You begin to hear voices that others cannot hear. The voices give you a different perspective on the people you once trusted, where you begin to question their intentions and start to believe that the world is a hostile place. You cannot block the voices and eventually the voices you hear are taking over your ability to function, think, work and socialize daily like you used to. You stop eating, in fear of being poisoned, you do not shower, in fear of being watched, and you quit your job, with the fear of people trying to harm you. This is what it is like living with paranoid schizophrenia. Schizophrenia is a distressing brain disorder, and the cause remains unknown. It is important for mental health nurses to build interpersonal relationships …show more content…
This criterion is crucial when a nurse is educating on the types of psychotherapy out there that the patient can seek. For example, the article explains the factors that establish the success of psychotherapeutic therapy, such as the relationship among the therapist and the client and a calming environment. In order to initiate the best intervention that provides the best outcome, a mental health nurse must understand the patient and their capability of responding positively to the therapist’s interventions. The most important intervention psychiatric nurses use to promote a therapeutic environment is an interpersonal relationship that helps build trust, understanding, respect, and legitimacy. The importance of this concept is thoroughly specified in the article by stating, “A positive relationship with a therapist would improve the quality of life of people with schizophrenia. Individual, direct, therapeutic contact allows the identification and resolution of significant emotional problems the patient is experiencing” (Witkowska, 2015). Applying this model that is essential for the relationship between a patient and therapist to a nurse and patient relationship can help the patient exceed in treatment. Another reason this article would be beneficial to a mental health nurse is it provides evidence based studies on how pharmacology alone is not beneficial in treating patients with this disorder, “Clinical practice and a growing number of studies confirm the improved efficiency of the treatment of schizophrenia through incorporating the psychosocial element” (Witkowska,
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Other psychological treatments for schizophrenia can be traced to early work devoted to studying the impact of the social environment on mental illness. A plethora of early studies focused on the role of the family environment in the maintenance of schizophrenia which in turn led to the concept of expressed emotion (Brown et al 1972; Brown & Rutter 1996). Family interventions were first developed as a method for reducing levels of expressed emotion among relatives and are now recognised as a significant aspect in the treatment of schizophrenia. This approach marked a paradigmatic shift in the way family members were viewed by clinicians and has led to efforts to improve communication between clinicians and carers.
Schizophrenia is a major psychiatric disorder, or cluster of disorders, characterised by psychotic symptoms that alter a person’s perception, thoughts, affect and behaviour (NICE, 2009). Tai and Turkington (2009) define Cognitive Behaviour Therapy (CBT) as an evidence-based talking therapy that attempts cognitive and behavioural change based on an individualised formulation of a client’s personal history, problems and world views. CBT as a treatment for schizophrenia can be understood within a wider framework of CBT as applied to a range of mental disorders such as anxiety, post traumatic stress disorder (PTSD), and depression (Tai and Turkington, 2009). CBT was built on behavioural principles that emphasised clear relationships between cognition, physiology and emotion (Beck, 1952). This essay will analyse CBT as a therapy for individual suffering from schizophrenia. It will discuss briefly the historical background and the development of CBT, the aims and principles, the evidence base of the strengths and weaknesses of the therapy. It will discuss as well the implication to mental health nursing practice. The focus of this essay is on intervention and psychosocial in nature which will be brought together in the conclusion.
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
Communication and interpersonal skills are closely related in the nurse-to-client professional relationship. There are several different types of communication in professional nursing. They are written communication, verbal communication and nonverbal communication.
A commonality in many definitions of trust is that it is deeply personal. Because of this deeply personal nature, understanding the concept of trust helps the nurse to form a better understanding of what the patient is undergoing. When a nurse realizes that their patient is having difficulty trusting them, it may indicate that the patient is having a more difficult time with their hospital stay overall, or that they are experiencing more negative emotions than the nurse had originally perceived. A patient who has had poor experiences in the past may be less willing to trust than one who has had positive experiences (Rutherford). In this case, when a nurse observes a patient who is unwilling to trust, she can attempt to alleviate fears that may be related to a previous experience, and therefore improve not only the patient’s experience, but the quality of the nurse-client relationship and care overall. Trust can be especially imperative to understanding the patient’s experiences when treating a mental illness. Trust is a large component of positive nurse-client relationships, which can be especially difficult to form in patients with mental illness. However, when trust is formed between a care provider and a mental health patient, it can be drastically beneficial, resulting in many positive outcomes including increased self-esteem (Murray, Crawford,
Quantitative Research Critique on article, Trust in nurse- patient relationships: A literature review by Leyla Dinc and Chris Gastmans
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins 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.
When signs and symptoms of Schizophrenia are ignored or not treated properly, the effects can be traumatic to both the person suffering and the people around them. Some possible effects are one, relationship problems. Relationships often suffer because schizophrenic are withdrawn and isolated, and with paranoid schizophrenia they are suspicious of family and friends. Second there is disruption to normal daily activities. Schizophrenics have trouble with daily functioning because of social difficulties and because everyday task become hard. Their delusions, hallucinations, disorganized thoughts stop them from doing regular things. Thirdly there is drug and alcohol abuse. Many times suffers of Schizophrenia develop issues with drugs and alcohols in attempt to self-meditate, or relieve symptoms. Lastly there are increased suicide ris...
Juan R. Bustillo, MD et al, (2001), The Psychosocial Treatment of Schizophrenia, American Journal of Psychiatry, 158, 163-175.
This paper is a literature review of the results of three empirical studies on trust within the nurse–patient relationship. Studies implemented a descriptive qualitative design, and studies used quantitative research, and phenomenological approach method. The context of most quantitative studies was nurse caring behaviors, whereas most qualitative studies focused on trust in the nurse–patient relationship. The quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, Data collection was mainly by questionnaires or interviews. Evidence from this review suggests that the development of trust is a relational phenomenon, and a process, during which trust could be broken and re-established. Nurses’ professional competencies and interpersonal caring attributes were important in developing trust; however, various factors may hinder the trusting relationship.
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
Q1 (c) Interpersonal boundaries in clinical nursing education: An exploratory Canadian qualitative study(Qualitative research). This study was conducted to explore the relationship between clinical nursing instructors and their students. Most of the qualitative research on this relationship has been focusing on the students only. The assumption that the students are supposed to gain from a teacher-student relationship led to this research.
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.
Psychiatric and mental health nursing is a unique specialty of nursing that strives to promote the mental health of clients. Psychiatric mental health nurses work in partnership with their clients to manage their mental illness. In Canada psychiatric mental health nursing is guided by seven standards of practice, which provide guidance for nursing practice to ensure that safe, competent, and ethical services are delivered to the clients (Canadian Federation of Mental Health Nurses [CFMHN], 2006). Of these standards, standard five, which addresses the nurse intervening through the teaching-coaching function, will be the focus of this paper. The purpose of this paper is to identify standard five from the Canadian Standards of Psychiatric and Mental Health Nursing (2006), describe five of the indicators within that standard, apply them to clinical practice and reflect on the importance of each indicator through literature.