The document discusses interpersonal relationships and the nurse-patient relationship. It defines the nurse-patient relationship as an interaction process where the nurse uses their professional knowledge and skills to help patients physically, socially, and emotionally. A meaningful relationship is based on ongoing communication, mutual respect, and trust. The purpose of the therapeutic relationship is to promote insight, behavioral change, self-realization, and help identify nursing approaches to achieve patient goals. Conditions like rapport, trust, respect, genuineness, and empathy are important for building an effective therapeutic relationship.

2. INTERPERSONAL
RELATIONSHIP
Prepared by:
Purvi patel

3. INTERPERSONAL RELATIONSHIP
 Interpersonal relationships are social
associations, connections, or affiliations
between two or more people.
An interpersonal relationship is the nature
of interaction that occurs between two or
more people.
 Your interpersonal relationships may occur
with friends, family, co-workers, strangers,
room participants, doctors or clients.

4. DEFINITION
 “Nurse patient relationship is an interaction
process in which the nurse fulfills her role by using
her professional knowledge and skill in such a
way that she is able to help the patient physically,
socially and emotionally.
By Bimla Kapoor, 2002
 “A meaningful ongoing communication with the
client in an atmosphere of mutual respect and
trust whereby close helping relationship will be
established which allows the nurse and the client
to work collaboratively.”
By Wanda, K Mohr, 2006

5.  The nurse patient
relationship is a helping
relationship that is
therapeutic in nature,
and is established to
meet the needs of
patients and is based
on trust and respect.
 Interpersonal
communication
techniques both verbal
and nonverbal are the
tools of psychological
intervention

6. PURPOSES
 To bring insight and behavioral change.
 To develop mutual growth between two individuals.
 To promote self realization, self acceptance and
increase self respect, self identity.
 To identify appropriate nursing approaches.
 To achieve developmental goals.
 To nurture the clients illness.
 Helps the client to communicate freely.
 Accountability of health can be achieved.
 Assists the client to identify present problems.
 Helps the client to find out a new alternative for his
problem

7. TYPES OF RELATIONSHIP
 Social relationship
 Man is a social being
and he cannot live
alone. He will establish
relationship with others
to meet their individual
needs both individuals
are equally involved
and are concerned with
one another.
 E.g. – colleagues,
neighbours.

8.  Therapeutic
relationship
 The relationship
between nurse and the
client, where both of
them are working
together. The
therapeutic relationship
previous difficulties
may be solved and
present difficulties are
expressed and the
nurse will assist the
client to solve problem
by adopting new
coping strategies.

9. CONDITIONS USED IN THERAPEUTIC
RELATIONSHIP
 Rapport:
 in relationship development getting familiarised
and founding rapport is the primary task.
 Trust:
 Its is basis of A therapeutic relationship. without
establishing trust , the helping relationship will not
progress. it must be earned, and trustworthiness is
demonstrated through the nursing interventions that
convey a sense of warmth and caring of patient.
 Keep promises
 Ensure confidentiality

10.  Respect: show respect is to believe in the dignity
and worth of an individual. A nurse should be able to
respect her patient.
 Addressing by her name
 Spending time with her
 Genuineness: the concept of authenticity cites the
nurse’s capability to be honest, open and real in
interaction with the patient. The patient with trust and
honesty , the patient feels comfortable revealing
personal information to the nurse.
 Empathy: empathy is a process where in an
individual is able to see beyond external behaviour
and believe in another’s experience at a given time.
 The nurse can accurately perceive and understand
the meaning and relevance the patients thoughts.

11.  Power:
 the power of the nurse comes from the authority of
his/her own position in the health care system,
specialized knowledge, influence with other health
care providers and the patient, and access to
privileged information.
 Intimacy:
 Intimacy is associated with the kind of actions nurses
do for and with the patient, which make personal and
private nearness on many levels. This can invlove
emotional, physical and spiritual elements.

12. PRINCIPLES
 Treat the client as an individual
 Accept the client as he is
 Aware total needs of the client
 Emotional involvement is essential
 Encourage the clients feeling
 Honest and open communication is needed
 Engage in active listening
 Discuss own fears with qualified persons
 Win the confidence of client
 Establish trust and rapport
 Develops habits of listening and focus attention on
the problems.
 Keep emotion under control

14. PRE- INTERACTION PHASE
 It is a phase which a nurse goes through before the
actual interaction with the patient.
 This phase begins when the nurse is assigned a
patient to develop therapeutic relationship with him till
she goes to him for interaction.
 She tries to collect information from secondary
sources like patients file, a resource person, OPD
reports and other nurses working in the ward.
 Task of Preinteraction phase:
 The nurse explores her fear and anxiety.
 Sets objectives for the interaction phase.
 Takes help of the clinical supervisor or co-workers to
overcome fear.

15. INTRODUCTORY OR ORIENTATION PHASE
 This phase begins when the nurse goes to the patient,
introduces herself and gets introduction about him.
 The orientation phase ends when the nurse and the
patient begin to accept each other as a unique human
being.
 Task of introductory or orientation phase
Establishment of contact
 She makes an observation of who the patient is and how
he has dressed up.
 She introduced herself to the patient ask him where they
can sit and talk.
Pact
 Pact is the initial encounter.
 The nurse tells the patient her reason of interacting with
him or her.
 Talking with the patient

16. WORKING PHASE
 During this phase the nurse and the patient actively
work on meeting the goals which they had established
during the orientation phase.
 Tasks of working phase
 Collect the data in detail from primary and secondary
source and identifies the needs of the patient.
 Helps the patient to communicate.
 Helps the patient to find an alternative solution to his or
her problem.
 Helps the patient to understand that he has a significant
role in his treatment.
 Develops competency in her own clinical experience.

17. TERMINATION PHASE
 Termination phase is also called a resolution phase and
end phase.
 The main objective of the terminating phase is to bring a
therapeutic end to the nurse patient relationship.
 Causes of termination phase:
 The patient may be discharged.
 The nurse may terminate relationship due to various
reasons.
 Tasks of termination phase:
 Bring a therapeutic end to the relationship.
 Review feeling about the relationship.
 Evaluate progress towards goals.
 Establish mechanism for meeting future therapy needs.

18. NURSES ROLE AND THERAPEUTIC
COMMUNICATION:
 Helping the patient identify what is troubling him.
 Encouraging the patient to discuss the changing
required.
 Exploring feelings about aspects that cannot be changed,
and alternative modes of coping.
 Discussing alternatives strategies for creating changes
which the patient desires to make
 Discussing benefits and consequences of each
alternatives
 Assisting the patient in selecting an alternatives.
 Encouraging the patient to implement the change.
 Provide feedback

19. BARRIERS
Establishing aurguments
Status
Anxiety
Tranference
Fear of closeness
Ask the nurse to meet after duty hours
Gift giving

20. PROFESSIONAL NURSING RELATIONSHIP:
 Nurse-patient helping relationship:
 A helping relationship Is the foundation of clinical
nursing practice, and the essential element of care in
every situation. The relationship is therapeutic,
promoting a psychological climate that facilitates
positive changes of growth.

21. JOHARI WINDOW MODEL
 A simple and useful tool for understanding and
training self awareness, personal development,
improving communications, interpersonal
relationships, group dynamics, team development.
 Developed by American psychologists Joseph Luft
and Harry Ingham in the 1950's, calling it 'Johari'
after combining their first names, Joe and Harry.
 Refers to 'self' and 'others‘.
 The four regions, areas, quadrants each contains
the information - feelings, motivation, etc.

23. JOHARI WINDOW FOUR REGIONS
 Open area, open self, free area, free self, or 'the
arena‘: what is known by the person about
him/herself and is also known by others -
 2. Blind area, blind self, or 'blindspot‘: what is
unknown by the person about him/herself but which
others know
 3. Hidden area, hidden self, avoided area,
avoided self or 'façade’: what the person knows
about him/herself that others do not know
 4. Unknown area or unknown self: what is
unknown by the person about him/herself and is also
unknown by others

24. QUESTIONS:
 Explain the role of nurse in therapeutic
relationship?

25. THANK YOU
Any question