Hildegard Peplau

INterpersonal
Relationship
Theory
 Purpose
The main purpose of Peplau's theory is to
provide a framework for understanding the
nurse-patient relationship and to guide nurses
in their interactions with patients.
Phases of Nurse-Patient
Relationship
 1. Orientation Phase
The nurse’s orientation phase involves engaging the client in treatment,
providing explanations and information, and answering questions.

-Problem defining phase It starts when the client meets the nurse as a
stranger.
-Defining the problem and deciding the type of service needed
-Client seeks assistance, conveys needs, asks questions, shares preconceptions
and expectations of past experiences.
-Nurse responds, explains roles to the client, identifies problems, and uses
available resources and services.
2.Identification Phase
In this phase, the attention turns to the patient sharing
how they feel and what's on their mind. The nurse supports
by helping to understand emotions, promoting
communication, and assisting the patient in talking about
their worries.
3. Exploitation Phase
Patient attempts to derive full value from what he or she is
offered through the relationship.

The person uses available services based on self-interest

and needs.

Power shifts from the nurse to the individual.

 4. Resolution Phase or
Termination Phase
• Patient gradually puts aside old goals and adopts new goals.

• Occurs when patients needs have been met.

 6 Nursing Roles
1. Stranger: the nurse should not prejudge the patient but accepts him/ her
as a person.

2. Resource Person: the nurse provides specific answers to questions,

especially health information and interprets to the patients the treatment or
medical plan of care.

3. Teacher: this role is a combination of all roles. Always proceeds from what
the patient knows, develops around his interest in wanting and ability to use
information.
 6 Nursing Roles
4.Leader: it involves democratic process. The nurse helps the patient meet the
tasks at hand through a relationship of cooperation and active participation.

5. Surrogate: the patient casts the nurse in the surrogate role. The nurse's
function to help the patient recognize similarities between the nurse and the
person recalled by the patient. The nurse then helps the patient see the
differences between the nurse and that recalled person.

6. Counselor: counseling functions in the nurse-patient relationship is by the

way nurses respond to the patient's demands
Thank You!!!