PNR Week 8: Nurse-Client Therapeutic Relationship, Personal and Family-Centred
Care
Define Personal-Centred Care: person’s ‘family’ includes all those whom the person
identifies as significant in his/her life
● Effective communication skills + Partnership = Person & Family Centred Care
Client Centred care: involves advocacy, empowerment and respect for client’s autonomy,
voice, self-determination and participation in decision making
Person-Centred Care
● Communication involves Verbal and Non-verbal Communication w
● Partnership: Therapeutic Relationship, Respectful Partnership, Trusting Relationship,
Promotes Feeling Safe, Empowerment
Empathy
● Expression of understanding, validating what health care experience means to client
● Can include the appropriate emotional distance from the client to ensure objectivity
and appropriate professional response
Tools - To get to know
● Listening to understand
○ Attunement and Awareness: become an astute observer noting subtle cues,
Become self-aware and the effect of others on you. Focusing on being curious
and learning more
○ Authentic Presence: make this person the focus of your attention. Adopt the
stance of the learner
○ Attentive Listening: comfort with silence, Allow completion of thoughts.
Listen w/o judging
Therapeutic Relationship: “Nurse establishes and maintains this key relationship by using
nursing knowledge and skills and applying caring attitudes and behaviour. Therapeutic
nursing services contribute to the client’s health and well-being. A relationship is based
on trust, respect, empathy and professional intimacy and requires as[[rp[riate use of
power inherent in the care provider’s role
5 Components of Relationship
1. Trust - critical to relationship as client is vulnerable
2. Respect - recognising the dignity, worth and uniqueness of every individual
3. Professional Intimacy - type of care provided such as bathing. It can also involve
psychological, spiritual and social elements of plan of care. Access to client’s
personal info contributes to this
4. Empathy - understanding, validating and resonating with the experience's meaning for
pt.
5. Power: unequal power.
Care
Define Personal-Centred Care: person’s ‘family’ includes all those whom the person
identifies as significant in his/her life
● Effective communication skills + Partnership = Person & Family Centred Care
Client Centred care: involves advocacy, empowerment and respect for client’s autonomy,
voice, self-determination and participation in decision making
Person-Centred Care
● Communication involves Verbal and Non-verbal Communication w
● Partnership: Therapeutic Relationship, Respectful Partnership, Trusting Relationship,
Promotes Feeling Safe, Empowerment
Empathy
● Expression of understanding, validating what health care experience means to client
● Can include the appropriate emotional distance from the client to ensure objectivity
and appropriate professional response
Tools - To get to know
● Listening to understand
○ Attunement and Awareness: become an astute observer noting subtle cues,
Become self-aware and the effect of others on you. Focusing on being curious
and learning more
○ Authentic Presence: make this person the focus of your attention. Adopt the
stance of the learner
○ Attentive Listening: comfort with silence, Allow completion of thoughts.
Listen w/o judging
Therapeutic Relationship: “Nurse establishes and maintains this key relationship by using
nursing knowledge and skills and applying caring attitudes and behaviour. Therapeutic
nursing services contribute to the client’s health and well-being. A relationship is based
on trust, respect, empathy and professional intimacy and requires as[[rp[riate use of
power inherent in the care provider’s role
5 Components of Relationship
1. Trust - critical to relationship as client is vulnerable
2. Respect - recognising the dignity, worth and uniqueness of every individual
3. Professional Intimacy - type of care provided such as bathing. It can also involve
psychological, spiritual and social elements of plan of care. Access to client’s
personal info contributes to this
4. Empathy - understanding, validating and resonating with the experience's meaning for
pt.
5. Power: unequal power.
