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Nurse – Patient Relationship. What is interpersonal relationship? “ the relationships between persons”. Components of interpersonal relationship. Scientific principles Specific communication skills and strategies Creative application of self
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What is interpersonal relationship? “ the relationships between persons”
Components of interpersonal relationship • Scientific principles • Specific communication skills and strategies • Creative application of self (Boggs, 1989)
What is the purpose of nurse – patient relationship?
Requisites for nurse-patient relationship • Careful thinking • Sensitiveness • Energy • time
Nurses’ roles in nurse-patient relationship • Care giver • Counselor • Educator • Consultant • researcher
Characteristics of good nurse-patient relationship • Relationship is therapeutic • Exist until patent have fulfilled the health care needs • Nurses’ work is to attain, maintain, and restore the patients’ health • Patients are satisfied • Based on nurses’ competent care derived from skills and knowledge
Characteristics of good nurse-patient relationship Cont…. • Provide holistic care • Patient/client is an active participant • Nurse uses patients’ knowledge, attitudes, values, and thoughts to plan interventions • Reciprocal relationship influenced by professional and personal characteristics of both parties
Phases of the nurse-patient relationship • Pre-interaction phase • Engagement phase • Active intervention phase • Termination phase (Arnold & Boggs, 1989)
Pre-interaction phase During this phase • Nurse assess the environment in which the nurse meet with patient • Explain the professional goals and set priorities • Both parties enter to the relationship with expectations • Patients develop uncertainties and hesitate to comply with care and treatments • Patient and nurse become oriented to overall needs and expectations from the relationship
Engagement phase • Begin to develop the relationship • Nurse create a supportive environment • Establish a therapeutic contact with patients • Nurse introduce herself and the role functions • Trust and empathy are basic qualities here • Develop strong bond and feel less anxiety • Nurse plays the key role with expertise on illness • Nurse act as a coordinator
Engagement phase Cont…. • Nurse observe and assess patients • Develop an impression and validate with patients • Patients come to know their health issues and feel fear, discomfort, or insecure feelings and expect help • Nurses realize patients through their body languages and help them • Therapeutic relationship is well established
Active intervention phase • The sense of mutuality is developed between nurse and patient • Discuss conflicting situations deeply • Nurse and patient work with commitment • Nurse sort out problems and solve them • Collaboration and equal participation is seen • Aware of the differences of rights, roles, and responsibilities
Active intervention phase Cont…. • Nurse acknowledge the patients’ feelings, show the genuine interest, and honesty • Nurse should be congruent • Nurse convince the patient of equal right to make decision • Nobody will play dominant or submissive role • No violation of patients’ rights • Patients become independent decision makers
Termination phase • Start at the time of explaining plans & goals • Patient should be informed of this phase at the beginning • Otherwise patients develop strong feeling of separation at this phase • Nurse work on education, health advices preparing discharge plan
Nurse-professional relationship why? • To get advice • To educational support • To work related achievements • To self support
Nurse-professional relationship Co… How? • Collaboratively • Cooperatively • With acceptance and self worth • With appreciation • With respect
Barriers for effective professional relationship • Role stress • Lack of inter professional understanding • Autonomy struggle (Northouse & Northouse, 1992)
Role stress • The stress arises from role conflict or role confusion • Role conflict is a situation that you happen to play a role different from what you expected to play • Role stress occur when you are expected to do than what you can do • Result in stress and communication is disturbed
Prevention of role stress • Experienced persons are responsible • Understand individual capabilities • Identify the individual weaknesses • Assign tasks accordingly • Kindly and duly respond against inexperienced behaviors or faults
Autonomy struggles • What is autonomy? autonomy is one’s ability to be one’s own person directed by own desires, not imposed by others. • When this ability is threatened by others autonomy struggles are arose. • People with higher level of autonomy underestimate others bringing struggles.
Nurse – family relationship • Who is the nurse? • What is the family? The group of individuals related by blood, marriage or adopting, and sharing the same space, resources with a common human bond while having common goals.
