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The development of the Intersystem Model.

¹School of Nursing, Azusa Pacific University, California 91702.

Journal of Advanced Nursing

|February 1, 1991

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The Intersystem Model guides nursing practice by assessing nurse and patient interactions, values, and behaviors. This nursing model aims to enhance patient sense of coherence through collaborative care planning.

Area of Science:

Nursing Science
Systems Theory
Health Psychology

Background:

The Intersystem Model is a nursing framework developed at Azusa Pacific University School of Nursing.
It emphasizes the dynamic interaction between nurses and patients/clients within their unique contexts.
The model integrates systems concepts to define the person (individual, family, or community) and their environment.

Purpose of the Study:

To present the Intersystem Model as a guide for nursing curriculum development and practice.
To detail the assessment components of the Intersystem Model, including intrasystem and developmental environment assessments.
To illustrate the application of the Intersystem Model in developing and evaluating a collaborative plan of care focused on enhancing sense of coherence.

Main Methods:

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Assessment of the biological, psychosocial, and spiritual subsystems of the person.
Evaluation of the developmental environment, including positive and negative variables.
Assignment and reassessment of a score for sense of coherence (comprehensibility, meaningfulness, manageability).
Collaborative development of a joint plan of care.

Main Results:

The Intersystem Model provides a structured approach to understanding the complex factors influencing a patient's health situation.
Application of the model facilitates a collaborative process to develop targeted interventions.
The model's effectiveness is demonstrated through its use in a community-based diabetic patient case example.
Rescoring sense of coherence serves as an evaluation metric for the care plan's success.

Conclusions:

The Intersystem Model offers a comprehensive framework for nursing practice and education.
It promotes a holistic assessment and patient-centered care approach.
The model's focus on sense of coherence can empower patients in managing their health problems.
The Intersystem Model facilitates effective intersystem interaction within the nursing process.