Dorothy E.Johnson Vanderbilt University School of Nursing Class of 1942 • In 1968 Dorothy first proposed her model of nursing care as fostering of “the efficient and effective behavioral functioning in the patient to prevent illness” • She also stated that nursing was “concerned with man as an integral whole and is the specific knowledge of order we require” • In 1980 Johnson published her conceptualization “Behavioral system model for nursing” “an external regulatory force which acts to preserve the organization and integration of the patient’s behavior at an optimal level under those conditions in which the behavior constitutes a threat to physical or social health, or in which illness is found” • Whose behavior is commensurate with social demands. • Who is able to modify his behavior in ways that support biologic imperatives. • Who is able to benefit to the fullest extent during illness from the physicians knowledge and skill. • Whose behavior does not give evidence of unnecessary trauma as a consequence of illness. • Goal – the motivation for behavior • Set – the individual’s predisposition to act in certain ways to fulfill the function of the subsystem. • Choice – the individual’s total behavioral repertoire for fulfilling subsystem functions, which encompasses the scope of action alternatives from which the person can choose. • Behavior – the individual’s physical manifestation • “Protected from noxious influences with which the system cannot cope” (Johnson, 1980). • “Nurtured through the input of appropriate supplies from the environment” (Johnson, 1980). • “Stimulated for use to enhance growth and prevent stagnation” (Johnson, 1980). Person Environment Health Nursing A system of independent parts with patterned, repetitive, purposeful ways of behaving. A behavioral system composed of 7 subsystems. All forces that affect the person and influence the behavioral system Health is reflected by the organization, interaction, interdependen ce, and integration of subsystem of the behavioral system Promotion of behavioral system balance and stability; an external regulatory force that acts to preserve the organization and integration of the client's behavior at optimal level under those condition, which the behavior constitutes a threat to physical or social health, or which illness is found • Johnson’s Behavioral System Model is a model of nursing care that advocates the fostering of efficient and effective behavioral functioning in the patient to prevent illness. The patient is identified as behavioral system composed of seven behavioral subsystem: affiliative, dependency, ingestive, eliminative, sexual, aggressive and achievement. • The three functional requirements for each subsystem include protection from noxious influences, provision for nurturing environment, and stimulation for growth.