Clinical Interview

Application of Concepts to Current Job-
1. Health History
The information from health history is beneficial to both individuals and health care providers as the process of obtaining the data help in the establishment of trust and rapport between lay persons and medical professionals. The information also helps assist with development of diagnosis and in making treatment decisions as well as determining an individual's baseline values. The clinical interview is the most common method for obtaining a health history. With effective communication, the clinical interview can be a valuable means for obtaining information.
Obtaining a health history as part of admission process is very important to neonatal health. Maternal conditions such as hypertension,
Therapeutic relationship
A therapeutic relationship with clients is very important especially at the first encounter where information is needed from client to guide practice. In health assessment for example, because the nurse is usually the first point of contact with the health care environment a therapeutic relationship is necessary to encourage clients to provide necessary information to formulate nursing diagnoses and plan intervention.
For example a young mother who is HIV positive come to an obstetrical unit in labor and has decided to not to divulge information of her status because she has felt stigmatized in the past. However when the infants is born ill, prematurely and transferred to the Neonatal Intensive Care Unit she begun to form a trusting relationship with a particular neonatal nurse, and feels comfortable enough to provide this pertinent detail of her health status to that nurse. The neonatal staff provides her support and continue to provide the best of care to her baby and support to her. She feels so confident in the relationship that she has formed that she later shares with the staff details of her sexual relationship and the fact that the baby she has just given birth to is a result of sexual abuse by her
By providing patient advocacy, nurses establish trust within the nurse-client relationship, distinguishes individual patient needs, and promote the patient’s active participation in healthcare decisions. Neonatal nurse are in active display of this role of nurses. Because infants are not able to communicate their needs, neonatal nurses are the voices of these set of patients and have the power to influence health care decision. The nurses’ role of advocacy in the nursery can been observe when nurse communicate to physician aspect of the care not beneficial of infants and family, decide on whether or not infants is ready for discharge, quarantine in born infants from more mature ones who have gone home and return for medical treatment, refusal to provide care that may do more harm than good to infants and