NURSE-PATIENT

INTERACTION

BY:ABIGAIL M. MADRIAGA,RN

Characteristics of a Helping Relationship

Is

an intellectual and emotional bound

between nurse and the ct and is focused
on the ct.
Respects the ct as individual.
Respects clients confidentiality.
Focuses on the clients well being.
Is based on mutual trust, respect and
acceptance.

PHASES
1. Pre-interaction Phase
?

Nurse has
anxious feelings.
Identify topics to
be discussed.

2. Introductory Phase
ORIENTATION/PRE-HELPING PHASE
3 PHASES

OPENING THE
RELATIONSHIP
CLARIFYING THE
PROBLEM
STRUCTURING AND
FORMULATING THE
CONTRACT

CONTRACT
PURPOSE AND
CONFIDENTIALITY

TASKS TO
BE ACCOMPLISHED

LOCATION,
FREQUENCY,
LENGTH

DURATION AND INDICATION OF

TERMINATION

3. Working Phase

1.

Major Stages:
Exploring and understanding thoughts
and feelings
Empathy, Respect,
Gunuineness,
Confrontation, Selfdisclosure

2.

Facilitating and taking action

4. Termination Phase

Nurse and Patient

accepts feelings
of loss

Communication Process
FEEDBACK
MESSAGE

SENDER

RECEIVER

FEEDBACK

Factors influencing the communication process

Ability of communication
Attitudes
Perceptions
Environment
Territoriality

Time

Personal Space
1-1 ft
INTIMATE
12 ft or
PUBLIC

1 -4ft

PERSONAL
4-12 ft
SOCIAL

Developing Helping Relationships

Listen actively.
Help to identify what the person is feeling.
Put yourself on others shoes.
Be honest.
Do not tell a person not to feel.

Do not tell a person what to feel.

Do not make excuses for the other person.

 Be genuine.
Be aware of the cultural differences that may

affect meaning and understanding.

Maintain client confidentiality.
Use communication techniques.
Focus on info needed to formulate an
individualized plan of care.
Know your role and limitation.

Nursing is a caring profession. As a unique

profession, it is practiced with an earnest
concern for the amount of care and the
science of health. The profession involves a
humanistic blend of scientific knowledge and
holistic nursing practice.

PRACTICE NURSING WITH GREAT

COMPASSION AND CARE. THAT IS
THE TRADEMARK OF OUR NOBLE
PROFESSION.