ABSTRACT Factors, which induced positive nurse-client interac-tions and barriers to positive nurse-client interactions from the perspective of nurses at Holy Family Hos-pital, were explored. In all, twelve State Registered Nurses participated in semi-structured interviews. Factors which induced positive nurse-client interac-tion included availability of adequate time, showing empathy, giving prompt care, considering nursing as a call (spiritual interpretation) and rendering holistic care. Factors which induced negative nurse-client interaction included differences in beliefs between the nurse and the client, perceptions of unfair treatment, payment requirement and processes, issues with clients’ relatives, client issues, miscommunications and misunderstandings about treatment needs, coer-cion, forced dependence, human resource issues, professional nursing issues, issues with work envi-ronment, nurse issues, lack of communication and good interaction, and dropping of professional ethics. Suggestions for nursing education, practice and ad-ministration have been outlined. Among them is the need to use role-play as a major teaching method for nursing students to develop empathic behaviours so that they can put themselves in clients’ situations. This understanding will allow them to practise quality nursing after completing their educational programs. There is also the need for policy makers in nursing to institute measures to hold nurses accountable if they abuse clients or clients’ relatives. Lastly, as an important tool, nurses and other health care workers can make use of reflective practice to evaluate their professional interactions with clients and their relatives. This will foster positive nurse-client interaction in future.
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nullKorsah, K. (2011) Nurses’ stories about their interactions with patients at the Holy Family Hospital, Techiman, Ghana. Open Journal of Nursing, 1, 1-9. doi: 10.4236/ojn.2011.11001.
 Thompson, I. E. (1994). Nursing ethics. (3rd ed.). Tokyo. Appleton & Lange.
 Richmond, I., & Roberson, E. (1995). The customer is always right: patients’ perceptions of psychiatric nursing action. Journal of Nursing Care Quality, 9: 36-43.
 Meehan, T. (1995). Development of an instrument to assess consumer satisfaction with mental health services and treatment. The Rozelle Hospital, Sidney. In – house Publication.
 Mensah, K.& Opoku, S. (1994). Report on quality assurance. Wa Hospital, Ghana.
 Morrison, P. (1991). The caring attitude in nursing practice: a repertory grid study of trained nurses’ perceptions. Nurse Education Today, 11 (1) 3-12.
 Younge, O., Molzahn, A. (2000). Exceptional non-tradi- tional caring practices of nurses. Scandinavian Journal of Caring Sciences, 16 (4) 399-405.
 Walsh, K., Kowanko, I. (2002). Nurses’ and Patients’ pereceptions of dignity. International Journal Of Nursing Practice, 8 (3) 143-151.
 Attree, M. (1999). Patients’ and relatives’ experiences and perspectives of ‘good’ and ‘not so good’quality care. Journal of Advanced Nursing, 33 (4) 456-466.
 Ghana Statistical Service. (2000). National Population and Housing Census, Ghana.
 Strauss, A., Corbin, J. (1990). Basics of qualitative research: Grounded theory, procedures and techniques (1st ed.). Sage Publications. Newsbury. California.
 O’ Malley, P., Favaloro, R., Anderson, B., Anderson, M. L., Siewe, S., Keefer, N., & Riddle, K. (1991). Critical Care Nurse Perceptions of family needs. Heart and Lungs, 20 (2) 189-201.
 Irurita, V. F. (1999). Factors affecting the quality of nursing care: The patient’s perspective. International Journal of Nursing Practice, 5: 86-94.
 McNamara S. A. (1995). Perioperative Nurses’ Perceptions of caring practices. AORNJ. 61 (2): 337-388.
 Dryden P. (2003). Introduction to Nurses House. Nurses House, April 2003.
 Redfern, S. & Norman, I. (1999).Quality of Nursing care perceived by patients and their nurses: An application of the critical incident technique, part 2. Journal of Clinical Nursing, 8 (4) 414-421.
 Larrabee, J.H., Janney, M. A, Ostrow, C.L, Withrow, M.L., Hobss, G.R., & Burant, C. (2003). Predicting Registered Nurse Job satisfaction and Intent to Leave.
 Bowles, N., Mackintosh, C., & Torn, A. (2001). Nurses’ communication skills: an evaluation of the impact of solution- focused communication training. Journal of Advanced Nursing, 36 (3) 347-354.
 Geanellos, R. (2002). Exploring the therapeutic potential of friendliness and friendships. Contemporary Nursing, 12 (3) 235-245.
 Kritek, P. B. (2001). Rethinking the care environment: Luxury or necessity? American Association of Critical Care Nurses Clinical Issues. Advanced practice in acute critical care, 12 (3), 336-344.
 O’ Brien M. E. (2003). Navy Nurse: A call to lay down my life. Journal of Christian Nurses, January, 2003.
 Northouse P. G. and Northouse L. L. (1992). Health Communication: Strategies for Health Professionals.2nd Ed. Connecticut, Appleton & Lange.
 Hupcey, J. E. (1999). Looking out for the patient and ourselves – the process of family integration into the ICU. Journal of Clinical Nursing, 8:253-262.
 Parker, I., Georgaca, E., Harper, D., Mclaughlin, T., Stowel Smith, M. (1995). Deconstructing Psychopathology. London, Sage.
 Meilman P. W. (2001). Human Resource Issues in University Health Services. Journal of Amercan College of Health, July 2001.
 Holyoake, D. (1998). Observing nurse-patient interaction. Nursing Standard, 12 (29) 35-38.
 Jewkes, R., Naeemah, A., &Zodumo, M.V. O. (1998). Why do nurses abuse patients? Reflections from South African Obstetric Services. Social Science and Medicine, Volume 47 (11) 1781-1795.