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    Jaylord Verazon
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    This document provides an overview of the importance of the therapeutic nurse-patient relationship. It discusses key elements such as trust, empathy, acceptance, and respect. Developing self-awareness of one's values, beliefs, and limitations is important for establishing an effective relationship. Negative behaviors can hinder the relationship if inconsistencies arise or if a social rather than therapeutic relationship is formed. The chapter aims to explain the core components involved in nurturing faith, hope, and meeting patient needs through the nurse's knowledge and skills.

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    This document provides an overview of the importance of the therapeutic nurse-patient relationship. It discusses key elements such as trust, empathy, acceptance, and respect. Developing self-awareness of one's values, beliefs, and limitations is important for establishing an effective relationship. Negative behaviors can hinder the relationship if inconsistencies arise or if a social rather than therapeutic relationship is formed. The chapter aims to explain the core components involved in nurturing faith, hope, and meeting patient needs through the nurse's knowledge and skills.

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    132 views2 pages

    Chapter 3 Module The Therapeutic Nurse-Patient Relationship

    Uploaded by

    Jaylord Verazon
    This document provides an overview of the importance of the therapeutic nurse-patient relationship. It discusses key elements such as trust, empathy, acceptance, and respect. Developing self-awareness of one's values, beliefs, and limitations is important for establishing an effective relationship. Negative behaviors can hinder the relationship if inconsistencies arise or if a social rather than therapeutic relationship is formed. The chapter aims to explain the core components involved in nurturing faith, hope, and meeting patient needs through the nurse's knowledge and skills.

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    Saint Mary’s University

    Bayombong, Nueva Vizcaya


    School of Health & Natural Sciences

    NURSING DEPARTMENT
    Course No. NCM 117 Lecture
    Subject: Care of Client with Maladaptive Patterns of Behavior, Acute and Chronic
    Yr. Level: BSN 3
    Contact Hours/Credit Units: 4 fours/week(4units)_____________________________________________

    CHAPTER 3

    THE THERAPEUTIC NURSE-PATIENT RELATIONSHIP

    I. Introduction:

    The most important skills a nurse can develop are the ability to develop and establish therapeutic
    relationship and communication skills. A therapeutic nurse-patient relationship is a helping relationship that
    is based on mutual trust and respect. The nurturing of faith and hope, being sensitive to self and others,
    assisting with the gratification of the patients physical, emotional and spiritual needs through your
    knowledge and skills.

    II. Learning Objectives:

    1. Explain the importance of the elements involved in the nurse-patient relationship.


    2. Explain the importance of nurse-patient relationship.
    3. Describe the importance of self-awareness and therapeutic use of self.
    4. Explain the negative behaviors that can hinder or diminish the nurse-patient relationship.

    III. Core Content of the Chapter:

    ELEMENTS INVOLVE IN A THERAPEUTIC RELATIONSHIP:

    1. Trust: this is built when the patient relies and feels confident to be with the nurse.

    a. consistency- consistent in your own words and actions.


    b. congruency- this occurs when action and words match.
    Avoid double-bind communication.

    Trusting behaviors:
    1. keeping promises 7. interest
    2. honesty 8. friendly
    3. caring 9. understanding
    4. consistent 10. approachable
    5. listening 11. treat patient as human being
    6. suggest without telling 12. provide schedule of activities

    2. Genuine interest: when a nurse is comfortable with himself, knows his limitation, strength and is focused,
    the patient will see you as a true person.

    3. Empathy: is the ability to listen to the patient, sensing the importance of his problem without becoming
    emotionally involved.

    4. Acceptance: the ability to tolerate the patient’s behavior no matter how verbally offensive it might be.
    5. Positive regard: accepting the patient as a unique individual which include his behavior, background and
    lifestyle. This implies respect to your patient. Give care unconditionally and with nonjudgmental attitude.

    WAYS OF SHOWING RESPECT TO THE PATIENT:

    1. Call them by their names.


    2. Spend time with your patient.
    3. Listening and responding to your patient.

    TYPES OF RELATIONSHIP:
    1. Social relationship: this is initiated for the purpose of being friendly, socializing, companionship and
    accomplishment of a task. The basic needs are met in this relationship.

    2. Intimate relationship: this involves two people who are emotionally committed, helping each other meet
    their needs. This relationship has no place in a nurse-patient relationship.

    3. Therapeutic relationship: this relationship focuses on the patient needs, feelings and ideas.

    SELF AWARENESS AND THERAPEUTIC USE OF SELF:


    The nurse who is confident is ready to establish a therapeutic relationship with the patient.
    Awareness of one’s strength, feelings, beliefs values and limitations is a good start.

    1. Values: knowing what is right and wrong.


    3 Steps of values clarification process:
    a. choosing - feeling of choosing the value that feels right.
    b. prizing - considering, cherishing the right value.
    c. acting - is when the person puts the value into action.
    2. Beliefs: it is the idea that one holds to be true.
    3. Attitude: a feeling of being optimistic and hopeful.

    IV. Activity:
    Short Quiz

    V. Bibliography:
    Videbeck, S. (2014). Psychiatric-Mental Health Nursing. Wolters
    Keltner, N., Bostrom C., & McGuiness T. (2012). Psychiatric Nursing. Elsevier Inc.

    Prepared by:
    Mrs. Rosalie C. Carreon, RN, MSN
    Nursing Department

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