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Nurse – Patient Relationship

الكلية كلية التمريض     القسم قسم التمريض العام     المرحلة 3
أستاذ المادة عبد المهدي عبد الرضا حسن الشحماني       10/02/2020 08:31:26

















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








(Boggs, 1989)


























What is
nurse-
patient
relatio
nship?























What is
the
purpose
of nurse –
patient
relations
hip?





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



? Reciprocalلدابتم 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,









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















How
to
prev
ent
role
stres
s?









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














What are the
disadvantage
s of role
conflicts?









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.

















? Why do
nurses
need a
relations
hip with
the
family?









Thank you


المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .