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strategies for effective listening skills
strategies for effective listening skills
effective listening strategy
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A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000). The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel and to explore what it means to them (RNAO, 2002). Without the ability to relate to Irene, a trusting relationship cannot be developed nor can mutual respect be earned. Trust is the foundation for building a relationship; once created, the client feels more comfortable opening up. Trust is established in many ways; such as keeping confidentiality, be...
The best way to understand exactly what a therapeutic nurse-patient relationship is is to look into the characteristics of the relationship. As previously stated, the therapeutic relationship focuses on the client and their goals. In contrast with a social relationship, the actions of both the nurse and patient are dedicated to the needs of the patient. Nurse and patient work together to attain the goals set for the patient. Although the nurse may enjoy interacting with the patient, this is not the purpose of the relationship. The parameters of the relationship are defined to ensure that the relationship does not curve in that direction. Parameters include, “[the] relationship is terminated when goals are met and service no longer needed” (Craven & Hirnle, 2009, p. 330). This ensures that boundaries are not crossed and the nurse-patient relationship stays a professional one.
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).
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.
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...
Today, the discipline of nursing is expressed through a metaparadigm of four interacting components—person, environment, health, and nursing—with caring as the focus of practice (Fawcett, 1984). The environment component focuses on the internal and external surroundings that affect the person, including physical and social factors. Finally, the nursing component nurtures optimum health for people through mutual relationships in a caring environment. The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person's genuine needs. A trusting relationship between the nurse and the person in need of healthcare is a prerequisite for good home-based nursing care whether it is based on face-to-face encounters or remote encounters through distance-spanning technology. A trusting relationship could reduce the asymmetry of the caring relationship which could strengthen the person's position. The relationship requires conscious efforts from the nurse and a choice of level of the relationship. The trusting relationship was reciprocal and meant that the nurse had recognize the patient or designee as the source of control and full partner in providing compassionate
This may be affected more in some fields of nursing than in others due to the amount of time each nurse can be spent with each patient, but should always be incorporated as much as possible. Potter et al. mentions that "by establishing a caring relationship, the understanding that develops helps the nurse to better know the patient as a unique individual and choose the most appropriate and efficacious nursing therapies" (2013, p. 85). By getting to know your patient, it makes your routine slightly easier as you can engage in practice knowing how that patient reacts, thinks and copes with different situations. It also allows that bond of comfort and trust to exist that will have the patient open up to personal feelings and other necessary subjective data needed to fully care for the individual as well as develops credibility when patient education is initiated. This is something that may develop over time but in the acute setting can be established by simply remembering the name of the patient, sometimes that may be all that is necessary for the patient to feel known by the nurse. Just reciprocating conversation about life, their experiences, their fears, and their thoughts on health is substantial for developing a caring moment and incorporating the fourth caritas process between the patient and
De Raeve, L. (2002). Trust and worthiness in nurse-patient relationship. Nursing Philosophy, 3, 152-162. doi: 10.1046/j.1466-769X.2002.00090.x
As a strong therapeutic relationship is being cultivated with a client and their family, a therapist is able to create a conceptualization case study to help them. Although each therapist has their own preference of conceptualizations, this case study will focus on the client’s demographics, reason for referral, developmental stage, mental health history, diversity and risk factors, role of the therapist, goals/interventions, and ethical concerns.
Trust is identified with a variety of settings and applications. Trust is regarded as the foundation of any therapeutic relationship, and an essential element of nurse–patient relationships. The concept applies to nurses in professional settings as it is considered inherent in the relationship between a nurse and their patient, (Britcher, 1999) and the patients’ family. A clear definition of what constitutes trust is difficult to find in the literature, and various concepts are viewed from the perspectives of the nurse-patient relationship, the nurse's work environment, and contexts from other disciplines. The dual perspectives of trust as process and outcome are adopted, and their relationship to measurement of the construct is identified. The concept is examined to determine if differences in its ...
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.
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.
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...
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...
The term ‘Therapeutic communication’ identifies the way in which a nurse and patient interact, with the main focus being on advancing the emotional well-being of a patient; (Sherko E., et al, 2013) nurses will use this to deliver support and information to Edna. Effective communication skills are essential within nursing and are often seen as one of the main skills necessary for nurses to support patients and their families (Bramhall E, 2014). There are many forms of therapeutic communication that can be used in