nurse-client relationship


Also found in: Wikipedia.

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 nurse would not offer advice but would rather dwell on the paradoxes that are revealed in discussion, as the nurse-client relationship becomes.
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).
The key to this engagement appears to be the trusting nurse-client relationship, facilitated by the particular qualities of the nurse and continuity of contact.
It is unfortunate, but there is a level of discord between sales concepts and the nurse-client relationship.
2,6) The Texas Board of Nursing (BON) (2005) defines professional boundaries as "the appropriate limits which should be established by the nurse in the nurse-client relationship due to the nurse's power and the patient's vulnerability.
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.
The PHNs were aware of the potential negative effects that an "expert" position might have within a nurse-client relationship and, therefore, strove to create a more equal balance of power.
The concept of abandonment is directly related to the therapeutic nurse-client relationship, which is formed for the purpose of meeting the client's health care needs.