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navi sukhi

on 19 November 2013

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Transcript of Nursing

Requirements to achieve the benefits?
Benefits of Partnering & Mutuality within the Nurse-client relationship
Each individual is a human being with unique needs
Partner should value cooperation, share responsibility, power, and accountability.
Must have positive attitude towards client
Giving empowerment and involving client in decision making.
Forchuk experimented Peplau's theory through orientation phase of 124 nurse-client pairs for ~6 months
a) Nurses accept clients & vice versa
b) Clients social supports developed positive relationships
c) Anxiety didn't occur in nurse/client

Successful relationships moved from orientation to working phase
(Forchuk et al, 2000, p.4)
Nurses perception of evolving nurse-client relationship
Advantages of Partnering
Benefit of Client :
"Improved patient outcomes"
"Decreases patient morbidity"
"Decreased stress and burnout"
Increased autonomy
Reduced lengths of stay
Help relieve stress and anxieties
Protecting the clients dignity and integrity
Client will receive proper resources

Therapeutic Relationship: "client and the nurse join together for a defined period of time to achieve health related treatment goals" (Arnold & Boggs, 2011, p.83)
By: Sukhi, Raman, & Navi
Client-centered care (CNO, 2009, p.6)
Partnership & Mutuality
Nurse and client work together to achieve health related goals to the clients health condition. (Arnold & Boggs, 2011, p. 107)
Holistic Assessment (CN0, 2009)
CNO Professional Standards: leadership, relationship, accountability
Helping relationship rather than social relationships
According to the CNO the components of a relationship: Trust, respect, professional intimacy, empathy and power. (CNO, 2009, p.3)
2 types of phases:

Initiating phase:
Agreement to the partner and involves in the wellness/illness concern of the partnership

Nurse-client partners share knowledge about health and management of health concerns.

"Decreased nurse turnover"
"Increased job satisfaction"
"Decreased stress and burnout"

(Ulrich, 2005, p.129)
Long term commitment
Proactive approach
Understanding each other's expectations
Mutual contribution
Valuing what each partner contributes

References Cited
Nurse- Client Relationship
(Ulrich, 2005, p.129)
(Castledine,2005, p.55)
Benefits for the Nurse

7 pairs had a therapeutic relationship
2 pairs didn't progress to the working phase
1 client discharged with no working relationship with nurse

Good relationship:
Regular, frequent & private interactions
Trust & sharing problems

Words used for good relationship-
comfortable, smooth, honest & cooperative
Nurses felt good & calm with this type of relationship
(Forchuk et al, 2000, p.5)
Helping Factors
Nurse Factors:

Interactional Factors:
Initial impressions
Comfort & control
Client factors

All these factors can contribute to a positive relationship
(Forchuk et al, 2000, p.6,7)
(Gallant et al, 2002, p.152)
(Gallant et al, 2002, p. 153)
Arcurs, Yuri. (n.d). An attractive young nurse holding a clipboard. Retrieved
from http://libguides.scf.edu/content.php?pid=107184&sid=1354168
Castledine, George. (2005) Nurse must strengthen the nurse/patient
relationship. British Journal of Nursing. 14(1), 55
cgwomble. (2013, May 1). Nursing Teamwork Video by cgwomble. Retrieved
from http://www.youtube.com
Forchuk, C., Westwell, J., Martin, M., Bamber-Azzapardi, W., Kosterewa-Tolman,
D., Hux, M. (2000). The developing nurse-client relationship: Nurses' perspectives. Journal of the American Psychiatric Nurses Association. 6(1), 3-10
Gallant, M., Beaulieu, M., Carnevale, F. (2002). Partnership: an analysis of
the concept within the nurse– client relationship. Journal of Advanced Nursing. 40(2), 149–157
HCA West Florida. (2011, July 20). Skilled Nursing Unit and Geriatric Medicine-
Working Together. Retrieved from
norrislr. (2013, Aug 7). Gonzaga Anesthesia Style - Nurse Anesthesia Parody
Gangnam Style. Retrieved from http://www.youtube.com
Premium, Corbis (n.d.). Nurse holding Patient hand. Retrieved from

References Cited
Shutterstock. (n.d.). Pediatric nursing staff checking medical charts of a
young female child patient receiving hospital care. Retrieved from http://footage.shutterstock.com/clip4763225
Shutterstock. (n.d.). Group of doctors and nurses set in a hospital. Retrieved
from http://www.shutterstock.com/pic-139458236
The College of Nurses of Ontario. (2009). Practice standard: Client-centered
care. Retrieved from www.cno.org
The College of Nurses of Ontario. (2009). Practice standard: Holistic assessment.
Retrieved from www.cno.org
The College of Nurses of Ontario. (2009). Practice standard: Therapeutic
relationship. Retrieved from www.cno.org
Raths, Alexander. (n.d.). EURES partnership improves agency’s recruitment
efforts. Retrieved from https://ec.europa.eu/eures/main.jsp
Ulrich, Beth. (2005) The power of partnering. Nephrology Nursing Journal. 32(2), 129
Zhang, Hongqi. (n.d.). Nurse meditating on beach. Retrieved from

10 nurse-client pairs
Clients: 6 men & 4 women; recieving in-patient care from teritary care psychiatric facility
Diagnosed with schizophrenia or mood disorder
All RN nurses had 10 year experience
2 male nurses with male clients
4 male & 4 female clients had female nurses

(Forchuk et al, 2000, p.5)
Full transcript