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. A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010). Over the past few decades, the necessity for this relationship between patient and nurse has increased immensely. In recent years, the health-care industry has emphasized on the provision of patient-centered care to generate effective care, to furthermore increase the satisfaction of the patient. The capability to convey patient centered care is recognized as a fundamental characteristic of expert nursing. Nurses should encourage therape... ... middle of paper ... ...o take control of the conversation, if they desire. Making observations - articulating what is perceived and/or observed (Current Nursing, 2013). Reflecting – directing questions towards the patient based on the topic of discussion, to ensure the patient feels recognized and accepted. Attempting to translate words into feelings – by trying to put into words what the client is trying to express indirectly (Current Nursing, 2013). The nurse must be able to identify non-verbal communication – body language, such as the patients dress, posture, facial expressions etc. Identify the client’s problem - problem solving skills include: having a discussion based on the promotion of positive change, discussing procedures and techniques to cope with situations that are un-changeable, and encouraging the patient to implement the recommended procedures (Current Nursing, 2013).
In the article “Time to learn: Understanding patient-centered care,” Rinchen Pelzang clarifies not only what patient-centered care means but what it looks like when implemented. These clarifications are necessary because although most healthcare setting advocate patient-centered care, with no clear definition. Pelzang mentions this as one of the most prominent barriers to PCC, the misinterpretation of the concept. In order to combat this barrier proper education and emphasis on communication are needed. When this isn’t the case, “the failure to recognize nurse-patient communication as an essential component of nursing care is the greatest barrier to effective communication” (Pelzang, 2010). Collaborative care and
Shattell, M. (2004). Nurse-patient interaction: A review of the literature. Journal of Clinical Nursing, 13(3), 714-722.
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
First of all, it involves the nurses to be self aware of their own strengths and weaknesses they have personally experienced. It further involves them knowing their own beliefs, attitudes and motivations and how they will end up effecting their relationship with their patient. Not only do nurses need to be aware of themselves but they need to be aware of their patients, keeping note on how their patients respond to personal interactions. The full focus of the relationship is based on the patient not on the nurse. 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. One specific example was when a patient was trying to ask a nurse a question but the question did not make any sense. The
This essay will explain what patient centred care is, how nurses use it in practice, the benefits of using it, and the barriers that need to be overcome to able to use it, and the key principles of patient centred care. It will explain how patient centred care enables nurses to communicate and engage with the patients in a more effective way, and how it helps understand the uniqueness of each patient, which helps professionals avoid ‘warehousing’ patients (treating them all the same). It will also demonstrate how this type of care can help maintain the dignity of patients when nurses carry out tasks such as personal care.
As suggested by Bungay (2005), the development of a strong nurse-patient relationship begins with nursing practices that demonstrate caring. The act of caring has been identified by Roach (1987) as involving five qualities that establish a caring nursing practice. Further, high quality nursing care must be competent and stem from various sources of knowledge such as empirical, ethical, personal, esthetic, and sociopolitical knowledge (Bungay, 2005). The context in which nursing care and knowledge are applied to patients in clinical settings also drastically influence the positive or negative direction of nurse-patient relationships. As in the case of Allison the nurse, caring using Roach’s caring qualities along with applying her nursing knowledge in specific contextual factors facilitate her ability to provide quality nursing care. In this paper, Allison’s scenario will be analyzed for her ability to care, apply ways of knowing, and how context hindered or facilitated nursing care.
In today’s practice, the relationship between the patient and the nurse has become very crucial in patient’s care. If the nurse is able to have a good rapport and build trust with the patient, the patient will be more inclined to be forthcoming with personal information which helps the nurse gather more insight on the patient. In most nurse-patient care settings, the three phases of care take place. Depending on the type of nursing and environment will depend on the length of each phase. For general medical-surgical nursing, the nurse will initiate the orientation phase at the beginning of the shift or before receiving an admission. The nurse reviews the patient’s chart, introduces self to the patient, gathers information through assessment, involves the patient in goal setting through nursing diagnosis and planning, and establishes rapport. As care continues throughout the shift, the second phase is in work. Nursing interventions are taking place; the patient is responding to nursing care and working towards successfully reaching goals that were set during orientation. The patient and nurse are working together to validate and evaluate goals, promoting health forward as the patient’s condition improves. In the final phase of resolution, the nurse
The efficient communication and therapeutic relationship among client and nurses are the spirit of high quality nursing care. Therapeutic communications are classified in two types of communication interventions these are authoritative intervention and facilitative interventions. A reliable intervention takes accountability on behalf of the patient. In this case the nurse offers client new knowledge, make suggestion and directs the clients. Whereas facilitative intervention, it promotes clients autonomy and self responsibility. In which a nurse encourages a client to solve problems and express emotions. As a nurse or anyone dealing with healthcare should use best communication skills, possible so that the therapeutic goals can be achieved.
If the patient is in a calm state, then care becomes more effective. A patient will feel this when the relationship between the nurse and themselves reflects consideration, respect, kindness and compassion. Communication can be both verbal and nonverbal but both are equally important. Nonverbal communication can evoke comfort and calmness (Abraham, Jeyakumar, & Babu, 2016, p. 59). For nurses, it is extremely important to be aware of the nonverbal communication we portray. If the nurse stands in the doorway with arms crossed and continues to glance at the clock it will relay to the patient that the nurse has more important and interesting things to do. Patients who interpret the nurses body language in a negative way have an inferior hospital experience. Personal communication between a nurse and the patient is especially important for patients who are enduring stressful and intimidating medical circumstances. Patients who are about to have a procedure may feel scared, worried, or even hopeless. A nurse has the chance to influence these feelings, by being kind, caring, and attentive to their needs (Abraham et al., 2016, p. 59). Nurses may answer patient’s questions, speak calming words to them, or even sit with the patient and allow them to vocalize their feelings about the procedure (Abraham et al., 2016, p. 59). Giving the patient verbal comfort, as well as the comfort of being present in a time of need can greatly impact the
Nursing as a caring profession needs communicating receptively, empathy, trust and respect to establish and maintain a strong therapeutic relationship with the patient and the family.
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 have always been on the front lines of patient-centered care, and this trend will always remain so. Treating a client, not just for their physical ailments, but considering the “whole” of the client has been a priority, even since the days of Florence Nightingale. It is imperative to consider the impact of nurses to be aware of health policies, future changes trying to be implemented by the governmental braches, and still maintaining the safety and holistic approach to client-centered care. These topics must remain on the forefront of nurses in the profession, since this is the most important aspect of caring for the clients that we advocate for.
Verbal communication skills allow for the patient to clearly understand what the nurse is trying to portray. The use of simplicity, clarity, relevance and adaptability are examples on how a nurse will need to adapt this skill. Without this skill vital information may not be transferred from client to nurse. Verbal communication skills play a role in obtaining subjective and objective data from the patient by allowing the nurse to ask open ended questions, thus then the nurse gives adequate time for the patient to
Nursing is viewed as an interpersonal process that requires interaction between patient and nurse to acquire success. Respect and understanding are an integral part of interpersonal relations theory. Being self-aware and avoiding judgement are key components in this theories success. The interpersonal process focuses on a patient’s needs, feelings, problems and ideas. The concept of this theory consists of the four steps of patient and nurse interaction process. One step must be completed to the next for optimum success. In addition, there are 7 roles the nurse must fill in order to be a successful communicator. They consist of stranger, resource person, teacher, leader, surrogate, and counselor ("Hildegard Peplau Interpersonal," n.d.). The concepts applied in this theory are simple and apply across all aspects of nursing
Nurses engage the most time and contact with patients in the hospital. Apparently, they are the ones rendering care , organizing the nursing care plans , solving existing problems , providing health education to patients and most importantly they stand to be the agent of connectivity between the healthcare team (DeSilets, Lynore., & Dickerson, 2011 ). The foundation of a quality nurse-patient relationship is said to be essential in most situations for, it aids to have an effective communication amongst the healthcare team and the patient thus, helping in the betterment of the client’s condition and well-being. (Sheldon, 2009 ) In addition, by using nursing knowledge, skills, caring quality and professional conduct, the nurse can set up and maintain therapeutic relationship, which is rooted on the caring attributes of a nurse. In this essay, I would like to discuss how therapeutic relationships affect the nurse, patient and the health outcomes of the client. Additionally, I will discuss about the caring attributes demonstrated by the nurses.