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Characteristics of the therapeutic nurse patient relationship
Characteristics of the therapeutic nurse patient relationship
Factors influencing the nurse-patient therapeutic relationship
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The therapeutic nurse-client relationship is the basis, the very core, of all psychiatric nursing treatment ap- proaches regardless of the specific aim. The very first process between nurse and client is to establish an un- derstanding in the client that the nurse is entering into a relationship with the client that essentially is safe, confidential, reliable, and consistent with appropriate and clear boundaries (LaRowe, 2004). It is true that disorders that have strong biochemical and genetic components such as schizophrenia and major affective disorders cannot be healed through therapeutic means. However, many of the accompanying emo- tional problems such as poor self-image and low self- esteem can be significantly improved through a thera-
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
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
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
During her early career she has practiced as a psychiatric nurse in acute care and in community settings. She is faculty member in department of Nursing at the California State University at Los Angeles, professor
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
The purpose of this assignment is to demonstrate my reflection and understanding in the Role of the Mental Health Nurse in an episode of care supporting and promoting the recovery of service users. According to the National institute for Mental Health (2004) recovery is a process to restore something or return to a state of wellness, is an achievement of quality of life that is acceptable to the person (Ryan 2012).
Giving verbal instructions, guidance and reassurance to mental health patients is essential for nurses. Teaching patients how to cope with their mental disorders helps them feel more empowered and in control, in a situation where they have very little control over their
In nursing care setting, there nursing skills are required to deal with veterans’ mental health. The process of identifying the prevailing mental health conditions and how to make interventions matters a lot in order to ensure full recovery. My desire for care had been long-established from childhood through schooling and now in the placement I found it useful and applicable in veterans’ case. In addition, I have developed awareness of mental health issues in respect to psychological problems throughout my course and I faced the need to use such skills in interventions to reassure veterans’ recovery.
Depression is a mental health condition which is widely recognised as one of the most common conditions for which people seek and receive care. There are many specific nursing problems which are encompassed by the medical term “depression” and these include physical, cognitive and behavioural patterns. Successful treatments of depression are psychosocial interventions which aim to identify and challenge a depressed persons pessimistic attitudes and beliefs and which promote an individuals’ participation in rewarding activities in an attempt to reduce any negative behaviours. The aim of this essay is to identify specific nursing problems which are encompassed by the term “depression” and relate these to a patient whom the author had met whilst out on clinical placement who had been given a medical diagnosis of depression. It is also the aim of this essay to discuss different psychosocial interventions and how effective these are in assisting a patient in their road to recovery.
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
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
When we talk about psychological therapies, we often tend to think about the techniques that are implemented, the instruments for assessing attitudes and capacities or the approach used in that particular consultation. Of course, these are very important factors in defining the type of therapy that is being attended and what are the objectives of going to them, but to fully grasp the essence of modern psychotherapy sessions we also need to have Consider another key issue. The quality of the therapeutic alliance established between the patient and the professional. This can also be known as rapport, and it is used in areas such as Clinical Psychology, NLP and even the treatment of patients dispensed by the nursing staff.
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
Varcarolis, E. M., & Halter, M. J. (2010). Foundations of Psychiatric Mental Health Nursing. St. Louis: Saunders Elsevier.