The central theme of this essay is the therapeutic relationship between a nurse and patient and to discuss one of the attributes identified in the National Competency Standards of Registered Nurse (NMBA 2006) and to illustrate the impact it has on the role of a future registered nurse when it comes to building, maintaining and concluding a relationship with a patient from the Horizon Hospital. In this assignment, the standards and practices of professional boundaries and therapeutic relationships are explained and illustrated with examples of therapeutic and non-therapeutic relationships between nurse and patient. Mary Young, a client at the Horizon Hospital will be included in the discussion and will prove as an example from the standpoint of an indigenous person and the correct approaches to take when giving therapeutic care. Another point that will be emphasised in this essay will be communication and the importance it has when trying to begin establishing that nurse-patient relationship. The phases of the therapeutic nurse patient relationship will also be discussed in this essay.
Therapeutic relationships also known as nurse-patient relationships refer to the relationship between a healthcare professional and their patient; it is the foundation of nursing practice. As a future nurse, it is fundamental to have a basic understanding of what it means to provide therapeutic relief and how to correctly and appropriately communicate with patients. If a relationship is not
Nurses actively preserve the dignity of people through practiced kindness and respect for the vulnerability and powerlessness of people in their care… This vulnerability creates a power differential in the relationship between nurses and persons in their care that must be recognised and managed.7 A diagram representing a continuum of professional behaviour provides a picture of therapeutic versus non-therapeutic behaviour in the relationship between the nurse and the persons in their care.8
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).
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic
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
Firstly, a challenge that the nurse may face are the cultural differences in non-verbal communication. For example, “maintaining eye contact during conversation [conveys] respect” in American culture (Potter, 2014, p. 247). However, eye contact is “considered intrusive, threatening, or harmful” in Aboriginal culture (Potter, 2014, p. 247). Whereas patients in Western culture are expressive, Aboriginal patients often control their affect to maintain a calm demeanor (Eliopoulos, 2010, p. 30). Secondly, another challenge that the nurse may face is a language barrier. For instance, the nurse may be unable to communicate with the Aboriginal client in their native language. Alternatively, the Aboriginal client may unable to communicate in a common language with the nurse. Thirdly, a challenge that the nurse may face is the consolidation of traditional Aboriginal and Western healing practices. For instance, Aboriginal culture emphasizes the role of “energy and nature” in the healing process (Potter, 2014, p. 243). However, Western culture has only been recently introduced to this concept (Potter, 2014, p. 243). Whereas Western medicine emphasizes the use of pharmaceutical drugs, traditional Aboriginal medicine “promotes harmony within a community and in the physical and spiritual worlds through sweating and purging,
As a healthcare professional a therapeutic relationship is fundamental in providing quality patient care. The Nursing and Midwifery Board of Australia (NMBA) National Competency Standards for a Registered Nurse (2006) emphasises Collaborative and Therapeutic relationships as one of the four main domains which make up the standards. The assignment will explore one specific quality on establishing, maintaining and appropriately concluding a therapeutic relationship in relation to a Horizon Hospital and Health Service client, in this case Mary Young. The specific attribute chosen is ‘establishes rapport with individuals/groups that enhances they ability to express feelings, fosters an appropriate context for expression of feeling.’ This attribute is crucial in having the guiding principals for a safe professional practice.
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.
Initiating, maintaining and effectively performing interpersonal relationships with patients in primary health care is important when engaging in a professional, therapeutic manner according to the ‘Competency Standards Of Registered Nurses.’ (NMBA 2006) Throughout the endurance of their professional lives, nurses are expected to interact with a variety of different people from, and in different contexts. Therapeutic and
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.
Relationship refers to having meaningful relationships. Relationships are considered the basis of nursing and a moral imperative of entering into a relationship with the patient. The relationship starts when the nurse identifies a patient need and is motivated to help. Trust, intimacy and responsibility play an essential role in a
The therapeutic nurse-patient relationship is known as a close and consistent connection approaching during patients’
• The therapeutic relationship between nurse and patient is fundamental to nursing practice, and is based on trust, understanding, compassion, and support. It
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