CHRISTINE DOUGLAS AND DANA HOGAN

Dorothy Johnson’s Behavioral Systems Model

Backgound

Born August 21st 1919

Associates Degree in 1938 from Armstrong Junior College in Savannah Georgia

1942 BSN Vanderbilt University in Nashville Tennessee

1948 Masters in public health Harvard University Boston Massachusetts

Influences

Florence NightengaleHans Selye TeachingEmpirical approach to nursing

Nurse Goals

Nurses specifically ….

“Contribute to patient welfare as that of fostering efficient and effective behavioral functioning in the person both to prevent

illness and during and following illness” (Johnson, 1980)

Definitions

Person A behavioral system comprised of subsystems

constantly trying to maintain a steady state.

Environment Not clearly defined.

Health Balance and stability.

Nursing External regulatory force that is only indicated when

there is instability.

7 or 8 Behavioral Subsystems

Affiliative

Dependency

Ingestive

Elimination

Sexual

Aggressive

Achievement

Restorative

Four Assumptions

Form of behavior can infer what drive or what goal

Predisposition to act

Different choices/scope of choices

Outcomes are produced

Goal Set Choice Behavior

Testing The Theory

1980 Damus tested the validity of Johnson’s model which assisted in sustaining the utilization of model

Relationship exists between the patient’s unbalanced physiologic state and behavioral conduct

Alterations in behavioral patterns could be recognized/hypothesized

Nursing diagnosis and interventions were interrelated concepts

Tools Developed Based On Theory

1978- Majesky, Brestor, and Nishio Patient Indicators of Nursing Care

1986- Auger and Dee Patient Classification Instrument (PCI)

1983- Lovejoy Johnson Model First-Level Family Assessment Tool (JFFA-J)

1983- Derdiarian Derdiarian Behavioral Systems Model (DBSM)

1991- Derdiarian DBSM Self-Report Instrument for patients DBSM-O Observation

Research

Bruce, G. L., Hinds, P., Hudak, J., Mucha, A., Taylor, M. C., & Thompson, C. R. (1980). Implementation of ANA’s quality assurance program for clients with end-stage renal disease, Advances in Nursing Science, 2(2), 79-95.

Coward, D. D., & Wilkie, D. (2000). Metastatic bone pain: Meanings associated with self-report and self-management decision making. Cancer Nursing: An International Journal for Cancer Care, 23(2), 101-108.

Dee, V., & Randell, B. (1989). NPH patient classification system theory-based nursing practice model for staffing nursing department. UCLA Neuropsychiatnc Institute and Hospital, Los Angeles.

Derdiarian, A. K. (1990). Effects of using systematic assessment instruments on patient and nurse satisfaction with nursing care. Oncology Nursing Forum, 17(1), 95-101.

Derdiarian, A.K., & Forsythe, A. B. (1983). An instrument for theory and research development using the behavioral systems model for nursing: The cancer patient. Nursing Research, 32(5), 260-266.

Research

Derdiarian, A. K., & Schobel, D. (1990). Comprehensive assessment of AIDS patients using the behavioural systems model for nursing practice instrument. Journal of Advanced Nursing, 15, 436-446.

Fruehwirth, S.E.S. (1989). An application of the Johnson’s behavioral model: A case study. Journal of Community Health Nursing, 6(2), 61-71.

Holaday, B. (1981). Maternal response to their chronically ill infants attachment behavior of crying. Nursing Research, 30(6), 343-347.

Lovejoy, N. (1983). The leukemic child’s perceptions of family behaviors. Oncology Nursing Forum, 10(4), 20-25.

Majesky, S. J., Brester, M. H., & Nishio, K. T. (1978). Development of a research tool: Patient indicators of nursing care. Nursing Research, 27(6), 365-371.

Moeller, K., Murvine, S., & Began, C. (2007). Utilizing a scenic curtain to decrease the patient’s anxiety and anger during initial chemotherapy treatment.

ConsCons ProsPros

Focused on hospitalized and ill stricken patient

Health promotion and patient education

Failure to incorporate the nursing process

Limited publicationDifficult to use in high

level researchUndefined outcomes

Values/EthicsConcepts are

interrelatedAssumptions are

descriptiveSimpleVery little “new

language”Significant impact of

nursing

Theory Critique

References

Dorothy Johnson Nursing Theory Website. (n.d). http://dorothyjohnson.wetpaint.com/

Johnson, D. E. (1961, November). The significance of nursing care. The American Journal of Nursing Care, 61(11), 63-66. Retrieved from http://www.jstor.org/stable/3418646

Johnson, D. (1980). The behavioral system model for nursing. In J.P. Riehl & C.Roy (eds.), Conceptual models for nursing practice (2nd ed.). NewYork: Appleton-Century-Crofts. Lobo, M.L. (1995).

Johnson’s Behaviour System Model. (n.d.). Retrieved October 07, 2011, from http://currentnursing.com/nursing_theory/behavioural_system_model.html

Parker, M. E. (Ed.). (1990). The behavioral system model for nursing. Nursing theories in practice (Illistrated ed., pp. 23-46). [Reader version]. Retrieved from http://books.google.com

Vanderbilt University. (n.d). Dorothy E. Johnson BSN, MPH (1919-1999). Retrieved October 12, 2011, from http://www.mc.vanderbilt.edu