Peplau's Interpersonal Relations Theory

Peplau's Interpersonal Relations Theory

Three-Phase Nurse-Patient Relationship

• The nurse-patient relationship is a dynamic and reciprocal process that evolves over time
• The relationship consists of three phases: Orientation, Working, and Termination

Orientation Phase

• Initial phase of the nurse-patient relationship
• Focus on establishing a rapport and building trust
• Nurse helps patient to feel comfortable and secure
• Patient begins to share concerns and feelings
• Goals:
  • Establish a therapeutic relationship
  • Identify patient's needs and concerns

Working Phase

• Middle phase of the nurse-patient relationship
• Focus on identifying and working on patient's problems
• Nurse and patient collaborate to set goals and develop a plan
• Nurse uses therapeutic communication skills to facilitate growth and change
• Goals:
  • Identify and work on patient's problems
  • Promote patient growth and independence

Termination Phase

• Final phase of the nurse-patient relationship
• Focus on preparing patient for independence and discharge
• Nurse helps patient to evaluate progress and identify areas for continued growth
• Nurse and patient say goodbye and bring closure to the relationship
• Goals:
  • Prepare patient for independence and discharge
  • Evaluate progress and identify areas for continued growth

Therapeutic Communication

• A deliberate and intentional process used to promote patient growth and change
• Involves active listening, empathy, and genuineness
• Focus on understanding patient's feelings, needs, and concerns
• Goals:
  • Promote patient growth and change
  • Establish a trusting and therapeutic relationship

Peplau's Interpersonal Relations Theory

• Peplau's theory focuses on the dynamic and reciprocal process of the nurse-patient relationship
• The relationship evolves over time and consists of three phases: Orientation, Working, and Termination

Orientation Phase

• The initial phase of the nurse-patient relationship is focused on establishing a rapport and building trust
• The nurse helps the patient feel comfortable and secure
• The patient begins to share concerns and feelings during this phase
• Goals of the Orientation phase include establishing a therapeutic relationship and identifying patient needs and concerns

Working Phase

• The middle phase of the nurse-patient relationship focuses on identifying and working on patient problems
• The nurse and patient collaborate to set goals and develop a plan during this phase
• The nurse uses therapeutic communication skills to facilitate growth and change
• Goals of the Working phase include identifying and working on patient problems and promoting patient growth and independence

Termination Phase

• The final phase of the nurse-patient relationship prepares the patient for independence and discharge
• The nurse helps the patient evaluate progress and identify areas for continued growth
• The nurse and patient say goodbye and bring closure to the relationship during this phase
• Goals of the Termination phase include preparing the patient for independence and discharge and evaluating progress and identifying areas for continued growth

Therapeutic Communication

• Therapeutic communication is a deliberate and intentional process used to promote patient growth and change
• It involves active listening, empathy, and genuineness
• The focus of therapeutic communication is on understanding patient feelings, needs, and concerns
• Goals of therapeutic communication include promoting patient growth and change and establishing a trusting and therapeutic relationship