The Developing Nurse-Client Relationship: Nurses' Perspectives Academic Article uri icon

  • Overview
  • Identity
  • Additional Document Info
  • View All


  • This descriptive qualitative study of the nurse-client relationship used an interpersonal focus and Leininger's (1985) method of qualitative analysis. The setting was a tertiary care psychiatric hospital in southern Ontario, Canada. Nurses within 10 newly formed dyads participated in interviews. The research questions focused on the nature and progression of the relationship and the identification of helping and hampering influences. Helping influences identified included consistency, pacing, listening, positive initial impressions, and attention to comfort and control. Relationships were hampered by inconsistency, unavailability, client factors related to trust, nurses' feelings about the client, confronta tion of delusions, and unrealistic expectations. Phases consistent with those described by Peplau (1952, 1991) were identified within dyads that progressed well. However, a different set of phases was identi fied in nontherapeutic relationships. (J Am Psychiatr Nurses Assoc [2000]. 6, 3-10.)


  • Forchuk, Cheryl
  • Westwell, Jan
  • Martin, Mary-lou
  • Bamber-Azzapardi, Wendy
  • Kosterewa-Tolman, Donna
  • Hux, Margaret

publication date

  • February 2000