In the healthcare profession practice is guided by ever-evolving research that helps determine best practice policies and protocols, allowing clinicians to provide the best care possible to their clients. However, much of psychiatric nursing care is characterized by subjective or immeasurable interventions and thus, important areas such as the benefits of therapeutic time with clients are relatively understudied and may also be undervalued. As psychiatric nurses I believe that our therapeutic communication skills are one of our most valuable tools, just as important as the medical interventions that we also carry out. For this paper the article I will be reviewing is Thomson and Hamilton 's (2012) qualitative study " Attitudes of Mental …show more content…
He is also a member of the Royal College of General Practitioners and a fellow of the Royal College of Psychiatrists (Thomson & Hamilton, 2012). Although these qualifications sound a bit different than Canadian designations, it is clear that both authors are medical doctors who have additional training in the area of psychiatry. The intended audience for this article is not explicitly stated however, it is published in the Journal of Psychiatric & Mental Health Nursing so it seems to be aimed at healthcare professionals who would have access to it. It is a international nursing journal so the intended audience seems to be focused on nurses however, this type of article would also be helpful for fellow researchers who want to know what research has already been carried out and the results, as well as what future direction they should take for their own research.
Purpose/Research Question The question that the author 's wanted to investigate was what the attitudes of nursing and medical staff were towards protected therapeutic time with clients. They defined therapeutic time as regular uninterrupted periods of time that nurses spend with their clients, participating together in activities such as arts and crafts, board games, relaxation therapy, etc (Thomson & Hamilton, 2012). Prior research suggested that therapeutic time is beneficial to clients but that it is also lacking in hospital wards, therefore Thomson and Hamilton (2012)
Therapeutic nurse-patient relationship is defined as: “an interpersonal process that occurs between nurse and patient. It is a purposed communication with the main goal of promoting the values, interests, and health outcomes of the patients (Pazargadi & Moghadam, 2015). Developing a therapeutic relationship is a vital skill that is necessary in making the patient feel comfortable and safe. The nurse must acknowledge that the words that are exchanged between the nurse and the patient will form ideas and feelings (Porr, Drummond & Olson, 2012). Therapeutic relationships allow the nurse and patient to establish clear and appropriate boundaries and maintain confidentiality. The purpose of this paper is to reflect on a nurse-patient therapeutic relationship and explore relational behaviors displayed within the interaction.
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic
Therefore, they are considering the public’s opinion, and gathering information based on these studies which is unbiased. The quality of the article is very organized. It has subtitles for each section, charts and tables to show statistics, and a conclusion of the studies.
The theory contained four major concepts that can be considered theoretically simple. Although the theory can be considered simple, it does not fit the idea of parsimony because it mainly accounts for psychiatric nurses specifically. However, the theory can still be applied generally to relationships with clients and any healthcare profession. Another consideration is that the client has to be able to perceive difficulties and therefore an infant or young child, comatose client, or mentally disabled client limits the generality to whom it is applied. The accessibility of Peplau’s theory can be validated through the indicators of an effective interpersonal relationship with empathic linkages and progression through the stages. Being able to assess behaviors is an ability accessible to most, which can be accessible to nursing practice whether it is in the community setting or hospital setting. The importance of Peplau’s theory contributes to the valued nursing goal of wellness by improving relationships that strengthen self-worth, provide a sense of connectedness with others, and support self-confidence.
As a healthcare professional a therapeutic relationship is fundamental in providing quality patient care. The Nursing and Midwifery Board of Australia (NMBA) National Competency Standards for a Registered Nurse (2006) emphasises Collaborative and Therapeutic relationships as one of the four main domains which make up the standards. The assignment will explore one specific quality on establishing, maintaining and appropriately concluding a therapeutic relationship in relation to a Horizon Hospital and Health Service client, in this case Mary Young. The specific attribute chosen is ‘establishes rapport with individuals/groups that enhances they ability to express feelings, fosters an appropriate context for expression of feeling.’ This attribute is crucial in having the guiding principals for a safe professional practice.
Therapeutic communication is considered the heart of family nursing practice (Deane, & Fain, 2016). Knowing the different types of communication is vital for nurses, as it delivers an effective relationship between nurse-client affiliation. Effective therapeutic communication is the main key to success.
One can relate this to the group therapy setting, thus this project provided firsthand experience into the importance of all therapeutic factors. In addition to this, it is clear the experience and insight gained from this project are directly transferrable to the practice of psychiatric nursing, such as to the regard of the therapeutic relationship, including communication and
Therapeutic communication aims to accentuate understanding of the client’s situations to health professionals, to achieve a greater outcome of health. It focuses on the clients need not the nurses. Pontes (2008) notes that health professionals verbally communicate with clarity and brevity
In order for mental hospitals to be as effective as possible in treating patients, the nurse-patient relationships must be successful. In a study by McGilton, Irwin-Robinson, Boscart and Spanjevic (2006), the focus was to see if a communication enhancement intervention with the nursing staff of a mental health institution would contribute to more successful relationships and better overall care for the patients. For the intervention, the researchers used an adaptation of De Shazer’s Solution Focused Brief Therapy Technique, which changed the focus of their conversation with their patients from being negative and about the patient’s problems to being positive. For example, instead of focusing on how bad their patients’ symptoms are, the nurses
This site’s web address shows that it is delivered by a UK based academic body as it has an ac.uk URL. This confirms their credibility and reassures the reader that they are qualified experts able to give advice in this field (Roberts, 2010).
Achieving the goal as a successful nurse is not easy as it requires not only a broad knowledge but also clinical skills (Raya 2006). One of the crucial factors leading to that is learning to create therapeutic relationships between health care professionals and patients through professional communication. This is long-term training since nurses must know how to apply different communication methods to help their patients with kindness and sincerity (Varcarolis 2005). The purpose of this study is to assess knowledge of how diversified communication types are used and their efficiency in building a therapeutic relationship.
Mental health can be an area that can benefit from health promotion. A nurse needs to always take his or her client into consideration when formulating a plan of care. Identifying an issue or formally assigning a nursing diagnosis is the first step. Making attainable goals that are reasonable for his or her client is the next step. Than finally working on specifics, the nurse and client will always operate as a team to meet goals. For example, this paper shows the care, respect, and patients that the nurse must have when aiding a client with an issue. By teaching the client how to improve her overall mental well-being and having her reflect to develop healthy habits the nurse has and will successfully improve the client’s mental health. Moving
Going through the theories and the practicalities involved in nursing care interventions without having a good knowledge of using therapeutic communication with patients will amount to nothing. According to Ellis, Gates and Kenworthy (2003, p.214) says that good communication is vital to effective nursing and it is a good skill for a mental health nursing to be able to build up a therapeutic rapport with patients. In my fifth face to face communication with Mr K, he opened to us why he refused to be prick in his fingers for blood sugar and also about his diagnosis. He said that his older brother was labelled as having schizophrenia and blood was taken from him monthly by the doctors and he still remains in the mental health institution till date. Throughout our conversation, I listened attentively. I
Therapeutic communication refers to the interaction between healthcare professionals and their respective clients. It is aimed at ensuring the mental and physical well-being of clients, providing them with support and keeping them well-informed throughout their healing journey (Knapp 2015). The aim of improving this form of communication, as a nurse, is to influence others and ensure the best possible health outcomes. Nurses are expected to therapeutically adjust and adapt their communication skills in response to specific clinical outcomes (Crisp & Taylor 2009) as context aids in shaping the patient's needs. Through a recent interview conducted between myself and a client, I explored therapeutic communication techniques which included responsiveness, assertiveness empathetic understanding and non-verbal communication.
Therapeutic nurse-patient communication helps nurses to build positive relationships with patients by showing warmth, respect, and empathy. It also increases confidence of the nurse by enabling nurses to ask for support, open up for feedbacks, and overcome anxiety. Therefore allows nurses to provide the