- June 4, 2020
- fronlineer
Phases of Therapeutic Nurse-Patient Relationships
- Pre-interaction phase
- Obtain information about the patient from chart, significant others, or other health team members.
- Examine one’s own feelings, fears, and anxieties about working with a particular patient.
- Orientation
(introductory) phase
- Create an environment for trust and rapport.
- Establish contract for intervention.
- Gather assessment data and identify patient’s strengths and limitations.
- Formulate nursing diagnoses and set mutually agreeable goals.
- Develop a realistic plan of action.
- Explore feelings of both patient and nurse.
- Working
phase
- Maintain trust and rapport.
- Promote patient’s insight and perception of reality.
- Use problem-solving model to work toward achievement of established goals.
- Overcome resistance behaviors.
- Continuously evaluate progress toward
goal attainment.
- Transference: Occurs when the patient unconsciously displaces (or “transfers”) to the nurse feelings formed toward a person from the past
- Countertransference: Refers to the nurse’s behavioral and emotional response to the patient
- Termination phase
- Therapeutic conclusion of relationship occurs when
- Progress has been made toward attainment of the goals.
- A plan of action for more adaptive coping with future stressful situations has been established.
- Feelings about termination of the relationship are recognized and explored.
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What are the 4 phases of nurse patient relationship?
Hildegarde Peplau describes four sequential phases of a nurse-client relationship, each characterized by specific tasks and interpersonal skills: preinteraction; orientation; working; and termination.
During which phase of the nurse patient relationship is a rapport established with the patient quizlet?
The priority nursing action during the orientation phase of the nurse-client relationship should be to establish rapport and develop treatment goals. Rapport implies feelings on the part of both the nurse and the client based on respect, acceptance, a sense of trust, and a nonjudgmental attitude.
What are the 4 phases of a therapeutic relationship?
Ideally, the therapeutic relationship has a clear starting point and ending point. It progresses through the four stages outlined above: commitment, process, change, and termination.
What are 3 phases of the nurse patient relationship?
Peplau theorized that nurse-patient relationships must pass through three phases in order to be successful: (a) orientation, (b) working, and (c) termination. During the brief orientation phase, hospitalized patients realize they need help and attempt to adjust to their current (and often new) experiences.