Capstone Change Project

To meet competency standard two, registered nurses need to consciously and actively engage in therapeutic and professional relationships (Nursing and Midwifery Board of Australia [NMBA], 2016); Doherty & Thompson, 2014). Therapeutic nurse-patient relationships are built on trust, where the patient feels safe to be open and honest; enabling a productive relationship with positive patient-centred outcomes (Doherty & Thompson, 2014). A vital principal in delivering patient-centred care is to foster effective communication along with establishing personal and professional relationship boundaries (NMBA, 2016). This fundamental approach to care, ensures

Therapeutic communication is the basis to maintain a proper nurse patient relationship. Furthermore, understanding that therapeutic communication which is so vital, patient’s literacy level is also crucial in the communication process. Boykins D., 2014 states that “individuals that experience health literacy problems receive less preventative care and have poor understanding of health problems and care”. A nurse assesses each patients’ literacy level upon their first interaction, she also uses therapeutic communication to build a strong nurse patient relationship. Therapeutic communication can be verbal and nonverbal, both equally important to help build a bridge for communication. An example of nonverbal therapeutic communication would be silence; in some cultures, silence is a norm and a way of thinking. With a precise assessment and proper

As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.

The Capstone project is a huge project that the eighth graders do. It takes the whole school year to complete. It is a project that is meant to help the environment. When the group of no more than four people comes up with an idea, the science and civics teacher will have to approve of it. The project started in October, 2016, and ends at the end of the school year, 2017. The project is not optional and all eighth graders must participate. Every so often, the teachers will check in with the group and see how the project is coming along. At the end of the year, the students will tell the teachers how they did and if it worked out well or not so well.

Additionally, nurses handles different cases of patient in the hospital which requires different and more advance type of care and way of communication. For example, patients who are psychological incapacitated or critically ill requires more knowledge on how to handle them. Nurses, should not only focus on the physical needs of the patient but also their pyschological needs. Hospitals or instititution should provide training programmes that adress these needs which focus on how to properly communicate verbally and non verbal to patient and nursing protocols to enhance the communication skills of the healthcare team. Nurses, should be vigilant and anticipate the needs of the patient at all times. Handing off might sound easy but it is a very complex process that could lead to several problems. Common mistakes in the hospital is commonly cause by miscommunication that often leads to patient harm. Organization such as joint commision established a national patient safety goal in relation with handing off which provides oportunity for discussion between the giver and the receiver of information that includes patient’s current condition, care, treatment, and any changes in the

Safe Practices in health care are practices that reduce the risk of adverse impact on patients due to exposure to medical care. In the article, “Role of effective nurse-patient relationships in enhancing patient safety” it is argued that “Ensuring and maintaining patient safety is an essential aspect of care provision. It is important that RNs maintain an effective nurse to patient relationship, a good health care environment and working practices that promote safety to ensure optimal patient care” (Conroy, Tiffany & Feo, et al. 2017). Furthermore, teamwork and communication is vital for the implementation of quality, and safe patient care. A lack of communication may lead to inadvertent patient harm. Creating an environment where nurses can speak and express their concerns and also alert/inform team members concerning unsafe situations is essential, thus advocating for their patients.

The NMC (2015) implements, the fundamental interaction to establish the foundation of a therapeutic nurse-patient relationship is to introduce oneself. Hellomynameis.org.uk (2014) is a campaign for my more passionate care encouraging all personnel to introduce themselves to patients for more personalised care. The Compassion in Practice (2012) emphasise communication as “central to the caring relationships and to effective team working” which the Register Nurses Association (2006), suggests for care to become personalised, the organization must observe the patient in a holistic viewpoint, to build a therapeutic relationship which is a purposeful, goal-directed, fundamental interpersonal process between the nurse and client that is aimed at

I enjoyed reading your post and agree with your comments about the nurse-patient therapeutic relationship. A trusting nurse-patient relationship is essential in nursing. Therefore, nurses should always seek to build a trusting relationship with the patient in order to improve care and have positive outcomes. Nurses should also have the ability to treat patients with dignity, respect, and compassion regardless of their personal situation or background. Patients are supposed to feel safe in the hands of nurses due to their nursing roles. They provide direct care and spend the most time with the patient. In addition, they are committed to the patient well-being and

Since the introduction of concept analysis by Walker and Avant, theorists have stated its importance to nursing theory (Reed & Crawford Shearer, 2012, p. 274). Trust is an essential concept in nursing, and has gained its importance both clinically and organizationally (McCabe & Sambrook, 2014, p. 816). Trust it is an important feature of the nurse-patient relationship and is based on a dynamic process (McCabe & Sambrook, 2014, p. 816). Structurally, trust is associated with various outcomes and levels of effectiveness (Reed & Crawford Shearer, 2012, p. 267). The fundamental concept of trust is presented throughout the context of this paper, which is relevant to nursing. It can be difficult to critically analyze trust, however, it is an essential part of the nurse-patient relationship (Belcher, 143). Using the Walker and Avant method, this paper will present an analysis of trust, specifically related to the nurse-patient relationship. In addition, this paper will provide aim and purpose of analysis, identify the use of the concept, determine defining attributes, provide examples using the concept, identify antecedences or consequences, and identify implications for nursing.

The ideal goal subjects that truly need emphasis on consists of communication, listening, empowerment and nursing care. The goal of communication is one the major factors that cause concern with the nurse and the individual. Achieving good communication with mental health patients, other nurses, and staff will help nurses gain trust with the patients, create a professional work environment, and create support in the workplace. The goal of listening is another important role in developing good relationships with mental health patients and with co-workers. According to Kai and Corland (2001), “Active listening would possibly gain trust from the individual and establish an interpersonal connection.” The study shows that individuals are satisfied when they feel like the nurse is listening to them, and it helps create a mutual relationship with the nurse. The goal of empowerment is a process where the client has an increase in confidence in self-management, care, and they are able to regain their autonomy. Empowerment is defined as a multi-dimensional social process that helps people gain control over their lives (JOE, 1999). Influencing factors on empowerment from communication and continuity of care in the therapeutic relationship, according to from Kai and Crosland the therapeutic

Transition from one situation to another requires a scheduled process, and effective change leaders should first assess the need for change, gather accurate, comprehensive, timely information regarding to the progress of the change process. The most changes fail because nurses lack the support from their leaders to successfully adjust to new approaches for working. There are various techniques leaders should embark on to effectively implement changes and achieve a positive outcome in an organization. These strategies include education and communication, facilitation and support, participation, and involvement (Bower,

A therapeutic relationship in nursing, is a relationship that is formed between the nurse and patient. The relationship is based on interaction, respect, care, gratitude, empathy, hope, advocacy, compassion, etc. Having therapeutic communication skills is beneficial when it comes to forming a nurse-patient relationship. Potter and Perry (2017) note, “Therapeutic communication skills enable you to perceive and respect the older adult’s uniqueness and health care expectations” (p. 189). By forming this relationship, trust will be formed between the nurse and patient, making appointments and nursing care run much smoother. Ensuring that a patient trusts their nurse, is a very important key point in the function of nursing care. This concept has been an essential element since the beginning of nursing and care. As mentioned in the book, Understanding the Work of Nurse Theorists, Hildegard Peplau, a nurse theorist, outlines specifics about therapeutic relationships: “[There are] multiple roles that the nurse may fulfill within a nurse-patient relationship. These roles are best managed if the nurse actively observes and appraises self, patient, and the quality of relations on an ongoing basis” (Sitzman, K., & Eichelberger, L., 2017, p. 138). Peplau continues by naming a few roles that the nurse can serve as: “Stranger, teacher, resource person, leader, counselor, safety agent, mediator, and observer” (Sitzman, K., & Eichelberger, L., 2017, p.138-139). With every patient a nurse

At the beginning of the semester, we were tasked with the mission of identifying a potential change project. We were given three possibilities: conduct a real (micro) project, take part to an ongoing change within a company, or analyze a past change of a company. From the outset we chose to engage in a micro-change project, as we believed that it would allow us to apply the theories and methods that we were learning in class in real life situations. Through the guidance of Konstantin, we were able to identify a project that we hope will bring systematic change to LMU Business

Therapeutic techniques are a means of helping patients toward productive goals but are not goals in themselves. Many nurse-patient interactions do not use a complete nursing process in a single session, but they do always involve using therapeutic techniques. In the same manner that therapeutic communication guides the patient toward goals, certain messages and behaviors interfere with reaching these goals. Some behaviors occur frequently because of nervous mannerisms or result from social expectations in the therapeutic situation. The nurse must recognize and overcome any habitual communication problems that might interfere with effective therapeutic communication. Some therapeutic techniques are:

Nursing is a profession of change. The environment a nurse works in changes, technology is updated to provide the best patient care and nurses are learning about the updates to best evidence the field is relies on. Additional environmental changes for nurses include restructuring of the organization, quality improvement and employee retention (Marquis & Huston, 2012). These types of changes are typically planned (Marquis & Huston, 2012). Planned change is a purposeful, calculated and collaborative effort to bring about improvements with the assistance of a change agent (Roussel, 2006 as cited in Mitchell, 2013). However, attempts at change may fail when change agents take an unstructured approach (Wright 1998 as cited in Mitchell,