NURSE-CLIENT RELATIONSHIP RATING (Adapted from McNaughton, 2005) Age:_______ Gender:___________ Instruction:1. Please be honest in rating in every item. Your honesty will depict the reliability of the data gathered.2. Write the number of home visitation to your client/family assigned.3. Put a check (√) marks on the specific scores to indicate the quality of achievement that describes as follows: Score 1 2 3 4 Description not effective or Mild effectiveness Moderate Very effective barely effective effectiveness Interpretation This means that This means that This means that This means that building nurse- building nurse- building nurse- building nurse- client relationship client relationship client client has been stressful is still mutually relationship is in relationship is and disorganized coping and its mutual productive base or not successful. adjusting functioning on their contract level. or agreement. Quality of ORIENTATION PHASE achievement 1 2 3 4 1. Nurse introduces his/herself to the patient and client shows accommodation. 2. Initiating a therapeutic contract by establishing a time, place and duration of each meeting as well as the length of time the relationship will be in effect 3. Demographic data of Client had been identified and collected completely. 4. Determines their client’s health condition accurately. 5. Determines client’s health need and prioritized according to client’s open and honest discussion. 6. Client shows interest in the topic openly discussed. 7. Rapport established by demonstrating acceptance with each other. 8. Built open communication by establishing trust with each other.
WORKING PHASE Quality of achievement1. Continuity in assessing the clients/family’s need, coping strategies, 1 2 3 4 strategies, strengths and weaknesses.2. The consistency and continuity of home visitation achieved as stipulated on specific date3. Find means and solutions by discussing and sharing each other with ease and understanding.4. Enhance or broaden a client’s/family’s information and knowledge base on health and related matters5. Deepened your awareness in understanding your attitudes and values, sense of social awareness; genuine concern and desire to help and serve your client/family as home visitation progresses6. There is a presence of signs of improvement on specific skills and abilities related to health and health care of your client/family as a whole.7. There are changes in personal habits, behavior patterns or lifestyle of your client/family in order to promote letter health.8. There is optimum mutual active participation and collaboration in the implementation of the solutions specifically in the preventive and control practices of illness.