According to Nursing and Midwifery Board of Australia (2006), ‘Collaborative and therapeutic practice between registered nurses and client has been the subject of discussion, debate and research for decades’. This essay outlines the most essential elements of a nurse such as effective therapeutic relations and attitudes with clients. This essay will also include some of the core competencies that relate to nurses’ understanding, their contribution to the interdisciplinary health care team. It will provide the standards and competencies that are required to support, the therapeutic nurse-client relationship by providing more specific direction for future registered nurses and all health professional in regards to establish, maintain, restrictions and terminate of the nurse-client relationship which are goal focused. This essay examines the social gradient in health, explains how this relation influences clients to trust their health professionals …show more content…
Like all other relationships, the therapeutic relationship takes time to develop and requires commitment and effort to maintain. It is significant to understand about these attributes in order to maintain mutual nurse patient’s relationship with her to make the treatment effective and successful. Therefore, it is the responsibility of the nurse to provide her trust, respect and empathy with good communication skills. As, she is from indigenous background, it is very important to respect and understanding her culture. Gruber and Hartman (2007, p.12) believes, since nurse work in such a varied environment, the best way to achieve the client trust and their health related goals is to get the right set of communication skills and respect their culture. Further, appropriate languages should be used in a various effective ways of
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.
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
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...
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
As a first year nursing student, it is important to understand the impact that making connections with your patients has on their overall health outcomes. Before one can understand the importance of making such connections, it is imperative to explore how these connections are made. The purpose of this paper is to establish the importance of making connections in the nurse-client relationship, to recount my personal learning of a course concept, and to explore how the course concept is integral in the formation of connection in the nurse-client relationship. The course concept that I will explore is that of trust. I will explore this concept as it relates to making connections with the help of current nursing literature. Throughout the paper
Nursing in this theory is described as an art that helps individuals who are in need of health care, and goals are attained threw following a series of steps in a pattern. The nurse and the patient have to work together threw this process to achieve said goals. The Theory of Interpersonal Relations is a process that starts with the roles of the nurse, and those roles began with the nurse as a stranger, teacher, resource person, counselor, surrogate and leader (Nursing Theories, 2012). The theory begins with the role of the stranger, which is defined as the introductory phase and is an environment where about the patient is meeting the nurse and developing a trusting relationship. The nurse as a teacher allows the nurse to provide knowledge and information on a particular interest while the resource person provides specific information to a problem or situation. As counselors the nurses help to make life decisions and provides guidance. The surrogate role acts as an advocate on the patients’ behalf, while the role of the leader has the nurse assuming most of the responsibility to help patients meet treatment
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
They must do so by gaining an understanding of the perceptions, traditions and values of the patient with whom they are caring for (Ulrich, 2009). By utilizing cross cultural knowledge and sensitivity, nurses can establish trust and rapport to better care for their patients (Ulrich, 2009). Once a need has been detected and a respectable connection has been made, the third step (a resolution or outcome), can hopefully be achieved (Jezewski, 1995). It is not enough to simply detect an issue. Nurses must advocate, negotiate, innovate and mediate cultural boundaries to provide the highest level of care for their patients (Jezewski, 1995). If any of these stages break down, providers must continue attempts to assist their patients through conflict by staying connected and continually implementing culturally competent communication (Ulrich,
In summary, healthcare providers who are able to incorporate the various components of therapeutic communication, (trust, empathy, genuine interest, acceptance, respect, and self-awareness) with their patients tend to be more successful in establishing a therapeutic relationship with their patients. Having a therapeutic relationship with the patient often leads to the patient having better health outcomes and higher job satisfaction among healthcare providers. With the majority of communication being non-verbal, caregivers should be aware of their body language, making sure it matches the words being said. In addition, healthcare workers should limit the use of gestures to lessen the risk of offending patients from other cultures. Seamless
The therapeutic nurse-client relationship is the basis, the very core, of all psychiatric nursing treatment ap- proaches regardless of the specific aim. The very first process between nurse and client is to establish an un- derstanding in the client that the nurse is entering into a relationship with the client that essentially is safe, confidential, reliable, and consistent with appropriate and clear boundaries (LaRowe, 2004). It is true that disorders that have strong biochemical and genetic components such as schizophrenia and major affective disorders cannot be healed through therapeutic means. However, many of the accompanying emo- tional problems such as poor self-image and low self- esteem can be significantly improved through a thera-
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
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
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