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PROJECT TOPIC- ASSESSMENT OF NURSE-CLIENT RELATIONSHIP: IMPLICATIONS ON QUALITY OF NURSING CARE FROM 2011-2014 IN FEDERAL TEACHING HOSPITAL ABAKALIKI

PROJECT TOPIC- ASSESSMENT OF NURSE-CLIENT RELATIONSHIP: IMPLICATIONS ON QUALITY OF NURSING CARE FROM 2011-2014 IN FEDERAL TEACHING HOSPITAL ABAKALIKI

 

ABSTRACT

The nurse-client relationship is the foundation upon which nursing practice is established. It is a professional relationship that is therapeutic and the needs of the clients are considered first. It is the sole responsibility of the nurse to establish and maintain the relationship. The relationship is sectioned into three phases which include orientation, working and termination phase. The relationship is based on trust, respect and professional intimacy. This study was carried out to assess the nurse-client relationship and the implication on quality of nursing care in FETHA. Questionnaires were administered to 220 respondents,(both nurses and clients) using random sampling method.201 of the questionnaires were recovered at the end of the exercise giving a percentage of 91 .4%. Findings from the research showed that the nurse-client relationship in FETHA though cordial but should be improved to ensure 100% efficiency. A total number of 26(12.4%) of the respondents said that the relationship was never cordial, 84(41.8%) respondents said that it was cordial. 79(39.3%) cultural background and beliefs of the client,82(40.8%) large number of clients with few nurses were the factors affecting nurse-client relationship.  Furthermore, the findings from this research revealed that good nurse-client relationship has positive effect on clients’ outcome since the grand mean score was 2.6 which reject/disagreed with the negative statements on the questionnaires. Also 54 respondents with a grand mean of 3.1 agreed that the working conditions are stressful in FETHA.  Finally, recommendations were made with emphasis on the hospital management to employ more nurses to reduce the workload per nurse to enhance the nurse-client relationship.

CHAPTER ONE

INTRODUCTION

Background of the study

The nurse-client relationship is the foundation upon which nursing practice is established. It is professional, therapeutic and ensures that the client’s needs are first and foremost. It exists to meet the need of the client, not the needs of the nurse. It is always the nurse who is responsible for establishing and maintaining boundaries with clients regardless of how the client behaves. It is a relationship in which both participants must recognize each other as unique and important. It is also a relationship in which mutual learning occurs.

peplau {1991) States: shall a nurse do things for a client or can participant relationship be emphasized so that a nurse comes to do things with a client as her share of an agenda of work to be accomplished in reaching a goal-health. It is likely that the nursing process is educative and therapeutic when nurse and client can come to know and to respect each other as persons who are alike, and yet different as person who share in the solution of problem. The nurse–client relationship is greatly rooted /depends on communication.

For this reason communication is fundamental to all interpersonal relationship including interection in the health care centers. In any nurse-client relationship, it is the responsibility of the nurse to establish and maintain appropriate boundaries. (The standard for nursing practices (NANB 1998) State! Each nurse ‘’ensures that the nurse-client relationship is a therapeutic relationship’’ maintains appropriate boundaries in all interactions with Client at all time. Maintaining professional boundaries is an essential component in the provision of safe, competent and ethical nursing care. Violating professional boundaries is harmful to the Client, so any action taken by the nurse should be void of abuse, neglect, use of restraints, verbal abuse, sexual abuse or embarrassment to the client.

The nurse should also take note of the factors that can affect his/her relationship with the client such as culture, psychological factors, physiological factors and environmental factors. Etc.

PROJECT TOPIC- ASSESSMENT OF NURSE-CLIENT RELATIONSHIP: IMPLICATIONS ON QUALITY OF NURSING CARE FROM 2011-2014 IN FEDERAL TEACHING HOSPITAL ABAKALIKI

The relationship between nurse and her client is based on trust, professional intimacy and respect. This relationship requires effective use of power inherent in the nurse’s role. The nurse should understand the differences between therapeutic relationship and a social or personal relationship. The nurse –client relationship can be sectioned into phases including orientation, action/ working and termination phase. Therefore the nurse should not be judgmental when establishing or passing through any of these phases of the relationship but taking into consideration the client’s cultural, spiritual and biophysical needs.

A good nurse client relationship is very vital in the healing/recovery process and if successfully maintained, can lead to clients’ satisfaction, comfort, quick recovery and decreased tension (anxiety). The nurse should always update their knowledge due to technological advancement in the society to enable them communicate effectively to the client, because poor communication can delay recovery and make the client uncooperative. The nurse should also apply their professional standard of care which describes, nurse’s job, education and expertise as well as institutional policies and procedures (Guigo 2005).

During nurse-client relationship, the nurse should be assertive in action, putting into consideration the legal implication of every action taken. And nurses should be practical oriented because; Nursing is both an art and science. It is the nurse-client interaction that is toward enhancing the client’s wellbeing and the clients may be an individual, a family, a group or community, (peplau) said that the basic element of the relationship is what goes on between the nurse and patient. The relationship depends on the interaction of thoughts, feelings, and action of each person. The client will experience better health when all his/her needs are fully considered in the relationship. It is upon this foundation that this study of nurse client relationship became important.

Statement of Problem

Unskilled nurse-client relationship is one of the serious challenges hindering the delivery of nursing care. In hospital settings, ineffective nurse-client relationship has Jeopardize the client’s recovery, comfort and satisfaction, it also amounted to lack of understanding and cooperation by the client. This research work is done to ascertain the nature of nurse-client relationship as well as the way forward in federal teaching hospital Abakaliki.

Specific Objective

At the end of this study, the researcher will be able to

  1. To identify the existing nurse-client relationship in FETHA.
  2. To determine the factors affecting nurse-client relationship
  3. To determine the effect of nurse-client relationship on client’s recovery
  4. To determine the effect of nurse client relationship on delivery of quality care.

Significant of Study

This work is done to assess the relationship between nurses and clients in Federal Teaching Hospital Abakaliki.

The outcome/ findings of this research work will be used to improve the quality of care rendered by nurses. The study outcome will also help to set standards of practice for practicing nurses in Federal Teaching Hospital Abakaliki.

  1. It will also lead to improvement in clients’ condition and recovery as well as the clients’ cooperation.
  2. This work will provide nursing students with knowledge on the nurse-client relationship and can be used for future references.

    PROJECT TOPIC- ASSESSMENT OF NURSE-CLIENT RELATIONSHIP: IMPLICATIONS ON QUALITY OF NURSING CARE FROM 2011-2014 IN FEDERAL TEACHING HOSPITAL ABAKALIKI

 

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