Therapeutic Relationship In Nursing

According to Mohr (2013) the therapeutic relationship is the foundation of all nursing care. It is a close relationship between the nurse and the client, which is essential in assisting the client in grow, learn to cope, solve their problems and achieve developmental goals. The therapeutic relationship purpose is to increase the client’s self-esteem, and decrease mental distress. This type of relationship is client based/oriented; therefore the nurse should at all times practice self-awareness to ensure that her needs and values do not influence her perception of the client and behavior towards the client. A therapeutic relationship consists of three (3) phases, essential elements, potential obstacles and ways of maintaining a therapeutic, professional relationship with the client.

The phases of the therapeutic relationship are there to provide a means of consistency for the client. The phases are identified as orientation, working and termination. The orientation phase is defined by the nurse gathering information to ensure that priority is appropriately given to the client’s issues. This is also where consistency begins, relationship boundaries are form and expectations of both the nurse and the client are clarified and trust, honesty and respect are developed.

The orientation phase is immediately followed by the working phase. Working phase as the name suggests is where the client’s issues are worked on by the nurse and the client. A plan to address problems and issues identified is put into place, with nursing interventions frequently taking place. This plan takes into consideration any emerging needs or problems as well as the client’s perspective and priorities. The relationship ends based on mutual understanding between th...

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...ionship geared towards helping the client to grow, learn to cope, solve their problems and achieve developmental goals. The nurse facilitates this and should understand that in each interaction with the client, she should use self therapeutically; providing unconditional positive regard for the client at all times. The concepts and elements which promote and block therapeutic relationships are varied. The key is to avoid them by understanding the client’s illness and through the practice of self-awareness by the nurse and student nurse. This might require a change in attitude and a deeper understanding of self.

Works Cited

Mohr, W. K. (2013). Therapeutic Relationships and Communication. Psychiatric-mental health nursing: evidence-based concepts, skills, and practices (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Works Cited