Nurse–client relationship - Wikipedia
Start studying 4 Phases of a Therapeutic Nurse-client relationship. Learn vocabulary, terms, and more with flashcards, games, and other study tools. communication they should establish a relationship, identify the patients' worries and needs, key words: therapeutic communication, (non) verbal, doctor, nurse, patient She introduced the theories of developmental stages of the nurse- pa-. Chapter 2 Therapeutic Nurse-Patient Relationship. qualities of the nurse as helper, the phases of the relationship, facilitative communication.
Studies were identified through an electronic search, using the PubMed, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO databases of peer-reviewed research, limited to the English language with search terms developed to reflect therapeutic interpersonal relationships between health care professionals and patients in the acute care setting.
The Therapeutic Nurse-Patient Relationship
This study found that therapeutic listening, responding to patient emotions and unmet needs, and patient centeredness were key characteristics of strategies for improving therapeutic interpersonal relationships. The concept is also interrelated with that of patient-centered care.
Patient-centered care also known as person-centered or patient- and family-centered care describes a standard of care that ensures the patient and their family are at the center of care delivery. Therefore, the aim of this review is to identify strategies to enhance therapeutic interpersonal relationships between patients and health care professionals in the acute care setting. Methods Integrative review process An integrative review is a research strategy involving the review, synthesis, and critique of extant literature.
In addition, the reference lists of potential papers retrieved were examined to identify any further material that met the inclusion criteria.
Both versions of British and American spellings were used to construct the search strategy as to reflect a systematic and comprehensive approach.
The concept of therapeutic interpersonal relationships is not confined to any specific time period or type of peer-reviewed publication, and so no limitations were placed on these parameters to ensure a broad and diverse scope of knowledge.
Papers that focused on pediatrics and adolescence were also excluded as this review focused on adult patient—staff interaction. In addition, papers involving student cohorts were also excluded as were papers that reported solely on satisfaction surveys. Anything that could comprise the client's well-being if the relationship with a registered nurse is continued or discontinued can be considered a warning sign. Confidentiality[ edit ] This makes the relationship safe and establishes trust.
This photo was taken by Bill Branson Photographer. Nurses are expected to always act in the best interests of the patient to maintain a relationship that is strictly with all intent to only benefit the client. Therefore, in order to help another person, one must consider all these aspects; this means not neglecting the person and strictly just treating the illness. Caring for patients is beyond the treatment of disease and disability.
Background knowledge is the nurse's education, and her life experience. Knowledge of interpersonal and development theory is the knowledge of theories of the sense of self and self influence on others. The specific theories are: Knowledge of person explains that nurses must take the time to understand the client, and their world; what is meaningful to them, and their history.
Knowledge of Health and Illness is the knowledge that the nurse must attain about their client's health issue. Knowledge of Systems explains that the nurse needs to know about the health-care system so they can help their clients access services. You cannot efficiently use one aspect without the other; they are all connected and work together to create a successful relationship.
Nurses assist clients to achieve their health related goals including improving their relationship with others.
- Nurse–client relationship
- Phases of The Therapeutic Relationship
The relationship between nurse and client is a powerful healing force by itself. Self-awareness Self-awareness is an internal evaluation of one self and of one's reactions to emotionally charged situations, people and places. It offers an opportunity to recognize how our attitudes, perceptions, past and present experiences, and relationships frame or distort interactions with others. An example of self-awareness would be acknowledging that showing anger is not a sign of weakness, because there were emotions outside of your control.
Nurses need self-awareness in this relationship to be able to relate to the patient's experiences to develop empathy. Attributes such as being genuine, warm and respectful are a few to mention.
An aspect of respect is respecting an individual's culture and ensuring open-mindedness is being incorporated all throughout the relationship up until the termination phase. It is highly beneficial for the client to incorporate their family, as they may be the most effective support system. Revealing your whole self and being genuine with clients will accomplish the desired nurse client relationship.
In addition, the nurse may also reduce distance to demonstrate their desire in being involved, restating and reflecting to validate the nurse's interpretation of the client's message, directing the conversation towards important topics by focusing in on them. Furthermore, being polite and punctual displays respect for the client in addition to remembering to be patient, understanding, also to praise and encourage the client for their attempts to take better care of their health.
One of the non-verbal factors is listening. Listening behaviours are identified as S. R; S-sit squarely in relation to client, O-maintain an open position and do not cross arms or legs, L-lean slightly towards the client, E-maintain reasonable and comfortable eye contact, R-relax.
These behaviours are effective for communication skills, and are useful for thinking about how to listen to another person. Empathy Having the ability to enter the perceptual world of the other person and understanding how they experience the situation is empathy.
Peplau's Theory - A Nurse/Patient Collaboration - Ausmed
This is an important therapeutic nurse behaviour essential to convey support, understanding and share experiences. Patients are expecting a nurse who will show interest, sympathy, and an understanding of their difficulties.
When receiving care patients tend to be looking for more than the treatment of their disease or disability, they want to receive psychological consideration. During hard times, clients are looking for a therapeutic relationship that will make their treatment as less challenging as possible.
Phases of The Therapeutic Relationship | Nursing Best Practice Guidelines
Many patients are aware that a solution to their problems may not be available but expect to have support through them and that this is what defines a positive or negative experience. Past experiences can help the clinician can better understand issues in order to provide better intervention and treatment. The goal of the nurse is to develop a body of knowledge that allows them to provide cultural specific care. This begins with an open mind and accepting attitude.
Cultural competence is a viewpoint that increases respect and awareness for patients from cultures different from the nurse's own. Cultural sensitivity is putting aside our own perspective to understand another person's perceptive.
Caring and culture are described as being intricately linked. It is important to assess language needs and request for a translation service if needed and provide written material in the patient's language.
As well as, trying to mimic the patient's style of communication e. Another obstacle is stereotyping, a patient's background is often multifaceted encompassing many ethic and cultural traditions. In order to individualize communication and provide culturally sensitive care it is important to understand the complexity of social, ethnic, cultural and economic.
This involves overcoming certain attitudes and offering consistent, non-judgemental care to all patients. Accepting the person for who they are regardless of diverse backgrounds and circumstances or differences in morals or beliefs. By exhibiting these attributes trust can grow between patient and nurse. It includes nurses working with the client to create goals directed at improving their health status.
A partnership is formed between nurse and client. The nurse empowers patient and families to get involved in their health.
Peplau’s Theory – A Nurse/Patient Collaboration
To make this process successful the nurse must value, respect and listen to clients as individuals. Focus should be on the feelings, priorities, challenges, and ideas of the patient, with progressive aim of enhancing optimum physical, spiritual, and mental health.
It is stated that it is the nurse's job to report abuse of their client to ensure that their client is safe from harm. Nurses must intervene and report any abusive situations observed that might be seen as violent, threatening, or intended to inflict harm. Nurses must also report any health care provider's behaviors or remarks towards clients that are perceived as romantic, or sexually abusive.
Interviews were done with participants from Southern Ontario, ten had been hospitalized for a psychiatric illness and four had experiences with nurses from community-based organizations, but were never hospitalized.
The participants were asked about experiences at different stages of the relationship.Reflecting on the Therapeutic Nurse-Client Relationship
The research described two relationships that formed the "bright side" and the "dark side". The "bright" relationship involved nurses who validated clients and their feelings.
For example, one client tested his trust of the nurse by becoming angry with her and revealing his negative thoughts related to the hospitalization. The client stated, "she's trying to be quite nice to me For example, one client stated, "The nurses' general feeling was when someone asks for help, they're being manipulative and attention seeking ".
One patient reported, "the nurses all stayed in their central station. They didn't mix with the patients The only interaction you have with them is medication time".