Relationship Based Care And Effective Nursing

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.

A therapeutic relationship is a key component in the nursing profession. Without therapeutic relationships, the best possible care can never be provided. The foundation in which trust is built upon is created from the nurse’s ability to truly listen and respond appropriately. Listening creates the base in developing a strong, trusting relationship. Sometimes it is simply hearing what a patient says that makes all the difference, empowering them to open up and become more comfortable with the nurse (Hawkins-Walsh, 2000).

In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.

Non-English speaking citizens and immigrants are receiving improper medical care because of the miscommunication. The people who cannot speak English well are misunderstood, when they go to free clinics or hospital emergency rooms and attempt to explain their symptoms and illness or cannot understand the doctors or medical profession that are trying to help them. ” Interpreters are omitting questions about drug allergies. Patients are not telling nurses the correct symptoms. A mother misunderstood by putting oral antibiotic into the ears of the child instead of the mouth. The Puerto Rican word for mumps is not the same in Central America, so a child was mistreated. A doctor mistakenly told a parent to put a steroid crème on entire child instead of just the face” (Yolanda Prtida, 2005). Language barriers in the medical field are dangerous and some times even fatal. There is definitely a need for more translators in hospitals and doctors office. Clear communication is essential for safe quality healthcare. Poor communication can lead to disastrous outcomes, especially for patients with limited or no English ability.

Language is one social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. It creates the trust that exists between a patient and a doctor and their guardians. When using a translator, meanings may change and the desired communication result may not be achieved. The trust that should exist between the doctor and the patient and the guardians

In my point of view, there are three important themes from the story. Firstly, the communication is essential and important in healthcare settings. As we all know, the language barrier is the main problem to be solved when interacting with another culture. In other words, communication is a two-way interaction. Only people can understand each other, the conversation and consultation could start. To be specific, in health care settings, communication is the key to grasping the health condition of patients, know the patients’ need, as a result, provide the most suitable and best care plan for

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

An in-depth study on the importance of relationship centred care and how health care professionals promote it. Other topics covered will be the patients story, and how effective communication improves the level of care they receive. I will also be discussing how nurses uphold their professional standards in order with the NHS constitution and how compassionate care is the heart of the NHS.

The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for

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.

The diagnosis, prognosis, interventions and medications that surround a nurses everyday practice can be very similar. Although the diagnosis is the same the patients are not. Each patient has difficulties grasping a portion of their clinical situation. It is up to the nurse to identify these barriers, find ways to overcome them and make certain the patient is in full understanding of the plan of care. Barriers could be as simple as the patient speaking a different language which would prompt the nurse to find an interpreter. Other barriers may compel the nurse to print out pictures,

Relationship refers to having meaningful relationships. Relationships are considered the basis of nursing and a moral imperative of entering into a relationship with the patient. The relationship starts when the nurse identifies a patient need and is motivated to help. Trust, intimacy and responsibility play an essential role in a

Effective communication in the healthcare setting improves recovery rates and reduces pain and complication rates. (Wilkinson et al, 2003). Many complaints to the NHS are attributed to poor communication. Effective communication is reliant on the nurse working in partnership with the patient. It is essential that the nurse establishes a rapport and most of this will be achieved through the use of facial expressions. In my practice, it is important that develop a therapeutic relationship with the patients so that they can be able to put their trust in me. The therapeutic relationship is solely to meet the needs of the patient. In this relationship, there is a rapport established from a sense of mutual understanding and trust. To build a good nurse-patient relationship, I would have to show qualities of empathy, caring, sincerity and trustworthiness. During practice, if I am approaching a patient and the patient looks anxious, I should approach with empathy.

The article “Spouses Needs for Professional Support: The Spouses’ Perspective on Communication” was a qualitative study. Since this was a qualitative study, there was not a hypothesis. There was no hypothesis for this study because a qualitative study does not contain any variables. The purpose of this study was “to investigate spouses’ experiences with their partners’ hospitalization and the spouses’ relationship with nurses and physicians” (Laursen, J., Danielson, A. K., & Rosenberg, J., 2015, p. 326). The authors of this study also investigated “spouses’ needs for well-planned communication and the importance of a professional relationship with health professional” (Laursen et. al, 2015, p. 326).

Part of the caregiver or nurse's duty is to provide emotional support and understanding to the patient. Swanson (1993) proclaims that being with assures patients that their reality is appreciated and that the nurse is ready and willing to provide emotional support. Emotional support can come in many forms, such as providing a shoulder to lean on and listening attentively. By using the process of 'being with', nursing professionals can convey messages such as, "you are not alone, what happens to you matters and that we are here for you" (Swanson, 1993). Conveying these messages can help with the healing process and overall well-being of the patient by decreasing anxiety and providing the patient with a caring relationship when family support is unavailable.