nurse-client relationship


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nurse-client relationship

a therapeutic relationship between a nurse and a client built on a series of interactions and developing over time. All interactions do not develop into relationships but may nonetheless be therapeutic. The relationship differs from a social relationship in that it is designed to meet the needs only of the client. Its structure varies with the context, the client's needs, and the goals of the nurse and the client. Its nature varies with the context, including the setting, the kind of nursing, and the needs of the client. The relationship is dynamic and uses cognitive and affective levels of interaction. It is time-limited and goal-oriented and has three phases. During the first phase, the phase of establishment, the nurse establishes the structure, purpose, timing, and context of the relationship and expresses an interest in discussing this initial structure with the client. Data collection for the nursing care plan continues, and basic goals for the relationship are stated. During the middle, developmental, phase of the relationship, the nurse and the client get to know each other better and test the structure of the relationship to be able to trust one another. The nurse is careful to assess correctly the degree of dependency that is necessary for the particular client. Plans may be devised for improved ways of coping with problems and achieving goals. The nurse is alert to the danger of losing objectivity during this phase. The last phase, termination, ideally occurs when the goals of the relationship have been accomplished, when both the client and the nurse feel a sense of resolution and satisfaction.

nurse-cli·ent re·la·tion·ship

(nŭrs klī'ent rĕ-lā'shŭn-ship)
A professional relationship between a patient and a nurse based on therapeutic communication. Not a social relationship.
References in periodicals archive ?
The College of Nurses of Ontario includes client-centred care as one of its practice standards within the document Therapeutic Nurse-Client Relationship (CNO, 2006).
Many issues impact on the care of people living with HIV (PLHIV), and a thematic analysis of current literature reveals key issues to be: the concept of stigma surrounding HIV; social representation of the HIV epidemic and the appropriate health messages; and finally, the nurse-client relationship.
Mr Hayward, a former policeman, said: "Will this policy damage the nurse-client relationship, which is the foundation of nursing?
Since nurses are often involved in the delivery of immunization services to Mexican Americans, more knowledge is needed about the nurse-client relationship as a part of the interpersonal process of care experienced by Mexican American families seeking childhood immunizations.
the likelihood of an empathic nurse-client relationship was reduced.
Sections cover conceptual foundations, the nurse-client relationship, therapeutic communication, responding to special needs, and professional issues.
Because of the importance of the nurse-client relationship in achieving positive outcomes, non-mental health nurses must shift their approaches and techniques from a medical to a psychosocial model.
When the patient is suffering and vulnerable, an emphasis on individual rights cannot fully characterize the nurse-client relationship, as Sally Gadow observes when she urges nurses to assist the patient to find meaning in the experience of illness.
Entering into a therapeutic nurse-client relationship with one's family member can create challenges.
The CNO suggests that nurses use this guideline in conjunction with other CNO standards or guidelines such as Consent, Ethics, Therapeutic Nurse-Client Relationship (College of Nurses of Ontario, 2009), as well as other policies and procedures in their work place.
This textbook explains basic psychology theory for understanding mental health, biological influences on psychiatric illness, and the dynamics of a therapeutic nurse-client relationship.
I believe that each student comes to nursing with a wealth of intuitive knowledge that they can, with guidance, channel to enhance the nurse-client relationship.