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Importance of maintaining professional boundaries in nursing
Nurse patient communication
Nurse patient communication
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Nurses use critical thinking to inform their clinical practice to be able to provide the best patient care. Additionally, they include this process with other healthcare professionals and patients in therapeutic and professional relationships to inform their practice in a patient-centred model (Ingham-Broomfield 2018, p. 193; Riet 2018, p. 499). Therapeutic and professional relationships in nursing are imperative, with them come boundaries between what is considered professional and personal in the healthcare setting (Nursing and Midwifery Board of Australia 2010). Firstly, therapeutic relationships in nursing enable healthcare professionals to engage with the patient on a limited personal level that helps to support mental state, shows kindness …show more content…
Pain scores are an important tool in assessing pain but are subjective due individual perception and interpretation (Wikström et al. 2014, p. 53). Pain in one patient compared to another of the same individualities, same surgery, same method, same medications can have completely different pain scores; this can be due to anxiety, pain tolerance levels, opioid tolerance and biological differentiations (Tharakan & Faber 2015, p. 181). The outlined evidence demonstrates the importance of listening to the patient and systematically assessing their pain perception, to determine the best treatment in consultation with the patient and other healthcare professionals (Cyna & Tan 2013, pp. 785-6). Others commonly involved in patient care are family members and significant others. This is due to research that shows these relationships can assist in a faster recovery for patients, due to positive influences, improving overall well-being and health outcomes (Clay & Parsh 2016). In special circumstances, patients family members or significant others may be permitted to enter recovery to sit beside the patient; at this point, the role of the nurse should be to build a therapeutic and professional relationship to support the family member and reassure them not to worry (Wicker 2015, p.
End of life pain management is an important function of hospice organizations. Families and patients alike are comforted by the fact that, at the end, there are resources which allow for a comfortable death. Much of the quality of hospice care is determined by patient family members. In 2005, the Brown Medical school conducted research with regard to t...
Lindley, P., Pestano, C. R., & Gargiulo, K. (2009). Comparison of postoperative pain management using two patient-controlled analgesia methods: Nursing perspective. Journal of Advanced Nursing, 65(7), 1370-1380. doi: 10.1111/j.1365-2648.2009.04991.x
Winfield, H., Katsikitis, M., Hart, L. and Rounsefell, B. (1989). Postoperative pain experiences: Relevant patient and staff attitudes. [online] 34(5): pp.543-552. Available at: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T8V-45WYV7R-7G&_user=10&_coverDate=12%2F31%2F1990&_rdoc=1&_fmt=high&_orig=gateway&_origin=gateway&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=35e6b5e8c8f803b487b35d4ae3b06cef&searchtype=a[ [accessed 8/5/2013]
Critical thinking and knowledge are the foundation of nursing practice, and the most essential elements in providing quality nursing care. Nu...
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
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.
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
Critical incidents are snapshots of something that happens to a patient, their family or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature, thus bridging the gap between theory and practice (Bailey 1995). It also affords us the opportunity of changing our way of thinking or practicing, for when we reflect on an incident we can learn valuable lessons from what did and did not work. In this way we develop self-awareness and skills in critical thinking and problem solving (Rich & Parker 2001). Critical incidents ???
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from 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 process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
To conclude, emotional intelligence and reflective practice are the integral components of building a therapeutic component of building a therapeutic relationship in nursing. Emotional intelligence is the ability, capacity and skill to identify, assess and control the emotions of oneself, of others and of groups. This quality plays an important role in nursing success whether they are working in management or at the bed side. We must understand and create a therapeutic relationship between nurses-client relationships. We must understand the client’s situation and help them to achieve their needs so that it provides a better care. Therefore nurses should always seek out techniques to assist in the caring of the client and provide them with all the support and their betterment to have a better therapeutic relationship with the clients.
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...
Professionalism in the workplace in many professions can be simplified into general categories such as neat appearance, interaction with clients, punctuality, general subject knowledge, and likability. In nursing, professionalism encompasses a much more broad and inclusive set of criteria than any other profession. Nurses specifically are held to a higher standard in nearly every part of their job. Nurses are not only expected to uphold what it seen as professional in the aforementioned categories, but they are also expected to promote health, wellbeing, and advocate for patients, but also continually provide the highest standard of care, demonstrate exemplary subject and procedural knowledge, and abide by the Code of ethics set forth by the American Nurses Association. This Code of Ethics includes the complex moral and ethical principles of autonomy, beneficence, nonmaleficence, fidelity, honesty, and integrity.
Reasoning is one of the characteristics to be a qualified nurse. What renders a nurse’s thinking dissimilar from another professional? It is how nurses view the patients and the kinds of problems that the nurses manage in practice while they engage in patient care. To reason critically like a professional nurse necessitates that nurses learn nursing content; the notions, theories and concepts of nursing, plus develop their intellectual skills and capacities so that they become self-directed and disciplined critical thinkers. In the nursing practice, critical thinking for medical decision-formulating is the capacity to contemplate in a logical and systematic way with readiness to question plus reflect upon the thinking process utilized to guarantee safe practice of nursing plus quality patient care. (Facione, Facione & Sanchez, 2010).