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Behavioral System Model

A framework developed by Dorothy E. Johnson that focuses on the patterns of behavior specific to an individual.

Dorothy E. Johnson

Nurse and theorist known for developing the Behavioral System Model.

Subsystems

Seven distinct systems within the Behavioral System Model that dictate individual behavior.

Attachment Subsystem

The first response system that develops, essential for social inclusion, intimacy, and strong social bonds.

Dependency Subsystem

Behaviors that seek nurturing from others, requiring a responsive environment.

Ingestive Subsystem

Relates to behaviors surrounding food intake, emphasizing social context over biological need.

Eliminative Subsystem

Involves behaviors related to waste excretion, which can be influenced by societal norms.

Sexual Subsystem

Behavior related to procreation influenced by both biological and social factors.

Aggressive Subsystem

Behaviors focused on protection and self-preservation, responding to threats.

Achievement Subsystem

Provokes attempts to control the environment through various skills.

Nursing Metaparadigm

A theoretical framework that outlines the key concepts of nursing, including person, health, society, and nursing.

Health (according to Johnson)

An elusive state determined by psychological, social, biological, and physiological factors.

Society (according to Johnson)

The environment that influences individual behavior and reflects cultural norms.

Nursing as Regulatory Force

A concept that nursing acts to preserve and regulate individual behavior to maintain health.

Equilibrium

The state that individuals strive for in maintaining balance within their behavioral system.

Self-Care

The practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.

Dorothea Orem

defined NURSING as "The act of assisting others in the provision and management of self-care to maintain or improve human functioning at home level of effectiveness

Self-Care Agency

A human ability conditioned by age, developmental state, life experience, sociocultural orientation, health, and available resources, which enables individuals to engage in self-care.

Therapeutic Self-Care Demand

The totality of self-care actions to be performed for some duration in order to meet self-care requisites.

Self-care requisites

Actions directed towards the provision of self-care.

Universal self care requisites

Common to all, ADL ( needs that all people have)

Developmental self-care requisites

Needs that associated to developmental process.

Health deviation self-care requisites

Involve seeking medical help, understanding and managing the effects of illness, following medical advice, and adapting to live with any long-term effects.

Nursing agency

The capacity of educated and trained nurses to act, know, and assist others in meeting their self-care needs by utilizing their own self-care abilities.

Factors that influence an individual's ability to perform self-care activities.

Wholly Compensatory System

A nursing system where the patient is dependent and nurses accomplish all the patient's therapeutic self-care.

Partly Compensatory System

A nursing system where both the nurse and the patient engage in meeting self-care needs, with the patient capable of meeting some requirements.

Supportive-Educative System

A nursing system that supports patients who can meet self-care requisites but need assistance with decision making or knowledge.

Nursing Agency

A complex property of individuals educated and trained as nurses that enables them to act, know, and help others meet their therapeutic self-care demands.

Grand Nursing Theory

A theory that covers a broad scope with general concepts applicable to numerous instances of nursing.

Orem’s Self-Care Deficit Theory

Describes when nursing is needed because the person cannot carry out self-care activities.

Universal Self-Care Requisites

Common needs that all people have, such as maintaining sufficient intake of air, water, and food.

Developmental Self-Care Requisites

Needs associated with developmental processes or events, e.g., adjusting to a new job.

Health Deviation Self-Care Requisites

Needs required in conditions of illness, injury, or disease, such as securing medical assistance and learning to live with the effects of pathologic conditions.

Transcultural Nursing

A nursing specialty that focuses on comparative cultural care values, beliefs, and practices to provide culture-specific and universal nursing care.

Culture-universals

Commonalities of values, norms of behavior, and life patterns that are similar among different cultures

Culture-specifies

Values, beliefs, and patterns of behavior that tend to be unique to a designate culture.

Maternal culture

refers to objects (dress, art, religious artifacts)

Non-maternal culture

refers to beliefs customs, languages, social institutions

Culturally Congruent Care

Care that aligns with the people's valued life patterns and meanings, generated from the people themselves rather than predetermined criteria.

Cultural Shock

The state of being disoriented and unable to respond to a different cultural environment due to its unfamiliarity.

Acculturation

The process where people of a minority group adopt the attitudes, values, and practices of the dominant society.

Cultural Awareness

An in-depth self-examination of one’s own background, recognizing biases and prejudices about others.

Generic Care Systems

Culturally learned and transmitted traditional knowledge and skills used to support and improve health or deal with handicaps.

Professional Care Systems

Formally taught and transmitted health, illness, wellness knowledge and practices prevailing in professional institutions.

Emic

Knowledge gained from direct experience or those who have experienced it; often referred to as folk knowledge.

Etic

Knowledge that describes a professional perspective

Culturally Competent Care

Is the ability of the practitioner to bridge cultural gaps in caring, work with cultural differences and enable clients and families to achieve meaningful and supportive caring

Virginia Henderson

Known as 'The First Lady of Nursing,' she developed the Nursing Need Theory.

Nursing Need Theory

A theory emphasizing the role of nurses in helping patients achieve independence in health-related activities.

Definition of Nursing

The unique function of the nurse is to assist individuals in performing activities contributing to health or its recovery.

Fourteen Basic Human Needs

A framework developed by Henderson detailing essential needs for patient care, divided into physiological, psychological, and sociological categories.

Substitutive

The nurse does for the patient.( DOER)

Supplementary

The nurse helps the patient.(helper)

Complementary

The nurse works with the patient towards independence.( Partner)

Assumptions of Nursing Practice

Nurses care for patients until they can care for themselves; patients desire to return to health.

Maslow's Hierarchy of Needs

A psychological theory used to classify the 14 needs of Henderson's model into levels such as physiological, safety, love, esteem, and self-actualization.

Patient Independence

The goal of nursing according to Henderson, achieved by supporting the patient's ability to care for themselves.

Physiologic

First 9 needs in 14 basic human needs

Psychological

10th and 14th in basic human needs

Spiritual and moral

11th in basic human needs

Sociological

12-13th in basic human needs(occupation and recreation