Explain The Four Stages Of The Therapeutic Nurse-Patient Relationship

This theory describes the different phases that a nurse-client relationship goes through. The phases that my patient and I will most likely be working in are the orientation and the identification phases because our relationship will be new. Our interaction will focus on building a mutual trust and understanding, as well as answer basic questions as to why my patient is here and things that she has been struggling with. Depending on how long my patient has been in the program, she may be open to exploring more of her feelings and sharing more about herself with me. Focusing on developing a good nurse-client relationship will help me during my interaction with my patient and will help me understand her needs better.

Some of the examples of written communication are the letters sent to the patient, reports, appointments, notes, prescription. In social care settings, where there are old people, children, mothers. They cannot remember some things. So the written method helps them and helps service providers to remember import facts. The examples of written methods are the letters send to the family members, menu, and care plan. In early years setting, it is necessary for parents to know what is going on with their children.

There are four phases between the nurse and the patient relationship. The phases include orientation, identification, exploitation, and resolution. In reference to the orientation phase, this is introduced by the nurse. During this phase, the nurse and the patient become familiar with one another, as well as establish a dependable relationship. The following phase, identification, starts to recognize the issues to be incorporated into the relationship. For instance, the main goal is to assist the patient in identifying his or her own responsibilities in the treatment plan, in addition to advocating for interdependence and contribution. During the exploitation phase of the nurse-patient relationship, the nurse and

Communication is any form of expressing and receiving of messages between individuals. The importance of Communication in the nursing profession is to maintain high quality care for the patient but also maintain effective collaboration between professionals. Boykins, D (2014) states that the “registered nurse is expected to communicate in various formats and in all areas of practice”. Various formats include speaking to patients and coworkers as well as utilizing appropriate protocols and systems to effectively communicate regards to patient’s status.

Verbal communication is generally any method using the spoken word but in a care setting this includes the pitch of your voice the rhythm you speak the language you use the speed of your voice and the tone of your voice. This can be in a phone coversation in a meeting, talking to friends or people around you. In a care setting a care worker has to understand how to use these skills when talking to a client and how it can affect the client. For example in a care home for the elderly if a care worker was to talk to

Verbal Communication referred to as word based communication. Verbal communication can be oral as well as written for example e-mails, letters. The health care practitioner always should use appropriate language when they are working with service users and their families, colleagues. Communication is being clear, friendly and pace is suit to listener is the key to effective communication and will help to form and maintain effective care relationship ( Rasheed, 2010).

Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patient’s family.

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

The nurse understands she has the knowledge of the disease process, and the patient has the knowledge of how the disease affects himself. The second phase of the relationship is the working phase, where the patient identifies who can help them with their health care problem. The nurse looks at the health care problem from the patient perspective and begins educating the patient on their health care problem, therefore the educated patient is better able to collaborate with the nurse to determine what interventions are necessary and acceptable to the patient to achieve a patient centered health related goal. The termination phase is the final phase of the theory, the nurse and the patient determine how the patient will maintain their progress and continue to work on the health care goals independently without the assistance of nursing. (Deane, & Fain, 2016).

A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.

Orientation Stage—involves nurses learning about patients and they initial concerns and needs. Patents also learn about the role of the nurse. Patents are informed about the general purpose of taking with the nurse. The initial purpose is plainly: identifying a problem on which you want to work, helping you figure out what has been happening to you lately, or getting to know what has been bothering you. This first stage is about building trust first before moving on to your initial assessment. Afterwards the nurses job is to manage the patients emotions and providing support and structure to the pt.

Effective communication is a process that creates positive results for the sender and receiver. A sender is the person who is delivering a message or information and a receiver is the person who collects and interprets said message or information (Yoder-Wise, Leading and Managing in Nursing, 2015, p. 322). A nurse leader must be both a sender and receiver to achieve a productive interaction. There are three main types of communication that a nurse leader uses. These techniques include verbal communication, nonverbal communication, and written communication. Verbal communication usually happens in person or over the phone and the message is conveyed using speech. Nonverbal communication involves facial expression, eye contact, tone, and gestures. Nonverbal and verbal communication are

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

Hogston and Simpson (2002) describe this traditional task-orientated method of nursing care as contrary to the nursing process, compromising the concept of individualised patient centred care. Price (2006) supports this view, suggesting that patient-centred care requires the nurse to be flexible and not confined to set care pathways or task-orientated methods. I complied with functional nursing and completed tasks assigned to me which Higginson (2006) states many first year nursing students do as they are preoccupied with worries about their ability to perform nursing duties. However, through this I found that I did not engage completely with the patients which according to Squire (2001) would have built a good, therapeutic and interpersonal relationship with the patients. Reflecting using Benner (1984), in terms of starting to become a proficient and capable staff nurse, I was a novice. Rather (2007) states that novices are taught rules to help them perform, and although I was not taught these rules within my first placement I still adhered to them and reflecting back I would consider my practice as limited and inflexible due to these rules. Consequently I saw managerial skills such as time management, prioritising and delegation beyond my capabilities, Hill and Howlett (2005) state feeling incapable of managing patient care is normal for a first year student nurse.

The therapeutic nurse-patient relationship is known as a close and consistent connection approaching during patients’