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Roles and responsibilities of nurse
Core competency in nursing
Characteristics of the therapeutic nurse patient relationship
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According to Nursing and Midwifery Board of Australia (2006), ‘Collaborative and therapeutic practice between registered nurses and client has been the subject of discussion, debate and research for decades’. This essay outlines the most essential elements of a nurse such as effective therapeutic relations and attitudes with clients. This essay will also include some of the core competencies that relate to nurses’ understanding, their contribution to the interdisciplinary health care team. It will provide the standards and competencies that are required to support, the therapeutic nurse-client relationship by providing more specific direction for future registered nurses and all health professional in regards to establish, maintain, restrictions and terminate of the nurse-client relationship which are goal focused. This essay examines the social gradient in health, explains how this relation influences clients to trust their health professionals …show more content…
Like all other relationships, the therapeutic relationship takes time to develop and requires commitment and effort to maintain. It is significant to understand about these attributes in order to maintain mutual nurse patient’s relationship with her to make the treatment effective and successful. Therefore, it is the responsibility of the nurse to provide her trust, respect and empathy with good communication skills. As, she is from indigenous background, it is very important to respect and understanding her culture. Gruber and Hartman (2007, p.12) believes, since nurse work in such a varied environment, the best way to achieve the client trust and their health related goals is to get the right set of communication skills and respect their culture. Further, appropriate languages should be used in a various effective ways of
The best way to understand exactly what a therapeutic nurse-patient relationship is is to look into the characteristics of the relationship. As previously stated, the therapeutic relationship focuses on the client and their goals. In contrast with a social relationship, the actions of both the nurse and patient are dedicated to the needs of the patient. Nurse and patient work together to attain the goals set for the patient. Although the nurse may enjoy interacting with the patient, this is not the purpose of the relationship. The parameters of the relationship are defined to ensure that the relationship does not curve in that direction. Parameters include, “[the] relationship is terminated when goals are met and service no longer needed” (Craven & Hirnle, 2009, p. 330). This ensures that boundaries are not crossed and the nurse-patient relationship stays a professional one.
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
The application of the therapeutic nurse-client relationship is absolutely essential to providing the appropriate care to clients (College of Nurses of Ontario, 1999, p. 3). The therapeutic nurse client relationship consists of four components; respect, trust, professional intimacy and empathy (College of Nurses of Ontario, 1999, p. 3). Though, I have not been able to establish a nurse-client relationship yet, I have established customer-client relationships. Customers react similarly to clients when respect is established. One experience in particular really helped me make this comparison.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
To start implementing this framework, one need to understand and acknowledge that every patient is not only different from one another, but a unique individual. Assumptions and stereotypes about a specific cultural group must be avoided, along with personal biases (Murphy, 2011). Furthermore, actively listening and fully engaging patients’ can improve nurse-patient communication and enhance patient outcome.
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.
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic nurse/patient relationship. This will be achieved by providing a definition of communication, making reference to models of communication and explaining how different types of communication skills can be used in practise.
Nursing is a field, which requires good communication strategies with the patients, supervisors, and peers. I have understood the key components involved in the communication process and also learned the various strategies of improving the skills to avoid errors which occur in the communication process (Balzer-Riley, 2004). For example, in the beginning of my career, I thought that the communication that exists between the nurse and the patient is all about the problem which the patient is facing. In the learning process, I have realized that it requires the nurse to go further to explore more about the patient’s past experiences, their culture and also their environment. The different patients from different cultures whom I treated allowed me to appreciate cultural diversity in the nursing profession (Smeltzer et al, 2009). It requires the nurse to employ good skills in the communication process so that the patient is open to him or her.
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
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...
Nurses should be aware of verbal and nonverbal communication patterns. Using respectful listening, speaking clearly, observing nonverbal indicators, avoiding medical terminology, and using clear speech, increases the effectiveness of cultural communication. There are many skills that the nurse can use to facilitate communication. When encountering patients who speak a different language, it’s essential to use an interpreter and to understand that communicating with an interpreter increases the length of patient interaction when compared to communicating without an interpreter. Silence is a communication skill that has many meanings depending on the culture.
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
Relational Practice is being mindful of your own actions, environment, and situations. It goes beyond treating the disease and focuses on the patient as an individual with his or her own unique needs. In order to establish and maintain a concrete nurse-client relationship, nurses must utilize a wide range of effective communication and interpersonal skills. The ability to communicate effectively is an important skill that not only proves to be imperative as a nurse but also in everyday interactions. That said, for the purpose of this paper, I will evaluate an interaction I had with a close family friend, where he disclosed his history of alcohol abuse and how it affects him every day. I will discuss the style and skills that I fulfilled during
In any healthcare field, communication is essential to assure that patients understand what is going on, and so they can effectively communicate what they need their doctors to know about their health. In healthcare, doctors and nurses will often see many people of different ethnicities and cultures, and they need to have some sort of cultures sensitivity in order to communicate with their patients on a level they will better understand. In order for them to communicate effectively, they will need to acknowledge that a patient may have a different culture with a different language and beliefs, which can act as barriers to effective communication. Without proper communication methods, doctors and nurses may be unable to provide the proper healthcare