Presentation on theme: "Joyce Travelbee: The Story of a New Orleans Nurse Theorist by Deborah Garbee, PhD, APRN, BC and Dianna Hutto Douglas, DNS APRN-CNS."— Presentation transcript:
1 Joyce Travelbee: The Story of a New Orleans Nurse Theorist by Deborah Garbee, PhD, APRN, BC and Dianna Hutto Douglas, DNS APRN-CNS
2 Human-to-Human Relationship Model Travelbee extended the interpersonal relationship theories of: Peplau Orlando
3 Unique Focus With emphasis on Caring Travelbee’s theory stresses: EmpathySympathyRapportThe Emotional Aspects of Nursing
4 Communication Communication is the Vehicle through which Nurse-Patient Relationships are established.
5 The RelationshipA “mutually significant meaningful relationship” (p. 125) through which the nursing needs of the individual (or family member) are met (Travelbee, 1966)Phases of the RelationshipOriginal EncounterEmerging IdentitiesEmpathySympathyRapport
6 Empathy To Travelbee Empathy is a verb, an action word that is: the nurses most valuable method of communicating with patients‘operationalzed’ by the nurse within the nurse-patient relationshipTo empathize is to gain an intellectual understanding of the mental world and psychological state of another (Travelbee, 1966)HOW:Empathetic receivers (of communication form others):Listen to the messageUse own experiences to feel their way into the sender’s experienceKnow their own thoughts about their experienceUse their own thoughts and experiences to become sensitive to the what the sender is telling themKnow which boundaries exist between their experiences and thoughts and those of the senderMake a conscious choice to stay with the sender and help them to bear their experience (Donna, 1979, p. 50)
7 Sympathy“…A process wherein an individual is able to comprehend the distress of another, be moved or touched by another’s distress, and desires to alleviate the cause. One ‘shares’ in the feelings of another and experiences compassion”.(Travelbee, 1966, p. 146)
8 Rapport“The establishment of a nurse-patient relationship, and the experience that is rapport is the terminus of all nursing endeavor. Rapport is that which is experienced when nurse and patent has progressed through the four interlocking phases preceding rapport and the establishment of a nurse-patient relationship, namely:The original encounterEmerging identitiesEmpathySympathy” (Travelbee, 1966, p. 155)
9 Travelbee’s View of Nursing An interpersonal process between two individualsOne needs assistance because of an illnessThe other able to give needed assistanceThe Goal of the assistance is to facilitate the individual to:Cope with the illness situationFind meaning in the experienceGrow from the experience(Travelbee, 1966)
11 Domain Concepts of Travelbee’s Theory Defined Nursing“An interpersonal process whereby the professional nurse… assists an individual… to prevent or cope with… illness and suffering and… find meaning in these experiences” (Travelbee, 1966, pp. 5-6).Person...“a unique irreplaceable individual-a one-time being in the world-like yet unlike any person who has ever lived or ever will live”(Travelbee, 1966, p. 26).Health“…the enjoyment of the highest attainable standard… without distinction” (Travelbee, 1966, p.7).“…an individually defined state of well-being in accord with self-appraisal of physical-emotional-spiritual status” (Travelbee, 1971, p.9).EnvironmentNot defined
12 Other Major Concepts of Travelbee’s Theory CommunicationNurse-Patient RelationshipHuman-to-Human RelationshipTherapeutic SelfPerceptionSufferingHopeTranscend SelfSelf-Actualization
13 A Propositions of Travelbee’s Theory “The Nurse’s perception of the patient is a major factor in determining the quality and quantity of nursing care… rendered to each Patient” (Travelbee, 1966, p. 34).
14 A Proposition of Travelbee’s Theory “The quality of nursing care given is determined by the nurse’s beliefs about illness, suffering, and death” (Travelbee, 1966, p. 55).
15 A Proposition of Travelbee’s Theory “The spiritual values… [and] philosophical beliefs [of nurses] about illness and suffering will determine the extent to which they will be able to help patients find meaning (or no meaning)in these situations” (Travelbee, 1966, p. 55).
16 Travelbee Life Influences EducationHonorsExperiencePersonal
17 Travelbee’s Education Crossman School (Elementary) 1939Joseph Kohn High School 1943Charity Hospital School of Nursing 1946LSU (B.S.N. Ed.) 1956Yale University (M.S.N.) 1959Doctoral program enrollment (Florida, 1973)
18 Travelbee’s Honors Kappa Delta Pi Who’s Who in American Education Leaders in Science EditionTeacher of the YearUniversity of Mississippi SON 1968Outstanding Alumna AwardLouisiana State University 1970
19 Travelbee’s Experience LSUMC SON Director of Graduate Education 1973LSUMC SON 1971 – 1973Hotel Dieu SON Project Director 1969 – 1971University of Mississippi SONNew York UniversityLSU SONCharity Hospital SONDe Paul Hospital Affiliate School
20 Travelbee PersonalOrder of Diacalced Carmelites SecularPoetry
21 Order of Diacalced Carmelites 16th Century Reform of Carmalite NunsReestablish Carmelite Objectives & DisciplinesSt. Teresa of AvilaSt. John of the CrossKnown as Contemplative Carmelites and later Discalced Carmelites
22 Order of Diacalced Carmelites Secular Pervasive Ideas1. The Secular Rule of Life, Plan for Spiritual Growth2. Vocation & MissionEvangelical Life & Contemplative PrayerApostolic & Contemplative Witness3. Contemplative Prayer
23 Poetry Mental Health Patients Uplifting Sorrow Hurry Sounds InspirationSandraBurnt SiennaUntitledUpliftingSoundsNew OrleansThe DreamerSorrowMagnoliaThe wind is White tonightSo?
24 ReferencesCatholic University of America (1967). Catholic Encyclopedia. NY: McGraw-Hill Book Company.Donna, M.K., (1979). Intervention in psychiatricnursing (2nd ed.). Philadelphia, PA: F.A. Davis.LSU Personnel Records (1971). Biographical DataForm. New Orleans: LSU.Speziale, H.J. & Carpenter, D.R. (2007). Qualitative Research in Nursing Advancing the Humanistic Imperative. (4th ed.). Philadelphia: Lippincott.Travelbee, J. (n.d.) Poetry. New Orleans.Travelbee, J. (1966). Interpersonal aspects ofnursing. Philadelphia, PA: F.A. Davis.Travelbee, J. (1971). Interpersonal aspects of