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.
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).
The nurse understands she has the knowledge of the disease process, and the patient has the knowledge of how the disease affects himself. The second phase of the relationship is the working phase, where the patient identifies who can help them with their health care problem. The nurse looks at the health care problem from the patient perspective and begins educating the patient on their health care problem, therefore the educated patient is better able to collaborate with the nurse to determine what interventions are necessary and acceptable to the patient to achieve a patient centered health related goal. The termination phase is the final phase of the theory, the nurse and the patient determine how the patient will maintain their progress and continue to work on the health care goals independently without the assistance of nursing. (Deane, & Fain, 2016).
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
One of the expected outcomes by the application of this theory would be “linking client-nurse interactive phenomena with client outcomes” (Byrd, 2006, p. 271). During this research Dr
Communicate Effectively: Explain a procedure or assessment prior to completing them: Give the patient a brief description of what you are going to do prior to completing the task. Patients do not like being startled, prodded, and poked. Refrain from using medical Jargon. Explain information to patients in laymen’s terms. Allow time for the patients to ask questions and answer questions appropriately.
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.
Each person is only one of a kind. According to Alligood (2010), The person is the patient with the unmet needs, and the nurse will use the deliberate nursing process to meet the needs of the patient. This process will be done by the nurse’s observation verbal and nonverbal cues (p. 340). The patient will be the center of care and will be a part of the care delivery and input.
When the patient becomes upset/agitated. Try and distract them from their feelings of anger by changing the subject or the environment. Ask the patient for help or suggest something productive (going for a walk).
I would always make sure before I begin the assessment by introducing myself, explain what I am going to do, why I’m doing it, how and when. Then I will consider not to stare down at the patient to long since it can be considered as a sign of disrespect. I will make sure not to touch her head before explaining myself because its considered impolite in Asian cultures. I will also ask about medications they take and other forms of treatments they may be using. For example, is she using herbal supplements, or other forms of alternative medicine. I will also make sure she understands what I am communicating to her. When people smile, it is sometimes a lack of understanding rather than agreement. I can write what I am trying to communicate with her or I can get an interpreter to assist.
By giving nurses a sense of identity, nursing theory can help patients, managers and other healthcare professionals to recognize the unique contribution that nurses make to the healthcare service (Draper 1990).Hildegard Peplau, one of the role model of nursing theorist, established a theory of interpersonal relationships in nursing. Her reason is the goal of the nurse-client relationship is to give a quality nursing care moving forward to health promotion and maintenance. The purpose of this paper is to conduct a basic assessment of her theory.
This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)
Within nursing, there is a very delicate balance between a nurse and her patient that must be maintained if the patient is to receive the care that he or she is entitled to receive. The patient must feel comfortable trusting his nurse to hear his needs and respond to them appropriately and in order for this to be the case, the nurse must first provide therapeutic communication effective enough to elicit such a response in her patient. There are both verbal and non-verbal components within the nurse-patient relationship. These components greatly influence how a nurse and patient will relate to each other and, ultimately, greatly influence the care that the patient receives.