The Clinical Application of the Johnson's Behavioral System Model and the Challenges of its Application in Nursing; a Systematic Review

The purpose of this study was to review the application of Johnson's behavioral system model in nursing and the challenges of applying this model in nursing.

This research is a systematic review study limited to domestic and foreign studies from 1980 to 2022. The search used domestic and international electronic databases and search engines, including Pubmed, Science Direct, CINAHL, ISC, Google Scholar, SCOPUS, Magiran, and SID. The keywords were (Behavioral Systems Model OR Behavioral Systems Theory) AND (Johnson Nursing Model OR Johnson Nursing Theory) AND (Johnson Model) AND (Clinical OR Trial). Farsi and English keywords were used for searching.

After screening the studies based on the inclusion and exclusion criteria, 17 clinical studies were selected and reviewed. By examining the studied groups, it was found that Johnson's behavioral model has been studied at all ages and can generally be an effective model in practice. However, its implementation may be associated with challenges in some situations and environments. This theory is limited mainly to nursing concerns about the disease and the hospitalized person and is not compatible with nursing's orientation towards health.

Nurses can use Johnson's model and consider the behavioral subsystems of this model in their care of chronic patients. On the other hand, considering that the volume of good studies has been done in Iran and has had positive results, this model can be effective in the nursing field in Iran.