College of Nursing - Cebu Normal University
Statement of the Problem
This study aimed to apply Betty Neuman's Systems Model in the care of a patient with ruptured cerebral aneurysm. Specifically, it answered queries about the actual or potential stressors which varied from the usual state of wellness of the patient in terms of intrapersonal factors, interpersonal factors, and extrapersonal factors; the disease process that affected the lines of defenses of the patient with aneurysm; the nursing diagnoses that were formulated based on the actual or potential stressors; the anticipated or desired nursing goals based on the stressors identified from the patient; the nursing outcomes that were identified based on the nursing preventions implemented.
Research Design. The case study was selected as the research design for this research. It is a form of qualitative descriptive research which provides an in-depth, longitudinal and intensive investigation of individuals. Case study research includes quantitative evidence, relies on multiple sources of evidence and benefits from the prior development of theoretical propositions. Case studies can be based on any mix of quantitative and qualitative evidence. Single-subject research provides the statistical framework for making inferences from quantitative case-study data (Yin, 2009).
In this study, actual and potential stressors were recognized from the patient with the use of Neuman's Assessment tool. Intrapersonal stressors which occured within the patient were greatly emphasized particularly on physical and psychological aspect since there were no significant findings regarding interpersonal and extrapersonal stressors from the patient.
On the other hand, the study was able to associate the model with the use of lines of defenses such as flexible line of defense, normal line of defense and lines of resistance on the disease process of the patient as shown in the schematic diagram of psychopathophysiology.
Moreover, nursing goals which were formulated from the data gathered from the patient were successfully aimed based on the actual outcomes of the patient. The patient was not hesitant and was supportive to address her concerns and feelings in the course of negotiating goals with the nurse.
Lastly, primary, secondary and tertiary preventions were remarkably implemented by the nurse based on the nursing diagnosis and goals identified. The patient, on the other hand, was satisfactorily cooperative and disciplined to conform and follow appropriate preventions made by the nurse.
The Betty Neuman's Systems Model was greatly beneficial in recognizing the intrapersonal, interpersonal and extrapersonal stressors of the patient with ruptured aneurysm. The model was favorable to provide care in a comprehensive and concise manner. The model also revealed the primary, secondary and tertiary preventions utilized in intervening patient's condition.
After having formulated the conclusion, the researcher has considered the following recommendations:
- That nurse educators should impart and integrate the theory encompassing the intrapersonal, interpersonal and extrapersonal stressors of the patient with aneurysm to aspiring nurses in foundations of nursing to practice the model and apply it in the clinical duty using primary, secondary and tertiary preventions in accordance to Neuman's model.
- That staff nurses should focus on negotiating with the patients with aneurysm regarding the setting of goals to provide desired nursing outcomes and utilize appropriate primary, secondary and tertiary preventions based on Neuman's Systems Model.
- That future researchers should acquaint themselves with various stressors (e.g. intrapersonal, interpersonal, and extrapersonal) of the patient with aneurysm and utilize these factors to implement necessary nursing preventions in obtaining the patient's stability.
1. Octaviano, E F, Balita, C E. Theoretical Foundations of Nursing:The Philippine Perspective Ultimate Series, 2008.