A School

Presentation
h i l d E g a r d
p e p l a u

Interpersonal
AI
M
R
AI
Relations
i d e n t i T y AI
M
R
AI
L

Name: Agnes and Kristyl

Class: BSN1-B
Subject: TFN
 Ticket
Hildegard
Peplau
(1952)
 OVERVIE
• Hildergard E. Peplau was born in Reading,

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Pennsylvania in 1909.
• Graduated from a dimploma program in Pottstown,
Pennsylvania in 1931.
• Earned Bachelor of Arts in Interpersonal
Psychology from Bennington College in 1943.
• Achieved EdD in curriculum development in 1953.
 OVERVIE
• Started first post baccalaureate program in nursing.

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• Published Interpersonal Relations in 1952.
• In 1968, introduced Interpersonal techniques- the
crux of psychiatric nursing.
• Worked as executive director and president of
ANA.
• She died in 1999.
 Overview of • PEPLAU’S THEORY FOCUSES ON THE
INTERPERSONAL PROCESSES AND
Peplau’s THERAPEUTIC RELATIONSHIP THAT
Theory DEVELOPS BETWEEN THE NURSE
AND CLIENTS.
• THE CLIENT IS AN INDIVIDUAL WITH
FELT NEED. Overview of
• NURSING’S GOAL IS TO EDUCATE THE Peplau’s Theory
CLIENT AND FAMILY AND TO HELP THE
CLIENT REACH MATURE PERSONALITY
DEVELOPMENT (CHINN AND
KRAMER,2004)
Overview of • THE NURSE STRIVES TO DEVELOP A
Peplau’s Theory NURSE-CLEINTS RELATIONSHIP IN
WHICH THE NURSE SERVES AS A
RESOURCE PERSON, COUNSELOR, AND
 PSYCHODYNAMIC NURSING INVOLVES:
Overview of • Understanding of one’s behaviour
Peplau’s • Helping others identify felt difficulties
• Apply principles of human relations to the problems that
Theory arise at all levels of experiences.

• THE ATTAINMENT OF GOAL IS

Overview of
ACHIEVED THROUGH THE USE OF A
SERIES OF STEPS FOLLOWING A SERIES Peplau’s Theory
OF PATTERN IN THE INTERPERSONAL
RELATIONSHIP NAMELY:

Overview of 1. Orientation Phase

Peplau’s Theory 2. Working Phase (A. Identification B.
Exploitation)
3. Termination Phase (Resolution Phase)
 1
2
RELATIONSHIP 3

HAVE FOUR 4
5
PHASES
 Four Phases
 Orientation phase
 Working Phase
hello... A. Identification phase
. B. Exploitation phase
 Resolution phase
 ORIENTATION 1
• Get acquainted phase of the nurse-patient
relationship PHASE 2
• Start when client meets nurse as stranger.
• Early levels of trust are developed 3
• Defining problem and deciding type of service
needed. 4
• Roles begin to be understood
5
 IDENTIFICATION 1
• PHASE
Selection of appropriate professional assistance. 2
• The client begins to identify problems to be worked on
between relationship 3
• The goal of the nurse: help the patient to recognize his
or her own interdependent or participation role and 4
promote responsibility for self
5
 EXPLOITATION PHASE 1
• Client’s trust of nurse reached full potential
• Individual feels as an integral part of the helping 2
environment
• Advantages of services are used and based on the 3
needs and interest of the patient.
• Solving immediate problems
4
5
 RESOULUTION 1
• FINAL PHASE
PHASE OF NURSE-PATIENT
2
RELATIONSHIP
• SENSE OF SECURITY IS FOUND AS PATIENT
HAS LESS RELIANCE AND IDENTIFICATION
3
UPON NURSE HELP 4
• CLIENT HAS INCREASED SELF-RELIANCE
TO DEAL WITH HIS OR HER PROBLEM 5
Summary 0 0 5
Application of 0 0 4
Concepts
Peplau’s Theory of
0 0 3
Interpersonal Theory and 0 0 2
Interpersonal
The nurse assist
Nursing Process
0 0 1
Relastionroles
through
 ROLES OF NURSE: Interlocking functions a nurse
undertakes to assist a client.
• Stranger- provides an accepting climate that builds trust
• Teacher-who imparts knowledge in reference to a need or
interest
• Resources person- provides specific needed information
• Counselor- provide guidance and encouragement to make
changes
• Surrogate- helps to clarify domains of dependence,
interdependence
• Leader- helps the client assume maximum responsibility
Specific roles variable within each nurse-client situation, being
limited only by the imagination and skill of the nurse.
Interpersonal Theory and Nursing Process
• Both are sequential and focus on therapeutic
relationship.
• Both use problem solving techniques for the
nurse and patient to collaborate on with the
end purpose of meeting the patients needs.
• Both use observation, communication, and
recording as basic tools utilized by nursing.
Assessment Orientation
• Data collection and analysis • Non continuous data collection
• May not be a felt need • Felt need
• Defines needs

Nursing diagnosis Planning Identification

• Mutually set goals • Interdependent goal setting
Implementation Exploitation
• Plans initiated towards achievement • Patient actively seeking and drawing
of mutually set goals help
• May be accomplished by patient, • Patient initiated
nurse or family
Evaluation Resolution
• Based on mutually expected • Occurs after other phases are
behaviors. completed successfully
• May lead to termination and initiation • Leads to terminations
of new plans
HEALTH: A
Concepts
word symbol that implies forward
movement of personality and other ongoing human
processes in the direction of creative, constructive,
productive, personal and community living.
NURSING: A significant therapeutic interpersonal
process. It functions cooperatively with other human
processes that make health possible for individuals in
communities.
 Application of Peplau’s Theory of
Interpersonal
Peplau’s theory teaches the nurse how to
interact with his or her patient so that the
patient feels more in control of his treatment
which can also give him the sense that the
treatment can be done without the assistance
of the nurse once the patient is discharged
from her care.
Summary
Peplau’s (1952/ 1989) “Interpersonal
Relation in Nursing Model” focuses on the
interpersonal process, which consists of sequential
phases of ORIENTATION, IDENTIFICATION
EXPLOITATION, and RESOLUTION. More
recently, Peplau’s revised the phases as the
orientation phase, the working phase, and the
termination phase. These phases overlap,
interrelate, and mutual expectation and
goals exploration.
Summary
Peplau emphasizes that both the patient and
the nurse mature as the result of therapeutic
interaction, leading self-fulfilment and growth
experiences.
Peplau’s nursing theory has contribution to
nursing in the areas of clinical practice, theory,
and research, adding to the present base of
nursing knowledge. On the whole, the theory
creates a unique view for understanding the nurse-
patient relationship.
thank
you