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Patient and nurse relationships
Factors affecting the nurse-patient relationship
Factors affecting the nurse-patient relationship
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According to Synergy Model, caring practices are nursing activities that create a compassionate, supportive, and therapeutic environment for both patients and staff. This definition was created with the aim of not only promoting comfort and healing but also preventing unnecessary suffering. There was an elderly female patient who was diagnosed with cervical cancer who needed chemo and both external and internal radiation. Her name is Mrs. C. She was always accompanied with her daughter who always looked angry. Occasionally, I heard her yelling at her mother because the mother is forgetful. The patient’s situation became so serious that she got lost in the train station before coming to the radiation treatment. She was supposed to meet the daughter
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
A care relationship is special and requires skill, trust and understanding. This essay will elaborate how the quality of that relationship affects the quality of the care given and the experiences felt in receiving care. These different relationships will depend on the type of care given, who the care is given by and what sort of previous existing relationship there was to begin with. For a good care relationship to work it needs to follow the 5 K101 principles of care practice which are 'support people in maximising their potential','support people in having a voice and being heard','respect people's beliefs and preferences','support people's rights to appropriate services' and 'respect people's privacy and right to confidentiality'.(K101,Unit 4,p.183). If all of these needs are met a far exceptional quality of relationship between the carer and care receiver will be achieved.
Under a dispersed model of care if I was a 63-year old experiencing chest pain, and I did not have a regular provider, I would be able to go directly to the cardiac surgeon at the medical school. The dispersed model of care is the traditional health care organization model in the United States (Bodenheimer & Grumbach, 2012). The dispersed model does not have strict organization like the regionalized model does, and people can go to a specialist of their choice without seeing their provider first (Bodenheimer & Grumbach, 2012). There are also overlapping roles, as primary care providers are taking on secondary care functions by providing inpatient care on top of their primary care functions that they are supposed to be fulfilling (Bodenheimer
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.
Jean Watson is best known for her development of Watson’s Philosophy and Science of Caring which provides nurses with a framework for providing care that treats the mind, body, and spirit. The purpose of this paper is to describe Watson’s credentials, her theory-focus, influences, major concepts, assumptions of her model and how practicing nurses can use her theory in practice. I will also explore how the implementation of this caring theory guides the practicing professional to treat the patient in a holistic caring method.
The patient may need assistance caring for himself following discharge from the hospital. The daughter lives too far to assist her father on a daily basis. The case worker needs to determine how much the daughter is willing to assist her father during the transition. The daughter may be willing to become her father’s caregiver during the initial recovery period. She would also be a good support system by providing medication reminders, encouraging medication compliance, dietary restriction compliance and promoting positive health behaviors.
In the field of Nursing, the role of caring is an important, if not the most critical, aspect involved to ensure that the patient is provided with the most proficient healthcare plan possible. Jean Watson developed a series of theories involved with transpersonal relationships and their importance, along with caring, in the restorative process of the patient and healing in general. Although all of Watson 's caritas processes are crucial to the role of nurses and patient care, the fourth process is incredibly essential as it outlines the importance of the caring nurse-patient relationship. This paper serves to identify Watson 's fourth caritas process, how it can be integrated in nursing care and how it can be developed by current nursing
Throughout reading Caring for People God Way, Chapter 1, I began to ponder the question why do people chose to come to Christin counseling? If a person thinks about it, just because a person wants to attend Christian counseling does not mean, they are Christian person or they believe in Christ. A person may have to console and induvial who has problem does not go to church. According to Clinton, Hart and Ohlschlager (2005), “they believe that Christ is facilitated by a helper who assist this redemption process, helping another get unstuck and moving forward on the path too spiritual maturity and psycho-social-emotional health” (p.16). Christian counseling allows the person to confront their internal conflict. People attend Christian counseling because they feel
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).
Watson first published her theory of caring in 1979 in a book titled, Nursing: Human Science and Caring. Watson and other researchers have built upon this theory and caring theory should continually be evolving as the delivery of patient care evolves. This theory focuses on care between the nurse and the patient. This interaction is defined as setting mutual tasks, how a spiritual force may help the interaction and when caring in the moment of true healing may occur. When the nurse and patient are on the same level spiritually self-awareness and self-discovery occur. There are ten themes identified in this article essential to caring in
Jean Watson is a well-respected American nursing theorist who created the Theory on Human Caring. Watson’s concept on caring for a human being is simple, yet has much depth and meaning, and holds strong for nurses to work with compassion, wisdom, love, and caring. The Theory on Human Caring is necessary for every nurse, as it is our job to care for others in a genuine and sensitive way. The theory is extensive; its core foundation is based on nine concepts all interrelated and primarily focused on a nurse giving a patient care with compassion, wisdom, love, and caring (Watson, J., 1999). The nine essential aspects consist of: values, faith-hope, sensitivity, trust, feelings, decision-making, teaching-learning, environment, and human needs. Watson also created the Caritas Process consists of ten different ways of giving care:
Jean Watson’s nursing theory entails the care nurses offer to their patients, how it progresses to become better plan to promote the patients’ wellness and overall health, prevent sickness as well as restore good health at the end (Watson, 2007). It is a theory based on the philosophy of transpersonal caring. According to Watson (2007), the nursing profession is concerned with promoting health and treating diseases. The central focus of the nursing practice is caring as it enhances good health as compared to a basic medical care. The theory holds that caring for sick people enhances growth and promotes the establishment of a caring environment that accommodates individual’s the way they are and looks forward to what
When I became a nurse, in my heart, I knew that I was a caring person; however, I did not have a caring theory driving my practice. After studying Watson’s Human Caring Science Theory, the theory is consistent with my values, which emphasizes a holistic approach with mind, body, and spirit through a caring nurse patient relationship in an environment that promotes healing, comfort, and dignity. Human Caring Science gives the privilege of viewing human life with wonder, respect, and appreciates small and large miracles, which allows the inner world of the patient and nurse to come together in a unique human relationship, in the here and now moment (Watson, 2012, p. 24).
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...
Two concepts at the heart of nursing are comfort and caring. The Meriam Webster dictionary defines comfort as easing grief or trouble, as well as giving hope or strength. The definition of caring is showing or feeling concern for others. Theorists Jean Watson and Katharine Kolcaba seek to enhance nurses understanding of caring and comforting patients through their respective theories. This paper will discuss their theories using a stepwise approach.