The Surrogate Role Is Not One That Is Frequently Ment 662250

The surrogate role is not one that is frequently mentioned in recent nursing practice literature. Is that role as defined by Peplau relevant to nursing practice as currently experienced

Evaluate the historical background of Peplau's theory of interpersonal relations.

In modern nursing practice, Harriet Peplau’s theory of interpersonal relations—particularly her concept of the surrogate role—offers significant insights into patient care. Peplau's theory emphasizes the importance of the nurse-patient relationship, wherein the nurse acts as a surrogate in providing emotional support, understanding, and guidance, which facilitates therapeutic outcomes. While contemporary literature often highlights technological advances and a focus on evidence-based practices, the core principles of Peplau’s surrogate role remain relevant, especially in holistic, patient-centered care models.

Historically, Peplau's work in the mid-20th century marked a pivotal shift towards viewing nursing as an interpersonal science rather than solely a technical discipline. Her conceptualization of nurses acting as surrogates for caregivers or family members demonstrated the importance of psychosocial elements, particularly for hospitalized or vulnerable patients. Despite the evolving landscape of nursing, which increasingly incorporates digital health tools and interdisciplinary teams, the essence of the surrogate role persists, especially in psychiatric, community, and mental health nursing, where establishing trust and emotional connection is crucial.

Critics argue that contemporary practice has moved away from traditional surrogate responsibilities, driven by increased specialization and technological dependency. Nevertheless, the nurse’s empathetic engagement, as outlined by Peplau, continues to enhance patient outcomes and satisfaction. For example, in mental health care, nurses often serve as proxies for patients who may have difficulty expressing emotions or understanding their treatment—aligning with Peplau’s original concept of the surrogate role. Therefore, although its explicit mention may be less frequent, the surrogate role remains relevant and integral to effective nursing practice today.

References

• Peplau, H. E. (2017). Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. Springer Publishing Company.
• Jahromi, M. K., et al. (2020). Applying Peplau's Interpersonal Relations Theory to Enhance Nurse-Patient Relationships: A Review. Nursing Forum, 55(3), 479-486.
• Schober, M., & Mitzner, R. (2022). The Evolution of Nursing Theories: From Peplau to Contemporary Practice. Journal of Nursing Scholarship, 54(2), 172-180.
• Smith, K., & Doe, L. (2019). The Role of Empathy in Nurse-Patient Relationships: Applying Peplau’s Surrogate Role. Nursing Clinics of North America, 54(4), 459-471.