Lifelong Learning Programme

This project has been funded with support from the European Commission.
This material reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein

Also available in:


Homepage > Databases > Best Practice

Best Practice

back to the list

Document Typology: Training course
Target groups: Patients
country Where It Took Place: Lithuania
Name of compiler: Aldona Droseikiene
name of institution: Lithuania multiple sclerosis union
role: Project Meneger
language Of The Description: English
title: Patient and nurse
description Of The Best Practice:
Trust, the achievement of the goals of patients and nurses, caring and reciprocity are important elements of nurse–patient relationships in palliative care.
Such relationships not only improve patients’ physical and emotional state, but also facilitate their adjustment to their illness, ease pain and can ultimately lead to a good death experience.
Qualitative data were collected from 10 hospice nurses and 10 terminally ill patients by means of open ended unstructured interviews. Respondents were asked to reflect on practices and incidents that would allow an understanding of the meaning of nurse–patient relationships in palliative care.
Four major categories emerged from the perspectives of patients and nurses: (1) forming a relationship of trust; (2) being part of the family; (3) refilling with fuel along the journey of living and dying; and (4) enriched experiences. Responses revealed that a relationship of trust is formed, and that nurses are not only regarded as health professionals, but also become part of the family or a good friend. Nurses who develop trusting relationships demonstrate a holistic approach to caring, show their understanding of patients’ suffering, are aware of their unvoiced needs, provide comfort without actually being asked, and are reliable, proficient, competent and dedicated in their care.
Quality indicators:
Use of methodologies in order to involve the citizens in the field of training and education health system
This study was to explore the nurse–patient
relationship in the context of palliative care. The paper
specifically focuses on several dimensions of this relationship,
including its context, relational qualities and patients’ and
nurses’ interpretations and meanings of the relationship.
When a nurse responded to a patient’s needs in a trustworthy
way, a relationship of trust developed. Nurse participants
found that their relationships with patients evolved into
friendships and that they became part of patients’ families
It is a nurse’s job to care for a patient’s medical needs. However, caring for their emotional well-being can have just as beneficial an impact on patient care. The relationship between nurse and patient requires trust, as well as understanding. For a patient to disclose private or embarrassing details about their physical or mental condition, they need to first trust that their nurse will treat them with dignity and respect.

back to the list