00223 Ineffective Relationship

Domain 7: role/relationships
Class 3: role performance
Diagnostic Code: 00223
Nanda label: ineffective relationship
Diagnostic focus: relationship
Approved 2010 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The nursing diagnosis « ineffective relationship ” is defined as: mutual collaboration pattern that is insufficient to meet the needs of the other.

Definite characteristics

  • Delay in the satisfaction of the appropriate development objectives for the stage of the family life cycle
  • Express dissatisfaction with interpersonal complementary relationships between the couple
  • Express dissatisfaction with the satisfaction of emotional needs between the couple
  • Express dissatisfaction with the exchange of ideas between the couple
  • Express dissatisfaction with the exchange of information between the couple
  • Express dissatisfaction with the satisfaction of physical needs between the couple
  • imbalance in the autonomy of the couple
  • imbalance in collaboration between the couple
  • Inappropriate mutual respect between the couple
  • Inadequate mutual support in daily life activities between the couple
  • Inadequate understanding of the operating commitments of the couple
  • The couple does not identify as the support person
  • Informs unsatisfactory communication with the couple

Related factors

  • Inadequate communication skills
  • Stressors
  • Inappropriate use of substances
  • Non -realistic expectations

Risk population

  • People who experience development crisis
  • People with a history of domestic violence
  • People with the imprisoned intimate couple

Associated problems

  • Cognitive dysfunction of a couple member

NOC Results

  • Noc results have not yet been published for this problem, although the following could be useful:
  • Development: Intermediate adulthood: cognitive, psychosocial and moral advance, from 40 to 65 years of age
  • Development: Late adulthood: cognitive, psychosocial and moral advance, of the 65 years of age onwards
  • Development: Early adulthood: cognitive, psychosocial and moral advance, from 18 to 39 years of age
  • Role performance: congruence of the behavior of the role of an individual with the expectations of the role
  • Family operation: Family system capacity to meet the needs of its members during development transitions
  • Family integrity: behavior of family members who together demonstrate cohesion, strength and emotional ties

Evaluation objectives and criteria

  • • Relationships are effective, as evidenced by normal development: in late adulthood (intermediate or early) and satisfactory performance of the role of the two members of the couple.
  • • Development: Intermediate adulthood, as manifested by the following indicators (specify from 1 to 5: Never, sometimes, sometimes, often or usually):
    • maintains a healthy intimate relationship with your partner
    • It adapts to changes in sexual functioning
    • Recognize the values ??and opinions of others (that is, the couple)
    • Respect others
    • Recognize that healthy relationships require mutual trust
  • Other examples

    • • Identify your partner as an important person in your life
    • • Manifest satisfaction with the relationship
    • • Manifest sharing ideas or information with your partner
    • • Manifests the total satisfaction of your physical and emotional needs
    • • The couple demonstrates mutual support in their daily activities
    • • The couple speaks openly and honestly about their differences and tolerates their differences of opinion
    • • The couple expresses anger properly

    NIC Interventions

    • NIC interventions have not yet been associated with this diagnosis, although the following could be useful:
    • Promotion of family integrity: promotion of cohesion and family unit
    • Improvement of Socialization: Facilitation of a person’s ability to interact with others
    • Improvement of coping: patient assistance to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
    • Improvement of the role: assistance to a patient, his family and closest people, to improve relationships by clarifying and complementing the specific behavior of the role

    Nursing Activities


    • • Assistance to each member of the couple to identify the aspects of their relationship they wish to improve
    • • Evaluate how the couple uses effective communication skills
    • • Determine how the couple handles the conflicts
    • • Assess the feelings that each member of the couple has about the sexual aspects of their relationship
    • • Evaluate the general functioning of the family

    Patient and family education

    • • Teach communication skills (provide the opportunity to perform roles games)
    • • Recommend Internet sites that could be useful
    • • Describe the active listening technique and explain its importance
    • • Teach conflict resolution skills (for example, win-win strategies)

    Collaboration activities

    • • Channel to the couple towards support groups, assertive training classes and other resources, depending on their needs
    • • Channel to medical services, in case any of the couple’s members suffer psychological or physical problems


    • • Test ways to reduce the intensity of a discussion
    • • Test active listening
    • • Maintain a positive attitude and approach
    • • Encourage the open communication of concerns and doubts
    • • Talk about the importance of not blaming the couple
    • • Encourage the couple to ask each other an opinion to problems
    • • Encourage the couple to talk about their feelings. At first, monitor exchanges to make sure they are harmless, without guilt, or anger