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Published on October 21, 2008

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Modeling and Role ModelingHelen C. EricksonEvelyn M. TomlinMary Ann P. Swain : Modeling and Role ModelingHelen C. EricksonEvelyn M. TomlinMary Ann P. Swain Modeling and Role Modeling : Modeling and Role Modeling How did the theory evolve? What is the theory all about? How do we apply this theory to nursing practice? Test Your Knowledge : Test Your Knowledge What is modeling? a. Demonstrating the spring clothing line. b. Sculpturing clay. c. Developing an understanding of the client’s world. d. Changing the client’s perspective to make them understand their problem. Slide 4: 2. What is role modeling? a. Acting like a patient to make them feel better. b. Planning and implementing interventions unique to the client. c. Throwing a model down a hill. Slide 5: 3. Who can use this theory? a. no one b. everyone c. only pets Lead Theorist:Helen C. Erickson : Lead Theorist:Helen C. Erickson 1937-present Education: BSN in Nursing 1974 Masters in Psychiatric nursing and medical surgical nursing1976 Doctorate in Educational Psychology 1984 Professional Experience: Emergency Room Mental Health Director of Health Services Academics Major Influences of theory Life experience Inspiration from father-in-law Milton Erickson Evelyn M. Tomlin : Evelyn M. Tomlin 1929-present Background: BSN nursing Masters in Psychiatric Nursing 1976 Clinical instructor Worked in Kabul, Afghanistan Intensive care RN Mary Ann P. Swain : Mary Ann P. Swain 1941-present Background: BA, Masters and Doctoral work all in psychology Taught psychology, research methods, and statistics Evolution of the theory… : Evolution of the theory… Theoretical Sources : Theoretical Sources Maslow’s Theory Piaget’s Theory Winnicott, Klein, Mahler and Bowlby Selye and Engel Milton H. Erickson (father-in-law) Purpose : Purpose To model the client’s world, understand it as they do, then role model the picture the client has drawn, building a healthy world for them Provides a structure and a framework for care that is easily understood and that can be practiced. Concepts and Definitions : Concepts and Definitions Modeling : Modeling The process the nurse uses as he/she develops an understanding of the client’s world Occurs as the nurse accepts and understands the client/patient Role-Modeling : Role-Modeling Planning and implementing of interventions unique for the client Occurs as the nurse moves from the analysis phase to the planning of nursing interventions Important Definitions : Important Definitions Nursing Nurturance Unconditional Acceptance Person How People Are Alike : How People Are Alike Holism Basic Needs Lifetime Development Affiliated-Individuation How People Are Different : How People Are Different Inherent Endowment Adaptation Mind-Body Relationships Self-care Relationships And Structures Of The Theory : Relationships And Structures Of The Theory Active Potential Assessment Model Structure Of The Theory : Structure Of The Theory Assumptions Of The Theory : Assumptions Of The Theory Nursing Person Health Environment Theoretical Assertions Evaluation of the Theory : Evaluation of the Theory Clarity Clearly defined Definitions and assumptions are consistent Logical progression Evaluation of the Theory : Evaluation of the Theory Simplicity Both simple and complex Evaluation of the Theory : Evaluation of the Theory Generality Major assumptions broad enough to be applied to diverse nursing situations Evaluation of the Theory : Evaluation of the Theory Accessibility Very accessible-The outcomes, goals and purpose of the theory are easily demonstrated in the nursing clinical setting. Evaluation of the Theory : Evaluation of the Theory Scope-Grand, but does encompass some middle ranges Level-Situation relating The Commonplaces : The Commonplaces Person-patient vs. client Health-dynamic equilibrium Enviornment-part of social subsystems Nursing- facilitator not effecter Is this theory important to nursing? : Is this theory important to nursing? YES! Slide 28: Helps people achieve quality holistic health Identify’s client as director of their own care Promotes independence in the practice of nursing Contagiousness : Contagiousness Framework in nursing education Foundation for professional practice model Model used as basis for further research What did we think? : What did we think? We Liked it! Holistic model Very accessible Broad application So, what did you learn? A little quiz on Modeling and Role-Modeling : So, what did you learn? A little quiz on Modeling and Role-Modeling The characteristics of nursing identified by Erickson, Tomlin and Swain are: Facilitation, nurturance, unconditional acceptance Interacting, holistic, spiritual Knowledgeable, art, science Interactive, interpersonal, comprehensive In Erickson, Tomlin and Swain’s theory, modeling and role-modeling are likened to: Assessment and implementation Assessment and planning Implementation and evaluation Planning and implementation In Modeling and Role-Modeling, stress states in adaptive potential are: Affiliated individuation Arousal and impoverishment Maladaptive equilibrium Personal Knowledge and self-care Quiz Continued… : Quiz Continued… 4. In Modeling and Role-Modeling, the focus of the assessment is: a. On cognator and regulator mechanisms b. To develop an understanding of the clients worldview c. To gather a complete database d. To understand adaptation 5. A basic premise of self-care in modeling and Role-Modeling is: a. Demonstrated by either adaptive or maladaptive equilibrium b. The nurse always help identify external resources c. The patient knows best what help is needed d. Self-care is best demonstrated by seeking help from others Let’s Apply! : Let’s Apply! Case Study: 81 y.o. gentleman, Henry is hospitalized for pneumonia. He is widowed and lives alone, recently lost his drivers license, and his only daughter lives in another state. You are the nurse preparing him for dc to home on 02 with multiple medications. How are you going to implement the Modeling and Role-Modeling theory? Slide 34: Because you are an excellent nurse and have studied Erickson’s theory you know just what to do in this situation. You first calmly and quietly introduce yourself to the client and inform him that you will be his primary RN. You ask him why he has been hospitalized recently (you seek info. from the client which facilitates a sense of client control.) Henry sadly tells you that he just doesn’t care anymore and since his wife died 4 yrs ago he has been too lonely to care about his health. After a lengthy discussion you and Henry decide together to implement a plan of care. Henry calls and talks to his daughter who plans a visit (action facilitates his sense of perceived support.) Grief counseling is arranged through his church (client is facilitated in being future focused.) A social worker visits and Henry decides to move into a senior citizen community where he will have access to social interaction and medical care (helping him feel more safe and secure.) You then provide Henry with your unit’s direct number so he can call you with any questions or concerns. Finally, you schedule regular phone calls (based on Henry’s schedule) to check on him and address concerns. This action facilitates trust, and his safety and security and love and belonging needs are met. What a great job you did! Web CT Discussion Question: : Web CT Discussion Question: What changes can you make in your current nursing practice to implement elements of the Modeling and Role-Modeling theory? The End. : The End. Presentation by: : Presentation by: Donna Shettko Lori Littrell

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