Jhonson’s Behavioural

System Model
SUBMTTED TO SUBMITTED BY
MISS UPMA SIMRAN CHAUHAN
ASSISTANT PROFESSOR M.SC(N)1ST YEAR
(CHILD HEALTH NURSING)
 INTRODUCTION
BIOGRAPHY

 Born on 21st Aug 1919 in Georgia USA.

 1942- BSc Nursing from Nashville Tennessee.
 Masters in Public health from Harvard University
Boston in1948.
 Worked at various places in the US and in 1955 at CMC
Vallore SON .
 Creation of her theory began in 1940’s when she began
to teach.
 Retired in 1978, and died in 1999.
 The Theory
 The BSM of NURSING was first proposed in 1968.
 It advocates the fostering of efficient and effective behavioral
functioning of the patient to prevent illness.
 The patient is defined as a behavioral system composed of
seven behavioral subsystems.
 Each subsystem is comprised of four structural characteristics.
 An imbalance in each result in disequilibrium
 The nurse’s role is to help the patient maintain his or her
equilibrium.
Goals of Nursing according to BSM
 To assist the patient whose behavior is proportional to social
demands.
 To assist the patient who is able to modify his behavior in
ways that it supports biological imperatives.
 To assist the patient who is able to benefit to the fullest extent
during illness from the physicians knowledge and skill
 .4. To assist the patient whose behavior does not give
evidence of unnecessary trauma as a consequence of illness.

Johnson Behavioral System Model (BSM)
Overview
 Evolved from philosophical ideas, theory, and
research; her clinical background; and many years of
thought, discussions, and writing
 Influences:
 Florence Nightingale
 Systems theory
 Developmental theory
 Dorothy Johnson
Acc. To Johnson:-
Goal: restore or maintain behavioral integrity, stability, and
efficient and effective behavioral functioning
Client: a biopsychosocial being with an instability in one of
the subsystems due to stress
Nursing: “an external regulatory force which acts to preserve
the organization and integration of the patient’s behaviors at
an optimum level….”
7 Subsystems : Each has structural and functional
components.
THE SEVEN SUBSYSTEMS ARE :-
 System is out of balance when:-

1. Insufficiency= does not get enough of something

2. Discrepancy= not optimally working
3. Incompatibility= subsystems conflict
4. Dominance= one system is always used
 human
being

nursing
enviro- metaparadi
nment -gm

health
 FUNCTIONAL REQUIREMENTS

NEEDED BY EACH SUB SYSTEM TO FULFILL ITS

FUNCTION :-

PROTECTION NURTURANCE SIMULATION

 Assumption made by the theory

These are divided into three categories

 1. Assumptions about system.
 2. Assumption about structure.
 3. Assumption about functions.
 Limitations

 Very individualistic
 Family of the client is only considered as
environment
 Focused on the nursing care of the hospitalized and
ill
 Does not focus on health promotion, primary
prevention, or disease prevention
 Application of theory
 Ram a daily wage laborer in a stone query had a lacerated wound on his
forehead. He was referred to the PHC. The wound extended to the skull.
As a result he was out of work and spend plenty of time with his friends
and seemed depressed. His wife spent hours each day making a variety of
snacks .to cheer him up and found it was a good way to release her anxiety
about her husband condition.
 After three weeks the wound showed no improvement, although it was not
infected. During the visit to the PHC the wife confided to the nurse stating
that her husband was drinking a lot of water and seemed to be urinating
frequently, even at night he had a disturbed sleep due o this problem. She
was wondering if there was any pill to help him sleep through the night.
 Contd.....

At the PHC Uma the nurse used the BHM to solve the problem.

 She assessed Ram and his family using the 7 subsystems of behaviour
she found deficit in 3 subsystems
 Achievement subsystem due to lack of social involvement and
depression
 Eliminative subsystem due to polyuria, nocturia
 Ingestive subsystem due to drinking lots of water, and eating lots of
 Contd.....

 Based on Johnson’s BSM assumptions Uma concludes that Ram probably has
diabetes. After confirming the diagnosis, she helps Ram to correct his system
imbalances by modifying his behavior in order to achieve homeostasis

 Ram’s wound started healing almost immediately after his diabetes was
identified and controlled. He was able to go back to work and to meet with his
friends again. His wife learned fun, new diabetic-friendly foods to cook for
herself and Ram.
 Summary

 Johnson’s theory defines health as a purposeful adaptive response to

internal and external stimuli in order to maintain stability and
comfort.
 The main goal of nursing is to foster equilibrium within the patient.
 The practice of nursing is concerned with the organized and
integrated whole, but maintaining a balance in the behavior system
when illness occurs is the major focus of the career.
THANK YOU