Neuman’s System Neuman’s System ModelModel

Shanda Richer RN, BSN, CENShanda Richer RN, BSN, CEN

Christina Jilek RNChristina Jilek RN

Origin of Systems Origin of Systems ModelModel

• Used to teach nursing students.Used to teach nursing students.• The goal of the model was to The goal of the model was to

provide a “wholistic”or holistic provide a “wholistic”or holistic overview:overview:• physiologicalphysiological• psychologicalpsychological• socio-culturalsocio-cultural• and developmental aspects of human and developmental aspects of human

beings. beings. • (Neuman, 2008)(Neuman, 2008)

What is the Neuman What is the Neuman Systems ModelSystems Model

• Views the person as a layered, Views the person as a layered, multidimensional whole that is in multidimensional whole that is in constant dynamic interaction with the constant dynamic interaction with the environment (Heyman & Heyman, environment (Heyman & Heyman, 2000). 2000).

• Main goal is to protect the coreMain goal is to protect the core• How?How?

• Levels of defenseLevels of defense• Stress reactionsStress reactions• FeedbackFeedback• PreventionPrevention

ResearchResearch• NSM(Neuman System Model) NSM(Neuman System Model)

Research InstituteResearch Institute• Purpose of the Research Institute Purpose of the Research Institute

is to formulate and test NSM.is to formulate and test NSM.• Past researchPast research

• Eileen Gigliotti published a research Eileen Gigliotti published a research article in 1999 based on the Neuman article in 1999 based on the Neuman Systems Model( Gigliotti ,1996).Systems Model( Gigliotti ,1996).

• In 2001 over 200 research studies In 2001 over 200 research studies involved Neuman's Systems Modelinvolved Neuman's Systems Model

Research ContinuedResearch Continued• 2001: Wellness and Stressors that Interfere 2001: Wellness and Stressors that Interfere

with the Beduin Woman’s Pursuit of Wellness with the Beduin Woman’s Pursuit of Wellness for Self and Familyfor Self and Family

• 2001: Cultural Research: Application of the 2001: Cultural Research: Application of the Neuman Systems ModelNeuman Systems Model

• 2001: A Nursing Intervention Designed to 2001: A Nursing Intervention Designed to Increase Resilience in Homeless Abused Increase Resilience in Homeless Abused WomenWomen

• 2003: Stanhope and Lancaster researched 2003: Stanhope and Lancaster researched stress due to job loss and the poor economy stress due to job loss and the poor economy (Stanhope & Lancaster, 2003)(Stanhope & Lancaster, 2003)

How is it applied to How is it applied to nursing?nursing?

• NURSING PROCESS BASED ON NURSING PROCESS BASED ON SYSTEM MODELSYSTEM MODEL• Assessment:Assessment:• Nursing diagnosisNursing diagnosis• Outcome identification and Outcome identification and

planningplanning• ImplementationImplementation • EvaluationEvaluation

continuedcontinued

• Neuman Systems Model used in:Neuman Systems Model used in:• All areas of nursing includingAll areas of nursing including

• Public health Public health • Family nursingFamily nursing• Health Policy Health Policy • Nursing education (assessment, Nursing Nursing education (assessment, Nursing

Dx, goals, outcomes)Dx, goals, outcomes)• Psychiatric nursingPsychiatric nursing• ResearchResearch

Neuman and my Neuman and my current nursing current nursing

practicepractice• Guides the practice @ Guides the practice @

SJHS (South Jersey SJHS (South Jersey Healthcare). Healthcare). • Chosen by unit based Chosen by unit based

nursing councilsnursing councils• Most consistent with Most consistent with

SJHS cultureSJHS culture• Is reflected in our Is reflected in our

assessmentsassessments• Supports SJHS mission Supports SJHS mission

and visionand vision

continuedcontinued• Initial assessment used as guide to Initial assessment used as guide to

formulate nursing diagnosisformulate nursing diagnosis• Plan of care developed with Plan of care developed with

identified needsidentified needs• Interventions are formulated as a Interventions are formulated as a

inter- disciplinary group (holistic)inter- disciplinary group (holistic)• Goals are set and outcomes Goals are set and outcomes

evaluated dailyevaluated daily• Patients position on continuum of Patients position on continuum of

wellness based on evaluation wellness based on evaluation outcomes and adjusted accordinglyoutcomes and adjusted accordingly

ReferencesReferences• Neuman, B. (2008). Neuman, B. (2008). Neuman Systems ModelNeuman Systems Model. Retrieved from . Retrieved from

Neuman Systems Model: http://www.neumansystemsmodel.orgNeuman Systems Model: http://www.neumansystemsmodel.org• Neuman, B. (1995). Neuman, B. (1995). The Neuman Systems ModelThe Neuman Systems Model (3rd edition). (3rd edition).

Norwalk, CT: Appleton & Lange.Norwalk, CT: Appleton & Lange.• Gigliotti, E. (1996). Use of Neuman's lines of defense and Gigliotti, E. (1996). Use of Neuman's lines of defense and

resistance in nursing research: conceptual and empirical resistance in nursing research: conceptual and empirical considerations. considerations. Nursing Science Quarterly, 10Nursing Science Quarterly, 10(3), 136-142.(3), 136-142.

• Current Nursing. (2010, January 16). Current Nursing. (2010, January 16). Betty Neuman's System Betty Neuman's System ModelModel. Retrieved March 23, 2010, . Retrieved March 23, 2010,

• from Current Nursing: Open Access Nursing Research and Review from Current Nursing: Open Access Nursing Research and Review Articles: http://currentnursing.com/nursing_theory/Neuman.htmlArticles: http://currentnursing.com/nursing_theory/Neuman.html