Nursing Theorist
Nursing Theorist
Nursing Theorist
1. Physiological Needs
o These are the basic needs for human survival, such as:
▪ Air
▪ Water
▪ Food
▪ Shelter
▪ Sleep
o If these needs are not met, the human body cannot function properly. Physiological
needs are the most fundamental and are typically the first priority in human life.
2. Safety Needs
o Once physiological needs are fulfilled, the need for safety and security becomes
prominent. This includes:
▪ Personal security
▪ Financial security
o People seek stability and protection from both physical and emotional harm.
o After the first two levels are satisfied, the need for emotional relationships drives
behavior. Humans are social beings who seek:
▪ Friendship
▪ Intimacy
▪ Family
4. Esteem Needs
o This level is about the need for respect, recognition, and self-worth. There are two
categories:
o Meeting these needs helps individuals feel confident and valuable, contributing to
personal growth.
5. Self-Actualization
o At the top of the hierarchy is self-actualization, which refers to realizing one's full
potential. This may involve:
▪ Personal growth
▪ Creativity
• Sequential Progression: Maslow argued that needs are hierarchical, meaning lower-level
needs must be satisfied before focusing on higher ones.
• Flexibility: While the theory emphasizes hierarchy, Maslow noted that individuals may
experience the order differently based on personal circumstances.
o Deficiency needs (physiological, safety, love, and esteem) arise due to deprivation.
Fulfilling these needs helps avoid discomfort or negative outcomes.
• Cultural Differences: Some argue the theory may not apply universally across all cultures,
as societies have different values and prioritize needs differently.
• Non-linear Needs: Some people may prioritize higher-level needs (like esteem or
belonging) even when lower-level needs (like safety) are not fully met.
• Limited Empirical Support: While the theory is conceptually appealing, empirical evidence
supporting a strict hierarchy of needs is limited.
• Education: Teachers use the theory to address students' basic needs (e.g., ensuring a safe
learning environment) to help them focus on learning and self-development.
• Healthcare: Nurses and doctors consider the hierarchy when treating patients, ensuring
their basic needs (e.g., nutrition, safety) are met to support recovery and well-being.
• Workplace: Employers can create environments that satisfy employees' needs for security,
belonging, and esteem to motivate them and promote job satisfaction.
Conclusion
Maslow’s Hierarchy of Needs provides a valuable framework for understanding human motivation
and behavior. It reminds us that human needs are multi-dimensional and that achieving fulfillment
is a gradual process built upon meeting our basic requirements first. Understanding this theory
helps professionals in psychology, education, healthcare, and management to foster environments
that support well-being and growth.
Sullivan’s Transactional Analysis: Understanding Human Behavior Through Interpersonal
Relationships
Harry Stack Sullivan, an American psychiatrist, contributed significantly to the field of interpersonal
psychoanalysis. His Transactional Analysis (TA), not to be confused with Eric Berne’s model, is
rooted in Sullivan’s interpersonal theory. Sullivan believed that human personality and behavior are
shaped by social interactions. He emphasized that mental health and well-being are closely linked
to how individuals interact with others and how these interactions fulfill their emotional needs.
1. Interpersonal Relationships
2. The Self-System
o Sullivan introduced the concept of the self-system, which is the way individuals
organize their experiences based on interactions with others. The self-system
develops primarily to protect individuals from anxiety, and it acts as a filter,
influencing how people perceive relationships.
▪ Good-me: Experiences that reduce anxiety and are associated with positive
interactions.
▪ Infancy: The child’s initial experiences with anxiety and security are shaped
by the mother or primary caregiver.
o Sullivan’s ideas laid the foundation for Interpersonal Therapy (IPT), which focuses
on improving interpersonal relationships to treat mental health issues like
depression and anxiety.
o The goal of IPT is to help individuals recognize the ways their relationships affect
their emotional well-being and to develop healthier, more supportive connections
with others.
Transactional Patterns
Sullivan believed that human transactions or social exchanges are governed by patterns of
behavior. These patterns develop over time based on past interactions and are reinforced by new
ones. Some important aspects of Sullivan’s transactional patterns include:
o For example, a person may develop a dynamism of seeking reassurance from others
due to early experiences of insecurity.
2. Personifications: These are mental images that people form about themselves and others
based on their interactions. Personifications can be positive or negative and influence how
individuals approach relationships.
3. Parataxic Distortion: This concept explains how individuals often misinterpret present
interactions based on past experiences. It refers to the distortion of reality in interpersonal
relationships when someone projects their past anxieties, insecurities, or expectations onto
current relationships.
o For instance, someone who has experienced betrayal in the past may wrongly
perceive others as untrustworthy, even when there is no evidence to support this
belief.
Sullivan’s emphasis on social interactions as central to mental health has had a lasting impact on
modern psychology and psychotherapy. His work provided the basis for several contemporary
approaches, such as:
• Relational Psychoanalysis: This approach focuses on the idea that the therapist-patient
relationship is crucial for understanding and healing psychological issues.
• Group Therapy: Sullivan’s focus on social dynamics highlights the importance of group
interactions in therapy, where individuals can explore interpersonal behavior in a safe,
controlled environment.
Conclusion
Sullivan’s Transactional Analysis offers a valuable lens through which to view human behavior,
focusing on the central role that interpersonal relationships play in shaping personality and
emotional health. By understanding how social interactions create patterns of behavior,
personifications, and anxieties, individuals can improve their relationships, reduce anxiety, and
promote mental health. Sullivan’s legacy continues to influence modern therapeutic approaches
that prioritize the importance of human connection and communication in fostering well-being.
Von Bertalanffy’s General Systems Theory (GST): A Holistic Approach to Understanding
Complex Systems
Ludwig von Bertalanffy, an Austrian biologist, introduced General Systems Theory (GST) in the
mid-20th century as a way to explain the complex interrelationships in various systems, whether
biological, social, or technological. The theory provides a framework for analyzing systems across
different fields and emphasizes the importance of studying systems as wholes, rather than merely
as collections of individual parts.
1. Definition of a System
o Systems can be open (interacting with their environment) or closed (isolated from
external influences). Most systems in nature and society are open systems,
constantly exchanging matter, energy, and information with their surroundings.
2. Hierarchy of Systems
o Systems exist at multiple levels of complexity. For example, cells form tissues,
tissues form organs, and organs form organisms. These subsystems interact and are
nested within larger systems.
3. Holism
o One of the central ideas of GST is holism, the concept that a system can only be
understood as a whole, not just as a sum of its parts. This means that breaking a
system down into its individual elements and studying them in isolation will not
provide a complete understanding of how the system functions.
o The behavior of the system as a whole cannot be predicted solely from the behavior
of its individual components.
o In von Bertalanffy’s model, most systems are open systems, meaning they
exchange matter, energy, and information with their environment. This concept
contrasts with closed systems, which do not interact with their surroundings.
o Entropy is a key idea in open systems. It refers to the tendency for systems to move
towards disorder or chaos. However, open systems can resist entropy by
maintaining a steady state through continuous exchange with their environment,
thus preserving their structure and function over time.
5. Feedback Mechanisms
o The principle of equifinality in systems theory means that a system can reach the
same final state from different initial conditions and through different paths. In other
words, there is no single way to achieve an outcome, and various approaches can
lead to the same result.
o This concept is particularly relevant in biology, where organisms can adapt and
survive through different strategies depending on environmental conditions.
o All components within a system are interconnected, meaning a change in one part
of the system will impact other parts. This interdependence creates a complex web
of relationships that govern the system’s overall behavior.
o Von Bertalanffy originally developed GST from his work in biology, where he studied
living organisms as systems made up of smaller subsystems. In biology, the theory
helps explain how complex living organisms maintain equilibrium and adapt to
environmental changes.
o In psychology, GST has been applied to understand individuals within the context of
larger systems, such as families, communities, and societies. The family systems
theory is an example, where the family is seen as a system, and the behavior of one
family member affects the others.
o For example, supply chains, financial systems, and customer relationships are all
interdependent components that contribute to the success or failure of an
organization.
4. Cybernetics and Information Systems
o The internet, for example, can be understood as a complex system where websites,
servers, and users interact and influence each other.
• Interdisciplinary Approach: One of the major strengths of GST is its ability to bridge
different fields of study. It can be applied to biology, sociology, psychology, business,
technology, and more, making it a highly versatile framework for understanding complex
problems.
• Adaptability: GST helps explain how systems adapt to changes in their environment. It
recognizes that systems are not static but dynamic and capable of self-regulation and
evolution over time.
• Overgeneralization: Some critics argue that GST is too broad, attempting to explain too
many phenomena across different fields with the same principles. This can lead to vague or
overly generalized explanations that lack specificity.
• Complexity: While GST aims to provide clarity in understanding complex systems, the
theory itself can be complex and difficult to apply in practice, particularly when it comes to
modeling very large or intricate systems.
• Limited Predictive Power: Although GST helps in understanding how systems function, it
may not always provide concrete predictions about future behavior, especially in highly
dynamic or unpredictable environments.
Conclusion
Von Bertalanffy’s General Systems Theory provides a powerful tool for analyzing and
understanding the complexities of systems across various fields. By emphasizing the
interconnectedness, interdependence, and dynamic nature of systems, GST offers a holistic
perspective that encourages cross-disciplinary thinking. Its applications range from biology and
ecology to psychology, business, and cybernetics, making it an influential theory for addressing
modern challenges in an increasingly interconnected world.
Lewin’s Change Theory: A Framework for Understanding Change
Kurt Lewin, a German-American psychologist, is known for developing one of the most influential
models in change management: Lewin’s Change Theory. This theory, often called the Unfreeze-
Change-Refreeze Model, provides a simple yet effective framework for understanding how
organizations, individuals, or systems can implement and sustain change.
Lewin’s model is built on the idea that change is a process involving the modification of a stable
state and that organizations and individuals tend to resist change. To overcome this resistance,
Lewin proposed a three-stage process: Unfreeze, Change, and Refreeze. These stages represent
the sequence necessary to move from a state of stability (the current state) to a new state (the
desired future state).
The first step in Lewin’s model is Unfreezing, which involves getting ready for change by recognizing
the need for it and preparing the organization, system, or individual to move out of the current state.
• Awareness and Recognition: Before change can occur, people need to understand why
change is necessary. This step involves identifying problems or opportunities that demand
change and making these apparent to all stakeholders.
• Challenge the Status Quo: People and organizations are often resistant to change because
they prefer the comfort and familiarity of the current state. Unfreezing requires challenging
the existing norms and habits, which may cause discomfort but is essential for initiating
change.
• Create Motivation: To move forward, there needs to be motivation to change. This can be
done by showing the benefits of the proposed change or highlighting the negative
consequences of maintaining the status quo. Leaders often need to address fears and
anxieties to reduce resistance.
• Stakeholder Engagement: Involve stakeholders early to ensure they understand the reasons
behind the change.
• Training and Education: Provide training or information that helps people understand the
benefits of change.
Once the organization or individual is "unfrozen," the next stage is Change. This is the period of
transition where new behaviors, processes, or systems are introduced.
• Implementation of New Behaviors or Processes: During this stage, the actual change
occurs. New practices, tools, or mindsets are introduced, and people begin to adapt to
them.
• Learning and Adaptation: People need time to understand and accept the changes, and
they must be supported through this learning process. During this stage, uncertainty is
common, and clear guidance, support, and open communication are crucial.
• Coaching and Mentoring: Provide support to help individuals navigate the transition.
• Clear Vision and Leadership: Ensure leaders have a clear vision and communicate the
steps to reach the new state.
• Pilot Testing: Test new systems or processes in small-scale pilots before full
implementation.
The final stage, Refreezing, involves solidifying or "freezing" the new state so that it becomes the
new normal.
• Institutionalize New Behaviors: For the change to be permanent, new behaviors and
processes need to be embedded in the organization’s culture or the individual’s daily
routine. Without refreezing, people may revert to old habits.
• Create Stability: In this phase, systems, processes, and behaviors stabilize, and people
become comfortable with the new state. It's important to ensure that the changes are
reinforced and become part of the organization’s or individual’s standard operating
procedures.
• Celebrate Success: Recognizing and celebrating the success of the change helps reinforce
the benefits of the new way and motivates continued adherence to the new practices.
• Positive Reinforcement: Reward and recognize individuals or teams who have successfully
adopted the change.
• Embedding Change in Culture: Integrate new behaviors into the culture or routine to make
the change permanent.
One of Lewin’s important contributions to understanding change is his Force Field Analysis. This
model identifies the driving forces that push for change and the restraining forces that resist
change. By analyzing these forces, organizations and individuals can better plan for and manage
the change process.
• Driving Forces: These are factors that support and encourage change. Examples include
market demands, technological advancements, competition, or internal dissatisfaction
with current processes.
• Restraining Forces: These are factors that resist or push back against change. Examples
include fear of the unknown, loss of security, lack of resources, or organizational inertia.
• Balancing Forces: The key to successful change lies in tipping the balance by increasing
driving forces or reducing restraining forces. If restraining forces are too strong, change will
be resisted or unsuccessful.
Lewin’s Change Theory is widely used in various sectors, including healthcare, education, business,
and public administration, to facilitate effective change. Below are some examples of its practical
applications:
• Business: Organizations often use Lewin’s theory for restructuring, mergers, or introducing
new management strategies. For example, a company that wants to adopt a customer-
centered approach might begin by unfreezing through surveys to reveal customer
dissatisfaction, followed by changes in service training, and refreezing by institutionalizing
customer feedback systems.
• Education: Lewin’s model can be applied in schools or universities when implementing
new curricula, teaching strategies, or learning technologies. Teachers may unfreeze by
recognizing the limitations of traditional teaching methods, then transition to new
instructional strategies, and finally refreeze when these new methods become a consistent
part of the learning process.
• Simplicity and Clarity: Lewin’s model is straightforward, making it easy to understand and
apply across different contexts.
• Focus on Behavior: The model emphasizes the need to understand and influence human
behavior, acknowledging that change is often resisted because of psychological or social
factors.
• Too Simplistic for Complex Changes: Some critics argue that the model’s simplicity does
not fully capture the complexity of modern organizational change, where changes are
continuous and non-linear.
• Static View of Change: Lewin’s model assumes that once change is implemented, a new
stable state can be achieved. In reality, organizations and environments are constantly
changing, and there may be no "refreeze" in a rapidly evolving context.
Conclusion
Kurt Lewin’s Change Theory remains a valuable framework for understanding and managing
change, both at the individual and organizational levels. Its emphasis on preparation (unfreeze),
transition (change), and consolidation (refreeze) provides a clear process for addressing resistance
and achieving lasting change. Despite its simplicity, the model continues to influence change
management strategies across diverse fields, from healthcare to business and education.
Erikson’s Psychosocial Development Theory
Erikson’s theory builds on the idea that human development is shaped not only by biological and
psychological factors but also by social and environmental influences. Successful resolution of the
conflicts at each stage leads to healthy development, while failure may result in difficulties in future
stages.
Erikson’s theory outlines eight stages of development that span from infancy to late adulthood.
Each stage presents a conflict or crisis, which is a turning point in development. How an individual
resolves each conflict shapes their personality and psychological well-being.
• Description: In this stage, infants depend on their caregivers for stability and consistency in
care. If caregivers are responsive and consistent in meeting the infant’s needs, the child
develops a sense of trust. This forms the foundation for trusting relationships later in life. If
not, mistrust may develop, leading to anxiety, insecurity, and suspicion.
• Description: As toddlers start to explore their environment, they strive for autonomy.
Encouraging them to try new things, like dressing themselves or making choices, fosters
independence. However, overly controlling or criticizing caregivers may cause the child to
feel shame or doubt their abilities, leading to decreased confidence.
• Description: In this stage, children begin to assert control and power over their
environment through initiating activities, playing, and social interactions. Success leads to
a sense of initiative and purpose. However, if children are discouraged or punished for their
attempts, they may develop guilt about their desires and actions, leading to hesitation in
pursuing goals.
• Description: During this stage, children focus on learning new skills, gaining competence,
and seeking approval from peers and teachers. Successful experiences help the child
develop a sense of industry and confidence in their abilities. Conversely, repeated failures
or lack of encouragement can lead to feelings of inferiority and incompetence.
• Description: Young adults seek to form intimate, loving relationships. Success leads to
healthy, fulfilling relationships and a sense of commitment, care, and shared connection.
Those who struggle to form these bonds may experience loneliness and emotional
isolation.
• Description: In this stage, adults strive to create or nurture things that will outlast them,
such as raising children, contributing to society, or creating positive change in their careers
or communities. Success leads to feelings of usefulness and accomplishment. Failure,
however, may result in stagnation, where individuals feel disconnected or unproductive.
• Description: In the final stage of life, individuals reflect on their lives. If they look back with
a sense of fulfillment and satisfaction, they achieve ego integrity, leading to feelings of
wisdom and completeness. If they feel regret or failure, they may experience despair,
fearing that their life was wasted.
• Psychosocial Conflict: At each stage, individuals face a conflict or crisis that must be
resolved. Successful resolution leads to the development of a positive psychological
quality, while failure can lead to a less favorable outcome.
• Virtue: Each stage leads to the development of a virtue, which is a strength or characteristic
that helps individuals navigate future stages of life.
1. Lifespan Perspective: Erikson’s theory is one of the few that considers development across
the entire lifespan, emphasizing that growth and change occur even in adulthood.
2. Social Emphasis: The theory highlights the importance of social and environmental factors
in shaping personality, recognizing that relationships and cultural context play a critical role
in development.
1. Cultural Bias: Erikson’s theory was developed primarily in Western cultures, and some
critics argue that it may not fully apply to non-Western societies, where the values and
social expectations may differ.
2. Stage Rigidity: Critics suggest that the stages may not be as distinct as Erikson proposed,
and that development may be more fluid, with individuals revisiting conflicts or virtues at
different points in life.
3. Focus on Crises: Some argue that Erikson’s emphasis on crisis resolution at each stage
overlooks the importance of gradual, non-crisis-related development.
Erikson’s theory is widely used in fields such as psychology, education, and healthcare. It provides
a framework for understanding how social relationships and experiences shape an individual’s
development across their lifespan. Some applications include:
• Parenting and Education: Understanding the needs and challenges of children at each
stage can help parents and educators provide appropriate support and guidance, fostering
trust, autonomy, and initiative.
• Counseling and Therapy: Therapists use Erikson’s stages to help clients explore
unresolved conflicts from earlier stages of life, such as identity issues in adolescence or
intimacy challenges in young adulthood.
• Geriatric Care: In later stages of life, Erikson’s theory can guide care providers in helping
older adults achieve a sense of ego integrity, supporting them in reflecting positively on their
lives and resolving any lingering feelings of despair.
Conclusion
At the preconventional level, a child's sense of morality is externally controlled. They view rules as
fixed and absolute, with morality based on consequences rather than any internalized moral code.
o This stage is centered on avoiding punishment. A child believes that behavior is right
or wrong based on whether it leads to punishment or reward. Authority figures, such
as parents or teachers, determine right and wrong.
o Example: A child might say, "If I steal, I will get punished, so I won’t steal."
o At this stage, children recognize that others have their own needs and perspectives.
Morality is based on self-interest and the idea of mutual benefit—"you scratch my
back, and I’ll scratch yours." Actions are deemed right if they meet personal needs
or lead to a reward.
o Example: A child might say, "I’ll help you if you help me."
In the conventional level, individuals start internalizing moral standards set by authority figures.
However, morality is still primarily determined by societal norms and expectations rather than
personal principles.
o Moral decisions are based on social approval and the desire to be perceived as
"good" by others. Individuals are concerned with maintaining relationships and
conforming to social expectations.
o Example: A teenager might say, "I’ll be nice because I want people to like me."
o In this stage, individuals become more concerned with maintaining law and order.
Morality is seen as upholding laws, rules, and authority, regardless of the
circumstances. A sense of duty to society drives behavior, and laws are valued as
essential for the common good.
o Example: An adult might say, "Stealing is wrong because it’s against the law, and
laws keep society functioning."
At the postconventional level, individuals recognize that moral principles can transcend laws and
societal norms. They rely on abstract reasoning and personal principles when making moral
decisions.
o Individuals recognize that laws are social contracts rather than rigid rules, and they
may challenge laws if they infringe on individual rights. The focus is on the greatest
good for the greatest number and the importance of protecting individual freedoms
and human dignity.
o Example: A person might argue, "Even if it’s illegal, civil disobedience can be morally
justified if it helps to promote social justice."
• Stage 6: Universal Ethical Principles
o The final stage involves reasoning based on abstract, universal ethical principles like
justice, equality, and respect for human dignity. These principles are self-chosen
and often more important than laws. People at this stage follow their conscience
even if it leads to personal sacrifice.
o Example: A person might say, "I must act against this law because it violates human
rights, even if I face punishment."
• Progression through Stages: Kohlberg believed that people move through the stages
sequentially, although not everyone reaches the postconventional level.
• Moral Reasoning vs. Moral Behavior: Kohlberg’s theory focuses on moral reasoning, which
is not always reflected in actual behavior. A person may reason at a high moral level but still
behave contrary to those principles.
• Cultural and Gender Considerations: Kohlberg’s theory has been criticized for focusing on
Western, individualistic perspectives. Carol Gilligan, a feminist psychologist, argued that
Kohlberg’s theory overlooked the moral reasoning styles of women, who may emphasize
care and relationships over abstract principles like justice.
Applications in Nursing
Kohlberg’s theory is useful for understanding the moral development of patients, colleagues, and
even oneself. Nurses can assess how individuals make ethical decisions, considering their level of
moral reasoning. It is especially relevant in ethical dilemmas in healthcare settings, where
balancing laws, patient rights, and personal values is crucial.
Examples in Nursing:
• Preconventional: A young child in a hospital may follow the rules because they fear
punishment (like losing privileges) rather than understanding why the rules exist.
• Conventional: A nurse may follow hospital policies strictly because they represent societal
laws, without considering exceptions based on patient needs.
Kohlberg’s theory provides insight into how people develop the ability to reason through moral and
ethical issues, making it an important framework for nursing practice and ethics.