Relationship Development

1. Relationship Development Review outline in the note

2. Role of the Psychiatric Nurse • Nursing has evolved through various roles from custodial caregiver and physician’s handmaiden to recognition as a unique, independent member of the professional health care team. • Peplau identified six sub-roles within the role of the nurse: • The stranger. In the beginning, nurse and client are strangers to each other. • The resource person. The nurse provides information related to the client’s health care. • The teacher. The nurse identifies learning needs and provides information required by the client or family to improve the health situation

3. Peplau believed that the emphasis in psychiatric nursing should be on the counseling sub-role. • Peplau and Sullivan, both interpersonal therapists, emphasized the importance of relationship development in the provision of emotional care. • Goals are often achieved through use of the problem-solving model: • Identify the client’s problem. • Promote discussion of desired changes. • Discuss aspects that cannot realistically be changed and ways to cope with them more adaptively. • Discuss alternative strategies for creating changes the client desires to make.

4. Therapeutic Use of Self • Definition – ability to use one’s personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions • Nurses must possess self-awareness, self-understanding, and a philosophical belief about life, death, and the overall human condition.

5. Gaining Self-Awareness • Values clarification is one process by which an individual may gain self-awareness. • Beliefs – ideas that one holds to be true. May be • Rational • Irrational • Held on faith • Stereotypical

6. Attitudes – frames of reference around which an individual organizes knowledge about his or her world. • Attitudes have an emotional component. They may be judgmental, selective, and biased. • Attitudes may be positive or negative. • Values –abstract standards, positive or negative, that represent an individual’s ideal mode of conduct and ideal goals. • Values differ from attitudes and beliefs in that they are action-oriented or action-producing. • Attitudes and beliefs become values only when they have been acted on. • Attitudes and beliefs flow out of one’s set of values.

7. Conditions Essential to Development of a Therapeutic Relationship • Rapport • Trust • Respect • Genuineness • Empathy