Hildegard Pepalau

Topics: Nursing, Psychology, Health care Pages: 18 (717 words) Published: February 15, 2015
HILDEGARD E.
PEPLAU
Interpersonal
Relations Theory

Getting to know the theorist:
• Born in Reading Pennsylvania( 1909), USA
• Diploma program in Pottstown, Pennsylvaniain 1931.
• BA in interpersonal psychology- Bennington College in
1943
• MA in psychiatric nursing from Columbia University New
York in 1947.
• Started first post baccalaureate program in nursing
• Died in 1999
• Theory of interpersonal relations is a middle range
descriptive theory.
• The theory was influenced by Harry Stack Sullivan’s
theory of Interpersonal Relations( 1953)
• The theorist was also influenced by Percival Symonds,
Abraham Maslow’s and Neal Elger Miller.

Assumptions:

• Nurse and patient can interact.
• Emphasized that both the patient and
nurse mature as the result of the
therapeutic interaction.
• Communication and interviewing skills
remain fundamental nursing tools.
• Believed that nurses must clearly
understand themselves to promote
their client’s growth and to avoid
limiting client’s choices to those that
nurses value.

Major Concepts:
• The theory explains the purpose of
nursing is to help others identify their
felt difficulties.
• Nurses should apply principles of
human relations to the problems that
arise at all levels of experience.
• Peplau’s theory explains the phases of
interpersonal process, roles in nursing
situations and the methods for
studying nursing as an interpersonal
process.

• Nursing is therapeutic in that it is a healing art,
assisting an individual who is sick or in need of
health care.
• Nursing is an interpersonal process because it
involves interaction between two or more
individuals with a common goal.
• The attainment of goal is achieved through the
use of a series of steps following a series of
pattern.
• The nurse and patient work together so both
become mature and knowledgeable in the
process.

Definitions:

Person
Environment
Health
Nursing

Role of Nurse:
Stranger
Resource Person
Teacher
Counselor
Surrogate
Leader

Phases of Interpersonal relationship

1. ORIENTATION PHASE

 Problem defining phase
 Starts when client meets nurse as stranger
 Client seeks assistance, conveys needs ,asks questions,
shares preconceptions and expectations of past
experiences
 Nurse responds, explains roles to client, helps to identify problems and to use available resources and services

2. EXPLOITATION PHASE
Use of professional assistance for problem solving
alternatives
The principles of interview techniques must be used in
order to explore, understand and adequately deal with the
underlying problem

3.

Resolution Phase

The patients’ needs have already been met
by the collaborative effect of patient and
nurse
Now they need to terminate their
therapeutic relationship and dissolve the
links between them.
Sometimes may be difficult for both as
psychological dependence persists
Termination of professional relationship

Interpersonal theory and Nursing
Process
Assessment
Data collection and analysis
[continuous]
May not be a felt need

Orientation
Non continuous data collection
Felt need
Define needs

Nursing diagnosis
Planning
Mutually set goals 

Identification

Implementation
Plans initiated towards
achievement of mutually set goals
May be accomplished by patient ,
nurse or family

Exploitation

Evaluation
Based on mutually expected
behaviors
May led to termination and
initiation of new plans  

Resolution
Occurs after other phases are
completed successfully
Leads to termination a



Interdependent goal setting

 

Patient actively seeking and
drawing help
Patient initiated

LYDIA E. HALL
Core, Care and
Cure model

Getting to know the theorist:
Lydia Hall was born in New York City on
September 21, 1906.
She promoted involvement of the
community in health-care issues.
She derived from her knowledge of
psychiatry and nursing...
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