Nursing

2016 ◽  
Vol 30 (1) ◽  
pp. 10-25 ◽  
Author(s):  
Kristen R. Choi
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Self Regulation ◽  
Psychological Trauma ◽  
Trauma Survivors ◽  
Limited Attention ◽  
Care Providers ◽  
Nursing Science ◽  
Regulatory Processes

Complex psychological trauma is a phenomenon resulting from severe interpersonal trauma that can negatively affect how individuals experience health care. However, few theories conceptualizing complex trauma exist, and it has received only limited attention in the nursing literature. The purpose of this theory synthesis was to organize two theories of (a) self-regulation and (b) self-dysregulation following complex psychological trauma into a single conceptual framework for use in nursing practice. This article used the theory synthesis approach described by Walker and Avant. The theory has potential to advance nursing science by helping nurses and other health professionals understand how trauma can alter self-regulatory processes and result in unique challenges in care delivery. It also has potential to prevent retraumatization of trauma survivors at the hands of health care providers.

scholarly journals Cultivating Connection: The Magic of Attuning, Wondering, Following & Holding

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ann Flanagan Petry
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Nursing Care ◽  
Interpersonal Relations ◽  
Care Delivery ◽  
Employee Attitudes ◽  
Patient Centered ◽  
Caring Relationships ◽  
Award Winning ◽  
And Performance

Remember what drew you to health care? And what makes your work meaningful now? Chances are caring for people is the answer to both questions. In fact, healthcare is provided through relationships. Over a decade ago we developed a care delivery framework described in the award-winning book Relationship-Based Care: A Model for Transforming Practice. We were on the vanguard of a revolution toward more patient-centered caring. Indeed, we have always known the importance of connection to patient experience, employee attitudes, interpersonal relations, teams and performance. For nurses, caring relationships are so essential at work that it is inseparable from the work itself. We believe the best nursing care requires understanding of three key relationships: A. Relationship to one’s self, B. Relationship to co-workers and C. Relationship to patients and families. And, the hallmark of meaningful connection is attunement or tuning-in to others with genuine interest and care.

Reflection Over Doctor Patient Relationship: A Promise of Trust

2014 ◽  
Vol 8 (2) ◽  
pp. 104-108 ◽  
Author(s):  
S Prasad ◽  
C Dhingra ◽  
R Anand
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Social Setting ◽  
Quality Service ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Care Delivery Model ◽  
Provision Of Care ◽  
The Relationship ◽  
Unique Relationship

ABSTRACT The doctor patient relationship is of primary importance in the overall health care delivery model. It is a unique relationship which depends on trust and confidence between the parties for the provision of care. Establishing a doctor/patient relationship may take place formally in the office setting or informally, such as by giving verbal advice in a social setting. Doctors enter into a doctor-patient relationship with a commitment to provide their patients with quality service. Patients are entitled to be treated with respect and without discrimination during all stages of the doctor patient relationship, even if the relationship faces termination. However, when circumstances affect the doctors ability to achieve this, the doctors may decide to end the doctors patient relationship.

Leadership: a central tenet for postgraduate dementia services curricula development in Australia

2009 ◽  
Vol 21 (S1) ◽  
pp. S16-S24 ◽  
Author(s):  
Jocelyn Angus
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Dementia Care ◽  
Curriculum Planning ◽  
Health Science ◽  
Leadership Role ◽  
First Century ◽  
Care Services ◽  
Twenty First Century ◽  
Health Care Delivery Systems

ABSTRACTBackground: In the next decades of the twenty-first century, the global aging of populations will challenge every nation's ability to provide leadership by qualified health professionals to reshape and improve health care delivery systems. The challenge for educators is to design and deliver courses that will give students the knowledge and skills they need to fill that leadership role confidently in dementia care services. This paper explores the ways in which a curriculum can develop graduates who are ready to become leaders in shaping their industry.Method: The Master of Health Science – Aged Services (MHSAS) program at Victoria University, Melbourne, Australia is applied as a case study to describe the process by which the concept of leadership is applied as the key driver in curriculum development, teaching practices and learning outcomes.Results: Evaluation instruments employed in a variety of purposes including teaching, curriculum planning and unit appraisal are discussed. Challenges for the future are proposed including the need for postgraduate programs in dementia to seek stronger national and international benchmarks and associations with other educational institutions to promote leadership and a vision of what is possible and desirable in dementia care provision.Conclusions: In the twenty-first century, effective service provision in the aged health care sector will require postgraduate curricula that equip students for dementia care leadership. The MHSAS program provides an established template for such curricula.

Improving the Doctor/Patient Relationship: A Feminist Perspective

1989 ◽  
Vol 18 (3) ◽  
pp. 337-361 ◽  
Author(s):  
Peggy Foster
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Delivery ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
North West ◽  
Care Services ◽  
The North

ABSTRACTSince the early 1970s British and American feminists have developed a comprehensive critique of the dominant doctor/patient relationship within mainstream health care services. In Britain, activists in the women's health movement have struggled to put into practice a model of health care delivery based on feminist principles, within which the doctor/patient relationship is radically redesigned. This paper will explore the principles and practice of this feminist health care model. It will then attempt to evaluate alternative strategies for strengthening and expanding feminist health care within the NHS. The paper will draw on data gathered by the author in 1987 through a series of unstructured interviews with feminist health care providers who were working within a variety of NHS settings in the North West of England.

scholarly journals Lifestyle Medicine Shared Medical Appointments

2020 ◽  
Vol 15 (1) ◽  
pp. 23-27
Author(s):  
Salvatore Lacagnina ◽  
Jean Tips ◽  
Kaitlyn Pauly ◽  
Kelly Cara ◽  
Micaela Karlsen
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
Therapeutic Modality ◽  
Multiple Chronic Conditions ◽  
Care Providers ◽  
Lifestyle Medicine ◽  
Shared Medical Appointments ◽  
Financial Perspective ◽  
History Of

Chronic diseases pose many challenges to health care providers and the health care system from a human capital, logistic, and financial perspective. To overcome these challenges, efficient and effective health care delivery models that address multiple chronic conditions need to be leveraged. Shared medical appointments are one potential solution to address these issues. This article offers a brief history of group visits and shared medical appointments and reviews the available data regarding their outcomes. It describes the benefits of using lifestyle medicine as the primary therapeutic modality within a shared medical appointment to treat, reverse, and prevent chronic disease. Key considerations and action steps for the implementation of lifestyle medicine shared medical appointments (LMSMAs) are outlined and the potential delivery of these services via telehealth is explored.

scholarly journals Making the mundane remarkable: an ethnography of the ‘dignity encounter’ in community district nursing

2021 ◽  
pp. 1-23
Author(s):  
Emma Stevens ◽  
Elizabeth Price ◽  
Elizabeth Walker
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Interactions ◽  
Older Adult ◽  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Community Nursing ◽  
Community Settings ◽  
Multiple Meanings

Abstract The concept of dignity is core to community district nursing practice, yet it is profoundly complex with multiple meanings and interpretations. Dignity does not exist absolutely, but, rather, becomes socially (de)constructed through and within social interactions between nurses and older adult patients in relational aspects of care. It is a concept, however, which has, to date, received little attention in the context of the community nursing care of older adults. Previous research into dignity in health care has often focused on care within institutional environments, very little, however, explores the variety of ways in which dignity is operationalised in community settings where district nursing care is conducted ‘behind closed doors’, largely free from the external gaze. This means dignity (or the lack of it) may go unobserved in community settings. Drawing on observational and interview data, this paper highlights the significance of dignity for older adults receiving nursing care in their own homes. We will demonstrate, in particular, how dignity manifests within the relational aspects of district nursing care delivery and how tasks involving bodywork can be critical to the ways in which dignity is both promoted and undermined. We will further highlight how micro-articulations in caring relationships fundamentally shape the ‘dignity encounter’ through a consideration of the routine and, arguably, mundane aspects of community district nursing care in the home.

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