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Patient safety in healthcare paper
Importance of the nurse patient relationship
Patient safety in healthcare paper
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As the world evolves and changes, healthcare changes with it. It is a never ending cycle. Peplau’s theory of interpersonal relations describes the stages of how to develop a relationship between a patient as a nurse (Peplau, 1997). To develop a relationship with the patient there are many characteristics that need to be included. As a nurse, they can make a big impact on their patient and make a big difference in their life so it is important that a nurse establishes critical values of the patient.
Theory of Interpersonal Relationships An interpersonal relationship with a patient improves the patient’s overall experience. To achieve this relationship, there must be an open and honest line of communication with one another. A nurse must exhibit
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When describing what this is the most important word is “professional”. When having an interpersonal relationship with a patient there is a fine line between professional and nonprofessional. It is imperative as a nurse to keep their distance for not only their own sake but for the sake of the patient. It may be easy to get caught up in a patient’s life since as a nurse their job is to care for them but there must be boundaries to ensure a safe and professional relationship. Empathy can be shown through having an interpersonal relationship by therapeutic communication which the individual (Richardson, Percy, & Hughes, 2015). Shared decision making is very important for both the patient and the nurse. For the nurse, it ensures that lawsuits will not be filed and for the patient, it allows for autonomy. Professional interpersonal relationships can be achieved by showing empathy, establishing professional boundaries, and ensuring shared decision …show more content…
When a nurse walks into a patient’s room that is usually the first time the nurse is having a conversation with that individual. They are a complete stranger and must open up about some very personal issues. It is imperative for them to feel comfortable and open to the nurse since the nurse is probably the best resource and educator to the patient. Allowing the patient to ask questions and actively listening shows the patient that they truly do care. Some patients might get the worst nurses ever and as a nurse they are there in the midst of that and they have to instill faith and hope in that patient through counseling. Implicating all these roles is a nurse’s job and not only that but patients look up to them as superheroes or leaders. As a leader, they must ensure safety to their patient, attentiveness, and
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
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
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Upon the first point of contact between a nurse and patient, the way a nurse communicates through words, gestures or facial expressions can affect the patient's perception of the nurse. Communicating professionally helps to portray the nurse in a good light. This is important as having a positive perception of the nurse's image and behaviour is crucial to building patient trust — one of the key elements of a therapeutic nurse-patient relationship (Bell & Duffy, 2009; Wadell & Skarsater, 2007). The need for the establishment of therapeutic relationship is supported by th...
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
Interpersonal skills are the life skills we use every day to communicate and interact with people. “To effectively communicate we must realize that we are all different in the way we perceive the world and use this understanding to guide to our communication with others.” (Anthony Robbin). It is important for the nurse to be aware of the effects of their personal values and beliefs can have on their patients. For example working in a surgical ward a nurse was discussing with other colleagues about a certain patient who was in the holding bay, talking negatively about her lifestyle choices, when approaching the patient for the first time when arriving into the suite, she refused treatment from any of the nurse staff on the shift as she was upset at the things the nurse had said. First impressions influence people’s judgments of others...
Nurses must have a professional relationship with all types of people. The nurse must be a professional with their coworkers, superiors, and patients. The most important relationship is with the patient; if a professional relationship does not exist with them, the nurse as well as the organization will get a bad reputation. This in turn will ruin our professional relationship with our coworkers and superiors and will eventually cost that person a
The theory of interpersonal relations by H.E Peplau is one of the most cited middle-range theories. It focuses on the dynamic relationship between the nurse and the patient with the aim of solving the latter’s problems (health issues). Using the Fawcett (2005) criteria for theory evaluation, it is evident that the theory is significant to the nursing profession, has a high degree of internal consistency, is supported by empirical evidence, and therefore essential to the improvement of nursing practice. Accordingly, the theory should not be missed in the development of a nursing education
This requires us to self-reflect on our own values, beliefs, and ideas of power. “Nurses must also surrender their need for control, developing instead attitudes of collaboration and mutual participation in decision making.” (Burkhardt & Nathaniel, 2014, p. 517) We must understand that patients have the right to make their own decisions even if they differ from our own. Mutual respect for their thoughts, feelings, and decisions creates a trusting relationship.
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Jane Stein Parbur (2003). Patient and Person (2nd ed.). Developing Interpersonal Skills in Nursing. United statses of America.
Patients will gain a rapport with a nurse if a relationship is made through the four phases of nurse-patient relationship (Senn, J.F., 2013) However, if nurses are inadequately educated on electronic charting and spending more time on the computer then with their patients then there is not enough time to gain an interpersonal relationship. If an interpersonal relationship is not created nurses will be unable to give adequate care because of the process of the four phases in a nursing-patient relationship (Peplau, 1952).
Many persons go into the healthcare ground because they want to work with people. For these nurses, it is the nurse-patient relationship that is one of the most significant things. By understanding the nurse-patient relationship, nurses can be better furnished to work with their patients and, eventually, deliver superior care for them. Hildegard Peplau's model of nursing emphases on that nurse-patient relationship and recognizes the diverse roles nurses take on when working with patients.
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
The theory is based on the fundamental concept of human interaction. The theory is multidimensional and based on interactions and the shared human experience. According to Wu and Volker (2012), the authors of the humanistic theory, describe nursing as both a mode of doing something and being present with the patient. Interactions between patients and the nurse are unique experiences that emerge as a reflection of experience and connectivity. Nursing as a profession is a complex profession that is heavily rooted in the ability to communicate and interact throughout a therapeutic nurse-patient relationship. According to Wolf and Bailey (2013), Zderad stressed the importance of perspectives on patients’ subjective worlds. The concept of human interaction in the healthcare setting extends beyond the patient to include family and community. Paterson and Zderad’s theory identify the act of nursing as the ‘between’ in the ‘call-and-response’ (Silva, 2013, p.133). Silva (2013) affirms Patterson and Zderad’s theory by stating, “nurses are prompted to respond to health-related concerns through entering the world of another” (p. 133). Connectivity between the nurse and the patient has a dramatic effect on perception and holistic care. The shared human experience is unique to each individual involved. Effective nurse-patient relationships are