Various plans can be adopted to guide the execution of specific tasks by medical-surgical nurses and the nurses serving in ICUs in line with the Hildegard Peplau Theory. Even then, all such plans are typified by four main phases according to Parker and Smith (2010). Each of the phases emphasizes the significance of the capability of the nurses to appreciate their behaviors to assist others to make out perceived challenges. First, the proposed plan has an orientation phase. In the phase, individuals are expected to have felt requirements for ICU or medical-surgical professional nursing services and visit healthcare facilities for the professional services. During the orientation phase, medical-surgical nurses and the nurses serving in ICUs will assist such individuals or their families to recognize, as well as appreciate, their problems, and establish the requirement for the services (Brunero, Jeon & Foster, 2015).
Second, the proposed plan has an identification phase. During the phase, the individuals seeking the services or their families will make out the professionals who will offer them the services. The medical-surgical nurses and the nurses serving in ICUs will allow for feeling exploration assist the patients in viewing their conditions as experiences reorienting their feelings and bolstering their personalities’ positive forces. The nurses will ensure that the patients are as satisfied as possible. Third, the proposed plan has an exploitation phase according to Parker and Smith (2010). During the phase, the patients will be keen on deriving maximum value from the services offered to them via their relationships with their nurses. The nurses will present new objectives to be attained via individual efforts. Power will shift from the nurses to the patients, who will be delaying satisfaction to attain the objectives (D’Antonio, Beeber, Sills & Naegle, 2014). Lastly, the proposed plan will have a resolution phase. During the phase, the patients will give take up the new objectives, substituting their older ones. The patients will free themselves from being identified with, or linked to, the nurses who have already served them.
Challenges and Barriers to the Hildegard Peplau Theory’s Implementation
The principal challenge, or impediment, to the Hildegard Peplau Theory‘s implementation by medical-surgical nurses and the nurses serving in ICUs, will be ineffective communication. Successful nurses have polished communication competencies (Brunero, Jeon & Foster, 2015). Those with poor communication competencies are unable to communicate, as well as connect, with the patients under their charge. They are incapable of building effective relationships between them and their clients to prevent specific mistakes as well as provide enhanced care according to Parker and Smith (2010). Patients view nurses who are good communicators as capable of improving their recovery chances and rates, and capable of ensuring their protection and safety. Such nurses make patients highly contented and likely to adhere to set treatment regimes.
In the present circumstances, the effectiveness of how nurses and patients communicate can be compromised by several factors. First, it can be compromised by patient-related environmental elements, including noise. It can be compromised by anxiety, fear, and being emotional (Brunero, Jeon & Foster, 2015). It can be compromised by the ability of nurses or their clients to explain own feelings or keenness to come off as strong for the benefit of other parties. Second, it can be affected adversely by nurse-related factors, including lack of support or time, high workloads, staff conflict, anxiety, fear, lack of the requisite competencies, and inability to cope with challenging questions, reactions or emotions according to Parker and Smith (2010).
Evaluation of the Effectiveness of Nursing Care Offered in Line With the Hildegard Peplau Theory
The effectiveness of the care offered by medical-surgical nurses and the nurses serving in ICUs is appraised by comparing patients’ actual outcomes with the expected outcomes. That helps to show whether the needs of the patients have been met by the nurses via their collaboration according to Parker and Smith (2010). By and large, patients and nurses evaluate the care following the objectives set, considering whether they have been met.
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