Betty Neuman by Mary Zanobini

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Betty Neuman : 

Betty Neuman The Neuman Systems Model Presented by Mary Zanobini November 3rd, 2009 http://edoutreach.unlv.edu

Background : 

Background Mother-self-educated midwife who liked to the play the organ Father-very sickly farmer, died at age 36 Had 2 brothers, one older and one younger Attended the same one room school house as her parents and older brother. Betty Neuman spent her senior year at a rural high school that had a library! http://neumansystemsystemsmodel.org

Early work experience : 

Early work experience First job-Aircraft instrument technician Joined the Cadette Nursing Corp Trained at People’s Hospital in Akram, Oh First bottle of Penicillin at People’s Hospital

Work & Life Experience : 

Work & Life Experience Los Angeles County General Hospital Industrial Nurse School Nurse Photographic Fashion Model Learned how to fly 1959 birth of Nancy Neuman

Education : 

Education

Model Development : 

Model Development

Personal Values : 

Personal Values Betty Neuman emphasized the importance of taking risks. Risk taking is important for creativity She believed her life growing up in a rural environment taught her the values of responsibility Self reliance Be comfortable with creativity

The Nueman System Model-An Overview : 

The Nueman System Model-An Overview Nuemans’ Systems model is a conceptual model that views the client as an open system in interaction with the environment (Reed 1993).

Assumptions of the model : 

Assumptions of the model Some basic beliefs about person, health, environment, and nursing are necessary to understand when using the Neuman model. These basic beliefs are called assumptions and they are the key points when using a theoretical framework.

Assumptions of the model : 

Assumptions of the model

Assumptions of the model : 

Assumptions of the model

Major concepts : 

Major concepts Wholistic Approach- The Neuman systems model is a dynamic, open, systems approach to client care. Clients are viewed as wholes whose parts are dynamic interaction with the environment. Open system-A system is open when its clients are continuously exchanging information and energy within the complex organization. Stress and reaction to stress are basic components of an open system. Function or process-The client as a system exchanges energy, information and matter with the environment as it uses available energy resources to move toward stability and wholeness. Input and output-For the client as a system, input and output are the matter, energy, and information that are exchanged between the client and the environment.

Major concepts : 

Major concepts Negentropy-a process of energy conservation utilization that assists systems progression toward stability or wellness. Stability-A desired state of balance Environment-Internal and external forces surrounding and affecting the client at any time make up the environment.

The client system : 

The client system Composed of five interrelated variables

Environment : 

Environment The environment is defined as all internal and external factors or influences surrounding the client system. The internal environment consists of all forces contained within the boundaries of the defined client system. The external environment consists of the forces external to the defined client system. Created environment is the subconscious development of a wholeness. It provides a safe way for the client system to function and to insulate the client from stressors.

The client system of the Neuman system model : 

The client system of the Neuman system model

Stressors : 

Stressors Stressors are part of the environment. Stressors are tension producing stimuli that have the potential for causing disequilibrium. One or more stressors may be imposed upon the client at any given time. This may be present within or outside the client. Intrapersonal stressors-occurring in the internal client. For example illness or injury. Interpersonal stressors-occurring in the external environment of the client, but at a close range. For example problems occurring in the home. Extrapersonal stressors-occurring outside the client at a distant range. For example stressors coming from the community or the country.

Stressors : 

Stressors The stressors effect on the client is related to two factors. First, the strength of the stressor and second the number of stressors affecting the client at a given time. The stressor effect is also related to the clients ability to protect against the stressor or change its effect on the system. Each client may have a different reaction to similar environmental stressors.

Applicability to the nursing community : 

Applicability to the nursing community The Nueman systems model is both a model and a grand theory. As a model it provides a conceptual framework for nursing practice, research and education. As a grand theory, it proposes ways of viewing nursing phenomena and nursing actions that are assumed to be true but may form propositions for testing. The Nueman systems model is used for a variety of educational levels and practice settings. It adapts transculturally and is used often for public health nursing in other countries.

Applicability and importance to nursing practice : 

Applicability and importance to nursing practice The Neuman systems model for nursing facilitates goal directed and wholistic approaches to client care. The classification of stressors can be understood and useful for the entire health care team. Several instruments were published to facilitate the use of the model. These instruments include an assessment and intervention tool to assist nurses in collecting and organizing data and a format for prevention as intervention to apply the nursing process within the Neuman systems model. The three step process format of diagnosis, goals, and outcomes can be used by any discipline. The Neuman model has been adapted in a variety of nursing practice settings, including hospitals, nursing homes, mental health centers, child birth centers and community based services.

WebCt Question: : 

WebCt Question: Neuman’s model teaches us that the client is a system and we need to assess the clients response to stressors and base our interventions on these responses.  Reflecting back on a day in your practice setting, are you able to identify the actual and potential stressors of a patient?  What nursing interventions could you have done to prevent possible stressors and strengthen the patients ability to deal with the current stressors?

Discussion question : 

Discussion question After hearing several theories already presented, it seems like there is a trend in nursing theories to have a wholistic premise (Encompassing the mind, body and spirit). Do you think this is a good approach for the Nursing?

References : 

References Lowry, L., Beckman, S., Gerhling, K.R. & Fawcett, J. (2007). Imagining nursing practice: the Neuman systems model in 2050. Nursing Science Quarterly, 20 (3), 226-231. Accessed from the WebCT Nursing 212, Content Resources. Neuman, B., Fawcett, J., (2002). The Neuman systems model (4th ed.) Upper Saddle River, NJ: Prentice Hall. Reed, K., (1993). Betty Neuman, The Neuman systems model Newbury Park, CA: Sage Publications, Inc. Toomey, A. M., & Alligood, M.R. (Eds.) (1988). Nursing theorists and their work (4th ed.) St. Louis, MS: Mosby. http://edoutreach.unlv.edu , logo accessed on October 30, 2009. http://media1.csus.edu:8080/ramgen/usr/hansonb/betty-neuman.rm Portraits of Excellence: Betty Neuman. http://neumansystemsystemsmodel.org, image accessed on October 30, 2009. http://nursing.jbpub.com, sketch accessed on October 30, 2009.