Phases of Therapeutic Relationship in Nursing

Therapeutic Nurse-Client Relationship

• A relationship where both participants recognize each other as unique and important human beings
• A relationship where mutual learning occurs

Phases of Therapeutic Nurse-Client Relationship

• Pre-Interaction Phase
  • The nurse prepares to meet the client by gathering relevant client information and anticipating client concerns prior to the first interaction
• Orientation Phase
  • The nurse builds a sense of trust by providing the client with basic information
• Working Phase
  • The problem-solving phase of the relationship, paralleling the planning and implementation phases of the nursing process
• Termination Phase
  • When the care provided by the nurse is no longer required for the context of care

Focus of Nursing

• Nursing as a caring profession
• The purpose of a nursing care plan is to document the patient's needs and wants, as well as the nursing interventions planned to meet these needs

Planning in Nursing

• The planning phase begins once the medical and nursing team confirms the patient's diagnosis
• The care plan is used to establish continuity of care
• Types of planning:
  • Initial Planning: performed by the nurse who develops the initial comprehensive plan of care
  • Ongoing Planning: done by all nurses who work with the client, starting from the beginning of shift
  • Discharge Planning: the process of anticipating and planning for needs after discharge

Short-Term and Long-Term Goals

• Short-Term Goal: something you want to do in the near future (e.g., today, this week, this month, or this year)
• Long-Term Goal: something you want to do further in the future, requiring time and planning

Diagnostic Process

• Identifying Health Problems, Risks, and Strengths: after data analysis, the nurse and client identify strengths and problems
• Formulating Diagnostic Statements:
  • Basic Two-Part Statement: includes problem (P) and etiology (E)
  • Basic Three-Part Statement (PES format): includes problem (P), etiology (E), and signs and symptoms (S)

Explore the phases of therapeutic relationship in nursing, where mutual learning and recognition of each other's uniqueness is essential. Learn about the pre-interaction phase, the only phase where the client does not directly participate.