International Archives of
Nursing and Health Care
Bademli and Duman. Int Arch Nurs Health Care 2017, 3:079
Volume 3 | Issue 3
DOI: 10.23937/2469-5823/1510079
Open Access
ISSN: 2469-5823
Citaton: Bademli K, Duman ZC (2017) Conceptual Framework for Nurses in the Use of the Neuman
Systems Model on Caregivers of People Sufering by Schizophrenia. Int Arch Nurs Health Care 3:079.
doi.org/10.23937/2469-5823/1510079
Received: July 25, 2017: Accepted: September 18, 2017: Published: September 20, 2017
Copyright: © 2017 Bademli K, et al. This is an open-access artcle distributed under the terms of
the Creatve Commons Atributon License, which permits unrestricted use, distributon, and
reproducton in any medium, provided the original author and source are credited.
Bademli and Duman. Int Arch Nurs Health Care 2017, 3:079 • Page 1 of 5 •
Conceptual Framework for Nurses in the Use of the Neuman Sys-
tems Model on Caregivers of People Sufering by Schizophrenia
Kerime Bademli
1
* and Zekiye Çetnkaya Duman
2
1
Faculty of Nursing, Akdeniz University, Turkey
2
Faculty of Nursing, Dokuz Eylul University, Turkey
*Corresponding author: Kerime Bademli, PhD, Assistant Professor, Faculty of Nursing, Akdeniz University, Turkey, Tel:
+90-242-3106910, Fax: +90-242-2261469, E-mail: kerimedemirbas@akdeniz.edu.tr
framework and providing a holistc viewpoint [1]. While
developing the systems model, Neuman used Gestalt,
systems and stress adaptaton theories. The Neuman
Systems Model has a dynamic structure that provides
a systems-based holistc viewpoint and is based on the
protecton of environmental factors in relaton to the
system, which is oriented to the state of wellness, and
the system balance with regard to these factors [2]. The
Neuman Systems Model shows a comprehensive con-
ceptual structure related to stressors, reactons given
against stressors and protectve interventons. In the
model, the system approach is taken as basis and it is
explained how the system remains in balance against
the stressors. In the Neuman systems model, the pa-
tent is considered a system and it is clarifed that the
system has its lower segments and these segments are
interrelated. According to Neuman, a human being is an
ever-changing open system that is in mutual interacton
with the environment. The Neuman client system may
be an individual, a family, a group or a community. The
client system is addressed in a holistc manner in the
model and is considered as the combinaton of fve vari-
ables that afect each other, namely the physical, psy-
chological, socio-cultural, developmental, and spiritual
variables [2,3].
Neuman describes a human being as a basic struc-
ture surrounded by successive rings as a system. The
successive rings in the model consttute the lines of de-
fense. The lines of defense are defned as fexible lines
of defense, normal lines of defense, and the lines of
Abstract
Nursing knowledge is shaped by nursing conceptual mod-
els and nursing theories. Nursing theories and models ex-
plain the basic metaparadigm concepts related to nursing
discipline and the correlation between these concepts, and
focus on the role of nursing. Models bring a point of view
on nursing and direct nursing practices. Conceptual mod-
els in nursing bring a common meaning to the basic con-
cepts of nursing. It is important to use the nursing model
as guideline in the practices. In this study, the philosoph-
ical and theoretical basis of the Neuman Systems Model,
the model’s description, and its use on caregivers of pa-
tients with schizophrenia took place. The Neuman Systems
model provides the nurse with a conceptual framework and
contributes to provide a holistic care while working with
caregivers of patients with schizophrenia. The Neuman
Systems model provides the nurse with a comprehensive
assessment in terms of caregiving and explains how the pri-
mary, secondary and tertiary prevention interventions can
be used in problem-solving. Using the Neuman Systems
Model to help understand the environmental forces that im-
pact the client system will offer nurses insight into the fami-
ly’s coping ability. At this point, the Neuman Systems Model
provides nurses with a comprehensive viewpoint regarding
how schizophrenia affects caregivers, and helps nurses
plan and implement interventions to empower coping of the
caregivers of schizophrenic patients.
Keywords
Neuman systems model, Schizophrenia, Family, Caregiver,
Coping
REVIEW ARTICLE
The Neuman Systems Model is a suitable model for
guiding the nursing studies and practces in terms of
ofering a systems-based comprehensive conceptual