nurse – patient relationship. what is interpersonal relationship? “ the relationships between...
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Nurse – Patient Relationship
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What is interpersonal relationship? “ the relationships between persons”
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Components of interpersonal relationship
Scientific principles
Specific communication skills and strategies
Creative application of self
(Boggs, 1989)
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What is nurse-patient relationship?
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What is the purpose of nurse – patient relationship?
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Requisites for nurse-patient relationship
Careful thinking
Sensitiveness
Energy
time
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Nurses’ roles in nurse-patient relationship
Care giver
Counselor
Educator
Consultant
researcher
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Characteristics of good nurse-patient relationship
Relationship is therapeuticExist until patent have fulfilled the health
care needsNurses’ work is to attain, maintain, and
restore the patients’ healthPatients are satisfied Based on nurses’ competent care derived
from skills and knowledge
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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
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Phases of the nurse-patient relationship
Pre-interaction phase
Engagement phase
Active intervention phase
Termination phase (Arnold &
Boggs, 1989)
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Pre-interaction phaseDuring 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
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Engagement phaseBegin to develop the relationshipNurse create a supportive environmentEstablish a therapeutic contact with patientsNurse introduce herself and the role functionsTrust and empathy are basic qualities hereDevelop strong bond and feel less anxietyNurse plays the key role with expertise on
illness Nurse act as a coordinator
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Engagement phase Cont….
Nurse observe and assess patientsDevelop an impression and validate with
patientsPatients 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
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Active intervention phaseThe sense of mutuality is developed
between nurse and patientDiscuss conflicting situations deeplyNurse and patient work with
commitmentNurse sort out problems and solve
themCollaboration and equal participation
is seenAware of the differences of rights,
roles, and responsibilities
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Active intervention phase Cont….
Nurse acknowledge the patients’ feelings, show the genuine interest, and honesty
Nurse should be congruentNurse convince the patient of equal right to
make decisionNobody will play dominant or submissive roleNo violation of patients’ rightsPatients become independent decision makers
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Termination phaseStart at the time of explaining
plans & goalsPatient 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
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Nurse-professional relationship why?
To get advice
To educational support
To work related achievements
To self support
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Nurse-professional relationship Co… How?
Collaboratively
Cooperatively
With acceptance and self worth
With appreciation
With respect
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Barriers for effective professional relationship
Role stress
Lack of inter professional understanding
Autonomy struggle (Northouse & Northouse,
1992)
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Role stressThe stress arises from role
conflict or role confusionRole 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
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How to prevent role stress?
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Prevention of role stressExperienced persons are
responsible
Understand individual capabilities
Identify the individual weaknesses
Assign tasks accordingly
Kindly and duly respond against inexperienced behaviors or faults
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What are the disadvantages of role conflicts?
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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.
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Nurse – family relationshipWho 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.
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Why do nurses need a relationship with the family?
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Thank you