C6-1 Travelbee Presentation Garbee Douglas 2_4 01 08 revised.pptx

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    Human-to-HumanRelationship Model

    Travelbee extended theinterpersonal relationshiptheories of:

    PeplauOrlando

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    Unique FocusWith emphasis on Caring

    Travelbees theory stresses:Empathy

    Sympathy

    Rapport

    The Emotional Aspects of Nursing

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    The RelationshipA mutually significant meaningfulrelationship (p. 125) through which the

    nursing needs of the individual (or familymember) are met (Travelbee, 1966) Phases of the Relationship

    Original Encounter

    Emerging Identities

    Empathy

    Sympathy

    Rapport

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    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 relationship

    To empathize is to gain an intellectual understanding ofthe mental world and psychological state of another

    (Travelbee, 1966) HOW:

    Empathetic receivers (of communication form others): Listen to the message Use own experiences to feel their way into the senders experience Know their own thoughts about their experience Use their own thoughts and experiences to become sensitive to the

    what the sender is telling them Know which boundaries exist between their experiences and

    thoughts and those of the sender Make a conscious choice to stay with the sender and help them to

    bear their experience (Donna, 1979, p. 50)

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    SympathyA process wherein an individual is able

    to comprehend the distress of another,

    be moved or touched by anothersdistress, and desires to alleviate thecause. One shares in the feelings ofanother and experiences compassion.(Travelbee, 1966, p. 146)

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    Rapport The establishment of a nurse-patient relationship,

    and the experience that is rapport is the terminus ofall nursing endeavor. Rapport is that which is

    experienced when nurse and patent has progressedthrough the four interlocking phases precedingrapport and the establishment of a nurse-patientrelationship, namely:

    1. The original encounter2. Emerging identities

    3. Empathy

    4. Sympathy (Travelbee, 1966, p. 155)

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    Travelbees View of NursingAn interpersonal process between two

    individuals One needs assistance because of an illness

    The other able to give needed assistanceThe Goal of the assistance is to facilitate the

    individual to:

    Cope with the illness situation

    Find meaning in the experience

    Grow from the experience

    (Travelbee, 1966)

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    Domain Concepts of Travelbees

    TheoryDefinedNursing 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).

    Environment Not defined

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    Other Major Concepts of

    Travelbees Theory Communication Nurse-Patient Relationship

    Human-to-Human Relationship Therapeutic Self

    Perception

    Suffering

    Hope Transcend Self

    Self-Actualization

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    A Propositions ofTravelbees Theory

    The Nurses perception of the

    patient is a major factor indetermining the quality and

    quantity of nursing care renderedto each Patient (Travelbee, 1966, p. 34).

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    A Proposition ofTravelbees Theory

    The quality of nursing care givenis determined by the nurses

    beliefs about illness, suffering,and death (Travelbee, 1966, p. 55).

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    A Proposition ofTravelbees TheoryThe spiritual values [and] philosophicalbeliefs [of nurses] about illness and sufferingwill determine the extent to which they willbe able to help patients find meaning (or nomeaning)in these situations(Travelbee, 1966, p. 55).

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    Travelbee Life InfluencesEducation

    Honors

    Experience

    Personal

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    Travelbees Education Crossman School (Elementary) 1939

    Joseph Kohn High School 1943 Charity Hospital School of Nursing 1946

    LSU (B.S.N. Ed.) 1956

    Yale University (M.S.N.) 1959

    Doctoral program enrollment (Florida, 1973)

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    Travelbees Honors Kappa Delta Pi

    Whos Who in American Education

    Leaders in Science Edition

    Teacher of the Year

    University of Mississippi SON 1968 Outstanding Alumna Award

    Louisiana State University 1970

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    Travelbees Experience LSUMC SON Director of Graduate Education 1973

    LSUMC SON 1971 1973

    Hotel Dieu SON Project Director 1969 1971

    University of Mississippi SON 1966-1969

    New York University 1965-1966

    LSU SON 1956-1965

    Charity Hospital SON 1954-1956

    De Paul Hospital Affiliate School 1952-1954

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    Travelbee PersonalOrder of Diacalced

    Carmelites Secular

    Poetry

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    Order of Diacalced Carmelites 16th Century Reform of

    Carmalite Nuns

    Reestablish Carmelite

    Objectives & Disciplines

    St. Teresa of Avila

    St. John of the Cross

    Known as Contemplative

    Carmelites and later Discalced

    Carmelites

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    Order of Diacalced Carmelites Secula

    Pervasive Ideas

    1. The Secular Rule of Life, Plan for

    Spiritual Growth

    2. Vocation & Mission

    Evangelical Life & Contemplative Prayer

    Apostolic & Contemplative Witness

    3. Contemplative Prayer

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    Poetry Uplifting Sounds

    New Orleans

    The Dreamer

    Sorrow

    Magnolia

    The wind is Whitetonight

    So?

    Mental Health Patients

    Hurry

    Inspiration

    Sandra

    Burnt Sienna

    Untitled

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    References Catholic University of America (1967). Catholic

    Encyclopedia. NY: McGraw-Hill Book Company.

    Donna, M.K., (1979). Intervention in psychiatric

    nursing (2nd ed.). Philadelphia, PA: F.A. Davis.

    LSU Personnel Records (1971). Biographical Data

    Form. New Orleans: LSU. Speziale, H.J. & Carpenter, D.R. (2007). Qualitative

    Research in Nursing Advancing the HumanisticImperative. (4th ed.). Philadelphia: Lippincott.

    Travelbee, J. (n.d.) Poetry. New Orleans.

    Travelbee, J. (1966). Interpersonal aspects of

    nursing. Philadelphia, PA: F.A. Davis.

    Travelbee, J. (1971). Interpersonal aspects of

    nursing (2nd ed.). Philadelphia, PA: F.A. Davis.