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”.
Therapeutic communication can help promote a relationship between the nurse and the client, by focusing on the client’s needs. The nurse can do this by using various types of communication skills, such as giving recognition, giving information, and offering self. Giving recognition is acknowledging the client’s needs in a non-judgmental way.An example of giving recognition in Bed Number Ten is “After you’re a little better, we’ll be taking you to the physical therapy department for regular work to rebuild your strength” (54). Sue enjoyed the conversation with Charles because he was the first to spoke to her about getting better. Giving information is providing specific factual information the client may or may not request. “All the way through,
Kirk, T. W. (2007). Beyond empathy: clinical intimacy in nursing practice. Nursing Philosophy, 8(4), 233-243. doi:10.1111/j.1466-769X.2007.00318.x
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
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
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.
Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science.
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
In this paper, the readers will learn that I, Chantiara Johnson, played the role of a therapist. My friend, who is a college Sophomore played the role of client. I will use the techniques that I learned during the first three weeks of this course; these techniques will help me conduct the interview with my client. Throughout this interview, I will mock and reflect a therapy session of a client who is facing the feeling of loneliness and the feeling of not being enough.
Rolfe, Gary; Freshwater, Dawn; Jasper, Melanie (2001). Critical reflection for nursing and the helping professions: a user's guide. Houndmills, Basingstoke, Hampshire; New York: Palgrave. pp. 26–35
Middleton, J. (2004). A Practical To Promote Reflective Practice Within Nursing .Retrieved March 31, 2004 from www.nursingtimes.net.
The Theory of Interpersonal Relations by Hildegard Peplau was first published in nursing in 1952 (Forchuk & Dorsay, 1995). Peplau’s theory focused on the therapeutic relationship between the nurse and the patient (Denisco & Barker, 2016). The nurse takes on the role of counselor, resource, teacher, technical expert, surrogate, and leader, as needed (Denisco & Barker, 2016). Interpersonal relation is derived from the empirical study of human interactions, which helps nurses better understand how to care for their patients based from the patient’s responses to experiences related to their health and illness (Peplau, 1997). According to Peplau (1997), relations refer to the connections, linkage, bonds or patterns that develop and are identifiable within the relationship. The three identifiable phases in this theory are: (1) the orientation phase, (2) the working phase, and (3) the termination phase (Senn, 2013). The nurse utilizes the nurse-patient relationship in each phase to assess the patient’s psychological, emotional, and spiritual needs with learned communication skills, personal strengths, and an understanding of human behavior (Senn, 2013).
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...
I am now more comfortable playing roles such as the initiator and recorder. Furthermore, I now know the scope of practice of professionals like occupational therapist, physical therapists and social workers. Attending the Help Save Stan simulation also had a positive impact on my learning. In the ‘Simena’ simulation, I saw a resident who was experiencing difficulty in communicating with a patient, due to his belief that the patient was drunk and dependent on pain medication. From this scenario, I was able to identify the need for professionals to listen to patients without making assumptions because patients are the expert of their own symptoms and have all the key data (Warren, 2015). Again, in the ‘Say what’ simulation, I was able to identify how communication affects patient safety. In this scenario, I received a change of shift report with some vital details missing. Since safe clinical handover is a requirement for safe patient care, the use of structured communication tools, such as SBAR (situation, background, assessment and recommendation) will provide a framework for providing key information (Guadine & Lamb,
Therapeutic communication is an important skill for a nurse to utilize when it comes to relationships between the patient and nurse. In Regina’s case, integration of empathetic and compassionate communication skills in combinat...
In conclusion, the role-play interview helped me have a better view of my interview skills, including skills that I am able to apply appropriately and those that I have to keep practising. Through this session, I came to know that I am good at using questions to know more about my clients. However, I need to improve my listening skill in order to understand my clients’ points of view. This may also help me to respect their values after learning more about the situations. Therefore, I will be less led by my biases after understanding my clients’ perspectives. Hence, I believe that self-reflections help counsellors to be aware of their strengths and improve their counselling skills in order to help others.