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Therapeutic Nurse-Client Relationship - Coggle Diagram
Therapeutic Nurse-Client Relationship
Therapeutic Communication
interpersonal skills - better communication and client engagement
communication strategies
listening with the intent to understand without diminishing feelings or immediately giving advice
fewer misunderstandings, fewer errors, confusion and client dissatisfaction
trust - initially hard to establish, and if broken, hard to gain back.
builds a rapport and emotional safety
client feels heard, respected and more likely to share important health information
misunderstandings, lack of trust and misinformation could lead to poor clinical outcomes or harm.
Client-Centered Care
empathy - builds trust, improves communication and strengthens client centred care but may lead to emotional over-involvement, reduced objectivity and be emotionally draining
confidentiality - maintaining privacy and trust
professional behaviour/actions
is the behaviour consistent with the role of nurses in the setting?
is this behaviour you would want other people to know you had engaged in with a client?
meets a clearly identified therapeutic need of the client, rather than a need of the nurse?
care plans - respect individuals preferences, needs and values improves satisfaction, adherence to care and overall health outcomes
ignoring client preferences or cultural needs may result in inequitable client care and ethical concerns
Maintaining Boundaries
over-involvement (friendships, gifts) or under-involvement (neglect) may result in the loss of professional liscence, emotional hard to client and blurred roles
professional behaviour/actions - preserves the professional role and prevents exploitation; reduces the risk of emotional complications, or dependancy, ensures objective and ethical care
limitations of boundies - crucial for safe and ethical care and important while navigating challenges, grey areas or unintended consequences that may arise while enforcing them.
may be difficult in long term or community settings when repeated contact or ties can blur professional lines - familiarity
clients may misinterpret professional boundaries as being cold or lacking empathy
irequires constant awareness and professional judgement from the nurse
respect - a foundational element of the Therapeutic Nurse-Client Relationship standard and directly influences all aspects of nursing
clients feel safe and valued, promotes dignity and encourages autonomy and openness
disrespectful behaviour leads to client mistrust and conflict
recognize warning signs (favouritism, over-disclosure)
Protecting Client from Abuse
informed consent - ensuring client fully understands and voluntarily agrees to care respects their autonomy and dignity; failing to obtain informed consent or ignoring client refusal is a form of abuse
promote physical, emotional and psychological safety, clients are treated with dignity and respect; upholds public trust in nursing
recognizing and managing power imbalance - transparency and shared decision making builds trust, prevents exploitation and manipulation - ensures ethical and professional conduct - client feels in control of their care
Abuse may be verbal, emotional, physical,
sexual, financial or take the form of neglect.
harm to client leads to legal action, CNO disciplinary action and trauma to client.