Peplau's theory of the nurse-client relationship is essential to . they stated that nurses withheld recognition of the client as a person who has. Items 1 - 25 in Nursing Using Data from Patient Experience Peplau's (/) theory of interpersonal relations is early This withholding will increase. the concept of nurse patient relationship as it exists in nursing theory and practice . Peplau, whose theory of nursing emanated from direct observation of the nurse-client relationship as “withholding, avoiding and ignoring and struggling.
Patients are expecting a nurse who will show interest, sympathy, and an understanding of their difficulties. When receiving care patients tend to be looking for more than the treatment of their disease or disability, they want to receive psychological consideration. During hard times, clients are looking for a therapeutic relationship that will make their treatment as less challenging as possible.Hildegard Peplau’s Nursing Theory
Many patients are aware that a solution to their problems may not be available but expect to have support through them and that this is what defines a positive or negative experience. Past experiences can help the clinician can better understand issues in order to provide better intervention and treatment. The goal of the nurse is to develop a body of knowledge that allows them to provide cultural specific care.
This begins with an open mind and accepting attitude. Cultural competence is a viewpoint that increases respect and awareness for patients from cultures different from the nurse's own. Cultural sensitivity is putting aside our own perspective to understand another person's perceptive. Caring and culture are described as being intricately linked. It is important to assess language needs and request for a translation service if needed and provide written material in the patient's language.
As well as, trying to mimic the patient's style of communication e. Another obstacle is stereotyping, a patient's background is often multifaceted encompassing many ethic and cultural traditions.
In order to individualize communication and provide culturally sensitive care it is important to understand the complexity of social, ethnic, cultural and economic. This involves overcoming certain attitudes and offering consistent, non-judgemental care to all patients. Accepting the person for who they are regardless of diverse backgrounds and circumstances or differences in morals or beliefs. By exhibiting these attributes trust can grow between patient and nurse.
It includes nurses working with the client to create goals directed at improving their health status. A partnership is formed between nurse and client. The nurse empowers patient and families to get involved in their health.
To make this process successful the nurse must value, respect and listen to clients as individuals. Focus should be on the feelings, priorities, challenges, and ideas of the patient, with progressive aim of enhancing optimum physical, spiritual, and mental health. It is stated that it is the nurse's job to report abuse of their client to ensure that their client is safe from harm. Nurses must intervene and report any abusive situations observed that might be seen as violent, threatening, or intended to inflict harm.
Nurses must also report any health care provider's behaviors or remarks towards clients that are perceived as romantic, or sexually abusive. Interviews were done with participants from Southern Ontario, ten had been hospitalized for a psychiatric illness and four had experiences with nurses from community-based organizations, but were never hospitalized. The participants were asked about experiences at different stages of the relationship.
The research described two relationships that formed the "bright side" and the "dark side". The "bright" relationship involved nurses who validated clients and their feelings. For example, one client tested his trust of the nurse by becoming angry with her and revealing his negative thoughts related to the hospitalization. The client stated, "she's trying to be quite nice to me For example, one client stated, "The nurses' general feeling was when someone asks for help, they're being manipulative and attention seeking ".
One patient reported, "the nurses all stayed in their central station. They didn't mix with the patients The only interaction you have with them is medication time". One participant stated, "no one cares. It's just, they don't want to hear it.
Peplau's Theory - A Nurse/Patient Collaboration - Ausmed
They don't want to know it; they don't want to listen". These findings bring awareness about the importance of the nurse—client relationship. Building trust[ edit ] Building trust is beneficial to how the relationship progresses.
Wiesman used interviews with 15 participants who spent at least three days in intensive care to investigate the factors that helped develop trust in the nurse—client relationship. Patients said nurses promoted trust through attentiveness, competence, comfort measures, personality traits, and provision of information. Every participant stated the attentiveness of the nurse was important to develop trust.
One said the nurses "are with you all the time.
Peplau’s Theory – A Nurse/Patient Collaboration
Whenever anything comes up, they're in there caring for you". They took time to do little things and made sure they were done right and proper," stated one participant. One client stated, "they were there for the smallest need. I remember one time where they repositioned me maybe five or six times in a matter of an hour". One said, "they were all friendly, and they make you feel like they've known you for a long time" Receiving adequate information was important to four participants.
One participant said, "they explained things. They followed it through, step by step".
Nurse–client relationship - Wikipedia
Emotional support[ edit ] Emotional Support is giving and receiving reassurance and encouragement done through understanding. Yamashita, Forchuk, and Mound conducted a study to examine the process of nurse case management involving clients with mental illness. Nurses in inpatient, transitional, and community settings in four cities in Ontario Canada were interviewed. The interviews show the importance of providing emotional support to the patients. One nurse stated that if the client knows "Somebody really cares enough to see how they are doing once a week To them it means the world".
A nurse stated that "We're with the families. We can be with them as oppositional and overly involved and somewhere else in between, and we're in contact with them as much as they want". The study reaffirmed the importance of emotional support in the relationship.
Humour[ edit ] Humour is important in developing a lasting relationship. Astedt-Kurki, Isola, Tammentie, and Kervinen asked readers to write about experiences with humour while in the hospital through a patient organization newsletter. Letters were chosen from 13 chronically ill clients from Finland. The clients were also interviewed in addition to their letters. The interviews reported that humour played an important role in health.
Patients' experiences are defined as their perceptions of phenomena for which they are the best or only sources of information, such as personal comfort or effectiveness of discharge planning. This survey was created to facilitate public reporting of patient experience data so that consumers could compare hospital scores and make informed choices and hospitals could see their strengths and weaknesses with regard to patients' experiences Centers for Medicare and Medicaid Services [CMS], Though a latent structure following the IOM's conceptual framework should fit most sets of HCAHPS data well, it was hypothesized that a latent structure reflecting a middle-range nursing theory would provide a comparably good fit to the data, given the large role nurses play in many aspects of patients' hospital experiences.
Demonstration of a comparable factor structure based on a middle-range nursing theory would more fully reflect nurses' wide contributions to patients' experiences, as measured by the HCAHPS survey. In the theory of interpersonal relations in nursing, Peplau emphasized patients' experiences and the effect that nurse-patient relationships have on those experiences. Peplau asserted that the focus of scientific research in nursing should be patients, their needs, and their perceptions about the care they received from nurses Gastmans, The purpose of this paper is to report the results of a confirmatory factor analysis done to compare the factor structure of HCAHPS data using both the IOM conceptual model and Peplau's middle-range theory of interpersonal relations in nursing.
These domains include respect for patients' values and attention to patients' preferences, expressed needs, physical comfort, and emotional support. The IOM's framework is one that emphasizes patient-centered care and places patient dignity at the forefront. Peplau theorized that nurse-patient relationships must pass through three phases in order to be successful: