Framework For Therapeutic Relationships | Nursing Best Practice Guidelines
A therapeutic nurse-client relationship is defined as a professional, Sometimes during the working phase of the relationship, the LPN may choose to. DEFINITION. The nurse patient relationship is an end result of series of interaction between the nurse and patient over a The orientation phase ends when the nurse and he patient begin to accept each other as a unique human being. The expectations the nurse and the client have of each other and of their relationship are The working or middle phase of the relationship is where nursing.
R; S-sit squarely in relation to client, O-maintain an open position and do not cross arms or legs, L-lean slightly towards the client, E-maintain reasonable and comfortable eye contact, R-relax. These behaviours are effective for communication skills, and are useful for thinking about how to listen to another person.
Empathy Having the ability to enter the perceptual world of the other person and understanding how they experience the situation is empathy.Working Phase of the Nurse-Patient Relationship
This is an important therapeutic nurse behaviour essential to convey support, understanding and share experiences. Patients are expecting a nurse who will show interest, sympathy, and an understanding of their difficulties.
When receiving care patients tend to be looking for more than the treatment of their disease or disability, they want to receive psychological consideration.
During hard times, clients are looking for a therapeutic relationship that will make their treatment as less challenging as possible.
The Nurse-Patient Relationship: Components, Phases & Outcomes
Many patients are aware that a solution to their problems may not be available but expect to have support through them and that this is what defines a positive or negative experience. Past experiences can help the clinician can better understand issues in order to provide better intervention and treatment. The goal of the nurse is to develop a body of knowledge that allows them to provide cultural specific care. This begins with an open mind and accepting attitude. Cultural competence is a viewpoint that increases respect and awareness for patients from cultures different from the nurse's own.
Cultural sensitivity is putting aside our own perspective to understand another person's perceptive. Caring and culture are described as being intricately linked.
Nurse–client relationship - Wikipedia
It is important to assess language needs and request for a translation service if needed and provide written material in the patient's language. As well as, trying to mimic the patient's style of communication e. Another obstacle is stereotyping, a patient's background is often multifaceted encompassing many ethic and cultural traditions.
In order to individualize communication and provide culturally sensitive care it is important to understand the complexity of social, ethnic, cultural and economic. This involves overcoming certain attitudes and offering consistent, non-judgemental care to all patients. Accepting the person for who they are regardless of diverse backgrounds and circumstances or differences in morals or beliefs.
By exhibiting these attributes trust can grow between patient and nurse. It includes nurses working with the client to create goals directed at improving their health status. A partnership is formed between nurse and client.
The nurse empowers patient and families to get involved in their health. To make this process successful the nurse must value, respect and listen to clients as individuals. Focus should be on the feelings, priorities, challenges, and ideas of the patient, with progressive aim of enhancing optimum physical, spiritual, and mental health.
It is stated that it is the nurse's job to report abuse of their client to ensure that their client is safe from harm. Nurses must intervene and report any abusive situations observed that might be seen as violent, threatening, or intended to inflict harm. Nurses must also report any health care provider's behaviors or remarks towards clients that are perceived as romantic, or sexually abusive.
Interviews were done with participants from Southern Ontario, ten had been hospitalized for a psychiatric illness and four had experiences with nurses from community-based organizations, but were never hospitalized. The participants were asked about experiences at different stages of the relationship. The research described two relationships that formed the "bright side" and the "dark side".
The "bright" relationship involved nurses who validated clients and their feelings. For example, one client tested his trust of the nurse by becoming angry with her and revealing his negative thoughts related to the hospitalization.
The client stated, "she's trying to be quite nice to me For example, one client stated, "The nurses' general feeling was when someone asks for help, they're being manipulative and attention seeking ".
One patient reported, "the nurses all stayed in their central station. They didn't mix with the patients The only interaction you have with them is medication time". One participant stated, "no one cares. It's just, they don't want to hear it. They don't want to know it; they don't want to listen". These findings bring awareness about the importance of the nurse—client relationship. Building trust[ edit ] Building trust is beneficial to how the relationship progresses.
Wiesman used interviews with 15 participants who spent at least three days in intensive care to investigate the factors that helped develop trust in the nurse—client relationship.
Patients said nurses promoted trust through attentiveness, competence, comfort measures, personality traits, and provision of information. Every participant stated the attentiveness of the nurse was important to develop trust. One said the nurses "are with you all the time.
Whenever anything comes up, they're in there caring for you". They took time to do little things and made sure they were done right and proper," stated one participant. One client stated, "they were there for the smallest need.
I remember one time where they repositioned me maybe five or six times in a matter of an hour". One said, "they were all friendly, and they make you feel like they've known you for a long time" Receiving adequate information was important to four participants.
One participant said, "they explained things. They followed it through, step by step". Emotional support[ edit ] Emotional Support is giving and receiving reassurance and encouragement done through understanding.
Yamashita, Forchuk, and Mound conducted a study to examine the process of nurse case management involving clients with mental illness.
Nurses in inpatient, transitional, and community settings in four cities in Ontario Canada were interviewed. The interviews show the importance of providing emotional support to the patients.
One nurse stated that if the client knows "Somebody really cares enough to see how they are doing once a week To them it means the world". A nurse stated that "We're with the families. We can be with them as oppositional and overly involved and somewhere else in between, and we're in contact with them as much as they want".
The study reaffirmed the importance of emotional support in the relationship. Humour[ edit ] Humour is important in developing a lasting relationship.
It's also important to respect a patient's boundaries. Some patients feel comforted when their hand is held or they are offered a hug, while other patients may find these actions uncomfortable. Always respect differences in personality and cultures. Showing a genuine interest in the patient's life and situation is another way to encourage a therapeutic nurse-patient relationship. This can be accomplished by taking a few minutes to build rapport with a patient.
It's also supported when you actively listen to a patient. For example, a nurse might say, 'Jane, you mentioned that you're feeling concerned about what the lab tests might reveal. Empathy is another component that is essential to a therapeutic nurse-patient relationship. When a nurse shows empathy, she demonstrates that she understands a patient's feelings. To effectively show empathy, a nurse must be able to pick up on verbal and non-verbal cues shared by the patient.
For example, if a patient is pacing the floor after learning that her cancer has spread, a nurse might say, 'Jane, I see you're tense. How can I help you? Yet, even before the nurse and patient meet, we could say that there is a pre-interaction phase. In this phase, the nurse must become aware of her own personal feelings, fears, and worries about working with a patient.
This self-awareness allows a nurse to accept a patient's differences without judgment. The orientation phase is the period when the nurse and patient first meet and goals are set. The goal of the orientation phase is to build trust and respect. During this phase, the roles and limitations of the relationship are communicated through pleasant greetings, eye contact, and mindfulness of the patient's boundaries.