Dorthy jonson ppt tk
- 1. COLLEGE OF NURSING WANLESS HOSPITAL-MIRAJ SUBJECT: ADVANCED NURSING PRACTICE TOPIC:BEHAVIOR SYSTEM MODEL PRESENTED TO: MRS. SANGEETA SATWEKAR ASSOCIATE PROFESSOR PRESENTED ON: PRESENTED BY: MR.TUSHAR KEDAR 1ST MSc (N)
- 2. Dorothy Johnson’s Behavioral Systems Model
- 3. BACKGROUND OF DOROTHY JOHNSON Dorothy Johnson Born on 21st August 1919 in Georgia USA 1942 Bsc nursing from Nashville Tennessee Master in public health from Harvard University Boston in 1948. Creation of her theory began in 1940’s when she began to teach Retired in 1978 and died in 1999
- 4. JOHNSON’S BEHAVIOUR SYSTEM MODEL: The BSM of nursing was first proposed in 1968 It advocates the fostering of the patient and effective behaviouaral functioning of the patient to prevent illness. The patient is defined as a behavior system composed of seven behavioral subsystems. In 1980 Johnson published her conceptualization of behavioral system of model for nursing.
- 5. DEFINITION OF NURSING “ An external regulatory force which acts to preserve the organization and integration of the patients behaviors at an optimum level under those conditions in which the behaviors constitutes a threat to the physical or social health ,or in which illness is found”
- 6. GOAL OF NURSING ACCORDING TO BSM: To assist the patient whose behavior is proportional to social demands To assist the patient who is able to modify his behavior in ways that it supports biological imperatives. To assist the patient who is able to benefit to the fullest extent during illness from the physician knowledge and skills Whose behavior does not give evidence of unnecessary trauma as a-consequence of illness
- 7. THE JOHNSONS MODEL PURPOSES: Nurse creates a balance between client and environment . Protection from noxious stimuli that threaten the survival of the behavioral system. Nurturance ,which provides adequate input to sustain behavior Stimulation to continue growth of the behavior.
- 8. ASSUMPTION OF BEHAVIOR SYSTEM MODEL: First assumption states that there is organization interaction, interdependency and integration of the parts and elements of the behaviors that go to makeup the system. A system tends to achieve a balance among the various forces operates within and upon it , and that man strives continually to maintain a behavior system balance and steady state by or less automatic adjustment and adoptions to the natural forces impinging upon him.
- 9. Cont… A behavioral system, which both require and results in some degree of regularity and constancy in behavior is essential to man that is to say, it is functionally significant that it serves useful purpose, both in social life and for the individual. The final assumption states system balance reflects adjustments and adoptions that are successful in some way and to some degree.
- 10. JOHNSONS BEHAVIORAL SUB- SYSTEM: ATTACHMENT OR AFFILLIATIVE SUBSYTEM: 1) Social inclusion intimacy and the formation and attachment of a strong social bond. 2) It provides survival and security. DEPENDANCY SUBSYTEM: 1) Approval ‘attention or recognition and physical assistance’. 2) Promote helping behavior calls for nurturing response. 3) Developmentally dependency behavior evolves from almost total dependence on others to greater degree of dependence on self.
- 11. Cont…. INGESTIVE SUBSYTEM: The emphasis is on the meaning and structures of the social events surroundings the occasion when the food is eaten. Should not seen as input and output mechanism of the system it has to do with ( when, how, what, how much and under what condition we eat) It serves the board function of appetite satisfaction .which associate with psychological, social and biological consideration. ELIMINATIVE SUBSYTEM: Human cultures have different social acceptable behaviors for excretion waste but the existence of such a pattern remains different from cultures to cultures. It means when, how and under which condition we eliminate. As ingestion system social ,psychological Aspect influencing this subsystem.
- 12. Cont… SEXUAL SUBSYTEM: Both biological and social factor affect the behavior in the sexual subsystem. AGGRESSIVE SUBSYTEM: It relates to the behavior concerned with the protection and self preservation Johnson views aggressive subsystem as one that generates defensive response from the individual when life or territory is being threatened
- 13. ACHIEVEMENT SUBSYTEM: Provokes behavior that attempt to control the environment intellectual, physical, creative, mechanical and social skill achievement are some of the areas that Johnson recognizes
- 14. NURSING PROCESS :- Assessment :- In the assessment phase of the nursing process, questions related to specific subsystem are developed. Affiliation or attachment Dependency Aggression Elimination Ingestion Achievement
- 15. Cont…. DIAGNOSIS :- Insufficiency: particular system not functioning properly Discrepancy: a behavior that does not meet the intended goal ( lack of balance)
- 16. Cont… PLANNING AND IMPLEMENTATION :. The plan will focus on nurses actions to modify clients behavior, these plan then have a goal, to bring about homeostasis in a subsystem, based on nursing assessment of the individuals drive, The plan may include protection, nurturance or stimulation of the identified subsystem.
- 17. Cont… EVALUATION :- Evaluation is based on the attainment of a goal of balance in the identified subsystems.
- 18. EXAMPLE :- A 67 year old man is admitted to the hospital for diagnostic test after CVA, he has been marriage and father of two adult children who lives in same city ,he came with right side weakness ,expressive aphasia and slurred speech and other problems.
- 19. Cont.. Assessment :- Behavioral assessment: 1) attachment: ( family, friends) 2) Dependency ( on other physically, financially) 3) Ingestive :( decrease appetite ,difficulty swallowing) 4) Elimination: ( walk to bathroom) 5) aggressive –protective:( worry of travel family and wife) 6) achievement: ( relearn walk ,talk and ADLs)
- 20. Cont.. Nursing diagnosis: 1) Insufficient development of the Affiliative subsystem 2) Insufficient development of dependency subsystem
- 21. Cont…. Planning and nursing intervention: External regulatory forces that should protect stimulated and nurture the behavior system. Explanation and teaching the patient family and friends. Evaluation :- Balance and equilibrium.
- 22. CHARACTERISTICS OF THE THEORY :- Interrelate concepts to create a different way of viewing a phenomenon. Theories must be logical in nature. Theories must be simple yet generalizable. Theories can be the bases of hypothesis that can be tested.
- 23. Cont… Theories contribute to and assist in increasing the body of knowledge within the discipline through the research implemented to validate them. Theories can be utilized by practioners to guide and improve their practice.
- 24. LIMITATIONS :- Johnson does not clearly interrelate her concepts of subsystem . The definition of concept is so abstract that they are difficult to use. It is difficult to test Johnson’s model by development of hypothesis.
- 25. Cont… The focus on the behavioral subsystem makes it difficult for nurses to work with physically impaired individual to use this theory. The model is very individual oriented so the nurses working with the group have difficulty in its implementation. Johnson’s behavioral system model is not flexible.
- 26. SUMMARY: The patient is as behavioral system composed of 7 behavioral subsystems. Each subsystem composed of four structural characteristics i.e. drives set, choice and observable behavior. Today we have discussed regarding the background, introduction definition of nursing assumption, subsystem, nursing process, characteristics and limitation of behavioral system model.
- 27. CONCLUSION: Jonson’s behavioral system model is a model of nursing care that advocates the fostering of efficient and effective behavioral functioning in the patient to prevent illness. I hope u understood my presentation and use this knowledge in clinical settings.