Intro:
The term ‘nurse-client relationship’ refers to the professional therapeutic relationship formed between nurses and their clients. This relationship is based upon the responsibility of the nurse’s role. Communication with the client should involve the nurse demonstrating factors such as respect, empathy and trust. Practicing these factors allow the nurse to provide the patient with the help and support that they require. It also works to provide a comfortable environment for the client. According to Taiwo (2014) developing an effective therapeutic relationship involves understanding the needs of the patient. Establishing a healthy ‘nurse-client relationship’ is very important whenever a nurse meets a client. It ensures that the nurse stays professional and avoids crossing boundaries
Thesis statement:
Nurses use certain factors when establishing an
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This involves the nurse understanding a patient’s situation and the pain they may be experiencing (physical and/or emotional). Nurses should learn the situation of their patients so they can provide them with the correct help and empathize in a therapeutic way. Resonating with the patient will make them feel comforted as well as thankful. If a nurse does not show empathy, the patient will feel lonely. (use references to back up the need for empathy in estab an effective ‘nurse-client’ relationship)
Interpersonal communication skills are key in developing an effective ‘nurse- client relationship.’ Body language can say a lot about a person. When talking to patients it is important to be facing them with shoulders, hips and toes in their direction. It is also important to use eye contact. This lets the patient know that the nurse is listening and engaged in the conversation. If a nurse does not use eye contact and sits on an angle with their arms crossed, it will make them look uninterested. This makes the patient assume that the nurse does not
The application of the therapeutic nurse-client relationship is absolutely essential to providing the appropriate care to clients (College of Nurses of Ontario, 1999, p. 3). The therapeutic nurse client relationship consists of four components; respect, trust, professional intimacy and empathy (College of Nurses of Ontario, 1999, p. 3). Though, I have not been able to establish a nurse-client relationship yet, I have established customer-client relationships. Customers react similarly to clients when respect is established. One experience in particular really helped me make this comparison.
As a first year nursing student, it is important to understand the impact that making connections with your patients has on their overall health outcomes. Before one can understand the importance of making such connections, it is imperative to explore how these connections are made. The purpose of this paper is to establish the importance of making connections in the nurse-client relationship, to recount my personal learning of a course concept, and to explore how the course concept is integral in the formation of connection in the nurse-client relationship. The course concept that I will explore is that of trust. I will explore this concept as it relates to making connections with the help of current nursing literature. Throughout the paper
In our Coats of Arms, shaking hands represents a good therapeutic relationship between patients and nurses. Arnold (2016) states that therapeutic communication is a process for clients and nurses to interact dynamically and recognize as well as produce certain goals with them. Therapeutic relationships include not only our clients but also the people related to them. Good therapeutic relationships can help nurses to build up Roy Daily Assessment Tool (RDAT) about their physiological-physical, self-concept, group identity, role function and interdependence that eventually helps nurses with nursing intervention and health care nurses. (Arnold, Bloggs, 2016). While communicating, nurses start to know more about our clients and establish trust. That notwithstanding, recognizing limitations to therapeutic relationship is necessary (Canning, 2007). In therapeutic relationships, there are a lot of boundaries that a nurse should not cross. If nurses cross those boundaries, unfairness is created with respect to other patients, and health care may become less effective. Continually displaying ideal therapeutic relationships is a crucial quality for
Positive relationships with both nurse and client is rewarding to both sides; however, there are essential elements needed to achieve a good nurse-client relationship. Multiple studies were analyzed by Hagerty and Patusky in “Reconceptualizing the Nurse-Patient Relationship” to determine the elements of linearity, trust, time, and role expectations within the nurse-client relationship. Linearity allows the relationship to act in “phases”, which provides efficient and quality care. By doing so, a nurse must establish trust, work with the client while progress continues, and when client is free to go home, the relationship comes to an end. During the orientation phase, trust must be established; as this provides the client comfort and confidence to provide valid information, and then receiving proper care. Effective use of time is vital to the relationship, though many nurses believe they do not have enough time to provide care due to the current health care pressures and time limitations. A study by Forchuck, then analyzed by Hagerty and Patusky, was conducted between 10 nurse-client relationships; Forchuck reports that 7 out of the 10 established a “working relationship” between nurse and client within 2.5 and 6 weeks. Regardless of time, many nurses are introduced to a client with the presumptions that the client wants to receive care and create a relationship, though the nurse expects nothing in return. “Heifner (1993) found that nurses identified vulnerability of patients as an essential foundation of nurses’ abilities to ‘connect’ with patients” (Hagerty and Patusky, 2003, 146). Despite nurses building a relationship upon vulnerability, Hewison discovers that control can actually create “barriers to open and meaningful communication and exchange” (2003). The data collected concludes the vital elements of linearity, trust, time, and role expectations stimulate a successful nurse-client
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.
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...
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
In the nurse-patient relationship, there are three phases that help the relationship develop. Craven and Hirnle (2009) describe the first phase, orientation, “consists of introductions and agreement between nurse and client about their mutual roles and responsibilities” (p. 329). It is in this orientation phase that first impressions are made a...
They may be more willing to reach out to a nurse who seems compassionate and caring as opposed to a nurse who seems more interested in getting home. The moment in which human caring is established is when patients feels comfortable pressing the call bell for help rather than disregarding the blood in their urine or the fact that they lost all sensation in their lower extremities. Compassion also plays a key role in communication. A part of nursing is not just knowing what to say, but how to say it. Patients are more responsive to nurses who exhibit sincerity and empathy as opposed to animosity. Smiling, or simply addressing the patient the way he or she wants to be addressed contributes to the optimal care nurses are expected to uphold. The little things are what matters whether it is listening without interrupting, sitting down next to the patient to maintain eye level, or simply asking them how their day was. It is the presence compassion that fosters improvement of quality patient care and the development of a caring
While certain codes may vary from country to country, the central principles are created in the relationship between the nurse and the patient. It is essential for the nurse to have emotional strength and willingness to perform the needs of patient advocacy. The foundation is the relationship between the client and the nurse. Factors such as integrity and collegiality are examples of what are used in addition to other criteria in client advocacy selection (Vaartio, 2008). It is also important to recognize that nursing advocacy is also a professional strategy that may need to fall outside of the nurse-client relationship sometimes in order to do what is best for the clients’ well-being.
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).
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
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...
It takes empathy for people by upstanding morals and values. As a nurse, my goal is to provide competent, empathetic, compassionate, and optimal holistic care to the best of my ability to my patients. This philosophy stems from the values and beliefs instilled in me during my childhood. These values and beliefs are accompanied by trust worthiness, respect, compassion, and that is what drove me to this profession and is currently driving me as I continue my journey as a bedside nurse.
Humans are more responsive to treatment when they are feeling good about themselves. To help patients feel good, nurses must take care of them hence as Watson said, "caring is the essence of nursing"(Watson in Jennifer Olin, 2011). Through caring, nurses manage to listen to the needs of the patients and also understand the background of each and every one of them. By communicating with patients about their personal life and interests, the nurse makes the patient feel important since someone is finding time and showing interest to their lives. By showing affection the nurse is showing to the patients that she is just trying to figure out what they are going through and willing to make them feel better. Through communication, patients start trusting more the nurses. If there is a lack of trust, the communication that