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POWERPOINTPRESENTATION1.pptxDorothy E. Johnson’Behavior System Model
Henly Rojas
Florida National University
NGR 5101 Nursing Theory
Barry E. Graham, DNP, MSN-Ed., RN.
Summer 2021
Dorothy Background
1919 Born in Savannah Georgia.
1948 AA Armstrong Jr. College.
1942 BSN Vanderbilt University School of Nursing
1948 MPH Harvard University.
1943-1944 Staff Nurse at Chatham-Savannah Health Council.
Dorothy Background cont.
1949-1978 Instructor and assistant professor in pediatric nursing at Vanderbilt University School of Nursing.
Professor of Nursing at University of California in LA
1980 Published the B.S. model.
Early proponent of nursing as a science and an art .
BS model based on Nightingale’s belief
Major Concepts
Attachment-Affiliative Subsystem.
Dependency Subsystem.
Ingestive Subsystem.
Eliminative Subsystem.
Sexual Subsystem.
Achievement Subsystem.
Aggressive-Protective Subsystem.
Equilibrium.
The Traditional Four Metaparadigm
Nurse-External force that acts to impose temporary regulatory/control mechanisms/providing resources while patient is experiencing stress.
Person- Is a behavioral system with patterned repetitive, and purposeful ways of behaving that link the person and the environment.
Health- The organization, interaction, interdependence and integration of the subsystem of the behavioral system(the person).
Environment- All the factors that are not a part of the individual's behavioral system, but influence it
Behavior Model
Dorothy Johnson defined nursing as:” an external regulatory force which acts to preserve the organization and integration of the patients' behaviors at an optimum level under those conditions in which the behaviors constitutes a threat to the physical or social health, or in which illness is found”.
7 Subsystems
Attachment-goal attached-form relationship and social bonds.
Dependency-attention, recognition, physical assistance.
Ingestion-intake of nutrients to obtain knowledge.
Eliminative-eliminate waste and to express knowledge.
Sexual-to procreate, to have sexual relationships, to develop gender based identify.
Achievement-mastery or control of some aspect of the environment.
Aggressive=Protective-protect oneself to respond to threats.
Concept
Set-one’s predisposition.
Choice of behavior-how they decide to achieve goal.
Behavior- physical manifestation.
Goal-become healthy.
The Four Major Concepts
Person- Johnson viewed person as a behavioral system with patterned, repetitive, and purposeful ways of behaving that link the person with environment.
Society- In Johnson’s theory the environment consists of all the factors that are not part of the individual’s behavioral system, but that influence the system.
Health- It is reflected by the organization, interaction, interdependence, and integration of the subsystems of the behavioral system.
Nursing- An art and a science, nursing supplies external assistance both before and during system balance disturbance and therefore requires knowledge of order, disorder, and control.
Strengths
Theories Interrelate concepts- to create a different way of viewing phenomenon-concepts in Johnson’s theory are consistently interrelated.
Theories must be logical in nature- so is Johnson’s theory .
Theories must be simple yet generalized. Johnson’s theory is simple.
Theories can be basis of hypotheses that can be tested- some research studies are conducted applying Johnson’s theory.
Strengths cont.
Johnson’s theory provided contribution and assisted in increasing body of knowledge within the discipline thus allowing future researchers the ability to retest and clarify assumptions that lack clarity.
Theories can be utilized by practitioners to guide and improve their practice.
Theories must be consistent with other validated theories, laws, and principles but will leave unanswered questions that need to be investigated
Theory Applied
Education- used and utilized in nursing education curriculum in US, Canada and Australia.
Administration- to structure administration departments of clinical agencies.
Research- been conducted in various patient populations.
Clinical Settings- used in inpatient, outpatient and community settings. The model is used to develop nursing interventions for patients.
4 Structural Requirement
Drive or Goal- the motivation for behavior.
Set- a person’s predisposition to act in certain way to fulfill the function of the subsystem.
Choice- a person’s repertoire of actions from which choices can be made.
Action or Observable behavior.
3 Functional Requirement
Protection from noxious influences.
Nurture through input from the environment
Stimulation for growth and prevention from stagnation.
Weakness
Theory is broad and complex to a number of possible interrelationships among the behavioral system, thus more empirical work is needed.
The definition of concept is so abstract that they are difficult to use.
The model is very individual oriented so nurses working with the group have difficulty in its implementation. Use of family, group and communities are limited.
The model does not focus well or address the paradigm of health promotion and disease prevention.
Weakness cont.
Limited publication of theory and research has hindered the pervasiveness of the behavioral model.
The theory lacks proactive approach. It focuses on the nursing care of the hospitalized and ill stricken patient and does not address health promotion, primary prevention or disease prevention.
The theory focuses on how human behavior responses to stress or illness but does not incorporate the nursing process( assessment, diagnosis, planning, and implementation).
Compatibility with Nursing Practice
Johnson’s behavioral model has a compatibility and has been tested and implemented in research, administration, and nursing practice. The model clearly identified the goal of nursing which is to maintain and restore equilibrium for the patients while they in distress.
Acceptance by the Nursing Community
Practice:
Develop a self-report and observational instrument.
The implementation of the instrument.
Education:
Center on the patient as a behavioral system and its dysfunctions.
Knowledge from the social and behavioral disciplines and the physical and biological sciences.
Acceptance by the Nursing Community cont.
Research:
Explain and identify behavioral system disorders.
Influences to the researcher to choose between two options:
1. Examine the functioning of the system and subsystems.
2. Investigating methods of gathering diagnostic data.
References
Health Behavioral Theory( 2020). Recovered on July 27, 2021, from https://nursing-theory.org/theories-and-models/johnson-behavior-system-model.php
Johnson Behavioral System Model( 2018). Recovered on July 27, 2021, fromhttps://nursology.net/nurse-theorists-and-their-work/johnson-behavioral-system-model/
Dorothy Johnson: Behavioral System Model( 2021). Recovered on July 27, 2021, from https://nurseslabs.com/dorothy-e-johnsons-behavioral-system-model/
Behavioral System Model( 2017). Recovered on July 27, 2021, from https://nursekey.com/behavioral-system-model/#fn1
Behavioral Systems Theory Utilization and Application( 2020) Recovered on July 27, 2021, from https://nursinganswers.net/essays/utilization-application-of-the-behavioral-systems-theory-nursing-essay.php
