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 relationship?

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 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

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 phaseDuring this phase Nurse assess the environment in which the nurse meet with patient Explain the professional goals and set prioritiesBoth parties enter to the relationship with expectationsPatients develop uncertainties and hesitate to comply with care and treatmentsPatient and nurse become oriented to overall needs and expectations from the relationship

Engagement phase

Begin 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

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 helpNurses realize patients through their body languages and help themTherapeutic relationship is well established

Active intervention phase

The 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

Active intervention phase Cont.

Nurse acknowledge the patients feelings, show the genuine interest, and honestyNurse 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

Termination phase

Start 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 phaseNurse 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 confusionRole conflict is a situation that you happen to play a role different from what you expected to playRole stress occur when you are expected to do than what you can doResult in stress and communication is disturbed

How to prevent role stress?

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

What are the disadvantages of role conflicts?

Autonomy struggles What is autonomy?

autonomy is ones ability to be ones 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 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.

Why do nurses need a relationship with the family?

Thank you