my ver of thesis

7/27/2019 My Ver of Thesis

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CHAPTER 1

THE PROBLEM AND REVIEW OF RELATED LITERATURE AND STUDIES

Introduction

The very foundation of interpersonal relationship is the interaction of two or more

people expressing their behavior towards one another, or how they deal with one

another. Dealing with people is not an easy task. It can make one person successful or

fail in accomplishing the task he/she wants to achieve and it is a challenge to face. It is

also a significant factor, to know how well a nurse can influence the patient in fulfilling

the goal.

An interpersonal relationship between nurse and patient varies on the work

relation. It tends to grow gradually, as nurse and patient get to know each other and

become comfortable with each other, or they gradually deteriorate as they drift apart in

cases of patients discharge and move on to face another change in their lives. The

interpersonal relationship is not permanent and stable. The only concern of the nurse is

how the patient improves his/her present situation physically and emotionally. It is a

creation of greater understanding and patience in the interactions of the nurse and

patient.

In most instances, interpersonal relationship between nurse and patience starts

by building up rapport of getting to know, become acquaintance due to the impression

of trust and care expressed by the nurse to the patient. The relationship may continue


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because of mutual dependence and established trust or it may deteriorate because of

boredom, resentment and dissatisfaction, or the worst scenario, in case of death.

Healthy relationship are built on a foundation of secure attachment and are maintained

with love and purposeful positive relationship behavior, were according to C.R Snyder

and S. J. Lopez, (2007).

There are important factors to consider in establishing an interpersonal

relationship. Among these are: Communication which is essential because it is the

basic understanding between nurse and patient in terms of relaying information. The

mutual understanding of what, how, where, when of information to be identified should

be clearly given. And an open criticism should also be considered without having

negative impact on the nurse and patient relationship. Becoming honest to every

situation is more likely important to improve the situation. Criticize if it is needed or

make an appreciation if there is something good that happened. In this way a more

cooperating environment and work success is expected; Treat each one with dignity

and respect no matter what social status they belong. Demonstrating Respect is the

most important interaction a patient and nurse can have. (S. Healthfield). Respect is

not given it is earned. To deal with patient must be with full trust and confidence that

something positive is going to happen; another is Trust; it can be earned by expressing

ones openness and honesty. Trust is the foundation of effective communication and

interaction. When trust is established everything becomes easier to do, an easy

motivation in accomplishing the task.


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Background of the Study

The interpersonal relationship of nurse and patient is essential to the study

because it the basis of knowing and determining how good is the environment or

situation within the area of work place. It is the interaction done between nurse and

patient in different aspects, in terms of communication, patience, service or care, dignity

and respect, trust and confidence.

Nurses play an important role in health communication. They are the ones who

are always in close contact with the patients. Having effective communication skills and

being able to employ them in communicating to the patients is very essential for every

nurse. A nurse must be able to communicate effectively to the patient, its family and

their co-workers, as well. It is important for health care personnel to understand the

doubts, fears and the anxieties of the patients who come to them for treatment. It is

equally important to talk in an understanding tone to those who have not voiced their

fears but are obviously scared.

Patience is also essential in dealing with hard headed and unbeliever patients

especially when the patient is suffering and in pain during medication and they tend to

refuse taking medicines anymore. Nurses feel a sense of accomplishment when they

give a positive influence on their clients health status. Learning experiences with

simulation offer the nursing student an opportunity to further develop knowledge, skills

and critical thinking abilities prior to practicing in the clinical setting.


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Understanding a patient situation has a great impact on the improvement of their

physical and mental status. The nurse has a greater understanding on how to make the

patient feel comfortable and at peace with the anxieties and pains the patients are into.

This is the situation where nurse gives help and assist the patient with compassion and

care in every medical treatment. How the nurse respond to the immediately need of the

patient.

Giving due respect to the patient and making them feel their own dignity is also

important. The nurse plays an important role in this aspect where they give their

greetings with a smile and performs their duty with modesty.

In view of the interpersonal relationship between nurse and patience, the nurse

can easily relate to the situation of their patients in terms of their know-how and further

study of their illnesses. And they can easily influence the patient to become cooperative

and independent in fulfilling their rehabilitation.


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