Dorothy Johnson: Behavioral Systems Model

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DOROTHY JOHNSON:

BEHAVIORAL SYSTEMS
MODEL
DOROTHY E.
JOHNSON
(AUGUST 21, 1919
– FEBRUARY 1999)
• She was one of the
greatest nursing theorists
who developed the
“Behavioral System
Model”, which was first
proposed in 1968.
JOHNSON’S BEHAVIORAL
SYSTEM MODEL
 Her model was greatly influenced by Florence Nightingale’s
book, Notes on Nursing.
 It advocates the development of effective behavioral
functioning in the patient to prevent illness and stresses the
importance of research-based knowledge about the effect of
nursing care on patients.
GOALS
(1) To assist the patient whose behavior is proportional to social
demands.
(2) To assist the patient who is able to modify his behavior in
ways that it supports biological imperatives.
(3) To assist the patient who is able to benefit to the fullest extent
during illness from the physician’s knowledge and skill.
(4) To assist the patient whose behavior does not give evidence
of unnecessary trauma as a consequence of illness.
ASSUMPTIONS OF THE
BEHAVIORAL SYSTEM MODEL
 The assumptions made by Dorothy Johnson’s theory are in
three categories:
• assumptions about system
• assumptions about structure
• assumptions about functions
THREE FUNCTIONAL REQUIREMENTS
FOR THE SUBSYSTEMS:
(1) The system must be protected from toxic influences
with which the system cannot cope.
(2) Each system has to be nurtured through the input of
appropriate supplies from the environment.
(3) The system must be stimulated for use to enhance
growth and prevent stagnation.
7 SUBSYSTEMS OF THE
BEHAVIOR SYSTEM
MODEL
 Attachment or affiliative subsystem
• Security seeking behavior
 Dependency subsystem
• Nurturance–seeking behavior
 Ingestive subsystem
• Taking in nourishment in socially and culturally acceptable
ways.
7 SUBSYSTEMS OF THE
BEHAVIOR SYSTEM
 Eliminative subsystem
MODEL
• Riddling the body of waste in socially and culturally acceptable ways.
 Sexual subsystem
 Sexual and role identity behavior.
 Aggressive subsystem
• Self–protective behavior.
 Achievement subsystem
• Master of one’s self and one’s environment according to internalized
standards of excellence.
BEHAVIORAL SYSTEM
MODEL AND THE NURSING
PROCESS
 Assessment and Diagnosis of the patient
– nursing care plan
 Evaluation
– based on the balance of the subsystems
STRENGTHS WEAKNESSES
 Dorothy Johnson’s theory  Though the seven subsystems
guides nursing practice, identified by Johnson are said
education, and research; to be open, linked, and
generates new ideas about interrelated, there is a lack of
nursing; and differentiates clear definitions for the
nursing from other health interrelationships among them
professions. which makes it difficult to
view the entire behavioral
system as an entity.

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