Interpersonal relationship

levels, priciples and types

1. SEMINAR PRESENTED BY: Mr. Mahesh Chand Lecturer M.Sc Nursing

2. INTERPERSONAL RELATIONSHIP

3. INTRODUCTION

4. DEFINITION Interpersonal relationships are social connections with others. They can be brief or enduring. We experience a variety of interpersonal relationships on a daily basis with family, friends, significant others and people at our workplace.

5. ESSENTIALS Effective and efficient communication. Non verbal communication which appropriate to the situation.

6. PRINCIPLES OF IPR Liam everyone's name and never address anyone by any nick name. Respect every ones individually. Each member of a team is as important as the other. Do not impose anything on anybody. Keep emotion under control. Don’t be afraid to admit ignorance.

7. 6. Do not take and give personal favors. 7. The team leader should not make any excuse regarding his or her responsibility. 8. Develop habit of listening and focus attention on the problem. 9. Do not do or say anything that will disturb others faith. 10.Give importance others and practice justice.

8. 11. This member of team should be loyal, honest, dependable and willing to carry out the directions of the team member. 12. There should be team spirit or team feeling among the members. Each member should work for the interest of the group. 13. There should be mutual understanding between the members. They should be willing to give and take corrections.

9. 14. There should be delegation of responsibility in a group and every member should carry out his or her responsibility to the satisfaction of the group. 15. The relationship between the members of the group should be decent and considerate. 16. Teach the new-comer about the job. Make sure that all the assignments are understood.

10. 17. The newcomer of the group should feet at home at he joints the group. 18. Establish a good rapport among the members in order to achieve the aim. 19. Every member should be familiar with the organizations plan and the policies of the group. 20. Be up to date with the information that is going around.

11. 21. Avoid arguments in the group. 22. Talk in terms of other mans interest. 23. Have a smiling face always. 24. Praise the slightest improvement made by others use words of encouragement. 25. Prepare yourself mentally to accept the worst if necessary.

12. CHARACTERISTICS OF IPR Helping relationship is a therapeutic relationship in nursing which promoting a psychological climate that brings a positive change in the client and promote his group Facilitative characteristics Action orientation

13. 1 . FACILITATIVE CHARACTERISTICS They are the essential message for the nurse to positive and supportive relationship with the client. These are condition that create an emotional environment in which a patient feel comfortable and safe.

14. Trust Empathy Caring Autonomy and mutuality Geniuses Non possessive warmth

15. 2. ACTION ORIENTATION These are conditions that assist a person to move towards his goals. Action oriented characteristics are used on the nurse patient relationship to progress beyond the initiation process. Concreteness in communication Immediacy Sensitive confrontation

16. FACTORS AFFECTED NURSE PATIENT RELATIONSHIP Personal experience Specific health oriented experience General life experience

17. STAGES OF INTERPARSONAL RELATIONSHIP 1 . ORIENTATION PHASE Introduction of nurse and client Elaboration of clients needs Acceptance of clients needs Clarification of limitations and responsibilities

18. 2 . IDENTIFICATION PHASE Provision of opportunity for the client to respond Encouragement for the client to express what he feels Provision of the opportunity for the nurse and the client to clearly understand each others preconceptions and expectations .

19. 3 . EXPLOITATION Full utilization 0f the nurse client relationship to mutually work on the solution to problem the changes needed to improve health. Provision of opportunities for the client to explore earlier experiences and behaviors and to have emerging needs met.

20. 4 . RESOLUTION PHASE Provision of opportunity to formulate new goals. Encouragement of gradual freeing of the client from identifying with the nurse. Promotion of the clients ability to act more independently.

21. PHASES FOCUS Identification Problem defining phase Orientation Selection of appropriate professional Assistance Exploitation Use of professional assistance for problem solving alternatives Resolution Termination of professional relationship

22. PHASES OF INTERPERSONAL RELATIONSHIP

23. THERAPUTIC TECHNIQUES TO IMPROVE INTERPERSONAL RELATIONSHIP Paraphrasing / repeating Attentive listening 5 phases of posture Face towards other person Maintain eye contact Lin towards patient Make an open posture in which hand and legs and legs not cross Remain relax with your gesture and act natural

24. Clarify Use open ended questions Focusing Being specific tautening and informative Using touch Use silence summerising

25. ADVANTAGES When you communicate something good it to cant be reserved and it leaves a positive impact E.G – praising, smiling

26. DISADVANTAGES When you communicate something bad it can not be got back E.G- scolding, slapping

27. PROBLEM OF INTERPERSONAL RELATIONSHIP Loss of motivation Indiscriminate opposition Operational problems Task distortions Authority problem

28. ROLE OF NURSE Primary role Additional role

29. PRIMARY ROLE 1. Stranger: receives the client in the same way one meets a stranger in other life situations provides an accepting climate that builds trust. 2. Teacher: who imparts knowledge in reference to a need or interest 3. Resource Person : one who provides a specific needed information that aids in the understanding of a problem or new situation

30. 4. Counselors : helps to understand and integrate the meaning of current life circumstances ,provides guidance and encouragement to make changes 5. Surrogate: helps to clarify domains of dependence interdependence and independence and acts on clients behalf as an advocate. 6. Leader : helps client assume maximum responsibility for meeting treatment goals in a mutually satisfying way

31. ADDITIONAL ROLE Technical expert  Consultant  Health teacher  Tutor  Socializing agent  Safety agent  Manager of environment  Mediator  Administrator  Recorder observer Researcher

32. CONCLUSION The interpersonal nature of nursing identifies the distinctive contribution that nursing can make to health care. It is in the relationship between people that the origins of many nursing problems lie, and it is in the interpersonal domain that interventions have to be made if people are to continue to develop.

33. REFERENCES Shabeer p. basheer Advance nursing practice, page no- 557 to 560

34. THANK YOU