Peplau’s Theory of Psychodynamic Nursing and the Nurse-Patient Interaction: A Literature Review
Abstract:
The
aims of this paper was to review a theoretical model useful for developing
nursing knowledge in relation to nurse–patient interactions, Nurses are
favorably viewed by the society, most often as virtuous, benevolent, angelic
and admirable. Nurses have been stereotyped positively as ‘ministering angels’.
This positive view of the profession is frequently experienced first-hand in
the clinical practice.
The
interaction between a nurse and the patient is in about four phases as defined
by Peplau this includes- Orientation, Identification, Exploitation and
Resolution, although these phases are defined separately, there is a
considerable level of overlap between them. Issues such as power, the
socio-cultural context, and interpersonal competence are shown to be important
in the quality of nurse– patient interactions and nurses need to take
cognizance of these factors in their interactions with patients.
Method: A
review of the literature on nurse–patient interaction was carried out to and
areas for further studies identified.
The
literature was reviewed from the following perspectives, (1) nurse
communication within the nurse–patient interaction, (2) nurse– patient
interaction, (3) patient perception of the nurse– patient interaction, and (4)
patient care-seeking communication.
Theoretical model:
Peplau’s theory of Psychodynamic nursing.
Results:
Nurse–patient interaction is a central element of clinical nursing practice.
This paper shows how Peplau’s model can be used as a theoretical framework for
understanding nurse– patient communication.
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