Reflection On Proper Communications And Nurse Patient Therapeutic Relationships

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Reflection on Proper Communications and Nurse-Patient Therapeutic Relationships Nearing the end of my rotation on the Maternal/Infant unit, I can confidently say that my practical patient care skills, such as bathing newborns, have improved greatly and fortunately completing one of my learn goals. My second goal resonates with Watson’s fourth Carative process on communication and developing therapeutic relationships with patients; this is a goal I am still unsatisfied with. I believe that my inability to reach these goals stems from my lack of confidence and fear that I might offend my nurse’s client. To compensate and to eventually attain this goal, I constantly observe other health care providers’ communication skills/delivering style to their patients’. In my observations, I have considered and appreciated many of the communication skills; one of my favourite interactions was on the labour and delivery unit by an anesthetist. I was privileged, once again, to be on the labour and delivery unit to observe a vaginal delivery. The assigned nurse was caring and helped the mother and her family whenever she could. She was constantly giving the mother updates on her baby (fetal heartbeat monitor), maintained her privacy, addressing concerns and answering questions truthfully, offering words of encouragement, all while completing all the required vital signs in an appropriate timely manner. Furthermore, even though it is the introductory engagement, the nurse’s “attentive gaze”, or being fully present with the new mother (and recognizing the patient and addressing their needs) establishes a therapeutic relationship (Goldberg, 2005). I found this impressive, though repetition and experience are factors. The most noteworthy and the one... ... middle of paper ... ...gender postpartum care, the hospitals should take initiative in promoting care for transgenders. Firstly, the hospital creating a transgender (and LGBT) community should create an inclusive environment by listing ‘transgender’ or ‘other’ as options beside “male” or “female” in healthcare forms (Wolfe-Roubatis & Spatz, 2015). The hospital should also rename and reinforce to healthcare providers to start referring to breastfeeding class as lactation (and feeding) classes. Therefore, nurses who know how to address situations pertaining to minority groups within society will allow them to know how to address these situations and develop a helping-trusting therapeutic relationship. Having a thorough understanding of their reservations about societal pressures will also open up lines of communication between a member of a minority group and the person providing care.
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