Trust is related to sincerity and incorruptibility. It is when one can rely or lean on somebody or something fully, knowing that what they presume to be true is certain. Trust has been regarded as both a procedure and an outcome. It is then built over time. Usually, people trust without being aware that they do, because nobody is self-sufficient (Olhansky, 2011). Trust is important to a healthy society and it is essential to the lives of the people that nurses serve. It builds the basis of all interpersonal relationships. Similarly, Olhansky (2011) believed that cultivating trusting relationships within the health care setting will lead to honesty, sincerity and truthfulness in regards to the health care discipline. Trust is believing that your personal well being will be taken care of. Sometimes risk is unavoidable because we often rely on what cannot be known. In addition, Dinc and Gastmans (2011) pointed out that trust always involves an undisputable amount of risk, and a disposition to risk abuse. Data and information will only be disclosed when there is sufficient trust between nurses and their patients. Trust is also a well-known factor in patient compliance with treatments. The trust of a patient is needed in order to be an effective nurse in decreasing the patient’s anxiety, educating them, and helping them to retain a sense of control. In the same way, trust should also be present between the members of the health care team. It is of great significance because without trust, the communication that is crucial in integrating efficient care may be affected. This may then result in distrust to a certain degree among patients. In other words, trust is vital for both interpersonal and professional relationships (Dinc and Gastma...
... middle of paper ...
...ave the ability to set things in boundary, developing patience will be easier. The more calm the nurses are, the more they are able to wisely improve the situation. Also, Comer and Sekerka (2014) agreed that those who practice patience spontaneously make thorough judgments that acknowledge others’ priorities, than those people who act carelessly and impulsively. Promoting patience involves persistence, tolerance, determination, consistency and requires distinct skills pertinent to staying calm (Davidhizar, Mallory and McCoy, 2009). Nurses can develop patience if they acknowledge formally its importance, want to count it as part of their identity, and are not refusing to practice adequately to incorporate it into their behavior. To acquire patience, people must first understand how emotions affect patience and how controlling one’s emotions can help aid in patience.
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
middle of paper ... ... According to Bush (2009), nurses must learn forgiveness and love to prevent and overcome compassion fatigue. “Nurses should treat themselves with the empathy and compassion that they give others” (Bush, 2009, p. 27). Nurses should take time to nurture themselves by maintaining a healthy lifestyle and diet. They should also continue to participate in activities that they enjoy, get plenty of rest, and have a sense of self-awareness throughout their career.
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
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.
A therapeutic nurse-patient relationship is outlined as a helping relationship grounded on shared respect, trust, the encouragement of having faith and hope in oneself and others, and emotional support (Pullen et al., 2010). In doing so, the nurse can establish complete satisfaction of the patients needs, whether it be physical, emotional or spiritual. This relationship produces when the patient and the nurse come together in harmony and peace (Pullen et al., 2010). Efficient verbal and nonverbal communication is an essential aspect of interaction between nurse and patient – in doing this, the patient feels on par with the nurse, as an equal, rather than having no indication of what procedures are taking place (Pullen et al., 2010).
This trust can include the physical, and mental or emotional trust. Physical aspects include parts of the physical assessment where they should allow you to see parts of their body in which they are not comfortable with others seeing, allowing you to touch them, and trusting that the physical examination that you are doing won’t cause them harm. Mental trust is important as well, because without that, patients may not open up to you as much as they should. It is important that they trust you with the subjective information that they are giving so they can include as much detail as possible, which will help you to make a better diagnosis of their illness. Without the trust and subjective information, much of the nursing assessment would not be possible, especially when asking about pain.
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).
Before my capstone experience, I found myself making assumptions of people. Now, knowing that every patient has a back story and every noncompliant patient has a personal barrier to optimal care. If the nurse is able to facilitate trust, it is amazing what the care team can collaborate to meet the patient’s needs! Working with noncompliant patients can definitely be challenging at times, and may even seem impossible! But when all else fails, the nurse must remember that they are caring for the patient, not the disease, in whatever stage of life they currently find themselves
Therefore, I strive every day to be that professional, that health care provider that has a positive and long lasting impact on patient’s health and wellbeing. I always strive to be that professional that my patients and colleagues trust, respect and admire. As a registered nurse, I have accomplished that. I know it because I am asked to precept new nurses and students, because my colleagues come to me frequently to ask me questions when they are in doubt, because when there is a difficult or complicated patient, my supervisor trust me with his care, because at the end of a long busy shift with seven to eight patients under my care, my patients praise me and thank me for the great and unique care I provided them.
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 ...
A strong bond between nurse and patient is built from trust. The patient needs to be assured that all their deepest personal information and basic dignity is safe in the hands of the Nurse. Breaching this trust, even if it’s unintentional may cause harm to the patient-nurse relationship and possibly trustworthiness of the occupation. (National Council of State Boards of Nursing , 2011)
One of the most poignant statements that I have heard during my tenure in nursing school is that “Nurses are often the first person that an infant sees at birth and the last person that a patient sees upon death.” Nurses have contact with patients recurrently along this continuum of life, now more than ever. This is due to the world’s aging population and the correlating factor of higher patient acuity (Larson, 2013). This frequent and close contact with nurses has fostered a sense of trustworthiness in the minds of U.S. citizens. This is evidenced by a recent Gallup Poll which listed nurses as the most honest and ethical professionals in America (www.galluppoll.com, 2015). Nurses have the challenging task of providing this trust-worthy,
According to Olshansky (2011), nursing is regularly rated as the most trusted profession. However, when individual nurses fail to meet their professional standards set by the Council, public trust will be eroded. Patients will not feel supported and cared for by health practitioners. If a health consumer trusts the nurse, the health consumer will be more willing to share information about their history, which allow more accurate assessments and treatment plans to be developed. Without a trusting environment, there is less chance that the patient will be open with the nurse. Ultimately, an untrusting relationships will decrease the ability to provide higher quality and safe health care (NZNC, 2012c). What is worse, a the poor bahaviour of one nurse may make public doubt the New Zealand healthcare