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Chapter 3

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NURS 2000
Maureen White

Chapter 3: Solving Problems Together Mutuality in Nurse-Client Relationships Mutuality: • Characterized by empathy, collaboration, equality, and interdependence • “the experience of real or symbolic commonalities of visions, goals, sentiments or characteristics, including shared acceptance of difference that validates the person’s world-view • Sharing of collective knowledge Responsive relationships between the nurse and client are based on respect, trust, and mutuality that reflect both personal moral knowledge and ethical knowledge of nursing. Use of Face work and Politeness theory inApproaching Clients - Need to consider the client’s and nurse’s “sense of self-esteem, autonomy, and solidarity in conversation.” - Preservation of dignity so that each party continues to be willing to invest in the interaction without experiencing any threat - Polite behaviour refers to ways in which nurses ease the interaction to help decrease fear, embarrassment and anger. Lessen the threat of the intimate nature of nursing interventions. Mutual Problem-solving Process in Nursing Barriers in Problem solving - Perceptions and negotiations about rules, norms, expectations and boundaries that can distort information and interpersonal intent. Validation - Difference between problem solving for clients and mutual problem solving with clients - Focus on rights and obligations of clients to make their own health decisions - Consciously seeking out clients’ opinions and feelings at each phase of nursing process - Unearthing questions or concerns about plans for healthcare and securing their understanding and willingness to proceed to the next step - Increases compliance, clients worry less - Creates collaboration that is essential to client change, enrich foundation for rest of nursing process - Encourage clients to be active partners in their healthcare as opposed to passive patients - Emphasize what clients can do to take care of themselves as well as to safeguard their right to quality, informed care. Incorporation of Validation into the Nursing Process - Validating the interpretation of collected data - Identifying actual or potential problems with the client - Validating the Nursing Diagnoses with the Client - Setting priorities with the client for resolution of identified problems - Determining expected and d
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