Successfully Establish And Maintain Nurse Patient Relationships

The framework for creating a therapeutic relationship is built on the nurse’s ability to show empathy towards the client. Empathy is being able to put oneself in the patient’s shoes, to feel the same things they feel

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

Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total

Although this may seem like a black and white issue, it can be very complicated with so many relationships in play in the care of the patient. This is further complicated when nurses develop long-term relationships with professional colleagues. The trust that is developed with these relationships could inadvertently blur the lines of each professional’s scope of practice. Even the relationships we build with our patients could lead to compromised care. For example, building a genuine friendship with a patient could lead to preferential treatment and thus detract from our care to other patients.

The nursing profession is one that provides care, collaborates with others, and provides education in a variety of different settings. I choose to work in the field of nursing to advance my career from an operating room technician to a medical-surgical nurse. I enjoy the sensation of helping others and assisting with the surgical fixation of a medical complication. The American Nurses Association (ANA) created the nursing code of ethics to ensure proper moral care, goals, values, and professional obligations of the nurse where known. The nursing code of ethics is as follows:

Communication is a tool used effortlessly every day as a way to interact with other people around you. Communication can vary from one situation to another depending on the contents. In order to communicate effectively, it is important to use many relational capacity skills. Relational capacity skills is known as a foundation for interpersonal nursing practice (Hartrick, 1997). These skills allow nurses to engage appropriately with a client, creating the perfect nurse-client relationship.

At times difficult for both nurse and client this phase marks the conclusion of the relationship. The patient’s needs have already been met by the collaborative efforts between the patient and nurse. The patient and nurse need to terminate their therapeutic relationship and dissolve the links between them (George, 2011). At the conclusion of this phase, both nurse, and client gain independence as he or she individually mature from his or her relationship.

Nurses need to understand the difference between personal and professional relationship. “Recognize that there is an element of risk in having both a therapeutic relationship and a personal relationship with a client simultaneously (A nurse’s guide to professional boundaries 2010)”. Professional boundaries intended to set limit clearly maintaining Safe. Therapeutic relationship includes physical clones, varying degree of undress and

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

This week’s discussion board is to discuss the use of reminiscence when caring for the elderly population. The use of reminiscence allows us to gain insight to the patients past and how it has shaped them (Tabloski, 2014). The video “See me nurse” highlighted the patient nurse interaction will I will outline in this post Canadiary, 2008). Discuss experiences I have had with individuals with different background and the challenges it presented.

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

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

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.

Lipchick (2002), describes the therapist-client relationship as a structure coupling between to unique human beings in complementary roles. In a healthcare context, Sabo (2006) states that empathy and compassion are critical aspects involved in understanding the clients’ needs to create a therapeutic relationship between client and nurse. The integration of the concepts of compassion and empathy could become a negative facilitator of ‘the cost of caring for others’ later described as Compassion Fatigue (CF) (Figley, 1995). The definition is contested, though; the first definition was proposed by Joinson (1992) characterising CF as a unique form of burnout that nurses experience because of exhaustion. Coetzee and Klopper (2010) explain that CF is a concept established in relation to the burnout of nurses’. Their duty to tend to sick and traumatised patients exposes them to pain and suffering daily, and thus many lose their ability to nurture. Supported by Pack and Roberts (2012), CF occurs when individuals are unable to continue bearing the trauma of others, consequently leading to a significant reduction in wellbeing and work capacity. Whilst CF has regularly been observed in a healthcare environment, no such research has been conducted in a sport and exercise context.