Part 1: Case Study, Analysis of Communication Behaviors
Based on the Bevel Up video, there are two scenarios featured on the Bevel Up clip. For the first nurse-client pair with the younger guy, let us label them as Nurse-Client A and for the second nurse-client pair with the older guy in a wheelchair, they will be Nurse-Client B. The nursing care situation for both scenarios is taking place in the streets, which means that it is outside of the typical setting inside the clinic or the hospital. To further dissect the interaction that occurred, we will take a closer look at both Nurse-Client pairs.
For Nurse-Client A, they were in an area that looked like an alleyway where they had a bit of a privacy. The client was seated the entire time of the conversation. Considering that the client was seated and the nurse was standing up beside him, the nurse was at a higher level compared to the client. Though the nurse's posture was a bit slouched with her head a bit close to the client and all the while maintaining eye contact indicating her undivided attention to what the client has to say especially when she was making sure of the information that the client was disclosing, as to what the tests were exactly.
During the initial point of the conversation in the video, there was one point where she had her hands on her hips, a power position, which she immediately changed to a less authoritative position. During the entire time of the conversation the nurse kept her focus and attention on the client's body language and speech. She was quick to make changes to her body language to suit the situation with the client. The nurse was also very keen in observing how the client was reacting to the questions she was asking and the information she wa...
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Nursing at its core is about dealing with the clients, from building a relationship to maintaining it. Relationships, whether professional or personal, are founded on core components. For a nurse-client relationship these core components are trust, respect, professional level of intimacy, empathy, and power. These core components even if they are present during the initial phase are of no use if the proper techniques of therapeutic communication are not used. It is also great to take note that even moments of silence when employed properly could have a great impact. Good judgment and awareness are also important for the nurse to discern which therapeutic strategy to use when communicating with the client to not only build relationships with clients but also to provide a support system with the care and medical knowledge necessary.
Therapeutic communication can help promote a relationship between the nurse and the client, by focusing on the client’s needs. The nurse can do this by using various types of communication skills, such as giving recognition, giving information, and offering self. Giving recognition is acknowledging the client’s needs in a non-judgmental way.An example of giving recognition in Bed Number Ten is “After you’re a little better, we’ll be taking you to the physical therapy department for regular work to rebuild your strength” (54). Sue enjoyed the conversation with Charles because he was the first to spoke to her about getting better. Giving information is providing specific factual information the client may or may not request. “All the way through,
The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel and to explore what it means to them (RNAO, 2002). Without the ability to relate to Irene, a trusting relationship cannot be developed nor can mutual respect be earned. Trust is the foundation for building a relationship; once created, the client feels more comfortable opening up. Trust is established in many ways; such as keeping confidentiality, be...
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person.
The relationship is created to achieve a goal based off the patient's priority needs in which the nurse acts as the leader who guides the relationship to attain the end goal (Videbeck, 2016). The nurse can do so through teaching, answering questions, providing respect and counseling the patient. This type of nurse-patient relationship would be demonstrated in the clinical milieu by the nurse taking the time to notice if there are any changes in a patient's behavior then taking action if there are changes by asking the patient what they are feeling. If the patient opens up and talks about their situation, the nurse should use therapeutic communication skills such as broad openings to encourage communication, active listening, reflecting and others techniques (Videbeck, 2016). I have noticed many other demonstrations of therapeutic nurse-patient relationships in the milieu during my clinical experience.
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
“Nurses intervene, and report when necessary, when others fail to respect the dignity of a person receiving care, recognizing that to be silent and passive is to condone the behavior” (CAN, Year, Pg). During this situation I recognized the vulnerability of the patient as well as what I felt was inappropriate behavior on behalf of the registered nurse and there for intervened because I did not agree with the situation that was
I am an open book. I’m not afraid to open up to people. Some of my friends tell me I should try to not be so open. They believe people will take advantage of me.
Communication is process of transferring information between or among people which involves exchanging of the information on two levels, which can be nonverbal and verbal. To provide best outcome and compassionate care for the patient, effective communication is fundamental in Nursing (Bramhall, 2014). However, therapeutic communication is comprised interactive communication between the nurse and patients. Nurses need to understand patient, respect privacy, confidentiality and respect the patient by taking into consideration of religion, background, age and allow patient to express freely. Therapeutic relationship is a focused to engaged relationship that is intense at advancing the high quality care and best outcome of the client. (Esmeralda
Therapeutic relationship is well-defined as the process of interrelating, that concentration on advancing the physical and emotional comfort of a patient. Nurses use therapeutic practices to provide support and evidence to patients. It may be compulsory to use a variation of techniques to achieve nursing goals in collaborating with a patient. By discovering the reluctance of the patient to study, as well as the opinions and beliefs of the client and their family, the nurse work together with the client to discoveraexplanation. The...
519). It is the nurse’s responsibility to encourage the development of these relationships, as it promotes quality of care. Therapeutic relationships require the nurse to use therapeutic communication. Therapeutic communication consists of the nurse using communication mechanisms in a manner that demonstrates understanding and is therapeutic for the client (O’Connell 2008, p.
Thasya and Axel acted out through certain behaviors due to the fact they could not communicate. Thasya would become aggressive if the schedule changed, there were new people around or if she didn’t get her way as she wasn’t able to communicate the way she felt. Axel also used aggression as a way to express himself if he was agitated by certain sounds or didn’t want to be somewhere he would just leave. Since both Thasya and Axel had no way to say how they were feeling, they had to express themselves another way to let others know.
This nurse is unfortunately failing to listen, comfort; physically, emotionally, and spiritually be there for their patients. This is a perfect example of a nurse that is failing to be present with their patient. The stress this nurse is under, is resulting, in the lack of therapeutic communication amongst the nurse and their patients. Throughout this paper nursing presence and therapeutic communication will be thoroughly reviewed. Experiences from nursing education, experiences from therapeutic communication observation, as well as, scholarly articles will be used to delve deeply into these two complex topics; of nursing presence and therapeutic communication.
Bedside manner relies on communication between the physician and the patient. “ For practitioners, the ability to listen to patients and explain things to them in a way that is easily understood is especially important. Good communication skills are one of many attributes that a clinician needs.”(1447) , According to “The Doctor-Patient Relationship and its Historical Context, there are three basic models for the doctor-patient relationship: Activity-Passivity, Guidance-Cooperation, and Mutual Participation. These three stages corresponds with age or mental capacity as well. In an Activity-Passivity relationship, the physician acts on the patient, and in turn the patient is unable to respond or intercept the doctor 's actions. This model is used with infants and people who are suffering from comas, delirium, or trauma. The Guidance-Cooperation model occurs when the doctor tells the patient what to do, and the patient obeys, as seen in children and adolescents. Lastly in the Mutual-Participation relationship, the doctor helps the patient help himself or herself. This is similar to a partnership, which occurs between two adults. In “Hart of Dixie”, Guidance-Cooperation and Mutual-Participation are the models most commonly used by
It has been figured out a long time ago that therapeutic communications have played an important role in building effective nurse client relationship. Hildegard E. Peplau was a theorist years ago who introduced the theory of development stages in the nurse-client relationship. Therapeutic communications are the basis of interactive relationships, understand clients’ experiences and find health care resources. According to Miller and Keane (as cited in Potter and Perry, 1989) “Therapeutic refers to the science and art of healing of or pertaining to a treatment or beneficial act”. “Communication is social interaction through messages: reciprocal creation of meaning: sharing of information,
The capability of an individual to understand and relate to the client is called empathy. When an individual is effective in empathizing with the client, it can be argued that a patient is likely to feel validated (Davies, 2014, p.198). This validation creates a sense of acceptance and closeness in the relationship between the nurse and client. The client will then comfortably have the ability to express any underlying feelings or problems to the nurse. The comfortability experienced by the client in the relationship will then slowly develop into trust. Davies (2014) states that when the patient trusts the practice nurse, the health professional is provided with a more complete and accurate understanding of the patient’s condition. In this way, empathetic nursing ultimately improves the quality of care that the practice nurse can provide (p.200). An empathetic attitude towards a client helps him/her to realize that the nurses are relatable and that they are human too. This provides the nurse and client relationship with a strong foundation that can further develop into an accepting and open relationship where both parties can benefit. The nurse will be able to provide the client with specific care and be able to feel a sense of accomplishment by caring for the client. The establishment of trust in a nurse and client relationship generates