This essay is a reflection based on a nurse-client interaction seen in the therapeutic relationship video (Video 2008). Using the adaptation of John’s model of structured reflection, I will be discussing this nurse-client interaction by describing the course of the interaction, reflecting on what the nurse was trying to achieve, what factors influenced the way how the nurse acted, how the nurse could have dealt with the situation, and lastly what I have learned from this interaction (Johns, 2006). Within this framework, I will be addressing the image of nursing as portrayed by the nurse in her behavior and the impact this have on the client and the nurse. In this video, the nurse hurriedly walked into the room where the patient was waiting …show more content…
There are five key components to a nurse-client relationship: respect, trust, empathy, professional intimacy and power (CNO, 2006). The nurse did not show that she respected the patient as she avoided the patient’s questions and even abruptly silenced the patient, showing the abuse of power, while performing blood pressure reading. This made the patient lose trust in the nurse’s ability and capacity to care. The patient started to feel anxious and kept inquiring to see the doctor (Video, 2008). There are three phases to establishing a therapeutic relationship: orientation phase, working phase and ending phase (RNAO, 2002). If the nurse were to respond to this situation again, in the interest of developing a therapeutic relationship with the client, she would have entered the room and greeted the patient by his name, introduced herself and her role. Then oriented the patient to the goal and expectation of the interview. She would have requested consent to perform vital signs and physical exam. Actively listened to the patient’s questions and concerns. Showed empathy, demonstrated professional intelligence, humility and willingness to help while being aware of the boundaries and the limits of professional role (RNAO, 2002). This type of behavior would make the patient feel comfortable with the nurse and would reduce his state of anxiety. Rosenberg and Gallo-Silver (2011) supports this positive patient outcome by indicating that the nurse’s skill in executing therapeutic communication helps reduce stress and establish rapport with the client. However, there are some factors that might constrain the nurse from responding in this manner. One main factor is time. To achieve a therapeutic relationship it requires time and commitment. Use of this time can affect care towards other clients and work place dynamics
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.
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...
Therapeutic relationships are an essential part of nursing; they are the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses states that nurses are responsible for “establishing, sustaining and concluding professional relationships with individuals/groups.” Throughout this essay, the importance of forming therapeutic relationships will be explained. The process of building a therapeutic relationship begins 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.
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...
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
Theory predicts that interpersonal relationships between nurses and patients will assist in healing. By following the stages and establishing trust with the patient, the nurse will be able to help the patient have a better
The intention of this written essay is to demonstrate an understanding of my views on reflection and the issues surrounding reflective practice. It is based on nursing skills that I used during my practice placement, most importantly reflecting on the professional value of privacy and dignity.
Utilising John’s model of structured reflection I will reflect on the care I instigated to a patient with complex needs. The patient in question was admitted to the Emergency Assessment Unit for surgical patients then transferred to the ward where I work as a staff nurse.
Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science.
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
This assignment focuses on an incident which was experienced during a community placement. The patient suffered from bowel cancer, my mentor and I were visiting her to change her dressing. The names of people have been changed to ensure confidentiality Nursing and Midwifery Council (NMC, 2008). Gibbs (1988) cited in Jasper (2013) will be used as the reflective model because it is simple and, easy to understand. Through the model’s six key stages I will describe my experience and how I maintained dignity while giving personal care to patients in the community. Writing a reflective account makes one relive their thoughts and, feelings and make appropriate changes when required (Howaston-Jones, 2013).
The case study focused on a nursing student named Jane, who described how she “absorbed her patient’s emotional trauma like a sponge” (Rees, 2012, pg. 321). Through reflective practice, Jane claimed she was able to “deal with the emotional challenges such as fear she frequently felt in practice” (Rees, 2012, pg. 321). Dr Rees findings established how reflection can help nurses manage their emotions, in order to help the individual gain strength to overcome emotions brought about by the practice of nursing. Clearly reflective practice assists a nurse in being a success throughout their
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.
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...
The capability of an individual to understand and relate to the client is called empathy. When an individual is effective in empathizing with the client, it can be argued that a patient is likely to feel validated (Davies, 2014, p.198). This validation creates a sense of acceptance and closeness in the relationship between the nurse and client. The client will then comfortably have the ability to express any underlying feelings or problems to the nurse. The comfortability experienced by the client in the relationship will then slowly develop into trust. Davies (2014) states that when the patient trusts the practice nurse, the health professional is provided with a more complete and accurate understanding of the patient’s condition. In this way, empathetic nursing ultimately improves the quality of care that the practice nurse can provide (p.200). An empathetic attitude towards a client helps him/her to realize that the nurses are relatable and that they are human too. This provides the nurse and client relationship with a strong foundation that can further develop into an accepting and open relationship where both parties can benefit. The nurse will be able to provide the client with specific care and be able to feel a sense of accomplishment by caring for the client. The establishment of trust in a nurse and client relationship generates