Nurse / Patient Relationship. Controversial Aspects

Subject: Nursing
Pages: 2
Words: 534
Reading time:
3 min
Study level: College


To begin with it is necessary to mention that the nurse patient relations is one of the most important aspects of nursing, especially in the sphere of psychiatry nursing. Depending on the relations between nurse and patient, the treatment of patient by nurse, the emotional condition of the patient changes. Originally, some patients require to be listened and understood. They try to find someone to talk with, someone who would understand their emotional concerns. Moreover, patients should trust their nurse for the treatment was seamless and without unnecessary delays and potential problems caused by miscommunication.


First of all it is necessary to emphasize that the theoretical basis of the nurse patient relations is generally originated from the claim that nursing practice incorporates more than just a physical care. The fact is that, there are four phases of nurse – patient relations development: orientation, identification, exploitation and resolution. According to Bernal (1992) all the considerations on the matters of relations should be based on these four phases, otherwise, decisions will be wrong. As for the sphere of psychiatry, it is necessary to emphasize that the relations between patient and the medical personnel is even more crucial than in any other sphere of medicine, as it entails curing of soul and mind of a patient, while communication is aimed to simplify the curing and quicken the recovery. The regarded cases mainly represent the concern which is common for most nurse – patient relations model. Originally, the testing period is one of the most difficult, when patient aims to find out whether nurse or doctor will be able to understand him / her. A patient may resort to violations of the treatment schedule, may ignore recommendations advices and prescriptions until he / she finds out that nurse may be trusted, and there is no need to be in conflict with the hospital personnel. Thus, in chapter eight it is stated, that communication process is the important aspect for the relations between doctor (nurse) and patients. The ability to hear and listen, realize the soul sorrows of a patient and ability to give professional advice is half of the successful treatment. Sometimes the necessity to share with someone is very important for a patient.

Originally, this conceptualization was essentially expanded in the researches by outstanding theorists of nursing and medical treatment in general King, Paterson and Zderad. (Ramsden, 1999) They claimed that nurse in psychiatry is one of the most crucial factors for curing patients. The ability of a nurse to listen to a patient, feel his or her sorrows or happiness, ability to adjust for a single wave with a patient are the abilities that are generally estimated the most among nurses and doctors. Rogers (1980) emphasizes the following fact on this notion: “Relational capacity embraces the caring values of nursing and the primacy of relationships in caring nursing practice. The four phases, in their turn, are based on levels of involvement and comfort.


Finally, it should be stated that the relations among nurses and patients in the context of psychiatric medicine is the factor which essentially influences the curing process, and which requires high skills of communication and ability to listen and hear.


Bernal, E. W. (1992). The Nurse as Patient Advocate. The Hastings Center Report, 22(4), 18.

Blum, R. H. (1960). The Management of the Doctor-Patient Relationship. New York: McGraw-Hill.

Ramsden, E. (Ed.). (1999). The Person as Patient: Psychosocial Perspectives for the Health Care Professional. London: W. B. Saunders Co., Ltd.

Rogers, C. (1980) “A Way of Being” Houghton Mifflin.