HILDEGARD PEPLAU

INTERPERSONAL RELATION
IN NURSING
 HUMAN BEING

• an organism that “strives its own

way to reduce tension
generated by needs
• lives in unstable equilibrium
• Unique
 HEALTH

“a word symbol that implies

forward movement of
personality and other ongoing
human processes in the
direction of creative,
constructive, productive,
personal, and community living”
 SOCIETY

• narrow perception of the

environment
• a major limitation of Peplau’s theory
 NURSING

• a “significant therapeutic,
interpersonal process” that
functions cooperatively with others
to make health possible
• Purpose of nursing: to educate
and be a maturing force so that
the patient (person) gets a new
view of himself given the need
that he has presented.
 NURSING

• Therapeutic, a healing art

INTERPERSONAL RELATIONS IN NURSING

• client relationship
• communication
• pattern integration
• roles of the nurse
INTERPERSONAL RELATIONS IN NURSING

“The behavior of the nurse-as-a-

person interacting with the
patient as-a-person has
significant impact on the
patient’s well-being and the
quality and outcome of
nursing care”.
NURSE PATIENT RELATIONSHIP
NURSE
Counselor PATIENT
Leader (with a health
Technical expert need)
Resource person
Surrogate

CONGRUENT GOALS
Phases of Nurse-Patient Relationships

1. Orientation
2. Identification
3. Exploitation
4. Resolution
Four phases of nurse-patient relationship

ORIENTATION
▪ nurse and patient meet as two strangers

▪ the individual has a felt need and seeks

professional assistance
▪ The nurse helps the individual to recognize
and understand his/ her problem and
determine the need for help.
Four phases of nurse-patient relationship

IDENTIFICATION
▪ patient
him/her
identifies with those who can help

▪ The nurse permits exploration of feelings to

aid the patient in undergoing illness as an
experience that reorients feelings and
strengthens positive forces in the personality
and provides needed satisfaction
Four phases of nurse-patient relationship

EXPLOITATION
▪ patient attempts to derive full value from what
he/she is offered through the relationship

▪ The nurse can project new goals to be achieved

through personal effort and power shifts from the
nurse to the patient as the patient delays
gratification to achieve the newly formed goals.
Four phases of nurse-patient relationship

RESOLUTION
▪ adopts new goals
patient gradually puts aside old goals and

▪ with the nurse

patient frees himself from identification
Factors influencing the blending of the
nurse-patient relationship
 Different Nursing Roles

• TEACHER
• RESOURCE PERSON
• COUNSELOR
• LEADER
• TECHNICAL EXPERT
• SURROGATE