Dimensions/components of Therapeutic nurse patient relationship
The nurse must possess certain skills and qualities to establish and maintain a therapeutic relationship. Specific core conditions for facilitative interpersonal relationship can be divided into responsive dimensions and action dimensions.
I. Responsive dimensions
The responsive dimensions include genuineness, respect, empathetic understanding and concreteness. The responsive dimensions are crucial in a therapeutic relationship establish trust and open communication. The nurse’s goal is to understand the patient and to help the patient gain self-understanding and insight.
1.Genuineness:Genuineness means that the nurse is an open, honest, sincere person who is actively involved in the relationship. Genuineness means that the nurse’s response is sincere, that the nurse is not thinking and feeling one thing and saying somethino different.
2.Respect: Respect also called as non possessive warmth or unconditional positive regard, does not depend on the patients behavior. Caring, liking and valuing are other terms for respect.
3.Empathetic understanding:Empathy is the ability to enter into the life of another person and to accurately perceive his or her current feelings and their meanings. Rogers (1975) described it as “to sense the clients private world as if it were on your own, but without losing the as if quality.
4.Concreteness: It involves using specific terminology rather than abstractions when discussing the patient’s feelings, experiences and behavior. It avoids vagueness and ambiguity.
II. Action dimensions
The action oriented conditions for facilitative interpersonal relationship are confrontation, immediacy, therapist self-disclosure, catharsis and role play.
1. Confrontation: It is an expression by the nurse, of perceived discrepancies in the patient’s behavior. Confrontation is an attempt to by the nurse to make the patient aware of incongruence in his or her feelings, attitudes, beliefs and behaviors.
2. Immediacy:Immediacy involves focusing on the current interaction of the nurse and the patient in the relationship. It involves sensitivity to the patient’s feelings and a willingness to deal with these feelings rather than ignoring them.
3. Self-disclosure: Self- disclosures are subjectively true, personal statements about the self, intentionally revealed to another person. The nurse may share experiences or feelings that are similar to those of the patient and may emphasize both similarities and differences. It is an expression of genuineness and honesty by the nurse and is an aspect of empathy.
4. Emotional catharsis:occurs when patient is encouraged to talk about thin as that are most bothersome. It brings fears, feelings and experiences out into the open so that they can be examined and discussed with the nurse.
5. Role playing: It involves acting out a particular situation. It increases the patient’s insight into human relations and can deepen the ability to see the situation from another person’s point of view