Watson defined therapeutic nurse-patient relationship as “a helping relationship that’s based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient’s physical, emotional, and spiritual needs through your knowledge and skill” ( as quoted in Pullen, 2010, p.4). Nurse’s are expected to portray and act professionally, legally and ethically in order to established an effective nurse-client relationship. The Nursing and Midwifery Board of Australia (NMBA, 2012) is a regulating body for nurses and midwives specifically in Australia had set and approved codes and guidelines to follow and source of basis to guide nurses in their professional practice. The significance of an effective nurse patients relationships are critical to maintenance, promotion and recovery of patients in every aspect of life. It is central to meeting the patients care needs and therefore communication between the nurse and patients is the foundation on which this relationship is built ( McCabe, Timmins, & Camplings, 2007). The techniques to established a warm and mutual nurse-client relationship are vital to understand and needless to say important in practice in order to come up with healthy and quality outcome for the patient as well as the nurse. The barriers or hindrances that we may encountered in maintaining a positive and favorable relationships between nurse and client is experienced in our everyday situation as we interact with the patient in various settings. As a professional nurse we must determine this barriers to promote a comprehensive, holistic and healthy relationship to our patient.
Significance and advantages of maintaining a professional boundaries and following the guidelines and codes of ethics in creating an effective nurse client relationship is critical in any practice setting. The Australian Nursing and Midwifery Council, Royal College of Nursing, Australia and Australian Nursing Federation ( 2002 ) set forth professional guidelines for nurses which serve as a foundation and path for any legal and moral issues involving nurses as well as midwives. One advantage of establishing effective nurse-patient relationship is nurse can establish therapeutic partnership with the patient. It entails a collaboration between nurse and patient with mutual trust and respect, and it can enhance patient’ ability to cope with problems (Day & Levett-Jones 2008, p. 497). Barry (1996. p. 18) stressed “the one of the most beneficial aspects of a good therapeutic relationship is the emotional support given to the patient. Establishing therapeutic relationship could help the patients emotionally and then enable them to cope with their problems by themselves. Effective nurse-patient relationship also encourages to influence patient and to obtain relevant data. Nurse as a change agent, influence client to be a better manager of their own health. Like emphasizing the benefits of doing regular exercise at least thrice a week and sleeping at least eight hours of sleep a day and taking eight glasses of water a day. On the other hand, obtaining information from them is significant in their treatment plan since this serves as a basis of what available intervention is appropriate to them to properly managed their health (Day & Levett-Jones 2008, p. 483). Involving patient to his care plan promotes a healthy relationship since patient are felt that they are valued, thus it builds trust between nurse and patient. For instance in a patients chart there are nursing care plan and patients are involved in any informal decisions whether it may be a diagnostic test or a major procedure (Australian Nursing and Midwifery Council, 2006, p 8). The patient has a right to informed consent and decision making when it comes to his or her own health condition. This where comes the role of the nurse as an advocate, standing and doing something on behalf of the...
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