My Clinical Placement

There are many ways of forming a relationship and gaining the trust and respect of the patient and I had to work out the different things that make a good therapeutic relationship. According to Hinchliff et al (2003) there are a number of important elements that make a good therapeutic relationship, but it is important to make clear that a therapeutic relationship is a formal relationship between a medical professional and patient. The Nursing and Midwifery Council (2008) maintains that at all times nursing staff must maintain appropriate professional boundaries in the relationships they have with patients and clients.

Nurse and patient relationships are referred to therapeutic relationships, they are a person-centred approach to care (Berman Et al 2012). For a therapeutic relationship to be effective in meeting the client/patient goals the nurse needs to ‘earn the person’s trust and respect.’ Berman Et al (2012) suggests that the trust and respect of a patient can be earned through ‘sound nursing knowledge and use of effective communication.’ This is reflected in the Nursing and Midwifery Board of Australia’s competency standards. These national standards that are regulated and followed by all nurses, they are updated regularly to remain contemporary and

As first year nursing students, we have been introduced to concepts that are fundamental to our professional development as future nurses, such as interpersonal understanding, and interpersonal communication. In fact, understanding the importance of interpersonal communication during different stages of the therapeutic relationship between a nurse and a client is one of our main learning objectives. As a result, we have been assigned to perform a standardized patient scenario interview with an actor in order to demonstrate our communication skills through three different stages of the therapeutic relationship: the interaction phase, the working phase, and the resolution phase. The purpose of this paper is to critically analyze my own performance during the interview process, and identify my areas for growth and my areas of strength in the communication techniques.

Intervention. Ask how to be most helpful, then actively listen and be physically present with the client and client’s significant other. (Ackley, Ladwig & Makic, 2017). The rationale behind this intervention is found in a grounded theory study by Burkhart and Hogan (2008), “spiritual care included promoting client connectedness with self”. (Burkhart & Hogan, 2008). Promoting connectedness between the client and family by asking them what they need from you as a nurse contributes to openness, trust and it can

Nursing students should know that collaboration is like a journey ( Gardner, 2005). And, they should start building trust opportunities by communicating. During clinicals, nursing students can even make time for face-to-face conversation with other registered nurses or even physicians so as to clarify expectations or request a plan, this will create the confidence in them. Even

My journey to nursing began with my personal healthcare experience, and has continued to evolve since entering the nursing program at State University. My personal philosophy of nursing is related my life experience and my personal philosophy of life. Using reflection-on-action, I have begun to understand the influences that have lead me to nursing. I discovered client and family centered care to be an important quality when I look at the influential nurses in my life. To develop a positive therapeutic nurse-client relationship, nurses must integrate all 5 dimensions of the therapeutic nurse-client relationship into their practice (CNO, 2006). When it comes to providing client-centered care, the dimensions of trust, empathy

Effective nursing practice is in need of on an effective therapeutic relationship between the nurse and the client. This instruction addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the information needed to be effective. To implement a therapeutic relationship effectively, hospitals characteristics must be supportive. The therapeutic relationship is also known as the helping alliance and it refers to the bond between a healthcare professional and a client. It is the means of professional hopes to involve with, so as to change the outcome result of the client. This relationship is significant to the client’s orientation

Arnold E (1999). Interpersonal Relationships: Professional Communication Skills for Nursing. 3rd Edition. Philadelphia: WB Saunders Company.

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.

Creating a safe environment, promoting trusting nurse-patient relationship, and increasing patient’s quality of life are result of implementing this theory in practice. Even though creating a change in nursing practice might be challenging, but it is doable by identifying the goal, pathway to reach the goal, education, trainings, and using evidence based practice. The main point of creating a therapeutic communication is to build a trusting nurse-patient relationship, decreasing nurse and patient’s anxiety level, increasing the level of care and patient’s quality of life. (Jasmine,

During my clinical placement, I have done the nursing standard 2 which is engaging in therapeutic and professional relationships. An example of one event in my placement where I have done this standard is when doing interviews in my two-week community placement at the Community Rehabilitation in Armadale Hospital. For my reflection, I will be using the Gibbs’ Reflective Cycle (1988).

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

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.

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.

Clinical placements for students are a very important part of their academic life. A clinical placement refers to spending time in a professional practice environment undertaken in a workplace setting by students so that they can acquire the necessary skills, abilities and competencies required to become professional practitioners (Armitage, 2012). It is a highly valued part of a student's academic progression as it enables them to learn about the practical aspects of practicing physiotherapy and allows them to develop a working knowledge of the profession through the experiences gained while being part of the clinical placement program.