Hildegard Peplau interpersonal relationship theory is related to the
work or study.
work or study.
Hildegard Peplau describes nursing as a therapeutic interpersonal
relationship. This relationship facilitates the growth and development of both
the client and the nurse. It help the client progress towards constructive,
productive and creative living. The theory is made up of four (4) phases.
relationship. This relationship facilitates the growth and development of both
the client and the nurse. It help the client progress towards constructive,
productive and creative living. The theory is made up of four (4) phases.
1. Orientation phase
2. Identification phase
3. Exploitation phase
4. Resolution phase
Orientation phase
This is the first stage where there is initiation of relationship as
soon as the client recognizes a felt need or difficulty and seeks professional
assistance. Upon mutual agreement, the nurse defines the nature of the
reciprocal relationship and its purpose, the nurse then identify, examine and
find ways to resolve the client’s problem.
soon as the client recognizes a felt need or difficulty and seeks professional
assistance. Upon mutual agreement, the nurse defines the nature of the
reciprocal relationship and its purpose, the nurse then identify, examine and
find ways to resolve the client’s problem.
Identification phase
This is the working phase, the client assumes a position of
interdependence, dependence or independence. The nurse-client-relationship
strengthens, and their reception of each other is clarified and a trusting
relationship is formed and they an openly share their thought and feeding the
work to identify the client’s problem and difficulties.
interdependence, dependence or independence. The nurse-client-relationship
strengthens, and their reception of each other is clarified and a trusting
relationship is formed and they an openly share their thought and feeding the
work to identify the client’s problem and difficulties.
Exploitation phase
This is discussion of solution after mutual identification and
understanding of client’s problems. The client’s role and responsibility in
solving the problem identified and clarified. The client gradually assumes
responsibility for control of problem and decision making in this phase the
client gains full value from the relationship by utilizing the resources
available on the basis of self interest and need when need are resolved, the
person is free from dependence.
understanding of client’s problems. The client’s role and responsibility in
solving the problem identified and clarified. The client gradually assumes
responsibility for control of problem and decision making in this phase the
client gains full value from the relationship by utilizing the resources
available on the basis of self interest and need when need are resolved, the
person is free from dependence.
Resolution phase
This refers to the final stage and termination of relationship after
successful accomplishment.
successful accomplishment.
Application of the theory to the study
The Orientation phase begins when the client comes to the antenatal
clinic and a relationship is established for professional assistance and care.
clinic and a relationship is established for professional assistance and care.
The Identification phase is when a problem is diagnosed in the process
of given proper ante-natal care such as pelvic assessment at 36 weeks to
diagnose cephalopelvic disproportion and a plan is formulated towards proper
care in ensuring a life baby and mother, the plan formulated is caesarean
section as the best option.
of given proper ante-natal care such as pelvic assessment at 36 weeks to
diagnose cephalopelvic disproportion and a plan is formulated towards proper
care in ensuring a life baby and mother, the plan formulated is caesarean
section as the best option.
The Exploitation phase is when the client’s role and responsibility are
clarified as regard to the caesarean section and once accepted, the plan is
carried out when due ensuring a live baby and mother.
clarified as regard to the caesarean section and once accepted, the plan is
carried out when due ensuring a live baby and mother.
The Resolution phase is the termination of relationship successful
resolution occurs when both summarize the relationship, its meaning and
accomplishment and the client is discharged happily.
resolution occurs when both summarize the relationship, its meaning and
accomplishment and the client is discharged happily.


