CARING and Help Relationship Blom
-
Upload
pinutttttt -
Category
Documents
-
view
224 -
download
0
Transcript of CARING and Help Relationship Blom
-
8/10/2019 CARING and Help Relationship Blom
1/14
-
8/10/2019 CARING and Help Relationship Blom
2/14
The Value of Caring
Caring involves a sense of dedication toanother person
When unable to exhibit caring to clients,
nurse can no longer deliver the nurturingactivities to assist people
Caring makes curing possible (Kurtz and
Warry, 1991) Must be integrated as a standard of
performance in all care activities
-
8/10/2019 CARING and Help Relationship Blom
3/14
CARING and
HELPING RELATIONSHIP
-
8/10/2019 CARING and Help Relationship Blom
4/14
Caring and Methods of Effective
Communication Listening attentively
To be an attentive listener, the nurse use thefollowing skills :
1. Face client while they speak
2. Maintain natural eye contact to showwillingness to listen
3. Assume an attentive posture
4. Avoid distracting body movements
5. Nod in acknowledgment when clients talkimportant point
6. Lean toward speakers
-
8/10/2019 CARING and Help Relationship Blom
5/14
Caring and Methods of Effective
Communication Conveying acceptance
Means not judging another person and demonstrates theinterviewers willingness to listen to the clients belief,values and practices
A willingness to hear the person without conveying doubt ordisagreement
The following show that the nurse accept what a client hasto say :
1. Listening without interrupting
2. Providing verbal feedback that demonstratesunderstanding
3. Non verbal cues match verbal communication
4. Avoid arguing, expressing doubts
-
8/10/2019 CARING and Help Relationship Blom
6/14
Caring and Methods of Effective
Communication Asking related questions
Related with the topic and use word pattern in theclients normal social cultural context
Follow a logical sequenceIf the nurse wants the client to elaborate, use open
ended question
Clarifying
When misunderstanding occurs, the nursemomentarily stops the discussion to clarify themeaning
-
8/10/2019 CARING and Help Relationship Blom
7/14
Caring and Methods of Effective
Communication
Focusing
Eliminates vagueness in communication by limiting
the area of discussion
Stating observation
Stating observations often leads the client to
communicate more clearly
Offering informationOffers information that gives the client additional
data or insight to encourages further responses
-
8/10/2019 CARING and Help Relationship Blom
8/14
Caring and Methods of Effective
Communication
Maintaining silence
Allows the nurse and clients organize thoughts
Silence is particularly useful when clients are
confronted with difficult decision Using assertiveness
Standing up for ones right without violating thoseof others (Stanhope, Lancaster, 1992)
Summarizing
A concise review of main ideas that have beendiscussed
-
8/10/2019 CARING and Help Relationship Blom
9/14
Definition of Helping Relationship
The nurse-client relationship is more than amutual partnership
It is a process in which the helper is asked to
intervene in the life of the client to help the clientengage in more effective behavior
The nurse uses skills of interpersonalcommunication that allows understanding of
client as total person Provide physical and psychosocial comfort to the
client
-
8/10/2019 CARING and Help Relationship Blom
10/14
Characteristic of helping
relationship It is a partnership between the client and the nurse
It is purposeful and productive
It can palliate the clients worries and fears
It can be a psychic and morale booster
It has phases
It should be personally tailored to the needs of eachparticular client
It is platonic
It is a private relationship
It can be a powerful relationship
-
8/10/2019 CARING and Help Relationship Blom
11/14
Dimension of Helping Relationship
Trust
Unless clients believe that the nurse wishes to care for theirneeds, a trusting relationship cannot develop
To foster trust, the nurse acts consistently, reliably and
competently Empathy
The ability to enter into the life of another and accuratelyperceive feelings and meaning
Caring
It is basic to a helping relationship Autonomy and mutuality
Autonomy is an ability to be self-directed. Mutualityinvolves sharing with another
-
8/10/2019 CARING and Help Relationship Blom
12/14
Phases of a Helping Relationship
1. Pre interaction phase
Before a first meeting with a client, the nurse reviewsinformation pertaining to the client
A time when the nurse plans an approach
2. Orientation phase Begins when the nurse and the client first meet
The purpose of the orientation phase include :- Introduction of nurse and client
-
Elaboration of the clients need- Acceptance of the clients need for assistance
- Agreement that the clients will direct energies
- Clarification of limitations and responsibilities
-
8/10/2019 CARING and Help Relationship Blom
13/14
Phases of a Helping Relationship
3. Working phase
The nurse strives to meet goals set during the orientationphase
The nurse and the client work together
4. Termination
During the orientation phase, the nurse tells the client whento expect the relationship to end. When terminationoccurs, the client should not be surprised
The primary objective at the end of any helping relationshipis termination in a planned and satisfying manner
-
8/10/2019 CARING and Help Relationship Blom
14/14
Outcomes of Helping Relationship
Increased client understanding of how
better personal responsibilities and
accountability for health can be achieved
Perceived satisfaction in the relationship