RESPONSIVE

DIMENSION

Yuni Permatasari Istanti,

S.Kep.,Ns
 The responsive dimensions

1. Genuiness
 The nurse is open, honest, sincore person who is
actively involved in the relationship
 The real expression, spontaneous reactions
 The nurse respon is sincere, not thinking and
feeling one thing and saying something different
 Cont…………

2. Respect
 Caring, liking, and valuing
 The patient is regarded as a person of worth and is
respected
 The nurse’s attitude is nonjudgmental, it is without criticism,
ridicule (tdk mengejek) or reservation
 Respect can be communicated in many different ways
• By sitting silently with patient who is crying
• By genuine laughter with the patient over a particular
even
• By accepting the patient request not to share a certain
experience
• By apologizing for the hurt unintentionally caused by a
particular phrase, or by being open enough to
communicate anger or hurt caused by the patient
3. Empathic understanding
 Empathic is the ability to enter into the life of
another person and to accurately percieve his or
her current feelings and their meanings (Bohart &
Greenberg, 1997)
 Sociocultural differences between nurses and
patients can be barriers to empathy if nurses are
not sensitive to them (like gender, age, income,
belief system, education and ethnicity)
 Empathic Responses
 The nurse needs to provide genuiness and

unconditional positive regard for the patient

 Then the understanding conveyed to the

patient through empathy gives him or her

personhoon or identity
 Cont……………

 The verbal and non verbal behaviors than

conveyed high levels of empathy to the patient
(Mansfield,1997 cit stuart & Laraia, 2000)
 Having nurses introduce themselves to the patient
 Head and body positions turned toward the patient and
occasionally learning forward
 Verbal responses to the patient’s comments and
responses that focus on strengths and resources
 Consistent eye contact and response to the patient’s
nonverbal cues such as sighs, tone of voice,
restlessness, and facial expressions
 Cont……………..

 Conveyance of interest, concern, and

warmth by the nurse’s own facial
expressions
 A tone of voice consistence with facial
expression and verbal response
 Mirror imaging of body position and
gestures between the nurse and patient
4. Concreteness
 Using specific terminology rather than
abstractions when discusing the patient’s
feelings, experiences and behavior
 It has three functions
• To keep the nurses response close to the
patien’s feelings and experiences
• To foster accuracy of understanding by the
nurse
• To encourage the patient to attend to
specific problem areas
 Cont……………

 The level of concreteness should be vary

during the various phases of the nurse-
patient relationship
• Orientation phase : concreteness should be
high, it can contribute to empathic
understanding
• Working phase : concreteness should be low
level to facilitate a through self exploration
• Termination phase : concreteness sould be
high