Therapeutic Nurse-Client Relationship: Practice Standard (Revised 2006)

Overview

The College of Nurses of Ontario presents guidelines on therapeutic nurse-client relationships.
Focus on therapeutic communication and client-centered care.

Nurses use diverse communication strategies and skills to establish, maintain, re-establish, and terminate nurse-client relationships.

Introduction: Nurses introduce themselves by name and category.
Client Expression: Allow clients to express themselves without diminishing their feelings or hastily giving advice.
Role Explanation: Explain the role of the care team; information is shared with team members.
Communication Style: Be aware of verbal and non-verbal styles; e.g., crossed arms may imply disinterest.
Resource Utilization: Use translators or easy-to-read materials if needed for effective communication.
Understanding Behavior: Recognize all behavior has meaning; explore unusual behaviors to integrate client beliefs into care plans.
End of Relationship: Engage in discussions about post-care needs, discharge planning, and follow-up.

Nurses collaborate with clients to ensure professional actions meet therapeutic needs.

Active Inclusion: Include clients and significant others as care partners.
Goal Identification: Use client goals, wishes, and preferences as the basis for care plans.
Therapeutic Relationship: Acknowledge the nurse's role in impacting client well-being through a healthy relationship.
Bias Awareness: Recognize and manage biases; consider transferring care if relationships are not therapeutic.