HUMAN

RELATIONS
Dr Prof Sudharani Banappagoudar
INTRODUCTION
Human relations are fundamental in a
civil society & in each profession.
Nurses are one of the largest groups in
health care workforce & are constantly
interacting with patients, their relatives,
colleagues as well as other members of
the multidisciplinary health care team
inside & outside the health care
organization.
Rama University Faculty Of Nursing
Prof Sudharani 2
DEFINITIONS OF HUMAN
RELATIONS
Human relation is an area of management
practice which is concerned with the
integration of people into a work situation in a
way that motivate them to work productively,
cooperatively & with economic, psychological
& social satisfaction.
Keith
Davis
Human relations are the relations between
human being that are affected by many other
factors & helps in the accomplishment of
Rama University Faculty Of
goals of an organization.
Nursing
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HUMAN RELATIONS IN NURSING
Human relation in nursing refer to the
relationship of nurses with colleagues & other
department personnel & of nurses with
patient.
It is interdepartmental, interdepartmental &
interpersonal relationship to provide the
quality care to their patients.
Human relations in nursing also develop when
two health care personnel interact with each
other to achieve the primary goal of maximum
patient satisfaction & health promotion
irrespective of their field of work.
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 Nurse-patient
helping
relationships

Dimension
Nurse-
community
s of human Nurse-
relationship relations in family
relationships
s
nursing

Nurse-
health team
relationship
s
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Nurse-patient helping relationship…
Helping relationships are the foundations of
clinical nursing practice.
The nurse assumes the role of a professional
helper in such relationships & comes to
know patient’s health needs.
The nurse’s therapeutic use of
communication helps patients overcome
their problems by achieving optimum health.
In therapeutic relationships, nurse often
encourage patients to share personal stories,
which are called narrative interactions.
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Nurse-family relationships…
Many nursing situations, especially those in
community & home care setting, require
the nurse to form helping relationships with
the patient’s entire family.
The same principles that guide one-to-one
helping relationships also apply when the
patient is a family unit, communication
within families requires additional
understanding of the complexities of
family dynamics, needs & relationships

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Nurse-health team relationships…
A nurse’s functions or roles require interaction
with multiple health team members.
Communication in such relationships may be
geared towards team building, facilitating
the group process, collaboration,
consultation, delegation, supervision,
leadership & management.
Both social as well as therapeutic interactions
are needed between the nurse & health team
members to build morale & strengthen
relationships within the work setting.
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Nurse-community relationships…
Many nurses from relationships with
community groups by participating in
local organizations, volunteering for
community service or by becoming
politically active nurses in a community-
based practice.
They must be able to establish relationships
with their community to be effective change
agents.
Communication within the community take
place through channels such as neighborhood,
newsletters, public bulletin boards,
newspapers, radio, television & electronic
information sites.
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Strategies to promote cardinal human
relations

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UNDERSTANDING SELF
Self-concept is a person’s understanding
of how & what someone thinks about him
or her.
Understanding the self is the ability to
understand one’s own thoughts & actions.
It is a subjective sense of the self &
a complex mixture of unconscious
& conscious thoughts, attitudes &
perceptions.

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 Bod
imag
y
e

Self-
Components Personal
esteem
of self- identity
concept

Role
performance

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Definition of understanding self
Understanding self represents the sum total
of people’s conscious perception of their
identity as distinct from others. It is not a
static phenomenon, but continues to
develop & change throughout our lives.
- George Herbert Head
The understanding self is thinking about
what is involved in being? What
distinguish you from being an object, an
animal or different person?
- Richard
Rama
Stevens
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Importance of understanding self
Self-understanding has been recognized as
a key competency for individuals to
function efficiently organizations.
It influences an individual’s ability to
make key decisions about self, others
around & organizations.
Understanding the self equips
individuals with making more effective
career & life choice, the ability to lead,
guide & inspire with authenticity
resulting in significantly improved
organizational productivity.
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Johari window: A tool to
understanding self
The Johari window, created by Joseph
Luft & Harry Ingham, is a useful tool for
providing self-explanation.
The four panes of the Johari window
represents the four parts of our self.
The public self, the hidden self, blind
spot & the unconscious self.

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Strategies to improve self-
understanding
To increase the size of the open window
vertically downwards into the hidden space,
one can disclose his or her personal
information, feelings, etc., to the team
members.
The unknown area can be reduced by
other’s observation, self discovery or
mutual enlightenment via group
experiences & discussion.

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 Count…
The blind self is not an effective space
for individuals or groups so it needs to
be diminished.This can be done by
seeking or soliciting feedback from
others thereby increasing the open
area.
The hidden window must always be at
the individual’s own discretion.

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SOCIAL BEHAVIOUR
The interaction that takes between
members of the same species or the
behavior directed towards the society is
known as social behavior.
In a sociological hierarchy, social behavior
is followed by social actions, is directed at
other people & designed to provoke a
response.
Antisocial behavior refers to behavior that
may cause harm to the society.

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Types of social behavior

aggression

Types of
shyness social Altruism
behavior

scapegoating

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Aggression
…
It refers to the behavior between
members of the same species with an
intention to hurt, ridicule or humiliate the
other person.
Aggression can be displayed in many
ways in humans & can be physical,
psychological or verbal.

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 Altruism
…
It refers to feeling of concern, sympathy
& benevolence for others.
It is a traditional virtue in some cultures or
can be an inbuilt part of religious
expectations that the followers feel
motivated for.
Pure altruism is an inconsideration for any
rewards or direct or indirect benefit with
no expectation of any compensation.
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 Scapegoating
…
It is the practice of isolation of any party
for derogatory or negative treatment or
blame.
It is the process where the mechanism of
projection or displacement are utilized in
directing feelings of aggression, hostility,
frustration, etc. upon another individual or
group, with the amount of blame being
unwarranted.

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Shyness
…
It is a feeling of discomfort, nervousness,
lack of confidence or awkwardness when
a person is in the proximity (especially in
a situation where one has to deal with) of
an unfamiliar person.
Shyness can originate from genetic
traits or the upbringing & personality
type.

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Factors influencing social behavior

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SOCIAL ATTITUDE
Attitude is the state of conscious within the
individual human being.
It refers to certain regularities of an individual’s
feelings, thoughts & predisposition to act
towards some aspects of his environment.
Social attitude refers to how a group of people
or individuals from a society perceive other
objects, situations, people & phenomenon.
Example, some individual may have
negative social attitude with HIV patient.

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 Definition of social attitude
Attitude is the sum total of a man’s
inclination & feelings, prejudices or bias,
preconceived notions, ideas, fear, threats
& conviction about any specific topic.
-
Thurston
e
Attitude is a state of mind of the individual
towards a value that may be love of money,
desire for fame, appreciation for God.
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Importance of social attitude
Social attitude determines the social behavior
of a person.
It provides a mechanism of social control.
Life organization demands membership in
a group & attitudes are an expression of
the desire for status.
Approval or acceptance of an
individual’s behavior reinforces social
behavior.
Social rejection of an activity restraints the
culprit from repeating the same activity in
future thus maintaining conformity.
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 Changes in social attitude
It is dynamic attribute that keeps on changing
with new experiences. A change in social
attitude could be positive & negative.
Alteration in attitudes do not arrive alone;
they come hand-in-hand with changed social
values.
A sudden change involve a radical
modification of many attitudes is commonly
known as a conversation. It is a sudden
withdrawal from
one’s usual attitude to adjust to new needs.
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MOTIVATION
Motivation is derived from the Latin word
movere which means “to move” or “to
energize” or “ to activate.”
It is a process that produces energy or drive
in the individual to proceed with an activity.
The activity is aroused, fulfills the need
& reduces the drive of tension.
Motivation is often used to refer to an
individual’s goals, needs, wants &
intentions.
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Definitions of motivation
Motivation is the process of arousing the
action, sustaining the activity in process
& regulating the pattern of activity.
-
Youn
g
Motivating refers to the states within a
person or animal that drives behavior
toward some goal.
Rama
-Morgan &
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Motivational
approach

Effort Be-
reward strong
approach approach

Be-
good/paternali
stic approach

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 Be-strong approach…
Conventionally, the management resorted
to being strong.
According to this approach, the enterprise
put a thrust on economic rewards.
The assumption was that people work
more efficiently if threatened with
financial loss or penalty on failure to do
their job.

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Be-good/paternalistic approach…
The be-good approach refers to
rewarding personnel to get productive
work in return.
Rewards may include job security,
recreation, fair supervision &
sound working condition.

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 Effort reward approach…

this approach operates on the basis of the
effort or endeavor on the part of personnel
to achieve organizational objectives.
The manager sets up standards of practice
& observes adherence to these standards.
Ultimately, the reward is decided on the
basis of performance.This gives a sense
of motivation to work.

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Maslow’s priority model of
motivation
Self-
actualization
needs
Morality,
creativity,
spontaneity &
acceptance of facts
Esteem needs
Self-esteem, confidence,
achievement, respect of others
Love belonging needs
Friendship, family, sexual intimacy
Safety needs
Security of body, of employment, of responses, of
morality, of the family, of health of properly
Physiological needs
Breathing, food, water, sleep, homeostasis, excretion &
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INDIVIDUAL AND GROUPS
An individual is a single unit in a group &
a group is a collection of many
individuals with a common purpose.
Individuals & groups are reciprocal to
each other because without individuals
groups cannot be formed & individuals
have no existence or cannot meet their
physical, psychological, social & spiritual
needs without groups of other individuals.

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Definition of group
A social group is a give aggregate of
people, playing inter-related roles &
recognized by themselves or others as a
unit of interaction.
-
Willia
ms

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 Characteristics of a group
Each group has its own identity & structure.
A group includes at least two or more people.
Group members have a shared purpose or goal.
Group members have a conscious identification
with each other.
Group members need each other’s help to
accomplish the purposes for which they have
organize.
Group members influence, interact with each
other.
Every group has its own rules & norms members
are supposed to follow.
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Classification of
groups
Dwight Sanderson classification of
social groups by structure.
 Involuntary group
 Voluntary group
 Delegate group

Charles Cooley classification

 Primary group
 Secondary group

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 Count…
George hasen classification of groups on
the basis of their relationship with other
groups.
 Unsocial group
 Pseudosocial group
 Antisocial group
 Prosocial group

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Tasks or roles of an individual in a
group
Initiator Orienteer
Information seeker Evaluator
Information giver Energizer
Opinion seeker Procedura
Elaborator l
Coordinator technician
Recorder
Group-building &
maintenance
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GROUP DYNAMICS
Kurt Lewin, a social psychologist at the
University of Lowa, USA, was the creator
of the term group dynamics.
Group dynamics is the study of groups
& also a general term for a group
process.
In organizational development or group
dynamics, the phrase group process refers
to an insight into the behavior of group
members & to incline their behaviors
towards the achievement of group
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Meaning of group dynamics
Group dynamics is the study of
activities or processes that are
responsible for various group
phenomena.
Group dynamics is the study of group
interstimulation & invoking of
response between individuals to
perform various group phenomena.

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 Aspects of group discipline
Formation of group Growth, downfall &
Group task resolution of the group
Composition of group Group dissolution
Communication Method to achieve

between group oneness &

members building
Mode of working consensus
relationships between Acclimatization to meet
members of a group the needs of the group
Task performance

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Stages of group development

4. Performing 1. Forming
phase phase

Stages of
group
formatio
n

3. Norming phase
2. Storming phase

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Strategies to improve group
functioning
Individuals participating in a group must
have a clear understanding of individual
goals as well as group objectives so that
their interaction is goal oriented.
People participating in a group must have a
clear idea about expectations within a group.
Group members must have a clear
understanding of their responsibilities &
should be committed towards their
designated responsibilities.
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 Count…
Members in a group must follow the
principles of positive competence.
Appropriate control over the functioning of
group members must be maintained.
The group members must carry out their
functions with a collaborative approach.
Group members must communicate
effectively & appropriately for a group
to function smoothly.
A group leader must coordinate individual
tasks to obtain group objectives.

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TEAM WORK
Teamwork divides the task & multiple the
success.
Teamwork is an action performed by a team
towards a common goal.
A team consists of more than one person, &
each person typically has different
responsibilities.
Teamwork leads to personal recognition,
raises self-esteem & increases motivation
& commitment.

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Elements of a team
Common purpose
Interdependence
Clarity of roles & contribution
Satisfaction from working
together
Mutual & individual
accountability
Realization of synergies
Empowerment
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Principles/strategies to build a
successful team
Clear expectations Commitment

Competence
Control
Communication
Collaboration
Coordinator
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 Health team
The quality of health & medical care is best
if professional groups like physicians,
nurses, paramedical workers, health
educators, health visitors, public health
engineers & many others share a common
unifying goal.
Teamwork can be defined as a dynamic
process involving two or more two or more
health care professionals with
complementary background & skills, sharing
common health goals & exercising
concerted physical & mental effort in
assessing, planning or evaluating patient
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 Functional classification of
teams…
Health care team: Medical care team:

 itconsists of all those  It consists of

who are involved in professionals &
improving a paraprofessionals that
community health provide services for
setting without patients, generally in
necessarily being in a hospital setting,
contact with patients without any direct or
actively. personal contact with
them.
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Functional classification of
teams…
Patient care team:
 Itcomprises any group of professionals
& semiprofessionals in a hospital setting
who jointly provide services that bring
them in direct contact with patients.

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 Advantages of teamwork
It gives a better end result with high-quality
performance from each team member.
It involve every person & his expertise
& responsibilities.
The execution of new ideas can be more
effective & efficient through teamwork.
It increase ownership with wider
communication.
It leads to information sharing &
increases learning in the team & the
organization.
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 Count…
It provide more security & develops
personal relationships.
A particular problem can easily solved
in team.
It helps provide a variety of solutions.
It increases the willingness of every member
to take more risk.
A team can handle more difficult &
complex problem in the workplace.
A team increases the accuracy of problem
solving
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 Disadvantages of teamwork
It may lead to unequal participation
of members in a team.
Some individuals may be good
workers, they may not be good team
payers.
It may limit creative thinking
A team can sometimes take longer to
produce desire results.
Team can also result in added
expenses
It may face some inherent conflict
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 Thank
ou

Prof Rama University Faculty of Nursing

57
Sudharan