This essay will provide a reflection in relation to Interpersonal relationships, which is the third Domain of Competence. The indicator I have chosen from this domain is 3.1 which is “To establish and maintain caring therapeutic interpersonal relationships with the individuals/clients/groups/communities”. (An Bod Altranais 2005). I will reflect on a scenario using the Gibbs framework (Gibbs 1988). As a starting point, Gibbs encourages the reflector to describe the event to be contemplated thus I will briefly describe a scenario which took place between a patient and me.
During my placement in 3rd year I was placed in a care of the elderly ward. The patient I will speak about will be called Maura. Pseudonyms will replace all names to maintain patient confidentiality in accordance with The Code of Professional Conduct and Ethics for Registered Nurses and Registered Midwives (ABA 2014). Maura is a 94 year old woman who has chronic lower back pain, depression and cognitive impairment. While there I had witnessed, a nurse communicating with Maura in an unethical manner. Maura was very upset and confused and kept saying her husband was
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I knew I had the ability to communicate effectively with her as I had a lot of experience doing this in the past. Literature highlights that as a nursing student it is highly important that they have the confidence and assertiveness to communicate well with patients. This will then lead on to creating an interpersonal relationship with the patient and thus positively influence physical, emotional and functional well-being. (Dearing et Steadman 2011). The following link is a video of a nurse who works in a community long stay ward who spoke to me about her day looking after elderly patients. She lets us know how to treat and care for them. For confidentiality reasons she did not want her face in the video.
As population ages, clinicians will care for an increasing number of elderly patients. Just as these patients may present unique and challenging medical dilemmas, so may they also present ethical ones. Ethical dilemmas are present in everyday practice. It provides a brief overview of the situations that may raise ethical concerns. Although, these are not the only ethical concerns that may arise during care of the elderly and are not unique to the population, they represent the most common scenarios that clinicians may encounter in their everyday course of practice. Ethics, according to (Mueller, Hook & Fleming, 2004), is the analysis and identification of the moral problems that arise in the care of patients. Ethical issues on geriatrics: a guide to clinicians (2004) reports that clinicians will care for an increasing number of elderly patients with challenging medical problems.
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
Hildegard Peplau-interpersonal relations model is also a theory that is based on psychodynamic nursing that issuing an understanding of one’s own behavior to help others identify their needs or difficulties. This applies principles of human relations. It is believed that patient have a felt needs and nurses are involved in problem solving and also creates a significant therapeutic interpersonal process that functions cooperatively with others to make health
As a first year nursing student, it is important to understand the impact that making connections with your patients has on their overall health outcomes. Before one can understand the importance of making such connections, it is imperative to explore how these connections are made. The purpose of this paper is to establish the importance of making connections in the nurse-client relationship, to recount my personal learning of a course concept, and to explore how the course concept is integral in the formation of connection in the nurse-client relationship. The course concept that I will explore is that of trust. I will explore this concept as it relates to making connections with the help of current nursing literature. Throughout the paper
Ethical issues are “moral challenges” facing the health care profession (Stanhope & Lancaster, 2012, p. 127). Ethical issues is a major concern in the healthcare field because healthcare providers observe ethical issues every day and have to make ethical decisions. Advance directives are written documents that addressed an individual’s medical care preferences. These documents usually take effect when patients no longer can make informed health care decisions for themselves. While these documents are helpful to loved ones and health care providers, there are a number of ethical considerations that can make the development and execution of advance directives difficult (Llama, 2014). This author is a geriatric nurse that recently observed an advance directive ethical issue in the clinical setting. The purpose of this paper is to outline the steps of ethical decision-making within the seven steps for the framework. This paper will also identify the facts of the case from the perspective of each person impacted by the situation and identify which ethical principles were involved in the situation.
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 purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection. This will allow me to analyse and make sense of the incident and draw conclusions relating to personal learning outcomes. The significance of critical analysis and critical incidents will briefly be discussed followed by the process of reflection using the chosen model. The incident will then be described and analysed and the people involved introduced. (The names of the people involved have been changed to protect their privacy) and then I will examine issues raised in light of the recent literature relating to the incident. My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence based practice. I will conclude with explaining what I have learned from the experience and how it will change my future actions.
A university class had watched a video on communicational skills. Subsequently, the students were asked to compose an essay based on several themes displayed in the video. The topic of this essay will revolve around the advantages of therapeutic relationships. This essay will evaluate the effectiveness of therapeutic relationships, effective communication correlating to this, and the benefits it has for the patients. In addition, the ANMC competencies will be assessed and 3 topics from a particular domain will be chosen which are believed to be the most relevant.
Every Wednesday I was assigned a patient to attend to by a specific nurse who was also my supervisor in a hospital setting. My instructor ensured that this nurse followed my progress in respect to the way I was to handle the patient through written report. While taking care of the patient, I recorded various changes, he/she indicates towards recovery. I reported these changes to the nurse. While participating in this activity, I was expected to follow the strict guidelines by the instructor and nurse; as required by the rules and regulations, and code of conduct in nursing.
I had been assigned to a 96 year old patient with a diagnosis of failure to cope. Prior to entering the patient’s room I had made a mental assessment through my personal research and verbal report that he was known to be a non-compliant agitated patient. Although the patient was already labeled as a difficult patient I did not allow this to cloud my own personal judgment when meeting with the patient. While providing morning care I began to engage with the patient through conversation and shortly learned that the patient was still grieving the loss of his wife from 9 years ago, they had been married for 65 years. By showing empathy and listening to the patient explain his story I was able to develop a therapeutic relationship with the patient where trust was built and nursing care was provided efficiently. I wanted to further explore the impact empathy has on nursing care in such setting as acute care, and how vital this is to the human
When looking back on the event, I can now acknowledge how unprepared, and unsupported, I was when first introduced to Mrs X. There are many barriers to communication that can lead to the message becoming distorted, and I feel my lack of knowledge and understanding, played a big part. Therefore, as mentioned by Lishman (2009) in order to achieve effective communication, it is important to be aware of the physical, psychological, and social barriers, that could affect the communication process. Being able to effectively communicate, is an essential skill in providing person-centred care. Therefore, it involves learning to communicate effectively even when various barriers to communication are
This may be affected more in some fields of nursing than in others due to the amount of time each nurse can be spent with each patient, but should always be incorporated as much as possible. Potter et al. mentions that "by establishing a caring relationship, the understanding that develops helps the nurse to better know the patient as a unique individual and choose the most appropriate and efficacious nursing therapies" (2013, p. 85). By getting to know your patient, it makes your routine slightly easier as you can engage in practice knowing how that patient reacts, thinks and copes with different situations. It also allows that bond of comfort and trust to exist that will have the patient open up to personal feelings and other necessary subjective data needed to fully care for the individual as well as develops credibility when patient education is initiated. This is something that may develop over time but in the acute setting can be established by simply remembering the name of the patient, sometimes that may be all that is necessary for the patient to feel known by the nurse. Just reciprocating conversation about life, their experiences, their fears, and their thoughts on health is substantial for developing a caring moment and incorporating the fourth caritas process between the patient and
Interpersonal relations Theory Mirelle Avila Universidad del Turabo Theoretical Foundations of the Advance Practice Nurse nur 500 Juan Ramirez September 23, 2015 Running head: 1 INTERPERSONAL RELATIONS THEORY 1
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
By establishing a code of ethics the nursing profession provides a framework for judgment calls dealing with these difficult situations. This set of moral principals sets a standard for thinking through ethical problems, which ultimately helps nurses settle these types of issues. These ethical nursing dilemmas usually arise from disagreements in personal values and social issues that regard the decisions or beliefs of patients. The objective is to come to a common understanding which upholds the best interest of the patient while reinforcing the personal values of the healthcare professional.