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PNI
Nursing Theory
Dr Mary Bennett
RN,DNSc
Assistant Dean & Associate Professor
College of Nursing
Indiana State University |
Psychoneuroimmunology, often referred to as PNI, is
the study of interactions between ones perception of
the world around them, their behavior, the way their
brain functions, and their immune system. The field of
PNI studies the measurable interaction between
psychological and physiological processes. The
psychological portion is the Psycho aspect, the
central nervous system aspect is the Neuro aspect,
there is an endocrine system aspect, and the body's
defense against external infection and aberrant cell
division is the Immunology aspect.
PNI started from a multifactorial model of
illness which included stress, coping and disease
formation (Engel, 1962). This theory was further
developed by Solomon (1964, 1985, 1987) to include the
effects of stress on the immune system in disease
formation. Later, the term "psychoneuroimmunology" was
coined by Ader (1981) to describe the basic phenomena
of this theory - interactions between the nervous
system and the immune system and the subsequent
effects upon disease development and progression.
Because PNI theory acknowledges the holistic nature of
wellness and illness, it is particularly useful as a
guide for nursing research and practice (Birney,
1991).
Practice Framework Assumptions
1. There are multidimensional factors which affect
well-being, and not all of these factors are physical
or genetic.
2. Psychosocial factors such as stressful life events,
personality traits, and behavioral / lifestyle factors
all have an effect upon the person's well-being.
3. Socio-environmental factors, such as income,
occupation, religion, common social culture, and
family all influence a person’s health related options
and choices that they make.
4. Many of these multidimensional factors are capable
of being modified by a variety of Therapeutic Nursing
Interventions.
(Extract from: Running head: ADVANCED PRACTICE MODEL
Multidimensional Factors Affecting Wellbeing: A Model
for Multi-level Nursing Practice Mary P. Bennett DNSc,
RN. Indiana State University, School of Nursing.)
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Selected Publications:
- Bennett, M. (1998). Use of humor
as a complementary therapy. In C. Clark (Ed.),
Encyclopedia of Complementary Health Practices (pp.
398-399). New York: Springer Publishing Company.
- Bennett, M. (2000). How I ended
up with more web pages than I know what to do with.
In Sketches of Innovators in Education. (2nd ed.,
pp. 37-38). Terre Haute, IN: Indiana State
University Press.
- Bennett, M. (2000). [Review of
the book: Pathophysiology: Biological and Behavioral
Perspectives 2nd edition] Doody’s Health Sciences
Book Review Home Page. Available: http://www.doody.com
Oak Park, IL: Doody Publishing, Inc.
- Bennett, M. (2001). [Review of
the book: Distance Education in Nursing] Doody’s
Health Sciences Book Review Home Page.: Doody
Publishing, Inc.
- Bennett, M. (2001) [Review of the
book: Handbook of Pathophysiology] Doody’s Health
Sciences Book Review Home Page.: Doody Publishing,
Inc.
- Bennett, M. (2001). [Review of
the CD Tutorial: Preceptor: A Nurse's Guide to
Mentoring] Doody's Health Sciences Book Review Home
Page.: Doody Publishing, Inc.
- Bennett, M. (2002). [Review of
the book: Body Fluids and Electrolytes: A Programmed
Presentation, 8th edition] Doody's Health Sciences
Book Review Home Page.: Doody Publishing, Inc.
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