A Lie by Omission?

Area of Science:

• Nursing
• Psychology
• Healthcare Communication

Background:

• The nurse-patient relationship is foundational to effective healthcare delivery.
• Authenticity is a key component of therapeutic interactions.
• Self-disclosure in professional contexts requires careful consideration.

Purpose of the Study:

• To investigate the relationship between nurse self-disclosure and perceived authenticity in the nurse-patient dyad.
• To understand how different types of self-disclosure influence the therapeutic alliance.
• To explore patient perceptions of nurse authenticity.

Main Methods:

• Qualitative research design utilizing semi-structured interviews with nurses and patients.
• Thematic analysis of interview transcripts to identify patterns in self-disclosure and authenticity.
• Exploration of contextual factors influencing nurse self-disclosure.

Main Results:

• Nurses' appropriate self-disclosure can foster patient trust and enhance perceived authenticity.
• Inappropriate or excessive self-disclosure may detract from the therapeutic relationship.
• Patients value honesty and vulnerability from nurses when it is relevant and professional.

Conclusions:

• Strategic self-disclosure by nurses can be a valuable tool for building authentic nurse-patient relationships.
• Guidelines for appropriate nurse self-disclosure are needed to maximize therapeutic benefits.
• Further research should explore the impact of cultural factors on self-disclosure and authenticity.