Partnership: an analysis of the concept within the nurse-client relationship. 2002

Mae H Gallant, and Marcia C Beaulieu, and Franco A Carnevale
School of Nursing, McGill University, University Street, Montreal, Quebec, Canada. mhgallant@upei.ca

BACKGROUND Current nursing literature that describes the nurse-client relationship as a partnership provides little clarity about the elements and processes of this partnership. This is hardly surprising as conceptual definitions of partnership differ in scope and vary according to the context of the partnership and types of partners. OBJECTIVE This paper examines the concept of partnership using Rodgers's (2000) evolutionary approach to concept analysis. The paper describes the antecedents, attributes and consequences of partnership as well as changing socio-political and economic contexts that illuminate how and why nurse-client partnership emerged. Temporal changes in the concept of partnership are also examined. RESULTS The nurse-client relationship as partnership evolved from a growth in democratic thinking and progress in clarifying how to honour basic human rights in health care relationships. The attributes of partnership include structural and process phenomena. The structure of partnership includes the phases of the relationship, focus and aims of each phase, and roles and responsibilities of the partners. The process of partnership embodies power sharing and negotiation. The main consequence of partnership is client empowerment, which is understood to be the improved ability of the client to act on his/her own behalf. CONCLUSIONS The paper concludes with suggestions for further development of the concept of partnership through empirical research.

UI MeSH Term Description Entries
D009723 Nurse-Patient Relations Interaction between the patient and nurse. Nurse Patient Relations,Nurse Patient Relationship,Nurse Patient Relationships,Nurse-Patient Relation,Patient Relations, Nurse,Patient Relationship, Nurse,Patient Relationships, Nurse,Relations, Nurse Patient,Relations, Nurse-Patient,Relationship, Nurse Patient,Relationships, Nurse Patient
D010358 Patient Participation Patient involvement in the decision-making process in matters pertaining to health. Patient Activation,Patient Empowerment,Patient Engagement,Patient Involvement,Patient Participation Rates,Activation, Patient,Empowerment, Patient,Engagement, Patient,Involvement, Patient,Participation Rate, Patient,Participation Rates, Patient,Participation, Patient,Patient Participation Rate
D010687 Philosophy, Nursing The underlying rationale or theoretical basis for the principles of NURSING. Nursing Philosophy,Nursing Philosophies,Philosophies, Nursing
D011209 Power, Psychological The exertion of a strong influence or control over others in a variety of settings--administrative, social, academic, etc. Power (Psychology),Power, Personal,Power, Professional,Power, Social,Power,Personal Power,Powers, Psychological,Professional Power,Psychological Power,Psychological Powers,Social Power
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012648 Self Care Caring for self when ill or positive actions and adopting behaviors to prevent illness. Self-Care,Care, Self
D016294 Models, Nursing Theoretical models simulating behavior or activities in nursing, including nursing care, management and economics, theory, assessment, research, and education. Some examples of these models include Orem Self-Care Model, Roy Adaptation Model, and Rogers Life Process Model. Nursing Models,Model, Nursing,Nursing Model,Orem Self-Care Model,Model, Orem Self-Care,Models, Orem Self-Care,Orem Self Care Model,Orem Self-Care Models,Self-Care Model, Orem,Self-Care Models, Orem
D017008 Negotiating The process of bargaining in order to arrive at an agreement or compromise on a matter of importance to the parties involved. It also applies to the hearing and determination of a case by a third party chosen by the parties in controversy, as well as the interposing of a third party to reconcile the parties in controversy. Arbitrating,Mediating,Arbitration,Conflict Resolution,Mediation,Negotiation,Conflict Resolutions,Negotiations,Resolution, Conflict
D028701 Patient Rights Fundamental claims of patients, as expressed in statutes, declarations, or generally accepted moral principles. (Bioethics Thesaurus) The term is used for discussions of patient rights as a group of many rights, as in a hospital's posting of a list of patient rights. Right to Treatment,Patient's Rights,Patients' Rights,Patient Right,Patient's Right,Patients Rights,Patients' Right,Right to Treatments,Right, Patient,Right, Patient's,Right, Patients',Rights, Patient,Rights, Patient's,Rights, Patients',Treatment, Right to,Treatments, Right to

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