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 (Boggs, 1989)

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 (Arnold & Boggs, 1989)

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 (Northouse & Northouse, 1992)

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?

34. Thank you