Designing a nursing care plan based on Johnson's behavioral model in patients with wrist joint hematoma: A case study

Abstract

BACKGROUND Nurses can diagnose patients' problems using Johnson's pattern of behavior. This model is applicable and nurses can design and implement patient-based care in a clinical setting based on this model. This study was designed to use Johnson's behavioral model in the care of a middle-aged woman suffering from pain, edema and severe left wrist hematoma. Methods This study was conducted with the aim of determine the nursing care plan based on Johnson's behavioral model in patient with wrist joint hematoma in Iran since December 27, 2019 to January 4, 2020, on a case referred to Poursina Hospital in Rasht, Guilan Province, Iran. After assessing the patient, we propound seven main nursing diagnoses and planned them in 9 days according to the model. Results After evaluating the patient, the care program was implemented based on Johnson's behavioral model. We achieved caring goals after the intervention. Her appetite and sleep were better, and she became aware of the side effects of her lack of diet and care. She made more efforts to self-care. By using Johnson's care system after 9 days of inpatient care, she has improved her sense of independence, range of motion, self-esteem, sleep quality, increased desire for food, improved excretion and constipation, and we adjusted to reduce libido and use complementary therapies to improve it. Conclusion This model can be used as a general framework in the hospital to diagnose problems, evaluate and design a care program.

The impact of implementing a nursing care program based on Johnson's model on the behavioral systems of patients undergoing coronary artery bypass graft: a Randomized clinical trial

“…Based on the ndings of the present study, there was a decrease in the patient's problems with regard to the dependency subsystem. In line with the results of our study, Karkhah et al reported improvement in the dependency subsystem as a result of a nursing care program based on Johnson's behavioral model in a patient with hematoma of the wrist joint who was admitted in Poursina Hospital in Rasht, Iran, in 2020 [20]. Suffering from heart disease is a source of stress for the patient and the family, and as a critical condition, it can disrupt the functioning and dynamics of the individual and the family.…”

“…In Karkhah et al, the interventions performed to diagnose anorexia included the following: checking the patient's nutritional status, water and electrolytes, checking the patient's weight, asking the family for help in decorating the patient's food, and encouraging the patient to frequently consume food in small quantities. Based on their results, the patient's unstable behaviors regarding the ingestive subsystem were reduced following the use of Johnson's behavioral system model [20], which is in line with the results of the present study. Disease-associated malnutrition has detrimental effects on the healing process, leading to an increase in infection, delayed recovery, prolonged hospitalization, increased hospital costs, and mortality.…”

Nursing care based on Dorothy Johnson's Behavioral System Model in Coronary Artery Disease: A case report

“…However, studies also show that the model is useful in planning an effective nursing care [6,7,10,11]. The international literature has revealed that the model has a positive effect on nursing outcomes in different studies based on the Behavioural System Model in their theoretical frameworks [5,9,12,13]. It is very important to provide behavioural change in chronic diseases.…”

“…Each subsystem consists of four structural elements. These elements are drive, set, choice, and action [8,9]. Furthermore, in the model, Johnson classifies nursing diagnoses as various "insufficiency, discrepancy, incompatibility, and dominance" based on the individual's problems with these diagnoses.…”

“…As a result, the nursing intervention is evaluated by directly observing the individual's behavior or performance. [9].…”