Intarpersonal relationship

Interpersonnal relationship

1. INTERPERSONAL RELATIONSHIPS BY ULFAT AMIN MSC PEADIATRIC NURSING

2. INTRODUCTION One of the most distinctive aspects of human beings is that we are social beings. Interpersonal relationships are & have been the core of our social system since the dawn of civilization. Nursing is a therapeutic process & demands an association between the nurse & the patient. The nurse is an important member of the health care team that must work in cooperation and harmony for the care of the patient. This harmony depends upon the interpersonal relationship that is maintained among the members of the health care team and between the nurse and the patient.

3. DEFINITIONS Interpersonal relationships refer to reciprocal social & emotional interactions between two or more individuals in an environment. It is a close association between individuals who share common interests & goals. It is the learning experience whereby two people interact to face an immediate health problem, to share, if possible, in resolving it and to discover ways to adapt to the situation.

4. PRINCIPLES OF IPR Learn everyone’s name and address them properly. Respect everyone’s individuality. Do not impose anything on anyone. Keep emotions under control. Develop habits of listening and focus attention on the problem. Do not do or say anything that disturbs other’s faith. There should be mutual understanding between the members.

5. Establish a good rapport among the members in order to achieve the aim. Be up to the date with the information that is going around. Talk in terms of other’s interest. Praise the slightest improvement made by others. Use words of encouragement. Prepare yourself mentally to accept the worst if necessary. Have a smiling face always. Avoid arguments in the group. Teach the new comer about the job.

6. PHASES OF IPR Hildegard Peplau (1952) gave the interpersonal relationship model.

7. PEPLAU(1952) GAVE THE IPR MODEL.

8. PREINTERACTION/PREORIENTATION PHASE In this phase the nurse; Gathers information about the client , his condition and situation. Data is gathered from medical records and other caregivers before meeting the patient. Chooses the location and setting for the first meeting.

9. INTRODUCTORY/ORIENTATION PHASE: The phase begins when the nurse and the patient first meet. The purpose of this phase is to become acquainted with the client, gain rapport, demonstrate understanding and establish trust. This phase usually lasts 2 to 10 sessions. The nurse clarifies his or her roles & responsibilities within the therapeutic boundary to the patient. The Nurse identifies the patient’s problem & settles on the type of nursing services needed.

10. CONTINUE… After developing a trustworthy relationship, the patients start clarifying doubts, share perceptions & convey their needs & expectation to the nurse. There are several factors that may affect this phase in a nurse-patient relationship.

11. WORKING PHASE This phase begins when the client assumes responsibility to uphold the limits of the relationship. Adjustments may have to be made, depending on the client’s length of stay. The purpose of this phase is to bring about positive changes in the client’s behavior. The nurse also takes actions to meet goals set with the client.

12. TERMINATION PHASE Ideally, this phase begins during the orientation phase. The purpose of this phase is to dissolve the relationship and assure that the client can be independent in some or all of his/her functioning. Termination normally occurs when the client has improved sufficiently for the relationship to end, but it may also occur if a client is transferred or a nurse leaves the facility.

13. CHARACTERISTICS OF IPR Ideally, this phase begins during the orientation phase. The purpose of this phase is to dissolve the relationship and assure that the client can be independent in some or all of his/her functioning. Termination normally occurs when the client has improved sufficiently for the relationship to end, but it may also occur if a client is transferred or a nurse leaves the facility.

14. FACILITATIVE CHARACTERISTICS They are the essentials message for the nurse to establish positive and supportive relationship with the client . Trust Empathy Autonomy and mutuality Non possessive warmth

15. ACTION ORIENTATION These are conditions that assist a person to move towards his goals. Action oriented characteristic are used on the nurse patient relationship to progress beyond the initiation Concreteness in communication In immediacy Sensitive confrontation Are mainly involved in this characteristic

16. BARRIERS TO IPR

17. PERSONAL BARRIERS

18. SITUATIONAL BARRIERS Complex interaction setting Adverse environmental situations Lack of territoriality High density of individual Large distance Lack of tome

19. SOCIO CULTURAL BARRIERS Cultural diversity Ethnic diversity Language diversity Social diversity

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