Slide about background of Peplau and her theory.

1. MHPP 2123
PROFESSIONAL PRACTICE
& PATIENT CARE
INTERPERSONAL RELATIONS MODEL

2. BACKGROUND STORY
▪ Hildegard Elizabeth Peplau, born 1st September 1909 in Reading,
Pennsylvania.
▪ Raised in a paternalistic family and a paternalistic society.
▪ Gained a Masters Degree in psychiatric nursing from Colombia
University New York in 1947.
▪ In 1968, her book Interpersonal Technique-The Crux of Psychiatric
Nursing was published.
▪ Worked as executive director and President of American Nurses
Association (ANA).
▪ Died in 1999.

3. Interpersonal Relations Theory Explained
▪ Based on forming a common goal between Nurse and Patient.
▪ Four phases of Nurse-Patient relationship (Orientation,
Identification, Exploitation, & Resolution).
▪ Roles of the nurse: Stranger, Resource, Teacher, Leader, Surrogate,
Counselor, Technical Expert
▪ Both the nurse and the patient grow from each interaction.

4. Four Phases of Nurse-Client Relationship
▪ Orientation
▪ Identification
▪ Exploitation
▪ Resolution

5. Orientation (1st Phase)
▪ During this phase, the client
seeks help, and the nurse assists
the client to understand the
problem and the extent of the
need for help.

6. Identification (2nd Phase)
▪ During this phase, the client
assumes a posture of
dependence, interdependence, or
independence in relation to the
nurse (relatedness).
▪ The nurse’s focus is to assure the
person that the nurse
understands the interpersonal
meaning of the client’s situation.

7. Exploitation (3rd Phase)
▪ In this phase, the client derives
full value from what the nurse
offers through the relationship.
▪ The client uses available services
based on self-interest and needs.
▪ Power shifts from the nurse to
the client.

8. Resolution (4th/Final Phase)
▪ In this phase, old needs and
goals are put aside and new ones
adopted.
▪ Once older needs are resolved,
newer and more matures ones
emerge.

9. Let’s RECAP
Orientation
•This is when we go from a stranger to a trusted
professional.
Identification
•In this phase we help them identify the barriers to better
wellness.
Exploration
•Here we collaborate with all team members including
family to meet and set goals.
Resolution
•Ensure there is a continuation of care and role stays
professional.

10. Thank You