Chapter 2. Therapeutic Nurse-Patient Relationship.
Therapeutic Nurse-Patient Relationship
The goals of a therapeutic relationship are directed toward achieving the patient's optimal growth and include the following dimensions:
Campbell (1980) has identified a holistic nursing model of self-awareness that consists of four interconnected components:
The issue of confidentiality is an important one to discuss with the patient at this time. Confidentiality involves the disclosure of certain information only to another specifically authorized person.
Other tasks of the nurse in the orientation phase of the relationship are as follows:
There are two requirements for therapeutic communication:
Confrontation is an expression by the nurse of perceived
discrepancies in the patient's behavior. Three categories of
confrontation include the following:
Confrontation is an attempt by the nurse to make the patient
ware of incongruence in feelings, attitudes, beliefs and
Counter transference is a therapeutic impasse created by the nurse's specific emotional response to the qualities of the patient.
Counter transference reactions are usually of the following three types: