Nurse – patient relationship

1. Nurse – Patient
Relationship

2. What is interpersonal
relationship?
“ the relationships
between persons”

3. Components of interpersonal
relationship
Scientific principles
Specific communication skills
and strategies
Creative application of self

4. What is
nurse-patient
relatio
nship?

5. What is
the
purpose
of nurse –
patient
relations
hip?

7. Requisites for nurse-patient
relationship
Careful thinking
Sensitiveness
Energy
time

8. Nurses’ roles in nurse-patient
relationship
Care giver
Counselor
Educator
Consultant
researcher

10. 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

11. 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

13. Phases of the nurse-patient
relationship
Pre-interaction phase
Engagement phase
Active intervention phase
Termination phase

14. 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

15. 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

16. 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

17. 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, roles,
and responsibilities

18. 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

19. 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

20. Nurse-professional relationship
why?
To get advice
To educational support
To work related achievements
To self support

21. Nurse-professional relationship
Co…
How?
 Collaboratively
 Cooperatively
With acceptance and self worth
With appreciation
With respect

22. Barriers for effective professional
relationship
Role stress
Lack of inter
professional
understanding
Autonomy struggle

23. 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

24. How
to
prev
ent
role
stres
s?

25. 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

26. What are the
disadvantage
s of role
conflicts?

27. 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.

28. 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.

30. Why do
nurses
need a
relations
hip with
the
family?

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