Surrogate Role in Nursing: Hildegard Peplau on Therapeutic Alliance and Patient-Centered Care

Introduction

The idea of the surrogate position in nursing, as proposed by Hildegard Peplau, has taken a back seat in the nursing practice literature. It may not get as much attention as it once did, but the surrogate function is still quite important in modern nursing. A trailblazing nurse theorist, Peplau, argued that the nurse’s role in therapy is to act as a proxy for the patient. The nurse temporarily assumes the role of a pivotal person in the patient’s life to help them better understand, empathize with, and communicate with this person.

Benefits

Surrogate care may seem to be taking a back seat in today’s nursing system, characterized by higher patient acuity, greater emphasis on evidence-based treatment, and technological advances. Upon further inspection, though, its evergreen significance becomes apparent. The surrogate nurse’s primary responsibility is to help the patient and nurse develop a trusting therapeutic alliance (Vogelsang, 2022). The surrogate position offers a helpful framework for nurses to build meaningful connections with their patients in an era when time constraints and technological interfaces can hinder human connection.

When it comes to meeting patients’ comprehensive requirements, the surrogate position is invaluable. In addition to dealing with the physical parts of treatment, patients frequently face emotional, psychological, and social obstacles. Nurses are better able to understand and provide these complex requirements when they assume the position of surrogate. This compassionate understanding improves health outcomes and enhances the patient’s overall well-being.

Additionally, the surrogate role is consistent with patient-centered care ideals, which are fundamental to contemporary healthcare. In an era when healthcare institutions are placing greater emphasis on patient agency and collaborative decision-making, the surrogate role enables nurses to champion patients’ unique beliefs, preferences, and treatment plans. This aligns with the new standard for healthcare decision-making, which emphasizes patient autonomy.

Limitations

Nevertheless, there are still obstacles to completely incorporating the surrogate function into modern nursing practice. Surrogate roles may not be available to nurses due to time restrictions, excessive workloads, paperwork requirements, and technological needs. Furthermore, the surrogate’s intangible yet substantial influence on patient happiness and experience may be under-appreciated because healthcare focuses on quantifiable outcomes.

Conclusion

Thus, the surrogate’s capacity to promote therapeutic interactions, attend to patients’ holistic needs, and align with patient-centered care principles ensures its continued importance. This is true even if it has received less attention in current nursing practice literature. Improving care quality and creating a more patient-centered healthcare environment may be achieved by recognizing and integrating the surrogate position into practice as nursing evolves.

Reference

Vogelsang, L. (2022). Peplau’s theory of interpersonal relations: Application to asynchronous nursing education. Canadian Journal of Nursing Informatics, 17(3-4).

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StudyCorgi. (2026) 'Surrogate Role in Nursing: Hildegard Peplau on Therapeutic Alliance and Patient-Centered Care'. 14 October.

1. StudyCorgi. "Surrogate Role in Nursing: Hildegard Peplau on Therapeutic Alliance and Patient-Centered Care." October 14, 2026. https://studycorgi.com/surrogate-role-in-nursing-hildegard-peplau-on-therapeutic-alliance-and-patient-centered-care/.


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StudyCorgi. "Surrogate Role in Nursing: Hildegard Peplau on Therapeutic Alliance and Patient-Centered Care." October 14, 2026. https://studycorgi.com/surrogate-role-in-nursing-hildegard-peplau-on-therapeutic-alliance-and-patient-centered-care/.

References

StudyCorgi. 2026. "Surrogate Role in Nursing: Hildegard Peplau on Therapeutic Alliance and Patient-Centered Care." October 14, 2026. https://studycorgi.com/surrogate-role-in-nursing-hildegard-peplau-on-therapeutic-alliance-and-patient-centered-care/.

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