Peplau's Seven Nursing Roles

Peplau's Model

Peplau's model has proved of great use to later nurse theorists and clinicians in developing more sophisticated and therapeutic nursing interventions.

Peplau's Seven Nursing Roles

Peplau's Seven Nursing Roles illustrate the dynamic character roles typical to clinical nursing.
  1. Stranger role: Receives the client the same way one meets a stranger in other life situations; provides an accepting climate that builds trust.
  2. Resource role: Answers questions, interprets clinical treatment data, gives information.
  3. Teaching role: Gives instructions and provides training; involves analysis and synthesis of the learner's experience.
  4. Counseling role: Helps client understand and integrate the meaning of current life circumstances; provides guidance and encouragement to make changes.
  5. Surrogate role: Helps client clarify domains of dependence, interdependence, and independence and acts on clients behalf as advocate.
  6. Active leadership: Helps client assume maximum responsibility for meeting treatment goals in a mutually satisfying way.
  7. Technical expert role: Provides physical care by displaying clinical skills; Operates equipment.
=== Peplau's Developmental Stages of the Nurse-Client Relationship ===

Orientation Phase
  • Get acquainted phase of the nurse-patient relationship.
  • Preconceptions are worked through
  • Parameters are established and met
  • Early levels of trust are developed
  • Roles begin to be understood
Identification Phase
  • The client begins to identify problems to be worked on within relationship
  • The goal of the nurse: help the patient to recognize his/her own interdependent/participation role and promote responsibility for self
Exploitation Phase
  • Client’s trust of nurse reached full potential
  • Client making full use of nursing services
  • Solving immediate problems
  • Identifying and orienting self to [discharge] goals
Resolution Phase
  • Client met needs
  • Mutual termination of relationship
  • Sense of security is formed
  • Patient is less reliant on nurse
  • Increased self reliance to deal with own problems.
Source : wikipedia

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