Nurse Patient Relationship
Introduction:
Nurse patient relationship has great impact in helping patient to improve the well-being of the patient as well as to the nurse. In order for the both parties to understand the nature of their status which is pertains to their relationship, it needs for them to understand first the meaning and significant the nature of nursing itself. The nature of nursing is where the nurse and the patient will go hand in hand together in order to meet the needs of both parties. Nurse-patient relationship is important in promoting the condition of the patient and in that case it will help the medical team to treat the underlying cause of the disease where they know where to start and to have an appropriate action in treating the patient. Another important thing to remember in nurse-patient relationship is that the nurses should keep in their mind that in order for them to get the important data from their patient, they should establish a rapport to their patient so that they will able to gain the trust from their patient. In this essay, it describes the essence of relationship between nurse and patient and factors that could help them to overcome any obstacles that they might encounter that could ruin their relationship in different situations. Nurse patient relationship is really important in nursing profession because of the reason that nurses must always be available at any time to their patients. In this case the nurses should be very careful in caring to their client so that their relationship will keep intact and remain invaluable to them. In this context, it will discuss the issue about the guidelines for the nurses in improving their relationship to their patient. This essay is actually focusing the important topics that have great impact to the nurse and patients with regards to their relationships, this include the nature of relationship between nurse and patient, nursing as caring, the characteristics of the relationship of between two parties, and lastly the types of relationship. In this essay also, it focuses the importance of communication in dealing with the patient.
The full meaning and being able to give justification to the nursing profession depends on how the nature of nurse patient relationship being understand (Parbury,2000,p.29). The nurses should possess intuition to their selves for the reason that it will be easier to them to understand their patient thus it will help them to resolve the ailments being felt by the patients. It is important also that being a nurse that they should be careful in dealing their feelings, in a way that they are more sensitive enough in caring to their patients thus it will not make the patient to think and realize that they are neglected by the nurse but always put in mind that sometimes as a nurse, she must be somehow sympathetic towards the client. Furthermore, it is not only due to technical skills that a nurse become an ideal nurse but also a potential to understand and comprehend the different situations thus result in effective interaction between two parties, the nurse and the patient. Being an ideal nurse, they should keep in mind that they should consider the feelings of the patient and treat them as a human being where it is not just completing of one’s tasks that being assigned to them but also the nurses should serve and care them with their full respect with regards to their emotions and feelings because patients are human beings who have the same feelings to us. In this case the nurses should be delicate in handling their emotions to the extent that they should not getting involved with their feelings to the patient because it can interfere to them in doing their other jobs and responsibilities as a nurse for the reasons that they are not dealing only one patient but they are caring several patients, that they are going to prioritize first. In this manner, it is advisable to the nurse to consider all the patients in those particular settings where they should develop good relationship to each patient that being assigned to them and determined the fast recovery of their illness as well as promoting the health of every patient that being assigned to them. Through this the treatment to the patient will become more accurate and effective thus finding it more convenient to the nurses in doing their responsibilities and duties in a certain settings.
According to Stein Parburry (2000,p.25) the most integral part of nursing is caring. Being a professional nurse they should know and understand the essence and important meaning of caring when applying it to the patient. It is in caring attitude that both parties are working together just to achieve the purpose in caring, this is to make the patients feel better and able the burse to establish rapport to the patient to strengthen their relation between them. Through establish rapport and application of caring it makes the patients to recover fast from their illness but nurses must see to it that they must not get involve the personal life of the patients which is already against the law of ethics. In applying caring to the patient, it should be paired with duties and responsibilities, for the purpose that professionalism must be maintained in caring to the client for the reason also that caring possesses a friendly behavior towards the client in which it may be helpful to the patients but not helpful to the nurse in maintaining their professionalism. In behaving professionally the nurse must possess an accurate knowledge in doing the right thing at the right time because of some reason that there are some nurses tend to behave professionally in start but in the end they end up behaving more friendly in dealing with their patient especially if they are still contacting with the same bunch of patient and they tend to become more attach to them where they cannot control already their feelings and emotions towards their patients. For this situation, their responsibilities being a nurse maybe neglected because they are not already concentrating their work instead they are already more concern to their patient’s feelings and emotions. Where nurses can already feel the agony of their patient and they totally get involved personally to the situation, in this case the nurses should be aware the consequences that they might get if they are already get involved to their patients’ feelings. In this manner, the professionalism of being nurse is being disregarded where the nurse should keep it in their mind because it is in the professionalism that the nurses thinks and realize properly in intervening the client. For instance, the nurse is caring a twelve year old client who is suffering from bone cancer; if the nurse is too much attached to the client she may end up in mercy killing where she wants to stop the agony of the client which she already feels at that time. It is in professionalism that the health care provider must respect and care with their integrity not just completing the tasks that being assigned to them instead treat them as an individual for the reason that these patients are exactly human being that have emotions and feelings just like nurses, the only difference between nurses and patient is that patients is not in normal conditions where they suffer a certain illness where the nurses are the one who will provide care to them where nurses are obliged to care and respect their patients and treat them as a human beings. It is also in professionalism that fasting recovery of the patient is being met. Nurses should keep in their mind that they focus and concern the nature of illness, health and recovery of each patient.
The attachments of the nurse to the client will become worsen and weaken their emotions more if the nurse can relate the situation of the patient, like for example if that someone in her family member suffered the same illness suffered form the client there is a possibility the she cannot perform well her duty and responsibility due to totally attach to the patient where the patient is the one who will suffer in the end. That is why the nurse must be careful and aware in dealing with their emotions and feelings towards the patient because it will not surely bring goodness to the patient as well as the nurse also.
There are four factors that the nurse must be very concern in building the relationship between the two parties; these include the listening, understanding, exploring, and intervening to the patient. These factors are somehow interconnected to the components of proper communications. Communication is the key in helping the relationship between the nurse and patients run very smoothly. It is in the communication that the nurse is establishing rapport to the patient where the nurse is able to obtain the trust of the patient. In gaining the trust of the patient it will contribute to both parties to effective outcome in improving the condition of the client. Through proper communication, the nurse is able to obtain the history of the client, especially those data which is more subjective. In applying the four factors, in building concrete relationship between the two parties it should be in order; Listening comes first in building relationship for the reason that nurse and patient must listen to each in order for them to get to know each other and respect their uniqueness. If both parties possess a proper listening, then they move to the second step which is understanding, it is in understanding that the patient will cooperate with the nurse and able to obtain the trust of the patient. Through obtaining the trusts of the patient it is the opportunity of the nurse to explore the patient, it is in the exploring that nurses identify the underlying cause of the illness where it is easy for the medical team to diagnose the client and has a lesser chances to misinterpret it. In this case the nurse will be able to intervene the client correctly and effectively. For the reason, that they are already know the underlying cause of the illness due to the cooperation of the client which will help them to feel better as well as to the nurse that they will be able to apply appropriate action thus giving them opportunity to work effectively.
The nurse also must possess the interpersonal skills, which is easy for them to talk the client for their current health condition. In relation to interpersonal skills they must base it to the theory of Hildegard Peplua. In this theory the nurse must have dynamic relationship with the patient. Dynamic in a sense that they will not focus only one concern of the client, it should be moving so that the nurse will be able to explore more the client thus helping the client to feel better and to have fast recovery. In interpersonal theory, it consists the four phases in building the relationship of between client and nurse. Each phase plays a significant role in order to meet the needs of the client. The first phase is the orientation, in this phase the nurse and patient must get to know with each other in order for them to identify the problem; in identification phase is somehow a continuation of orientation phase because in this phase after identifying the problem the patient is now accepting the help being offered form the nurse. In exploitation phase the nurse is now using the help being given by the nurse, in which the patient understands the process of treatment and able to agree it. The last phase is resolution where the relationship of the two is only up to this phase where they accept new goals and should free from any commitment during the previous phases.
In building the effective relationship of two parties, the theory of Margaret Newman applies in this situation in which the nurse must recognize the person’s uniqueness and the different patterns of their life. This theory is significant in building relationship for the reason that in this theory respect is exist in which the can penetrate the life pattern of the patient through this the nurse will be able to explore the patient. In meeting the goal of Newman’s theory then you will be able also to meet the goal of Dorothea Orem, these two theory is somehow interconnected to each other for the reason that in Newman’s theory the nurse is assessing the patient in order to meet their needs if the needs are already met the patient is now able to do self-care. In which the individual is already able to maintain the wellness of life, health and well being (Polit and Henderson P.103).
Conclusion:
In building good relationship between nurse and patient is not easy for the reason that nurse and patient are both human beings, in which they possess the same feelings and emotions with each other. The only different between them is the status of the two where the patient is not in normal condition of their health where the nurse as well is the one who will provide the standard of care needed by the patient. In this relationship, it is not easy for nurse to get involve personally of the patient because in caring the patient it possesses the friendly behavior in which the professionalism is being neglected. Professionalism should be maintained in caring the client because it is in professionalism that the nurse thinks appropriately in intervening the client.
The theory of Hildegard Peplaue, Margaret Newman and Dorothea Orem play a significant role in obtaining and maintaining the relationship of two parties the nurse and the patient. In Peplau theory, it is where the interpersonal skill sets, in building relationship where the nurse able to explore the patient. In Newman theory the nurse can penetrate deeper to the patient for the reason that in this theory, respects with each other exists thus making an individual to be encouraged to work independently after meeting the goal of Newman’s theory.
References:
Meleis, A. I. (1991). Theoretical nursing: Development & Progress (2nd Ed.).Philadelphia: Lippincott.
Pender, N.J. (1987). Health Promotion in Nursing Practice (2nd Ed.).
Peplau, H.E. (1964). Basic principles of patient counseling: A conceptual framework of reference for psychodynamic nursing. New York: Springer.
Peplau, H.E., O’Toole, A.W., & Welt, S.R. (1989). Interpersonal Theory in Nursing Practice: Selected Work of Hildegard E. Peplau. New York: Springer.
Steiger, N. J. & Lipson, J.G. (1985). Self-care nursing: Theory and practice. Bowie: Md.
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