Sunday, November 10, 2019
Betty Neuman
The theorist I selected is Betty Neuman. The theoryââ¬â¢s historical background is extensive and has evolved over the years. According to www. nursingtheories. org it states ââ¬Å"Neumann developed her Systems Model Theory in 1972 with the book entitled The Neuman Systems Model: Application to Nursing Education and Practice which included the Nursing process format & care plans included. In 1989 the book The Neuman Systems Model, 2nd ed. Created environment added to expand concept of environment. Spiritual variable added to diagram as fifth variable. The year 1995 brought about another book entitled The Neuman Systems Model, 3rd ed.Chapters on culture, international use of the Model, applications to administration and construction of conceptual-theoretical-structures for research added. In 2002 The Neuman Systems Model, 4th ed. Co-edited by Drs. Betty Neuman and Jacqueline Fawcett. Guidelines for clinical practice, model-based research, education and administration, plus appropri ate tools highlight this edition. The year 2010 The Neuman Systems Model, 5th ed. Co-edited by Drs. Betty Neuman and Jacqueline Fawcett. Chapters include an expansion of the client system as an individual, family, group and community.Highlights include advances in thinking about the created environment, reconstitution, and critical thinking within the context of the NSM. Middle-range theory development and integrative theorizing conclude the editionâ⬠(2013). A Description of key points of the theory are described on the website www. nursingtheories. org ââ¬Å"The Systems model viewed the client as an open system consisting of a basic structure or central core of energy resources which represent concentric circles. Each concentric circle or layer is made up of the five variable areas which are considered and occur simultaneously in each client concentric circles.These are: Physiological ââ¬â refers of bodily structure and function. Psychological ââ¬â refers to mental p rocesses, functioning and emotions. Sociocultural ââ¬â refers to relationships; and social/cultural functions and activities. Spiritual ââ¬â refers to the influence of spiritual beliefs. Developmental ââ¬â refers to lifeââ¬â¢s developmental processesâ⬠(2013) There are two major concepts regarded in the model. The first is stress reaction and systematic feedback loops. As it states on the website www. currentnursing. org ââ¬Å"Client reacts to stress with lines of defense and esistance.Continuous feedback loops fine-tune the lines of defense and resistance so as to achieve maximal level of stability. The client is in continuous and dynamic interaction with the environment. The exchanges between the environment and the client are reciprocal (each one is influenced by the other). The goal is to achieve optimal system stability and balance. Prevention is the main nursing intervention to achieve this balance. Primary, secondary, and tertiary prevention activities ar e used to attain, retain, and maintain system balanceâ⬠(2013).
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