Johnson Behavior System Model

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Johnsonbehaviorsystemmodel


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OBJECTIVES At the end of presentation, the students will be able to:

a. determine the life and works of Dorothy Johnson.

b.understanding the Behavioral System Model.

c. Definitions and assumptions of Johnsons BehavioralSystem Model in relation to Nursing's Metaparadigm.

d. Application of the theory in nursing.

e. Acceptance of theory in the nursing community.f. know the points of critique and weakness.


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Dorothy Johnson was born on August 21, 1919, in Savannah,Georgia.

She received her(A.A) associate of arts degree from

Armstrong Junior College in 1938 .Her (BSN) bachelor of science in nursing degree from

Vanderbilt University in 1942.

She practiced briefly as a staff nurse at the Chatham-

savannah Health Council .she received her (MPH) master of public health fromHarvard University in 1948.

INTRODUCING THE THEORIST


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She began her academic career at VanderbiltUniversity School of Nursing

A call from Lulu Hassenpplug, dean of the School ofNursing enticed her to go to the University ofCalifornia at Los Angeles (UCLA) in 1949.

She served there as an assistant, associate, and

professor of pediatric nursing until her retirement in1978

Cont:-


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In 1955 and 1956 she was a pediatric nursing adviser

at the Christian medical collage school of nursing in

Vellare, South India.She worked with California Nurses Association,

National League for Nursing and American NursesAssociation to examine the role of the clinical nurse

specialist, the scope of nursing practice.Dorothy Johnsons body of published work includes

more than 30 articles, 4 books, and numerousproceedings, reports, and abstracts.

Cont:-


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Ms. Johnson received many awards, including the

Founders Medal from Vanderbilt University (1942)

Award from california nurses association and vanderbiltuniversity school of nursing .

Dorothy Johnson,

passed away in February 1999

Cont:-


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Theoretical recoursesJohnson has noted that her theory evolved from

philosophical ideas, theory and research, clinicalbackground, and many years of thought, discussions,and writing .

From Florence Nightingale came the belief thatnursings concern is a focus on the person rather than

the disease. From systems theory were all sources for her model.

Johnsons background as a pediatric nurse is alsoevident in the development of her model.


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Major

concepts


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IS the out put of intra organismic structures&process as they are coordinated and

articulated by and responsive to changes insensory stimulation.

BEHAVIOR:-


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- From Rapport's definition of system, Johnson

stated(A system is a whole that functions as awhole by virtue of the interdependence of itsparts.)

she accepted with chin's statement that it,s

organization, interaction, interdependency andintegration of the parts & elements .

System


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Behavioral system encompasses the patterned,repetitive & purposeful ways of behaving.

These ways of behaving form an organized &integrated functional unit that determines and limitsthe interaction between the person and his or herenvironment, and establishes the relationship of theperson to the objects, events and situations within hisor her environment.

BEHAVOURAL SYSTEM


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Is a mini system with its own particular goal &functionthat can be maintained as long as its relationship tothe other subsystems or the environment is notdisturbed.

Which are open-linked & interrelated.

Motivational drives direct the activities of these

subsystems ,which are continually changing throughmaturation, experience & learning .

And controlled by biological, psychological &sociological factors

subsystems


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Is probably the most critical, because it forms thebasis for all social organization.

It provided survival &security. Its consequences are social inclusion, intimacy,

formation & maintenance of a strong social bond.

1-attachment-affiliative subsystem


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-promotes helping behavior calls for

nurturing response .Developmentally dependency behavior

evolves from almost total dependence on

others to greater degree of dependence onself .

2-dependancy subsystem


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Should not seen as input &out putmechanisms of the system, it has to do

with(when, how, what, how much& underwhat conditions we eat).

It serve the board function of appetitive

satisfaction. which associated withpsychological, social &biologicalconsideration.

Ingestive sub-system


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-it means when, how & under which

condition we eliminate .As ingestion system social , psychological

&biological aspect influencing this

subsystem.

Eliminative sub-system


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Has a double functions:-

1- procreation.

2- gratification. This response system begins with the development of

gender role identity.

Sexual subsystem


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Achievement


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Its function is protection & preservation.

And this opposed thinking of thataggressive behavior is not only learned ,butalso has intend to harm others.

Aggressive protective subsystem


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Is a key concept in nursings specific goal.define as:-

A stabilized but more or less transitory,resting state in which the individual is inharmony with him self & his environment.

It is not synonymous with state of health ,itmay be found either in health or illness.

equilibrium


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DEFINE AS :-

State of being stretched or strained and can

be viewed as an end-product of adisturbance in equilibrium.

It can be constructive in adaptive change or

destructive in inefficient use of energy.

TENSION


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Define as :-

Internal or external stimuli that produce

tension & result in a degree of instabilityStimuli may be positive or negative,

endogenous or exogenous in origin.

And may play upon one or more of our openlinked system (physiological, personalityand meaningful small group-(family) andlarger social system.

STRESSOR


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BEHAVIOR

SYSTEM

ATTACHEMENT

AGGRESSIVE

ACHEVEMENT

SEXUALELEMINATIVE

INGESTIVE

DEPENDENCY


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Major assumptions


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an external regulatoryforce which acts topreserve the organization

and integration of thepatients behavior at anoptimal level whenphysical, psychological and

social threatened.

Nursing

An art and science, itsupplies external assistanceboth before and during

balance disturbance andtherefore require knowledgeof order ,disorder, andcontrol.


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Tension=

stressor = clientNURSE EQUILIPRIUM


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As a behavior system with patterned, repetitive , andpurposeful ways of behaving that link the person toenvironment.

An individual's specific response patterns, form anorganized and integrated whole.

A person is a system of interdependent parts that requiresome regularity and adjustment to maintaining a balance.

Person


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An elusive, dynamic stateinfluenced by biological,psychological, and social factors.

A desired value of health

professionals and focused on aperson rather than a disease.

Reflected by the organization,interaction, interdependence,

and integration of thesubsystems of behavior system.

health


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Consists of all factors that notpart of the individual's behavioralsystem, but influence the system.

The individual links to and

interact with the environment.

The behavior system attempt tomaintain equilibrium in responseto environmental factors by

adjusting and adapting to theforces that impinging on it.

Environment


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Theoretical assertionJBS addressed that patient is a behavior system with

seven interrelated subsystem.

Each subsystem can be described and analyzed in term

of structural and functional component.And the system is tend to be self- maintaining and

self- perpetuating when the internal and externalconditions remain orderly and predictable.

The behavior attempt to achieve balance when thechange is occurs.

the state of instability result in need of nursingintervention.


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Functional requirements Protectedfrom noxious influences with which the

system cannot cope

Nurturedthrough the input of appropriate suppliesfrom the environment

Stimulatedfor use to enhance growth and preventstagnation


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Structural requirement Drives or goals.

Set, predisposition to act.

Choice, alternatives to action. behavior

Nurse


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subsystems

depen

attac

hachiev

e

aggressiv

ingest eleme

sexual

Dynamic enviro

Stresstoleranceflexibility

Ex stressor

Int stressor

Active dynamic bs

Person, group

tension

Structural RDynamic

equilibrium

Nurseaction

NurtureProtectstimuli


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Nursing application

A 67-years old man is admitted to hospital fordiagnostic test after CVA , he has been marriage andfather of tow adult children who live in same city, he

came with right side weakness, expressive aphasia andslurred speech and other problems.

Nursing application with JBS.

o

NURSING ASSESSMENT: Behavior assessment

1. attachment : (family, friends).

2. Dependency: (on others physically, financially).


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3. Ingestive :(decrease appetite, difficulty swallowing).4. Eliminative:(walk to bathroom).

5. Sexual:(sexual dysfunction).6. Aggressive-protective:(worry of travel family & wife).7. Achievement :(relearn walk , talk and ADLs,).

Environmental assessment:- external environment (hospitalization, diagnostic test,

disabilities). Internal environment (biological ,psychological ,

cognitive).

Structural component:- Drive or gaol(motivate to complete diagnostic test and

return to home). Set (evident to make decision).


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Choice( home, rehabilitation program).

action (socialization , request for assistance).

Functional component:-

Protection( falling down).

Nurturing ( use of left hand).

Stimulation (socialization).

Nursing diagnoses:-

Incompatibility.

Discrepancy.

Insufficiency.

Dominance.


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Planning :-

for intervention.Nursing intervention:-

External regulatory forces that should protect ,stimulate and nurture the behavior system.

Explanation and teaching the pt ,family and friends.

Evaluation :-

Result of implementation

Balance and equilibrium


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Acceptance by the nursing community

Acceptenceby th

nursingcommunity

practice

researcheducation


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-:

PRACTICEJohnson does not use the term nursing process.

Assessment ,Disorders , treatment , and evaluation areconcepts referred to in a variety of Johnson`s works.

For the practitioner conceptual models provide adiagnostic and treatment orientation , and thus are ofconsiderable practical importance.

The Nursing process becomes applicable in thebehavioral system model when behavioral malfunctionoccurs.


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Recent studies of nursing practice using Johnson'smodel have focused on decision making andevaluation of outcomes.

Grice (1997) found that the nurse , patient, andsituational characteristics influenced assessment and

decision making for theadministration of antianxietyand antipsychotic medication for psychiatric inpatientat certain hours.


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EducationLoveland and Wilkerson analyzed Johnson theory andconcluded that it has utility in nursing education .

A curriculum based on a person as a behavioral systemwould have definite goals & straight forward courseplanning.The model has been used in practice and educationalinstitutions.


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ResearchJohnson stated that nursing research would need toidentify and explain the behavioral system disorderswhich arise in connection with illness and develop the

rationale for the means of management.Nurse researchers have demonstrated theusefulness of

Johnson's theory in clinical practice .most of thesestudies have beenconducted withindividuals with

long-term illnesses, such as urinary incontinence,chronic pain, cancer, aids

And psychiatric illnesses.


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Critique :-

simplicity

Johnson's theory is relatively simple in relation to thenumber of concepts. a person is described asbehavioral system composed of seven subsystems.

Nursing is an external regulatory force. However, thetheory is potentially complex because there are anumber of possible interrelationships between andamong the behavioral system, its subsystems ,and theforces on them. At this point, only a few of thepotential relationships have been explored.


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generality

Johnson's theory is relatively unlimited when appliedto sick individuals, but it has not been used as muchwith well individuals or groups. Johnson perceived aperson as behavioral system comprised of sevensubsystems.


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limitations

Very individual.

Family is only considered as an environment.

Focused in nursing care of hospitalized and ill, notfocused on health promotion or prevention


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ANY QUISTIONS?

Documents

Johnson Behavior System Model