What is interpersonal relationship?

the relationships between persons

Components of interpersonal relationship

Scientific principles Specific communication skills and strategies Creative application of self

(Boggs, 1989)

What is nurse-patient relationship?

What is the purpose of nurse patient relationship?

Requisites for nurse-patient relationship

Careful thinking Sensitiveness Energy time

Nurses roles in nurse-patient relationship

Care giver Counselor Educator

Consultant
researcher

Characteristics of good nursepatient 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

Characteristics of good nursepatient 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

Phases of the nurse-patient relationship

Pre-interaction phase Engagement phase Active intervention phase Termination phase

(Arnold & Boggs, 1989)

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

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

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

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

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

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

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

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

Barriers for effective professional relationship

Role stress Lack of inter professional understanding Autonomy struggle
(Northouse & Northouse, 1992)

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

How to prevent role stress?

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

What are the disadvantages of role conflicts?

Autonomy struggles
What is autonomy? autonomy is ones ability to be ones 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.

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.

 Why do nurses need a relationship with the

family?

Thank you