General Nursing (RGN)
DEVELOPING INTERPERSONAL RELATIONSHIP WITH THE PATIENT/CLIENT (ESTABLISHING RAPPORT)
This is the process of building a therapeutic relationship with patient/client and family who visits the hospital. It makes the patient/client and family feel at ease to discuss his/her needs with the nurse. This action is performed by the nurse immediately he/she comes into contact with a patient/client and family.
Purpose
- Develop mutual trust between patient/client and the nurse
- Reduce anxiety
- Maintain the dignity of patient/client
- Promote effective communication
Indications
- At the beginning of the nurse-patient relationship
- On admission or first contact with a patient/client
- When establishing therapeutic communication with a patient/client and family
- When the patient/client requires emotional support or clarification
Equipment
- N/A
Procedure steps
- Introduce yourself to the patient/client
- Maintain a relaxed attitude when interacting with patient/client
- Identify patient/client's name, title and address him/her as such
- Speak to patient/client using simple and clear language
- Assure patient/client of total confidentiality
- Establish eye contact with the patient/client during the interaction
- Enquire from the patient/client the purpose of visit (if applicable)
- Encourage patient/client to express his/her needs and listen attentively
- Explain to patient/client what he/she should expect from the nurses
- Show consistency in approaching the patient/client
- Demonstrate firmness in dealing with inappropriate requests and behaviour by the patient/client if any
- Express appreciation to patient/client for his/her cooperation
Precautions
- Maintain professional therapeutic boundaries
- Protect patient/client confidentiality and privacy
- Use respectful, culturally appropriate and non-judgmental communication
- Avoid making promises that cannot be fulfilled
- Do not disclose confidential information to unauthorized persons
- Recognize and respect the patient's right to refuse communication or participation
- Seek assistance when communication barriers affect safe care
Educational resource only. Follow current Nursing and Midwifery Council guidance, local institutional protocols, scope of practice, and clinical supervision.
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