THERAPEUTIC RELATIONSHIP

This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”

Burns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing - The growth of the professional practitioner. London: Blackwell Science.

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).

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).

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

Using College of Nursing of Ontario (CNO) documents, Registered Nurses Association of Ontario (RNAO) documents and four nursing articles the outline of a nurse-client therapeutic relationship will be defined through a John’s Model (Johns, 1995) and Carper’s ways of knowing (Carper, 1978).

Throughout all nurse to client-relationships the central component to being an effective nurse is to be able to establish a therapeutic relationship with their client. The RNAO states that “effective nursing practice is dependent on an effective therapeutic relationship between the nurse and the client.” (Registered Nurses Association of Ontario, 2002). By using the adaption of John’s (2006) Model of Structured Reflection, a clinical scenario including a nurse and a client will be analyzed for the nurse’s ability to create a therapeutic relationship throughout her interaction with the client.

It seems like the pharmacist and patient has known each other for a while, and all her family have been getting their prescriptions there. I came back with her prescription and the pharmacist let me take over the counseling part. I started asking the patient if she know what the medication is for and what information did the physician told her regarding the prescription. She told me she had an upper respiratory infection and the physician told her to take this prescription as directed on the label. I started telling her this prescription is for Azithromycin 250mg, the generic name for Z-pack, and it is an antibiotic to treat her infection and told her how to take it. I asked her if she has any allergies and is she taking any medications or supplements right now. She said she has no allergies and she’s on birth control, so I told her this antibiotic can decrease the effectiveness of birth control and she should use a second method of protection while she’s taking this. I also used the attached patient’s information sheets to point out some important information that she need to know and told her she can also read over it for additional information. I told her it is best to take this medication with plenty of

Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.

Personal reflection in nursing is essential and critical as it allows for continuous development and re-assessment of skills whilst working within a health care setting (Reflective practice: a tool to enhance professional practice 2011, pp.1-3). Personal reflection is important as reflective practice allows for the ability for one to reflect and examine their actions and experiences which overall will increase and enhance their clinical knowledge, as well as developing and improving their practice (Reflective practice: a tool to

The purpose of this assignment is to help clarify the meaning of therapeutic relationships. As a student nurse, I believe that it is my duty to empower my patients and fellow nursing students and staff by engaging in therapeutic relations building exercises. I believe communication is a vital task in nursing and it is essential to build trusting relationships which in turn yield a positive recovery in any patient’s condition. In this assignment I will express what I think therapeutic relationships mean. I will also address my strengths in building therapeutic relationships. Lastly, I will focus on the areas I need to improve or develop to better help my patients, their families and fellow health care team members.

Before beginning the helping session with my client, I held many positive beliefs about therapy and helping. From a young age, I always loved the idea of counselling and helping people. As a career, I chose to become an educator because I really want to help students and counsel them as they prepare for adulthood and life after school. I have many friends who tell me that I should be a counselor or helper because I am a good listener and I am good at offering advice. Many people feel as if they can confide confidential information with me. In essence, helping comes natural to me. Even when I was younger, people would comment on my authenticity which Rogers mentions is necessary in client-centered therapy. Overall, I believe

Naureen, I completely agree with your discussion. Individuals are not naturally able to divulge every little detail about their lives or the presenting problem in the initial therapy session. In fact, it may take months for a clients to fully open up. Sometimes through client reflection they start to discuss details and then things they are not even fully aware of come out or to the surface. From personal experience this has happened. Something that I wanted to keep withheld from my therapy session just came out without being fully aware. In the end I was grateful that it did and I developed a stronger therapeutic relationship with my therapist. However, this is a process and take time to develop. It is imperative that the therapist

In this assignment, it is required from the author to provide a critical reflection on a significant management, incident that was encountered in the clinical placement, to develop and utilize interpersonal skills to maintain the therapeutic nurse-patient relationship. Therefore, the Gibb’s (1988) model was used for the reflective writing as it is widely used by health professionals and is recognized as the framework of reflective writing. “Gibbs (1988) consists of six successive steps which includes; description of an event, feeling encountered, evaluation, analysis, conclusion and action plan for future practice” (Brooker & Waugh, 2013). Reflective practice is an essential tool used by nurses in the development of skills and knowledge

Solidarity is generally considered as a communicative approach to improve personal relationships. Individuals may express their feelings, attitude, opinions or belief which are rather indicative of an orientation towards solidarity (Koester, 2006). The core intention of individuals expressing solidarity is mutuality. The individuals convey their solidarity in different ways, which include expressing approval, showing interest, sympathy or claiming common grounds (Koester, 2006). In health care context, solidarity approaches in conversations were used the health professionals to attain various aims. For instance, it is used as a simple way for a medical professional to find out more about the