Praxis

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Introduction Therapeutic relationship is described as the core of nursing work (Chambers, 2005). The RNAO (2002) defined therapeutic relationships as grounded in an inter- personal process that occurs between the nurse and the client(s). The goal of achieving therapeutic relationship with the clients are as follows: introduction of supportive communication to have a better understanding of the needs of the person, empowerment of the person to learn or cope efficiently with their environment, and to have a resolution or reduction of their problems (Forchuk and Reynolds, 2001). The purpose of this paper is to critique the interaction with a client in a scripted role-play that was recorded, using Johns’ (2006) Model of Structured Reflection, be able to research other literatures that examines approaches that are suitable during a relational encounter, and lastly, this paper will evaluate the appropriateness of the learning activity to clinical nursing practice. Description The scenario that was given to the student was: An obese patient that had developed bed sores as the result of difficulty of moving in and out of bed. In this scenario the patient was not feeling well due to the fact that she has not left bed for a long period of time. Also, she was feeling frustrated because nobody seems to take time to listen to her. Not one person has come to her room to change her position and she has not taken a bath for an extended period of time. From the patient’s perspective she perceives these actions from the nurses as uncaring and being detached to the patient. When the student nurse came into the room, she took the time to listen to her and even offered the patient to do things that she wanted to do but never had the chance in... ... middle of paper ... ...mation and reassurance. Mutuality was defined as the patient and health professional working together to from a genuine relationship. Professional partnership becomes a resource that is used by patients to manage their illness. And lastly, graceful care is described as the nurse using all her power to promote the client’s well being and personal growth (Connell). Praxis The scripted role-play assisted me in building my confidence in talking to patients. It helped me practice on my communications skills. Also, it gave me a general idea of what type of patients that I may encounter in practice. This exercise helped me in a way that I can reflect on my actions. It help me identify the areas I need to improve on such as: my posture during assessment with the client, body language, and avoiding words that was being said repeatedly for example the word “uhhm”.

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