Johnson’s model is focused primarily on the behavior of patients and only then on their needs. Nursing care is divided into two important stages in theory under consideration, discussed later. During the first stage of observation and care of patients, the nurse should assess their condition. She should determine the presence or absence of behavior-related problems. In time, it is essential to identify deviations in the patient’s mental state and make appropriate rehabilitation, encouraging positive changes. For example, let’s take a woman with a knee injury who does not want to use crutches as support as the attending physician prescribes. Additionally, she refuses her brother’s help, considering him to blame for her injury. During the diagnosis, the nurse identifies violations in the aggressive and dependent behavioral subsystems.
After that, there is a transition to the next stage of patient care, which is expressed in the study of those areas of behavior that deviate from the norm. The medical semester will have to determine which of the behavioral subsystems to first direct its intervention (Rahmani, 2020). By communicating with the attending physician, relatives, or friends, she receives additional information to decide (Rahmani, 2020). During this process, it is important to find out whether the patient had similar injuries in the past and to identify patterns of his behavior then and now.
Completing this stage of diagnosis, the nurse needs to determine the purpose of further care. Depending on the type of behavior deviation, she lists interventions she plans to take in the rehabilitation process. In nursing care, it is important to adjust the psychological support for a woman, based on the data received, to relieve her anxiety and fear of moving on crutches. At this stage, it is important to study the patient’s behavior and predict changes in his psyche during further rehabilitation and make them safe.
Rahmani, B., Aghebati, N., Esmaily, H., & Florczak, K. L. (2020). Nurse-led care program with patients with heart failure using Johnson’s behavioral system model: A randomized controlled trial. Nursing Science Quarterly, 33(3), 204-214.