Rapport, Trust, Respect, Genuineness, Empathy Conditions essential to the development of a therapeutic relationship. "Really Trust
Her Gee"
How a relationship begins. The development between two Rapport
people in a relationship of special feelings based on mutual
acceptance, warmth, friendliness, common interest, a sense
of trust, and a nonjudgmental attitude.
A loaded thing; reliability, integrity, veracity. Can't be Trust. Nurses have built in aspect of trust. Most trusted and honest. Consistently rated
presumed, has to be earned. Once lost, hard to regain. number 1. Trust vs mistrust is first Erickson stage.
Basis for a therapeutic relationship. Think Erickson stage.
Providing a blanket when the client is cold, keeping Nursing interventions that promote trust. Think autonomy ; what do they want?
promises, being honest, being consistent, taking client's
preferences, requests and opinions into consideration,
ensuring confidentialtiy.
Rogers called this unconditional positive regard. Respect. Should be given up front. Unique, worthwhile. All patients should be treated
Nunjudgmental and unconditional. Does not depend on with the same level of respect.
behavior or standards met. Person accepted for no other
reason that being a worthwhile and unique human.
Calling the client by preferred name, spending time with Ways nurses can show and attitude of respect.
them, allowing for sufficient time to answer questions,
promoting atmosphere of privacy during therapy, always
being open and honest, taking ideas preferences and
opinions into consideration when planning care, striving to
understand the motivation behind the client's behavior.
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Ability to be open, honest, and real in interactions with the Genuineness
client instead of always just giving a professional answer.
May call for a small level of self disclosure. Reveals
humanness but should be done carefully. Most people can
tell when this isn't present.
Ability to see beyond outward behavior and sense Empathy. Also helpful in maintaining boundaries.
accurately another's inner experience, considered one of
the most important characteristics of a therapeutic
relationship,the nurse accurately perceives or understands,
can still maintain objectivity.
The nurse shares what the client is feeling, often causes a Sympathy
person to feel what the other is feeling and can cause him
or her to lose objectivity.
Pre-interaction phase, oreintation or introductory phase, Phases of a therapeutic nurse client relationship
working phase involving transference and
countertransference, and termination phase.
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Material, social, personal, professional limiting self Boundaires in the nurse client relationship
disclosure, gift giving, touch, friendship or romantic
association.
Interactive process of transmitting information between two Communication
or more entitites
Cause of most client errors, the most important factor Communication problems among Health Professionals
causing dissatisfaction with working relationships`
Incivility, Lateral violence, bullying Disruptive behaviors
Rude, discourteous, disrespectful behavior Incivility
Physical, verbal, emotional violence directed at a co worker Lateral violence
on the same organizational level, newly RN's are at high risk
Must occur repeatedly and be targeted on an individual Bullying
who can not defend himself
When communication with physicians, what framework is SBAR. Keep in mind Dr's are trained to be brief, succinct and to the point where
suggested? nurse's are trained to be descriptive; don't forget to make a recommendation
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