Interpersonal Relationship Essay

IntroductionNursing is the protection, promotion, and optimization of wellness and abilities, prevention of affection and injury, on the wholeeviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.American Nurses Association (ANA)An interpersonal relationship is an association amid two or more people that may vomit from fleeting to enduring. (http//en.wikipedia.org/wiki/Interpersonal_relationship). Seemingly to Hildegard Peplau, nursing is an interpersonal process because it involves interaction between two or more individuals with a common goal. Peplau, emphasized the hold dear-client relationship as the foundation of nursing practice.A therapeutic nurse- per cut offing relationship is situated as a constituent relationship thats base on mutual trust and respect, the nurturing of faith and hope, universe sensitive to self and other(a)s, and assisting with the gratification of your affected roles physical, emotional, and spiritual need through your knowledge and skill. This condole with relationship wins when you and your persevering come together in the moment, which results in harmony and healing. Effective verbal and nonverbal communication is an of the essence(predicate) part of the nurse-patient interaction, as well as providing care in a manner that en subjects your patient to be an equal partner in achieving wellness. (Pullen & Mathias 2010)Patient-centered communication is a basic component of nursing which facilitates the development of a positive nurse-patient relationship and along with other organizational factors, results in the delivery of prime(prenominal) nursing care.In most instances, a nurse plays an essential role in the life of a patient. The concerns and cares they give to their patients is a big factor that uplifts all(prenominal) ones spirit, therefore the goal of the nurses of Olivarez College BSN IV is to create a ha rmonious relationship between their patients through a well organize and meaningful interactions.The study of the relationship between patient and nurse is key to see how efficient a patient recovers, to understand his illness fully whether theres a accident of recovery or nonhing to expect at all. Moreover, the role of the nurse is to lessen the emotional and physical pain of every patient. In careing with these, a need for better communication strategies and methods should be applied. There may be some existing practices exercised by hospitals for their nurses and patients, but a thorough study to remedy it better is an advantage. (Cruz, JA 2010)One thoroughly way of communicating with a patient is by merely listening to them. Letting them express their thoughts and anxieties may help them opinion better. Furthermore, an discretion smile, a exhaustively sense of humor, a compassionate outlook and friendly gestures can alleviate their pain and anxiety. The focus of this r esearch is the patients perception of an effective nurse-patient relationship. The most common method of interaction is communication. Communication is the sending of ones information to another and may be done verbally or non-verbally.Background of the StudyAn internal fuss of nurses is common. There are so many things to adjust especially working with people that they knew for the 1st time. An interpersonal problem not only occurs with co-workers, it can also be applied with nurse-patient relationship. Everyday disparate types of patient are being encountered by the nurses.This study gives interest to the researchers to develop and enhanced interpersonal skills and confidence during nurse-patient interaction in the area. Mostly, nurses do not practice respectable communication skills because of low-self esteem to deal with the patient, resulting to the insufficient gathering of important details and information on the patients data. Nursing students should practice well on und erdeveloped nurse-patient relationship to be an effective and a dependent nurse. Nurse has important role enhancing communication skills.Nurses play an important role in health communication. They are the ones who are always in close march with the patients. Having effective communication skills and being able to employ them in communicating to the patients is very essential for every nurse. A nurse must be able to communicate effectively to the patient, its family and their co-workers, as well.It is important for health care personnel to understand the doubts, fears and the anxieties of the patients who come to them for treatment. It is equally important to talk in an understanding quality to those who have not voiced their fears but are obviously scared. Patience is also essential in dealing with hard headed and unbeliever patients especially when the patient is suffering and in pain during medication and they tend to refuse taking medicines anymore. Nurses feel a sense of acco mplishment when they give a positive regularize on their clients health status. Learning experiences with simulation offer the nursing student an opportunity to further develop knowledge, skills and critical thinking abilities preliminary to practicing in the clinical setting. Role play, as well as manikin use, can enhance the nursing students ability to respond to a variety of patient care scenarios before actually encountering them in the clinical setting (Billings & Halstead, 2005).Active learning with immediate feedback reinforces the nursing students functioning and confidence in relating to patients and other professionals in the healthcare setting (Billings & Halstead, 2005). A student nurse can easily relate to the military post of their patients in basis of their know-how and further sturdy of their illnesses. This study aims to know how patients can perceive and cooperate for the fulfilment of their rehabilitation. Cutcliffe and McKenna (2005) reported that during tre atment, hospital and community patients interact more with nurses than with any other health professional in the multidisciplinary team. These authors also highlighted that nurses are continuing to expand their role into medical and even surgical practice. Nursing proves as difficult to define as care, which means that the role of the nurse and how it is differentiated from other health professions is often misunderstood. Perhaps nurses provide care and doctors provide treatment, but (McMahon 2007) argues that neither addresses the skills and knowledge needed in modern nursing to provide good-quality care, nor explains why students take three years to train before they become qualified nurses.Since Florence nightingales time, nursing could be seen as having moved from a task-oriented practice towards a therapeutic process that encompasses a wide range of nursing roles, focused on the individual patient and his or her health and well-being. (McMahon 2007) attempts to define therapeu tic nursing abilities as being characterized by six skills developing the nurse-patient relationship caring and comforting using evidence-based physical interventions teaching manipulating the environment adopting complementary health practices. These are all the skills developed by nurses during their pre-registration education all of them remove good communication skills for effectiveness. It appears that this argument supports the notion that nursing, in addition to the applied knowledge and attitude, is underpinned essentially by communication skills.Review of Related Literature and Studies irrelevantThe relationship between the nurse and the patient is often seen as a therapeutic relationship in itself that is based on partnership, intimacy, and reciprocity (McMahon, 2007). Its purpose is different from a social relationship in that it has a focus on the patients well-being as a priority, and the nurse and the patient do not need to have anything in common or even handle each other (Arnold and Boggs, 2006).This relationship can last only fivesome minutes in an accident and emergency department or primary care practice, or can continue and develop for months or years during degenerative illness management. It can be intensely personal when breaking bad news, or quite superficial such as when directing a patient to the appropriate clinic room. However, all of these scenarios are nurse-patient encounters that impart to the patient something of the support and meaningfulness of their engagement with health care. They tell the patient whether they are viewed as important and valued, and whether they will be listed to or discriminated against.Since Florence Nightingales time, nursing could be seen as having moved from a task-oriented practice towards a therapeutic process that encompasses a wide range of nursing roles, focused on the individual patient and his or her health and well-being. (McManhon 2007) attempts to define therapeutic nursing abilities as being characterized by six skills developing the nurse-patient relationship caring and comforting using evidence-based physical interventions teaching manipulating the environment adopting complementary health practices.These skills are developed by nurses during their pre-registration education all of them demand good communication skills for effectiveness. It appears that this argument supports the notion that nursing, in addition to the applied knowledge and attitude, is underpinned essentially by communication skills.For instance, reticence from the others may remind encouraging remarks of prompt questioning timing of social responses This requires the communicator to know when to speak, when to listen, when to interrupt or prompt, or when to take the lead or be led. Self-presentation A good communicator has self-awareness and is able to use this self-knowledge to present themselves to the other. This gives the other feedback somewhat who the communicator is and therefore how to interpret and respond to them. For instance, sitting in a forward-leaning position assures the other that they are being listened to. Rewardingness This is the ability to engage the other in the communication and know how to reward communication behaviour.For instance, using nods, smiles, and eye contact encourages someone to talk about themselves. For instance, if they bring in that being dressed formally is off putting to a young teenager, they can respond by removing a tie or rolling up their sleeves. Argyle breaks communication skills down into behavioural skills rather than skills of insight, understanding, and cognition. Another definition of good communication comes from (Becker et al.) who suggest that skilful communicator must be able to spot the emotions or intent expressed by the other person and make sophisticated judgements about the form and timing of the appropriate response .In this definition, the virtuoso(prenominal) communicator uses accurate perception and good judgement to understand the interactions and know how to make appropriate judgements. It may be that all of these factors are part of the skills of a good communicatorthat skills are made up of a good sense of reality, awareness of self and others, accurate reading of locatings, good timing, and ability to use the self to facilitate meaningful and positive communication. Many of these skills can be learnt and developed through the practice and through personal development by improving self-awareness, and awareness and understanding of other people and heir cognitive and emotional states.Related StudiesPatients Perceptions of Interpersonal Continuity of Care by Nancy Pandhi, MD and pot W. Saultz, MD (2005) this is the qualitative and three-figure study of Interpersonal continuity of care is important to a majority of patients, particularly those from vulnerable groups. Patients value the relationship with their physician, their physicians knowledge about them, and the abilit y to communicate their concerns. Over time, contact with a physician seems to lead to the development of trust and confidence. However, continuity of care is not valued by all patients or across all settings.Nurse-patient relationship analysis of problems Encountered by the nursing students of Olivarez College (2010). In this study the purpose of descriptive studies is to observe, describe and document aspects of a situation as it naturally occurs and sometimes to observe as a starting point for the hypothesis be it as general or supposition development. The see analyzed the data of the faculty needs of the nursing college department, the degree on which these needs were met.SynthesisPatients Perceptions of Interpersonal Continuity of Care by Nancy Pandhi, MD and John W. Saultz, MD (2005) this is the qualitative and quantitative study of Interpersonal continuity of care is important to a majority of patients, particularly those from vulnerable groups. Patients value the relationsh ip with their physician, their physicians knowledge about them, and the ability to communicate their concerns. Over time, contact with a physician seems to lead to the development of trust and confidence. However, continuity of care is not valued by all patients or across all settings.The studies utilized results quantitative (19/36), qualitative (16/36), or mixed methods (1/36). The largest number of the studies (15/36) took place in the join States. Several took place in the United Kingdom (8/36), The Netherlands (4/36), and Canada (4/36). The remainder took place in other European countries (2/36), Australia (2/36) or both the United States and England (1/36). All recruited patients from ambulant settings. A summary of results from these studies regarding our stage settingual questions is reported below.Nurse-patient relationship analysis of problems Encountered by the nursing students of Olivarez College (2010). In this study the purpose of descriptive studies is to observe, d escribe and document aspects of a situation as it naturally occurs and sometimes to observe as a starting point for the hypothesis be it as general or theory development. The survey analyzed the data of the faculty needs of the nursing college department, the degree on which these needs were met.According to researchers, this study is a qualitative phenomological research to a patient-centered communication is a basic component of nursing which facilitates the development of a positive nurse-patient relationship and along with other organizational factors, results in the delivery of quality nursing care. In most instances, a nurse plays an essential role in the life of a patient. The concerns and cares they give to their patients is a big factor that uplifts each ones spirit, therefore the goal of nurses of Olivarez College BSN IV is to create a harmonious relationship between their patients through a well-organized and meaningful interactions.Theoretical mannikinThis study is base d on Hildegard Peplaus Theory of Interpersonal Relations. The Theory of Interpersonal Relations is a middle-range descriptive classification theory. It was influenced by Henry bay window Sullivan, Percival Symonds, Abraham Maslow, and Neal Elger Miller.The four components of the theory are person, which is a developing organism that tries to reduce anxiety caused by needs environment, which consists of existing forces outside of the person, and put in the context of culture health, which is a word symbol that implies forward movement of personality and other human processes toward creative, constructive, productive, personal, and community living.The nursing model identifies four sequential phases in the interpersonal relationship orientation, appellation, exploitation, and resolution.The orientation phase defines the problem. It starts when the nurse meets the patient, and the two are strangers. After defining the problem, the orientation phase identifies the type of service neede d by the patient. The patient seeks assistance, tells the nurse what he or she needs, asks questions, and shares preconceptions and expectations based on past experiences. Essentially, the orientation phase is the nurses assessment of the patients health and situation.The identification phase includes the selection of the appropriate assistance by a professional. In this phase, the patient begins to feel as if he or she belongs, and feels capable of dealing with the problem which decreases the feeling of helplessness and hopelessness. The identification phase is the development of a nursing care plan based on the patients situation and goals.The exploitation phase uses professional assistance for problem-solving alternatives. The advantages of the professional services used are based on the needs and interests of the patients. In the exploitation phase, the patient feels like an integral part of the helping environment, and may make minor requests or use attention-getting techniques . When communicating with the patient, the nurse should use interview techniques to explore, understand, and adequately deal with the underlying problem. The nurse must also be aware of the various phases of communication since the patients independence is likely to fluctuate. The nurse should help the patient exploit all avenues of help as progress is made toward the final phase. This phase is the implementation of the nursing plan, taking actions toward meeting the goals set in the identification phase.The final phase is the resolution phase. It is the termination of the professional relationship since the patients needs have been met through the collaboration of patient and nurse. They must sever their relationship and dissolve any ties between them. This can be difficult for both if psychological dependence still exists. The patient drifts away from the nurse and breaks the confederation between them. A healthier emotional balance is achieved and both become mature individuals. This is the evaluation of the nursing process.The nurse and patient evaluate the situation based on the goals set and whether or not they were met. The goal of psychodynamic nursing is to help understand ones own behavior, help others identify felt difficulties, and gain principles of human relations to the problems that come up at all experience levels. Peplau explains that nursing is therapeutic because it is a healing art, assisting a patient who is sick or in need of health care. It is also an interpersonal process because of the interaction between two or more individuals who have a common goal. The nurse and patient work together so both become mature and knowledgeable in the care process.