TEERTHANKER MAHAVEER COLLEGE OF NURSING

Teerthanker Mahaveer University, Moradabad

Mental Health Nursing

Assignment
On
IPR
Submitted to Submitted by

Mr. Mahantesh Kargi Ms Provika David

HOD II Msc Nursing

Dept of Psychiatric Nursing Dept of Psychiatric Nursing

TMCON, TMU TMCON, TMU

Date of submission: 30/04/2019

 INTERPERSONAL RELATIONSHIP

The helping relationship between the nurse and client is sometimes called nurse client
relationship helping is a growth facilitating process that strives to achieve two basic goals
(Egan,1998)

1. Help clients manage their problems in living more effectively and develop unused or
underused opportunities more fully.

2. Help clients become better at helping themselves in their everyday lives

The key of helping relationship are-

 The development of trust and acceptance between the nurse and the client
 An underlying belief that the nurse cares about and wants to help the clients

The nurse client relationship is a dynamics process involving collaborative efforts of nurse and
client to resolve a problem and to promote the client health and adaptation abilities when a nurse
and client are involved in helping relationship .the nurse assist the client achieve the goals that
allow the client human needs to be satisfied. The nurse is the helper and the client is the person
being helped.

The nurse uses skills of interpersonal communication to develop a relationship with clients that
allow understanding of them as total persons. This helping relationship is therapeutic promoting
psychological climate that bring positive client change and growth.

Definition
An interpersonal relationship is the nature of interaction that occurs between two or more people.
People in an interpersonal relationship may interact overtly, covertly, face-to-face or even
anonymously. Interpersonal relationships occur between people who fill each other's explicit or
implicit physical or emotional needs in some way. Your interpersonal relationships may occur
with friends, family, co-workers, strangers, chat room participants, doctors or clients.

Phases of Interpersonal relationship

The helping relationship is established and maintained by a professional nurse and consist of-

1. Pre-interaction phase

2. Orientation phase

3. Working phase

4. Termination phase

1. Pre-interaction Phase – In the pre-interaction phase before a first meeting with a client. The
nurse ideally reviews information’s pertaining to the client by going through the records such as
medical and nursing history .an entry in the nurse’s notes or discussion with another nurse who is
providing care for the client in this phase, nurse’s plans approach to meet the client for the first
time

2. Orientation phase- Orientation phase begins when the nurse and the client first meet in this
phase nurse and the client first meet in this phase. Nurse and client meet and identify each other
by name. The client often test the nurse by posing many questions .Acknowledging need for help
the nurse who is aware of the clients concern attempts to display confidence and competence .she
/he develops trusting relationship by confidence, dependability ,confidentiality and credibility by
genuine caring.here client and nurse will establish an agreement about goal of the relationship
location ,frequency and length of contact and duration of the relationship during this initial
encounter nurse begins to identify the problem and goals clarifying the framing contact with the
client.

Key points –

- Opening the relationship

- clarifying the problems

-structuring and formulating the contract

3. Working phase-Working phase is usually longest phase of helping relationship in this phase
the nurse meet the goals set during orientation phase .the nurse and client work together to meet
to meet the client’s needs in this phase the nurse encourages the client open expression of
feelings this may be best achieved by listening

The nurse integrating communication with nursing action.The nursing action can generally
divided in to four group physiological, psychological, psychosocial, spiritual and socioeconomic.

Physiological action includes nutrition, elimination and comfort,

Psychological action and socio economic action includes assisting client to adopting invent

spiritual action includes help client gain support for their belief system

4. Termination phase-In this phase when the conclusion of the initial agreement
acknowledges.this may happen when a nurse leave on vacation or transfer.And the client may
discharge or transfer .

FACTORS AFFECTING INTERPERSONAL RELATIONSHIP:

1. Compatibility

Two individuals in a relationship must be compatible with each other. There should be
no scope of conflicts and misunderstandings in a relationship. Individuals from similar
backgrounds and similar goals in life do extremely well in relationships. People with
different aims, attitudes, thought processes find it difficult to adjust and hence fail to
carry the relationship to the next level.

2. Communication

In professional relationships as well, colleagues must communicate well for a better

bonding. Sit with your co workers and discuss issues face to face to reach to a mutually
acceptable solution.Clarity of thoughts is essential in relationships.

3. Honesty

Be honest in relationships. Do not lie or hide things from your partner. Remember every
problem has a solution. Think before you speak. Transparency is important in
relationships.
 4. Stay calm

Do not overreact on petty things in relationships. Stay calm. Be a little more adjusting. Be
the first one to say “Sorry”. It will solve half of your problems.

5. Forgiving

An individual needs to be a little more forgiving in relationships. Do not drag issues

unnecessarily. Fighting over small issues is foolish and makes the situation all the more
worse.

6. Smile

As they say “Smile is a curve that makes everything staright.” Flash your smile more
often. It works. Take care of your facial expressions while interacting with the other
person.

7. Time

Time plays an important role in relationships.Frustrations arise when people do not have
time to meet or interact with each other. Even in organization, individuals must spend
quality time with their co workers to strengthen the bond amongst themselves. Make the
other person feel important. Appreciate your partner whenever he/she does something for
you. Praise him/her in front of others.

TYPES OF INTERPERTIONAL
Interpersonal relationships based on the number of individuals involved.
Interpersonal relationships based on the number of individuals involved, divided into two
namely:

Dyads relationship:-Dyadic relationship is a relationship between two individuals. Most of our

relationships with others are dyadic.In dyadic relationships, decisions are made through
negotiation.The level of intimacy is more.

Triads relationship:-While the triad relationship is a relationship between three people.

Thistriad relationship characterized by more complex, the levelof intimacy individuals advance
of lower, and the decision taken is based more voting or majority
Tasks relations:-Relations task is a relationship that is formed because the purpose of
completing something that cannot be done by individuals alone. e.g the relationship between
patients with physicians, the relationship of students in groups to perform tasks, and others.

Social relationships:-While social relationships are relationships that are formed with the aim to
get things done. This relationship is formed (both personal and social). An example is the
relationship of two close friends, the relationship of two acquaintances during lunch and so on.
Interpersonal relationships based on the period
Interpersonal relationships based on the time period is also divided into two namely:

Short-term relationships:-Short-term relationship is a relationship that lasted only briefly. For

example the relationship between two people who greet each other when they met on the road.
Long-term relationship:-While the long-term relationship lasts a long time. The longer a
relationship grown more and more investment in it (such as an emotion or feeling, matter, time,
commitment and so on).And because it’s a lot of investment that is planted, the greater our
efforts to maintain it.

Interpersonal Relationships at Work:

1) Manager/Boss:-Relationships with your manager or boss typically center on job performance.

Although your personal life ultimately becomes a part of your relationship, the extent is typically
dictated by your manager. You look to your manager for support, guidance, and affirmation of
job performance.

2) Employee:-Relationships with your employees will also center on job performance. You will
decide the personal nature of the relationship, but your employees will look for you to
acknowledge and engage them in their personal issues. Employees look to you for support,
guidance, and affirmation of their job performance. They also look to you for support in their
personal lives when it affects their job.
3) Coworker/Peer:-Interpersonal relations with your coworkers center on support. We look to
our coworkers for daily support in our job performance. The peers we work with closely
ultimately become part of our personal lives, and we look to them for support for personal issues.

4)Customer:-We have many customer relationships at work regardless if we are employed in a

sales capacity. Customers, different departments, and coworkers look to us every day to fulfill a
need. Our responsibilities ultimately require servicing another component of the business.
Customers may be a coworker from another department, or an actual customer you service.
Customers look to us to satisfy a business need.

Relationships in our Personal Lives:

Friends:-Friendships are the relationships we pursue in our personal time. Many times they
come from our workplace. We look for many things from our friendships. Support, socializing,
enjoyment, and common interests are a few examples that dictate who we spend out time with.

Family:-Depending on the size of your family, we all have family relationships. We look to our
family relationships for support, enjoyment, and socializing in our personal lives.

PRINCIPLES OF INTERPERSONAL RELATIONSHIP

 Learn every one name and never address any one by any nick name.

 Respect every one’s individuality each members of a team is an important as the other.

 Do not impose anything on anybody.

 Keep emotion under control.

 Don’t give and take personal favors.

 The team leader should not make any excuse regarding his and her responsibility.

 Develop habits of listening and focus attention on the problem.

 Do not do or say anything that will disturbed others faith.

 The member of a team should be loyal an honest dependable and willing to carry out the
direction of team leader .

 There should be mutual understanding between the members they should be willing to
give and take correction.

 There should be delegation of responsibility in a group and every member should carry
out his or her responsibility to the satisfaction of the group.

 The relationship of the members of a group to the public should be decent and
considerable

 Teach the newcomer about the job.Make sure that all the assignment are understood.

 The newcomer of the group should feel at home when the joins the group.

 Establish a good rapport among the members in order to achieve the aim

Relationship of the nurse and the physician

The nurse must be loyal honest dependable and willing to carry out the thedoctor”s order
in the manner of treatment and care of the patient. There should be team spirit and
coworker relationship. she should not accept verbal orders due respect should be given to
him.

Relationship of the nurse and patient

The patient is the most important person in the hospital.The patient in the hospital
experience new and unfamiliar surrounding.Due to hospitalization the patient faces many
physical and psychological problems it is up to nurse to see that he feels homely .treat
him as an individual,understand him and help him to over come his fears and anxiety.help
him to adjust to the routines of new environment and help him to cooperate and to accept
treatment necessary for the regaining of his health.she should be sympathetic and of
understanding nature.she should create confidence in the patient about the care taken by
the health team.
 She should establish a good nurse patient relationship always speak of the
patient by him name and not by the bed number or disease

SIX SUCCESS ELEMENTS IN IPR

It takes a combination of

1. Self-awareness,

2. Self confidence,

3. Positive personal impact,

4. Outstanding performance,

5. Communication skills and

6. Interpersonal competence

1) SELF AWARENESS:-
• Becoming self-aware is the first step to improving our interpersonal effectiveness.

• Most of our behaviors’ are natural for us.

• We aren't aware of the impact these behaviors’ have on others. That leaves us with
"blind spots" that others don't want to mention to us because they don't want to hurt our
feelings, they are afraid of a reaction from us, or they just don't care.

• Through self-awareness we learn what impact our behaviours - both positive and negative
- have on others. That knowledge helps us become more effective in our interactions
with others.

2)SELF-CONFIDENCE: Sureness about one’s self-worth and capabilities

3)POSITIVE PERSONAL IMPACT:-

• Do you know how other peoples see you? When you leave a meeting or end a
conversation, what impression do you leave behind? What picture do other people have
of you? How do you think they perceive you?
• We impact on others through our opinions, the amount we contribute, the sound of our
voice, the effect of our silence, the expressions we use.

4)PERSONAL IMPACTis about other things apart from your looks of course. Improving
your posture, knowing how to shake hands properly, having good manners, not fidgeting and
controlling your nerves in meetings, looking friendly and confident.

5)OUTSTANDING PPERFORMANCE:-

• What ever you do it to the best of your ability.

• “DO it with thy MIGHT!” (MICO’s Motto

6)COMMUNICATION SKILL:-

• Interpersonal communication can mean the ability to relate to people in written as well as
verbal communication. This type of communication can occur in both a one-on-one and
a group setting. This also means being able to handle different people in different
situations, and making people feel at ease.

7)INTERPERSONALLY COMPETENT PEOPLE:

• Are self aware. They use this awareness to better understand others and to adapt their
behaviour accordingly.

• Build and nurture strong, lasting, mutually beneficial relationships.

• Resolve conflict in a positive manner. (Bilanich)

CONCLUSION:

An interpersonal relationship is a strong, deep, or close association or acquaintance

between two or more people that may range in duration from brief to enduring. This
association may be based on inference, love, solidarity, regular business interactions, or
some other type of social commitment. Interpersonal relationships are formed in the
context of social, cultural and other influences. The context can and may and perhaps will
vary from family or kinship relations, friendship, marriage, relations with
associates, work, clubs,neighborhoods, and places of worship. They may be regulated
by law, custom, or mutual agreement, and are the basis of social groups and society as a
whole
 BIBLIOGRAPHY:
1. D. Raj BhaskaraElakkuvana, BhaskarNima Text Book of Nursing Education, emmess
medical publishers, page no- 294-297
2. www.wikipedia.org/
3. www.wikipedia.org/