3. Communication refers to the giving and
receiving of information. Communication
is the mean by which people influence the
behaviour of another, leading to the
successful outcome of nursing
interventions.
7. RESPONSIVE DIMENSION
•The nurse must possess certain
skills and qualities to establish
and maintain a therapeutic
relationship. The responsive
dimension are crucial in a
therapeutic relationship to
establish trust and open
communication. The nurses goal
is to understand the patient and to
help the patient gain self
understanding and insight.
13. DYNAMICS OF THERAPEUTIC
NURSE PATIENT REALTIONSHIP:
• In a therapeutic
relationship the nurse and
client work together
towards the goal of
assisting the client to
regain the inner resources
to meet life challenges
and facilitate growth.
15. PRINCIPLES OF THERAPEUTIC
NURSE-PATIENT RELATIONSHIP
• Treat the client as an individual
• Accept the client as he is
• Aware the total need of the client
• Nurse understand herself and clients needs , motives,
desires , feelings and tears
• Emotional and involvement is essential
16. • Objectivity has to be maintained
• Consistency has to be maintained
• Set approximate limits and goals
• Encourage the client feelings
• Therapeutic understanding
• Honest and open communication is needed
• Engage in active listening
17. THERAPEUTIC USE OF SELF
GAINING SELF AWARENESS
• In nurse patient relationship each interaction
is unique because the patient and the nurse are
having their even beliefs , values , attitudes ,
and behaviour .
19. THERAPEUTIC NURSE PATIENT
REALTIONSHIP ITS PHASE
Four phases of relationship
process have been identified
• Pre-interaction phase
• Introductory or orientation phase
• Working phase
• Termination phase
20. • Term therapeutic impasse may be used to
describe a number of situations that can arise
in psychotherapy. Impasses can occur as a
result of disagreement between the therapist
and client, unacknowledged issues within
therapy, or stagnation in therapy..
THERAPEUTIC
IMPASSES
21. The common four impasses are :
Resistance
Transference
Counter transference
Boundary violations
22. •Process recording is a
written account or
verbatim recording of all
that transpired, during
and immediately
following the nurse-
patient interaction.
PROCESS RECORDING
23. AIMS OF PROCESS
RECORDING:
The aim of process
recording is to improve the
quality of interaction of
better effect to the patient
and a learning experience
for the nurse to continuously
improve her clinical
interaction pattern.
24. PURPOSE / OBJECTIVE /GOALS
Process recording will be used as a :
• Teaching tool
• Communicate tool
• Self evaluating tool
• Diagnostic tool
• Therapeutic tool
• A prerequisites for nursing process
25. PHASES IN PROCESS
RECORDING
Preparing the students for process
recording
Recording nurse patient interaction
Evaluating the interaction by the
instructor and the student ‘
26. :
• Physical setting
• Getting consent of the patient for
the possibility of cassette
recording
• Confidentiality
PRE REQUISITIES FOR PROCESS
RECORDING