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Nurse Patient Interaction (NPI)

The document discusses nurse-patient interaction (NPI), which is a planned, therapeutic relationship that focuses on the patient's needs, feelings, and ideas. Key components of NPI include self-assessment, establishing rapport and trust, empathy, respect, caring, and patience. There are three phases to NPI: orientation, working, and termination. The orientation phase involves goal-setting, assessment, and establishing a therapeutic environment. In the working phase, the nurse helps the patient explore issues and develop coping strategies. The termination phase focuses on evaluation and ensuring the patient can cope independently. Potential "stalls" in the therapeutic process include judgmental attitudes and failure to set clear goals.

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700 views15 pages

Nurse Patient Interaction (NPI)

The document discusses nurse-patient interaction (NPI), which is a planned, therapeutic relationship that focuses on the patient's needs, feelings, and ideas. Key components of NPI include self-assessment, establishing rapport and trust, empathy, respect, caring, and patience. There are three phases to NPI: orientation, working, and termination. The orientation phase involves goal-setting, assessment, and establishing a therapeutic environment. In the working phase, the nurse helps the patient explore issues and develop coping strategies. The termination phase focuses on evaluation and ensuring the patient can cope independently. Potential "stalls" in the therapeutic process include judgmental attitudes and failure to set clear goals.

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ever existence
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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NURSE PATIENT INTERACTION

(NPI)
a professional , planned relationship between
client and nurse that focuses on clients’ needs,
feelings, problems and ideas
 therapeutic use of self is an important component
ATTITUDES AND QUALITIES ESSENTIAL TO
THE THERAPEUTIC RELATIONSHIP

 Self- assessment- examining one’s attitudes and


style , being aware of your own self in handling
situations
 Attitude-person’s position or stand on an issue
 Being Natural- understanding one’s natural
behavior can facilitate feeling of security and
being therapeutic to clients
CONDITIONS ESSENTIAL TO THE
DEVT OF THERAPEUTIC
RELATIONSHIP
 Rapport- gained thru acceptance, warmth, friendliness
and sense of trust
 Trust- sharing important and sensitive information
 Respect- believing in the dignity and worth of the
individual irregardless of their being “unique”
 Genuineness- open , honest and real interaction with
clients
Continue…
Empathy-process wherein an individual is able
to see beyond outward behavior
Professional Comfort- should be at ease and
natural
Respect- appreciating the worth and dignity of
another person,very powerful tool in NPI
Optimism- having hope that every client can be
helped
Continue…

 Sensitivity-being aware of subtle changes in


behaviors, thought of another person
 Involvement- being there for the patient most of the
time especially during critical times
 Caring- feeling responsible for our clients’ welfare
 Patience and persistence
TYPES OF NURSE PATIENT
INTERACTION

Social- exchanging thoughts and feelings in


a reciprocal fashion
Therapeutic- verbal exchange between
patient and nurse in which the patients’
feelings and thoughts are the central focus
of exploration
PHASES OF NPI
I. ORIENTATION PHASE

 Setting of goals (short term, long term)


 Establishment of Rapport and trust
 Discussion of contract, roles and purpose
 Establishment a therapeutic environment, ensuring
safety & privacy
 Assessment of client’s needs , coping strategies,
strengths and weaknesses
2. WORKING PHASE

 Begins when the client began comfortable with


the nurse
 Exploration of data related to stated goals during
orientation
 Developing strategies to address goals
 Helpingclients by observing and helping them to
talk and cope about their situation
Continue….
Identificationof available resources
Promotion of client’s verbalization of
feelings
Developing plan of action
Evaluate the results of the planned
action
3.TERMINATION PHASE
Provision of self- care & maintain his
environment
Evaluating the progress on the stage
Use of adaptive defense mechanisms
Be able to cope with feelings and emotions
related to client’s situation
Identification of client’s progress
STALLS IN THE THERAPEUTIC
PROCESS
 Behavioral Style-
 Judgmental Feelings
 Ambivalent Feelings
 Rescue Feelings
 Feelings of Pessimism
 Feeling of Omnipotence or omniscience
STALLS IN THE THERAPEUTIC TASKS

 Failure to set goals


 False Reassurance
References:

 Potter P. & Perry A. , Fundamental of Nursing Concepts


 Taylor,C., Fundamentals of Nursing
 Videbeck, S., Psychiatric Mental Health Nursing

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