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Negotiating commitment and involvement in the nurse-patient relationship.
1Department of Family Studies, University of Alberta, Edmonton, Canada.
Journal of Advanced Nursing
|April 1, 1991
Summary
Nurse-patient relationships develop through negotiation, resulting in clinical, therapeutic, connected, or over-involved connections. Unilateral relationships form if commitment or trust is lacking, leading to patient manipulation or difficult behaviors.
Area of Science:
- Nursing
- Psychology
- Healthcare Communication
Background:
- Nurse-patient relationships are dynamic and crucial for effective care.
- These relationships are built on mutual interaction and negotiation.
- Understanding relationship types is key to addressing patient and nurse needs.
Purpose of the Study:
- To define and differentiate types of nurse-patient relationships.
- To explore factors influencing relationship development.
- To discuss the consequences of various relationship dynamics.
Main Methods:
- Qualitative analysis of nurse-patient interactions.
- Exploration of relationship typologies based on commitment and trust.
- Discussion of behavioral manifestations in different relationship types.
Main Results:
- Four types of mutual relationships identified: clinical, therapeutic, connected, and over-involved.
- Unilateral relationships arise from lack of nurse commitment.
- Patient distrust or illness non-acceptance leads to difficult behaviors.
Conclusions:
- Nurse-patient relationship outcomes depend on mutual commitment and trust.
- Recognizing relationship types aids in managing patient behaviors and improving care.
- Effective nursing requires adaptability to evolving relationship dynamics.
Keywords:
Professional Patient Relationship