Johnson's Behavioral system model

Born in the year Aug 21, 1919 did her B.S.N in 1942 1956 sabbatical to CMC,School of Nursing,Vellore Initiate Baccalaureate nursing program Johnson's theory was born in the year 1961

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 Patients behavior are the nurses object of analysis Focus on behavior rather than biology Differentiates nursing from medicine Nurses need here is to bring back the client homeostasis
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 Clients were stressed by stimulus of either an

internal or external stimuli in nature Stressful stimuli created disturbances or tensions in the state of equilibrium nursing care facilitated the clients maintenance of a state of equilibrium

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Identified 2 areas for nursing care

1.reducing stressful stimuli

2. supporting natural and adaptive processes

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Goal
help individual prevent or recover from disease or injury Focus on patient as an individual and not on specific disease entity

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System as the core

System defined as consisting of interrelated parts functioning together to form a whole Reason for her choice of system is all patterned repetitive purposeful ways of behaving that characterize each persons life make up an organized and integrated whole or a system

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All human behavior - 7 sub systems

1.Attachment 2.Achievement 3.Aggressive 4.Dependence 5.Sexual 6.Ingestive 7.Eliminative

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 Subsystem composed of set of behavioral responses that share a common goal Responses are determined through learning Physical Biological Psychological social factors determine the responses

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4 Assumptions
structural elements are common to each of the subsystems 1. From the form the behavior takes and the consequences it achieves can be inferred what drive has been stimulated or what goal is being sought

2.predispositon to act with reference to the goal and labeled as set

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3.each subsystem has available repertoire of choices for scope of action 4.produce observable outcomes

Allow an outsider to note the individual is taking to reach a goal related to a specified sub system

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3 Functional requirements
1.each subsystem is protected from noxious influences with which the system cannot cope 2.Nurtured thru appropriate supplies from the environment 3.Stimulated for use to enhance growth and prevent stagnation

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Meta paradigms
Person client

Environment internal and external

Health behavioral pattern include subsystem has to maintain a homeostasis Nurse helps client to restore adaptive process and equilibrium in the system Treat a client as individual and not as a disease entity
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Core subsystems that need attention in care

Attachment subsystem very critical All social organizations Provides survival and security Consequences social inclusion Intimacy formation & maintenance of a strong social bond

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Achievement Sub system

Manipulate the environment Control or mastery of an aspect in self or in the environment standard of excellence Areas include Intellectual Physical Creative Mechanical Social skills

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Aggressive sub system

In protection & preservation Learned behavior Intent to harm others Society fixes the norms

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Dependency subsystem
Calls for nurturing response Consequences are approval Attention Recognition Physical assistance Complete reliance on others from certain sources

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Work on !!!!!
Effectiveness of herbal bolus on glycemic index & bio physiological parameters of adults with diabetes mellitus identify the subsystems meta paradigms research hypothesis modified model levels of prevention in subsystems
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FAQS
Why we always modify models in research? Can we use meta paradigms as we feel like? Some theories do not have conceptual frame work. Can we make one based on our need? Which are the theories that are best suited for descriptive/experimental researches?
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 Johnsons /Neumann's theory are community oriented as with Imogene King for Mental health. Is it true? Should we use theories in research as some say it is out dated currently? What are we ultimately testing with a theory in research? Can theory/model designed at the end of the research? Theories are quiet confusing/abstract. What is the way out?

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Gooooooo Ahead!!!!!!
1.Effectiveness of STP on knowledge & practice of immunisation in children among mothers in an urban slum
2.Effectiveness of relaxation technique on certain bio physiological parameters of hypertension among adults in a village

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3.Effectiveness of SIM in knowledge & attitude on AIDS among adolescent girls in selected schools

4.Effect of yoga on depression among middle aged women in a village 5.Comparative study to assess PEM of under five children in rural and urban areas

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6.Effectiveness of self care strategies in musculo skeletal functions among stroke patients 7.Effectiveness of massage therapy in prevention of decubitus ulcers among chronically ill patients

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8.Effectiveness of papaya pulp on healing process parameters in diabetic foot ulcers in patients of selected hospitals
9.Effectiveness of acupressure on pain in labor of primi mothers at selected hospitals 10.Effectiveness of nutritional ball in anemia among antenatal mothers attending OPDs

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Presentation From Dr.Sharadha Ramesh Principal,CON, Saveetha University, Chennai

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