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• Components of the nurse-client relationship

الكلية كلية التمريض     القسم قسم التخصصات التمريضية     المرحلة 3
أستاذ المادة عبد المهدي عبد الرضا حسن الشحماني       27/11/2018 19:22:52
• Components of the nurse-client relationship



There are five components to the nurse-client relationship: trust, respect, professional intimacy,
empathy and power. Regardless of the context, length of interaction and whether a nurse is the
primary or secondary care provider, these components are always present.
[OVERLINE]Trust.[/OVERLINE] Trust is critical in the nurse-client relationship because the client is in a vulnerable position.
Initially, trust in a relationship is fragile, so it’s especially important that a nurse keep promises to a
client. If trust is breached, it becomes difficult to re-establish.
[OVERLINE]Respect.[/OVERLINE] Respect is the recognition of the inherent dignity, worth and uniqueness of every individual,
regardless of socio-economic status, personal attributes and the nature of the health problem.
[OVERLINE]Professional intimacy[/OVERLINE]. Professional intimacy is inherent in the type of care and services that nurses
provide. It may relate to the physical activities, such as bathing, that nurses perform for, and with, the
client that creates closeness. Professional intimacy can also involve psychological, spiritual and social
elements that are identified in the plan of care. Access to the client’s personal information also
contributes to professional intimacy.
[OVERLINE]Empathy[/OVERLINE]. Empathy is the expression of understanding, validating and resonating with the meaning
that the health care experience holds for the client. In nursing, empathy includes appropriate
emotional distance from the client to ensure objectivity and an appropriate professional response.
[OVERLINE]Power[/OVERLINE]. The nurse-client relationship is one of unequal power. Although the nurse may not
immediately perceive it, the nurse has more power than the client. The nurse has more authority and
influence in the health care system, specialized knowledge, access to privileged information, and the
ability to advocate for the client and the client’s significant others. The appropriate use of power, in a
caring manner, enables the nurse to partner with the client to meet the client’s needs. A misuse of
power is considered abuse.
College of Nurses of Ontario. (2006). Therapeutic nurse-client relationship. Toronto: Author.


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