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PubMed · 9378873

Relational capacity: the foundation for interpersonal nursing practice.

G Hartrick
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Abstract

Nurses have the opportunity to make a profound difference in peoples' health and healing experiences. However, our emphasis and reliance on mechanistic models of relating often results in our failure to realize this opportunity. This paper challenges the appropriateness of mechanistic models of human relating that focus on behavioural communication skills, and suggests an alternate approach that emphasizes the enhancement of relational capacity. Five relational capacities are described including: initiative, authenticity, and responsiveness; mutuality and synchrony; honouring complexity and ambiguity; intentionality in relating; and re-imagining.

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CommunicationEmpathyHelping BehaviorHumansModels, PsychologicalMotivationNurse-Patient RelationsJournal ArticleReview

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BibTeXRIS

G Hartrick. 1997. Relational capacity: the foundation for interpersonal nursing practice.. https://doi.org/10.1046/j.1365-2648.1997.t01-12-00999.x

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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