Neal (2003, p100) states a therapeutic relationship can be described as being between I knew this was something I needed to overcome and as I started to settle in and understand the routine of the ward the easier it became. Freshwater et al (2005, p101) suggests the nurse patient relationship can be viewed as a major therapeutic tool of effective patient care. McHugh Schuster (200, p7) sates that communication plays an important role in the therapeutic relationship. Clark & Bridge (1998, p2) suggest that forms of communication such as asking questions, allowing patients to express their feelings, or reassuring patients by means of touch will also result in important patient care, and increase patient satisfaction and well being. Nichols (cited in McQueen 2000, p723-731) also suggests that the nurse is the central figure in the patient care and is best placed to provide much of the psychological care and this demands good interpersonal skills to form a therapeutic relationship with patients and to communicate more effectively with relatives and other health professionals.
Refection on Competency Standard 2: Engages in therapeutic and professional relationships 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
A Reflection on Effective Communication Skills in the Importance of Building Rapport and Therapeutic Relationships and Overcoming Cross-Cultural Differences Communication is an essential component of everyday life, and even more so valuable in professional work life. Not only does it involve a shared understanding between a sender and a receiver of
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
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
The theory of interpersonal relationships was created by Dr. Hildegard Peplau. According to (Haber, 2000), Peplau’s theory of interpersonal relationships are described as an art. This art is the use of care, advocacy, compassion, concern and a hands-on approach to the patient. Peplau called the nursing process an instrument to help nurses develop a more constructive learning. Peplau had three focal areas which are needed to be observed to develop a proper interpersonal relationship with patients. The three areas included are, nursing behavior, the behaviors demonstrated by the patient, and the quality of the relationship between patient and nurse. Peplau’s Theory has four overlapping phases in the nurse-patient relationship. The four phases of this relationship are orientation, identification, exploitation and lastly resolution (Peplau, 1952).
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.
Your Signature: ____Staci Clabough_____________________________ Abstract (150-250-word overview) This research paper is focused Hildegard E. Peplau’s nurse-patient relationship theory and her contribution in laying the foundation for guidelines for nursing care. An overview of the theory is provided and will guide the nurse to use this theory in practice. This author discusses the usefulness of Peplau’s theory in her practice setting, develop a plan to implement the theory, and discuss barriers and challenges to implementation.
INTRODUCTION Watson (2005) suggested that nurse’s and patient’s relationships can be therapeutic, because it is presumed to enhance the patient’s well-being and the likelihood of gaining independence quickly; He went further to argue that nurses and patients are supposed to have a mutual relationship based on trust and respect, which would help foster the patient’s physiological and psychological needs towards recovery.
Therapeutic Nurse-Client Relationship I believe that a therapeutic nurse-client relationship is the foundation of nursing practice in all practice settings. It focuses on the needs of clients and develops by nurses based on respect and professional intimacy. In fact, the clients trust the nurses as their dignity, autonomy and privacy are kept safe within the therapeutic relationship. In my point of view, communication is one of the most demanding aspects of a nurse’s job, and one which is occasionally done badly and cause inappropriate quality of client’s care. However, a nurse can develop therapeutic relationship by following very simple rules. For example, the nurse
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
Nurses or nursing students have always been taught about fostering and developing a professional relationship with the patients. Of course, there are boundaries that a nurse or nursing student needs to maintain to keep the relationship all professional without crossing between personal and professional boundary. The introductions of Facebook, twitter, Instagram, and other social media platforms have made communication made easier to get in touch with anyone. As a nurse or nursing student, there’s always a case where he or she developed a rapport beyond the professional boundaries. A nurse might get emotionally attached to a patient, but it is the nurse’s duty and responsibility to terminate this relationship after taking care of a patient.
Nurses-to-nurse relationships play a crucial key in the successful work setting. This relationships affect strongly on patient care and the wellness of nurses. It is critical to demonstrate the effective coordination and communication among nurses to share experiences and skills across disciplines to help nurses become stronger role models, educators, advocators for their patients. But the nursing shortage affects significantly on the relationship between remaining nurse staff because the stressful environment. High workplace stress causes personal conflicts between nurses because of high workload stress or longer
Peplau’s interpersonal relationships nursing theory was developed to help guide nurses in building connected relationships with their patients. This bond is built on establishing trust through the foundation of effective communication. Peplau’s theory was designed so that practitioner’s could help lay the foundation for altering patient’s actions to incite acceptable improved health related outcomes. Peplau believed the nurse client relationship was established in three phases. In the first stage, the nurse client relationship begins by initiating a positive experience through introductions and understanding the needs of the patient (Senn, 2013). In order to identify the needs of the patient, the nurse must be able to have open active communication with the patient. Kourkouta and Papathanasiou (2014) reveal a nurse practitioner promotes effective communication and successful patient outcomes when nurses display sincerity, thoughtfulness, and sympathy while delivering care to patients and their families. Trust flourishes between the patient and staff when the nurse practitioner dedicates adequate time to building the relationship through empathy, understanding the patient’s needs holistically, and effective communication. The second phase to Peplau’s theory is the time where the patient becomes more actively involved in promoting actions that identify comprehension of behaviors required for health care goal attainment (Senn, 2013). The healthcare provider assist the patient
Ida Orlando created the theory, The Dynamic Nurse-Patient Relationship, which focuses on using one’s perception of a patient’s behavior to clarify the appropriate nursing action to resolve the patient’s need of discomfort. Her education first began with receiving a nursing diploma, climbing her way to a master’s degree, and then