Tertiary Prevention

Secondary Prevention
Primary Prevention
Highlights of
the Betty
Neuman theory
o A widespread,
adaptable and holistic
system for nursing
o It focuses on the
response of the client
system to actual or
potential environmental
stressors
o

Environment Focus:
Psychiatric Patients
in the Emergency
Department

U.S.emergencyhealthcaresystem
hasbecometheprimaryaccess
pointformanypeoplewithmental
illness
Itispoorlyequippedtomeetthe
needsofpatientsexperiencing
psychiatriccrises,andmay
actuallycausethemadditional
harm
Changesinpracticeand
environmentarenecessaryto
improvetheexperiencesand
outcomesofpatientsinpsychiatric
crises

Psychiatricnursesareacritical
componentintheprocess,for
providingpatientadvocacy,
The theory is based on
detectingandpreventingiatrogenic
the use of primary,
crises,andassistingin
secondary and
developmentofqualitymeasures.
Great job revising your brochure

tertiary nursing
20/25
prevention intervention
for retention,
attainment, and
maintenance of optimal
client system wellness

ByusingBettyNeuman'ssystems
modelofnursing,thequalityand
outcomesofpsychiatricpatientsin
theemergencydepartmentcould
beimproved

Betty
Neuman
Systems
Theory
Used to improve the quality
of care for psychiatric
patients

Strengths of Neumans
Theory

Focus is on
environmental
stressors which
include interpersonal,
intrapersonal, and
extra personal factors

This focus allows the

nurses responsibility
to be centered on
prevention at the
primary, secondary,
and tertiary levels to
reduce or remove
stressful
Why
is this theory
environmental
useful
to psychiatric

Using Neumans theory to improve quality

in patient care and nursing education
Patient Care

patients in the
emergency
department?
Patients
in psychiatric
crisis are particularly
vulnerable, having
already experienced a
breakdown of their lines
of defense, and this
makes the nurse's
protective role all the

Intrapersonal: Attention to
comfort and basic needs
Interpersonal: Therapeutic
Communication
Extra-personal: quiet
environment

Nursing Education
By making use of psychiatric nurses to
improve quality in patient-care and
nursing education, this topic could be
further explored in nursing education
to improve other health departments

Using Neumans theory to promote QSEN

Patient Centered Care
Providing care that is respectful of
and responsive to individual patient
preferences, needs, and values and
ensuring that patient values guide all
clinical decisions

Teamwork and
Collaboration

Quality Improvements
(QI)
Providing equitable care that
does not vary in quality because
of personal characteristics such
as gender, ethnicity, geographic
location, and socioeconomic
status

Working with an interdisciplinary

health team to reduce wait times and
sometimes-harmful delays for both
those who receive and those who
give care

Safety

Evidenced-based practice
(EBP)

Informatics

According to the 2006 Article by

Ume-Nwagbo PN, nurses' actions,
directed by Neuman's holistic

Avoiding injuries to patients

from the care that is intended
to help them

By incorporating an interdisciplinary group of individuals

into the Emergency Department
via Betty Neumans model, a