Therapeutic Nurse-Client Relationship Practice Standard (Revised 2006)

Overview

• Presented by the College of Nurses of Ontario.
• Focus on therapeutic communication and client-centered care.
• Four standard statements:
  1. Therapeutic Communication
  2. Client-Centered Care
  3. Maintaining Boundaries
  4. Protecting the Client from Abuse

Therapeutic Communication

• Standard Statement: Nurses use effective communication strategies and skills to manage the nurse-client relationship.
• Key Indicators:
  • Introduce self by name and category.
  • Allow clients to express themselves without diminishing feelings or giving immediate advice.
  • Inform clients about the care team role and information sharing.
  • Be aware of verbal and non-verbal communication styles.
    • Example: Arms crossed may appear disinterested.
  • Use communication resources as needed (e.g., translator, pamphlets).
  • Recognize all behavior has meaning; understand client behavior in context.
    • Example: Client refusing food may be fasting for religious reasons.
  • Engage client in discussions about post-relationship care (e.g., discharge planning).

Client-Centered Care

• Standard Statement: Nurses ensure professional behaviors and actions align with the client's therapeutic needs.
• Key Indicators:
  • Include clients and significant others as care partners.
  • Identify client goals, wishes, and preferences for the care plan.
  • Recognize the impact of the nurse's ability to maintain a therapeutic relationship.
  • Acknowledge biases and feelings, request care transfer if necessary.

Conclusion

• This concludes the chapter on therapeutic communication and client-centered care.
• Return to the learning center for further chapters.