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NURS 2000 (2)
Chapter 2

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NURS 2000
Maureen White

Chapter 2: The Client – Nurse Relationship:AHelping Relationship Purpose of Client-Nurse Relationship • Established for the benefit of the client in achieving and maintaining optimal health • Goals directed toward growth of clients, although both parties may learn • Interdependency and reciprocity • Nurses are responsible for encouraging interchange of ideas, values and skills in all 3 dimensions below • Mutual learning experience and a corrective emotional experience for the patient based on the underlying humanity of nurse and patient, with mutual respect and acceptance of ethnocultural differences. CognitiveAbilities of Nurses and Clients • Client’s Self-care Knowledge: what made them ill, what will make them better • Preferred mental process: becoming aware of things, people, occurrences, ideas o Preferred was of observing their worlds and making decisions about that they see Myers Mental Process Variations: • Sensing: attuned to immediate experiences, literal facts, concrete realitites • Intuitive: imaginations fill minds with ideas and explanations that do not always depend on the senses for verification • Important for nurses to understand their preferred way of perceiving and to learn which process client prefers • Judging: Process of making decisions about information collected through perception. Myers Judging Variations: • Thinking: people make decisions based on critical analysis of facts, valuing fairness. Logical, orderly, analytical decision making. • Feeling: people make decisions by analyzing how they will affect people, valuing harmony. Subjective world of feelings and values. AffectiveAbilities of Nurses and Clients People view health from 4 different models: 1. Clinical Model – absence of disease 2. Role-Performance Model – person is able to carry out his or her role in life 3. Adaptive Model – health is determined by a person’s ability to cope with stress 4. Eudemonistic Model – health is perceived as a quality of life, a person’s ability to enjoy life, have meaningful relationships, and have a state of well-being - Understanding client and nurse’s definition of health important in care plan, desired goals and outcomes. - All clients and nurses have positive and negative feelings about helping relationships and has biases, differing priorities etc.. - Cultural patterns are one of the important means by which people adapt to recurrent change in their environments Psychomotor Abilities of Nurses and Clients • Client needs to know nurse’s skills • Nurse needs to determine client’s ability to participate in his or her own treatment plan • Both must agree on their tasks/roles in improving client’s health Client’s Rights as Consumers of Healthcare Service • Expect a systematic and accurate investigation of their health concerns by thorough and well-organized nurses • Be informed about their health status and have all their questions answered so that they clearly understand what nurses mean • Receive healthcare from nurses who have current knowledge about their diagnosis and are capable of providing safe and efficient care • Feel confident that they will be treated courteously and that their nurses show genuine interest in them. • Trust that confidentiality will be respected • Be informed about any plans of action to be carried out for their benefit • Refuse of consent to nursing treatments without jeopardizing their relationships with their nurses • Secure help conveniently, without hassles or roadblocks • Receive consistent quality of care from all nurses. Characteristics of Successful Client-Nurse Relationship • Partnership between clients and nurses, both working together to improve the client’s health status • Philosophy about human nature and what motivates humans in health and illness: As nurses, we should know our beliefs and values and be able to articulate them clearly. • Purposeful and productive objective: agreement on nature of health problem, develop and implement a plan designed to reach agreed-upon objectives. Evaluate outcomes together and decide if outcome has been achieved. • Preservation of client’s present level of health and protection from future health threats because of increased knowledge from helping relationship • Palliation of clients; worries and fears through nurses’ reassurances, and easing of pain through soothing comfort measures • Psychic or Morale Boost: clients perk up from positive attention and interest from nurses • Practicality: efficacious, effective, efficient ways of handling health concerns • Portability: present whenever and wherever clients and nurses come together • Series of phases: beginning (Initiation), middle (Maintenance), and end (Termination), to each encounter. • Personally tailored interaction designed to meet needs of client • Platonic, not passionate expressions of caring.
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