THERAPEUTIC RELATIONSHIP

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A STRUCTURED REFLECTION ON THE DEVELOPMENT OF A THERAPEUTIC RELATIONSHIP WITH A CLIENT In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in…show more content…
On a second thought I decided to tell my mentor what had happened. McCabe, (2004) has demonstrated the value of patient-centred communication in facilitating a positive nurse-patient relationship towards the delivery of quality nursing care so in that light my mentor suggested we meet with Trisha in private and discuss the incident. She admitted that she has never liked the size of the tablet and we offered to ask the doctor to prescribe her a dispersible alternative to which she readily agreed. I am pleased to now see her take her medication without anymore dislike for it because of its size. This means she no longer misses out on a vital part of her prescription. After the incident, my nurse- patient relationship with Trisha suffered as she struggled to trust me again. FEELINGS With respect to my feelings, for the first few minutes after the incident, I struggled over the decision to inform my mentor about what I had witnessed or otherwise. I found it particularly challenging because as a first year student on my very first clinical placement, I had little or no clinical experience yet. I can relate this feeling to Carper’s (1978) fundamental pattern of knowing in nursing in which “during the personal way of knowing, the practitioner responds to situations in terms of their own mental models, vision,
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