Tai Cam Case Paper

Not all patients are capable of independently identifying and articulate their care needs, so the nurse also adapts the role as an advocate. Clarity and continuity in a trusting environment enables good communication. Progressive identification of needs takes place as nurse and patient communicate with one another in the interpersonal relationship (Peplau 1988, p. 84). Being considerate to the needs and vulnerability of patients is a moral attribute, as nurses are accountable for the care they deliver.

Orientation Stage—involves nurses learning about patients and they initial concerns and needs. Patents also learn about the role of the nurse. Patents are informed about the general purpose of taking with the nurse. The initial purpose is plainly: identifying a problem on which you want to work, helping you figure out what has been happening to you lately, or getting to know what has been bothering you. This first stage is about building trust first before moving on to your initial assessment. Afterwards the nurses job is to manage the patients emotions and providing support and structure to the pt.

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.

There are four phases between the nurse and the patient relationship. The phases include orientation, identification, exploitation, and resolution. In reference to the orientation phase, this is introduced by the nurse. During this phase, the nurse and the patient become familiar with one another, as well as establish a dependable relationship. The following phase, identification, starts to recognize the issues to be incorporated into the relationship. For instance, the main goal is to assist the patient in identifying his or her own responsibilities in the treatment plan, in addition to advocating for interdependence and contribution. During the exploitation phase of the nurse-patient relationship, the nurse and

Effective nursing practice is in need of on an effective therapeutic relationship between the nurse and the client. This instruction addresses the qualities and capacities of an effective therapeutic relationship, the state of knowledge, and the information needed to be effective. To implement a therapeutic relationship effectively, hospitals characteristics must be supportive. The therapeutic relationship is also known as the helping alliance and it refers to the bond between a healthcare professional and a client. It is the means of professional hopes to involve with, so as to change the outcome result of the client. This relationship is significant to the client’s orientation

This theory describes the different phases that a nurse-client relationship goes through. The phases that my patient and I will most likely be working in are the orientation and the identification phases because our relationship will be new. Our interaction will focus on building a mutual trust and understanding, as well as answer basic questions as to why my patient is here and things that she has been struggling with. Depending on how long my patient has been in the program, she may be open to exploring more of her feelings and sharing more about herself with me. Focusing on developing a good nurse-client relationship will help me during my interaction with my patient and will help me understand her needs better.

As a nurse, an important part of the job is to be caring and helpful for the physical and mental aspects of the patient. The ideas of Jean Watson 's Caritas Processes help define how a nurse can show caring in themselves to their patients. Watson names the eight processes; then define they mean which is key to understanding how a nurse should act to their patients. The book as We Are Now by May Sarton helps show some examples of how these processes work in action and helps to form ideas of how one can improve as a nurse in the future.

Creating a safe environment, promoting trusting nurse-patient relationship, and increasing patient’s quality of life are result of implementing this theory in practice. Even though creating a change in nursing practice might be challenging, but it is doable by identifying the goal, pathway to reach the goal, education, trainings, and using evidence based practice. The main point of creating a therapeutic communication is to build a trusting nurse-patient relationship, decreasing nurse and patient’s anxiety level, increasing the level of care and patient’s quality of life. (Jasmine,

In this assignment, the author has chose to critically analyse a situation where a second year nursing student Catherine, who is on a 7 week clinical placement is having an issue when communicating with patients at times.

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

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.

Thank you all, for your responses. Jean Watson’s philosophy of nursing revolves around the concept of caring within nursing. The major conceptual element of the theory mainly focuses on the ten carative factors. Other important concepts include the transpersonal caring relationship, the caring moment/occasion, and caring-healing modalities (Parker and Smith, 2010, p.353).

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

A therapeutic relationship is a professional, inter-personal alliance in which the nurse and client join together for a defined period to achieve health-related treatment goals (Chauhan & Long, 2000), which may only last for a short period of time but