This document discusses nurse-patient relationships. It defines interpersonal relationships and lists the components and requisites of nurse-patient relationships, including careful thinking, sensitiveness, energy and time. The roles of nurses in relationships are described as caregiver, counselor, educator, consultant and researcher. Characteristics of good relationships include being therapeutic and satisfying for patients. Phases of relationships - pre-interaction, engagement, active intervention and termination - are outlined. Barriers like role stress and autonomy struggles are also discussed.

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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