Frame of reference for nursing care PHOTO: CHARLOTTE DAHL THE ENCOUNTER The encounter between the patient and the nurse is the frame for the practising of professional nursing care. Sig niicant prerequisites for the encounter are sense of pre sence, acknowledgements, accessibility and reciprocity. Central concepts in the encounter are: guest of honour, relation, presence and dialogue. The intention is for the patient to experience: To be a guest of honour and to be met with respect and kindness To feel the presence and attention in the relation with the nurse That a partnership is formed on care and treatment through dialogue PATIENT-CENTRED APPROACH Patientcentred nursing is based on mutual respect, com munication and acknowledgement of the fact that the patient is an expert on his own life. On the basis of the patient’s understanding of his situation, the nurse forms a partnership with the patient and his relatives. Key concepts in the patientcentred approach are: life sto ry, needs, existential phenomena and suffering. The intention is for the patient to experience: To be met as a human being with own life story and not just being a disease To be offered basic and specialised nursing to meet bodily, physiological and cultural needs To be met concerning existential phenomena such as vulnerability, grief, pain, suffering but also phenome na suchas life courage, life joy and hope. 4
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