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Essay / Research Paper Abstract
This 13 page paper explores Dorothy Johnson’s behavioral system model of nursing, which suggests that individuals are made up of “subsystems” which must be kept in balance. Annotated bibliography lists 10 sources.
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13 pages (~225 words per page)
File: D0_HVdjnson.rtf
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model of nursing. Discussion This discussion has to begin with a disclaimer: it has been extremely difficult to find articles on Dorothy Johnson, despite her status as one of the
influential thinkers in nursing theory. Scanning dozens of databases for journal articles yielded very few results (or at least few that were full-text and not merely citations). Part of the
difficulty may be that she did most of her most influential work more than 20 years ago. Another problem appears to be that her theory has been overshadowed by the
work of others such as Orem. We begin with an article that serves as a solid introduction to the subject: W. Reynolds and D.F.S. Cormack are the authors of
"An evaluation of the Johnson Behavioural System Model of Nursing." They describe Johnsons system, list the questions they need to be asked to test it, do so, and then present
the results. Because this article is probably the most useful for discussing the subject, it is treated in some detail. Thesis and major points: The authors argue that Johnsons
system is only partially effective. The Johnson system is a way of seeing the individual as a living system in "constant interaction with the environment" (Reynolds and Cormack, 1991, p.
1123). Within this main system are eight subsystems: the "ingestive, eliminative, affiliative, dependency, sexual, aggressive-protective, achievement, and restorative" (Reynolds and Cormack, 1991, p. 1123). If Johnsons theory is correct, the
interaction of these subsystems determines such things as how well the individual responds to treatment; in fact, illness is seen as a sort of "malfunction" of one or more of
the subsystems, and if the nurse can determine which one it is, he or she can perhaps devise appropriate interventions (Reynolds and Cormack, 1991). Or can they? That is one
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