Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Empathy in therapeutic relationships in nursing
Empathy in therapeutic relationships in nursing
Empathy in therapeutic relationships in nursing
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Empathy in therapeutic relationships in nursing
Studies have suggested that empathetic nursing may positively affect the quality of nursing care, contributing to more positive outcomes in regards to the health and well-being of patients, in various degrees of ill health. Hojat (2007); Mercer & Reynolds, 2002, Raudonis, 1993). In contrast, Slaby (2014) believes that empathy has a ‘blind spot’ of imposing only the personal perspectives and life experiences of that nurse onto the patient, this therefore may lead to assumptions which could prove demeaning and incorrect. Raudonis (1993) research contradicts Slabys viewpoint, and notes in his qualitative study of 14 terminally-ill patients (in a hospice environment), that empathetic care resulted in better pain management, higher morale, and improved quality of life as well as an impression of being better acknowledged, accepted and cared for. This disproves Slaby’s (2014) point of view as Slaby implied that empathy was presumptuously driven, individualistic and selfish, and so discounted empathy as being driven by genuine concern for the patient. Slaby’s (2014) viewpoint is further disproved by Shaw, Haxell and Weblemoe (2012) who state that while the value of empathy is individually perceived, the perception of treatment as an individual rarely alters (Shaw, Haxell, & Weblemoe, 2012). Raudonis’s qualitative approach, while valid, has some weaknesses. For example it is somewhat outdated, but was utilised due to there being a limited number of qualitative studies on this topic. A possible limitation in the study, however, is that the patients assessed were receiving hospice care, which often provides a more personal approach than in a hospital ward (Lunt & Neale, 1987). The participants of the study, were mostly female cancer patient...
... middle of paper ...
...200010914?accountid=8440 (3)
Friedman, L. C., Nelson, D. V., Baer, P. E., Smith, F. E., & Dworkin, R. J. (1992). The relationship of dispositional optimism, daily life stress, and domestic environment to coping methods used by cancer patients. Journal of Behavioural Medicine, 5(2), 127-141. doi:10.1007/BF00848321 (4)
McMillan, S., & Small, B. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients: a clinical trial, 34(2), 313--321. (5)
Eysenck, H. (1994). Cancer, personality and stress: prediction and prevention. Advances in Behaviour Research and Therapy, 16(3), 167--215. (6)
Versteeg, H., Spek, V., Pedersen, S., & Denollet, J. (2012). Type D personality and health status in cardiovascular disease populations: a meta-analysis of prospective studies. European Journal of Preventive Cardiology, 19(6), 1373--1380. (7)
It is written into our ethical guidelines, it is featured in our entry to practice standards and it is perpetuated through imagery of the caring nurse (Appendix 1). And there is no denying compassionate care is good for patient outcomes (CNA, 2010). Yet, the continual depiction of nurse as synonymous with compassion and selflessness, can make it difficult for nurses to come forward or take time off when they are experiencing compassion fatigue. In a CNA (2010) study, nurses expressed ethical distress at coming forward about experiencing compassion fatigue because it conflicted with their ideas of ideal nursing practice (CNA, 2010). Moreover, nurses felt a professional obligation to provide care for those in need despite feeling apathetic or have limited empathy (CNA,
Fox, B. H. (I 989). Depressive symptoms and risk of cancer. Journal of the American Medical
The need for advocacy is most often first noticed by the nurse through empathy. When nurses are able to empathize with their patients it begins the process of advocacy. When the nurse empathizes with their patient an altruistic attitude towards the patient grows, this improves caring and caring is essentially an innate form of professional ethics. The want to advocate by the nurse is greatly enhanced when the nurse truly cares about the patient; which is best developed through empathy. The want to advocate for the patient by the nurse is the biggest factor in positive advocacy outcomes (Reed, F., et. all, 2016). Professional caring combines caring and empathy with nursing knowledge and competency; together these factors enable the nurse to serve as a capable moral agent for their patient within the healthcare system. It is not possible to advocate for a patient properly without being first able to empathize and create a therapeutic nurse-client
According to the College of Nurse of Ontario (2006), empathy is one of the five key components of the nurse-client relationship and is one of the most powerful tools. You don’t need to know how your patient feels to be empathetic but letting them know that you are trying to understand is a good start. It can be used to describe a variety of experiences and had been defined by emotional researchers “as the ability to imagine what someone else might be thinking or feeling” (University of California, Berkeley). Having the ability to empathize doesn’t mean you will or that you are willing to help someone in need but it is an important first step towards a compassionate
Recently nine studies were done with cancer patients to show improvements on sleep quality, mood, stress, cancer-related distress, cancer related symptoms, and the patients over-all quality of life. One
From a methodological perspective, this model presents a serious threat to the reliability and validity of personality assessments. The potential influence of psychopathology on personality assessments would preclude the consistency (i.e., reliability) of those measures. A clinical implication is that assessments completed at hospitalization intake are likely impacted by psychopathology; results must then be interpreted with caution. However, if assessments should be administered at the end of treatment to get a more accurate depiction of personality after the disorder has (hopefully) remitted, clinicians are left with less initial information about the patient. This will create problems for treatment planning, particularly with regard to whether a personality disorder or Axis I disorder should be
Betcher, D. K. (2010). Elephant in the Room Project: Improving Caring Efficacy through Effective and Compassionate Communication with Palliative Care Patients. Medsurg Nursing, 19(2), 101-105.
Every individual’s perspective of well-being varies according to how they define the term health. For a person living with a terminal disease, their definition of health may be completely different than a person who is living without any illnesses. Therefore, the term health is contextual and exits on a continuum and does not have an absolute definition. The World Health Organization describes health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. Taking this into consideration when individualizing care with each client allows the nurse to take into a full understanding of how the client views health and
The chronology, consequences and coherence of the illness (dimensions of illness perception) have been significantly correlated with passive adaptation (van Oostrom et al., 2007). Simultaneously, passive adaptation has anticipated the emotional suffering caused by hereditary cancer,
My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy and respect are particularly important (CNO, 2006). Illness can be a traumatic experience for patients and their families, and it is important to be empathetic to the patient’s needs, while still trusting the patient to be an expert in their illness and care.
The adage of the adage of the adage of the adage of the adage of Handbook of personality: Theory and research. New York: Guilford Press, 2003. Kring, A., Johnson, S., Davison, G. C., & Neale, J. M. (2009). Abnormal Psychology. John Wiley & Sons, Inc. Lynam, D. R., Caspi, A., Moffitt, T. E., Raine, A., Loeber, R., & Stouthamer-Loeber, M. (2005).
Hospice patients end-of-life care is centered on their comfort and support, extended to families during the bereavement
The Theory of Caregiver Stress was a significant breakthrough for the reasoning of why caregivers are so deeply affected by this job. “The Theory of Caregiver Stress was derived from the Roy Adaptation Model to use as basis in understanding the relationships among caregivers and the stress faced when caring for a chronically ill relative” (Tsai, 2003). The Theory of Caregiver stress is a middle-range theory used to predict the outcome for stress and other various side effects (Dobratz, 2011). These adverse effects are predicted by: Demographic Characteristics, Burden in Caregiving, Stressful life events, Social Support and Social Roles. Also, because of the multitude of different scenarios and background for both the patient and the caregiver, these categories are necessary to compare and effectively use the results. The theory makes four main assumptions regarding adaption: “environmental change; the caregivers’ perceptions will determine how they will respond to the environmental stimuli; the caregivers’ adaptation is a function of their environmental stimuli and adaptation level, and lastly the caregivers’ effectors are results of chronic caregiving such examples include marital satisfaction and self-...
The nurse stated during the interview that “holding the hand of the patient just diagnosed with a terminal illness” (Appendix A) is difficult and requires a variety of techniques to face the situation. There are many ways to approach a dying patient, and one study identified four themes that help nurses in creating a “’curtain of protection’ to mitigate the grieving process and allow them to provide supportive nursing care” (Gerow et al., 2010). Of the four approached, there is one that appears to make the greatest impact on the nurse; the fact that initial patient deaths are formative. In this case, a study found that “significant death experiences early in a nurse’s career set the foundation for how the nurse began caring for future dying patients” (Gerow et al., 2010), which was further explained as the fact that those who had enough support and mentorship early on in their nursing practice were more likely to not be emotionally damaged by the event, and were able to better approach similar situations in the future. I plan on implementing this strategy in the future by surrounding myself with colleagues and mentors within my practice that I am comfortable confiding in whenever I happen to be struggling. A strong support network is key for maintaining proper emotional health, which is important for a nurse to have when working with vulnerable patients and providing competent
It is about the personal understanding and treatment of the patient as an individual, interpreting the situation from their perspective. Gain a complete understanding grounded in professional and research-based knowledge of clinical practice; personal reflection and a consciousness of the patient’s attitudes, beliefs and behaviours. (Olckers, Gibbs & Duncan 2007: 2-3) Empathy involves gaining insight into patients’ backgrounds, core values, relationships and medical history through dialogue. Chochinov 2007: 1877 - 1877. Reflective Dimension:..