Bahan Ajar KDK: Neuman System Model (NSM)


Betty Neuman is a nursing theorist known for her development of the Neuman Systems Model, which is a comprehensive framework for understanding the impact of stress on individuals and their responses to it within the context of nursing practice. Here are the key components of Betty Neuman's theory:

Central Concept - The Patient as a System: Neuman's theory views the individual as a holistic and dynamic system. This system is composed of five interacting components: the physiological, psychological, sociocultural, developmental, and spiritual aspects. These components are interconnected and influenced by the environment.

Stressors and Reactions: Neuman's model emphasizes the role of stressors, which can be both internal and external, in affecting an individual's stability. Stressors disrupt the equilibrium of the system, and individuals respond to these stressors through a range of reactions, which can be adaptive or maladaptive.

Primary, Secondary, and Tertiary Prevention: Neuman's model categorizes nursing interventions into three levels of prevention:

  • Primary Prevention: Focuses on preventing stressors and enhancing the individual's resistance to them. This includes health promotion and education.
  • Secondary Prevention: Concentrates on early identification of stressors and prompt intervention to reduce their impact. This is akin to early diagnosis and treatment.
  • Tertiary Prevention: Focuses on rehabilitation and restoration of the patient's system after stress has occurred.

Lines of Resistance and Defense: Within the Neuman Systems Model, there are lines of resistance and lines of defense. Lines of resistance represent the factors that protect the patient's system from stressors, while lines of defense are the reactions the patient employs when stressors breach their resistance.

The Environment: Neuman's model recognizes the environment as a crucial factor that influences an individual's well-being. The environment encompasses both internal and external elements that can impact the patient's stability.

Holistic Care: The Neuman Systems Model promotes holistic nursing care, addressing not only the physical but also the psychological, sociocultural, developmental, and spiritual aspects of the patient's system.

Adaptation: The ultimate goal of nursing within this framework is to help individuals adapt to stressors and maintain or restore their system's equilibrium.

Betty Neuman's Neuman Systems Model is widely used in nursing practice, education, and research. It provides a comprehensive and adaptable framework for understanding the complex interplay between individuals, stressors, and their environments. Nurses use this model to guide their assessment, planning, and implementation of care, with the ultimate aim of promoting the patient's well-being and stability in the face of stressors.


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