Nurse Client Relationship Essays

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Therapeutic Communication

Communication is the process of conveying information to each another using words, actions, or by writing the information down to be read by another person. Communication is something that most people do at some point each day, and is an important part of life especially in a working environment. “The concept of communication is an essential part of every profession, and it is required to foster and maintain healthy relationships”( Jasmine, 2009, para. 1).

Communication in the nursing practice and in healthcare is important because when talking with patients, their families, and staff, the nurse and the nursing student needs to be able to efficiently express the information that they want the other…show more content…

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Nursing students may not have the chance to develop optimal communication skills during their schooling because of time constraints, but having a chance to practice communication and decision making skills will lead to compassionate care giving and optimal patient outcome (Corless, Michel, Nicholas, Jameson, & Purtilo, Dirkes, 2009, para. 2).

Therapeutic Communication is an effective and very important step in the patient’s care and recovery process. The nurse’s use of therapeutic communication during patient care helps the nurse recognize the needs of the patient and view the patient as a whole person in order to promote complete healing. In a fast paced, high task clinical environment a nurse may not feel like time is available to interact with each patient under their care using therapeutic communication, but taking the time listen to the patient and to allowing them to express their feelings or concerns is an important part of establishing a nurse-patient relationship . Lack of using therapeutic communication by a nurse or nursing student while providing patient care may lead the patient to feel unattended to, or that they are not able to trust the nurse to provide them with quality care.

Although few studies have been conducted to examine patients’ view on nurses’ communication skills, it is common knowledge that a lack of


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can become more involved in their own care.In this piece of reection I did not have to obtain consent from patients as I generalised and have not discussed individualcases. However condentiality is of major importance whilst conrming a patient and it is essential that informedconsent is valid as each patient has the right to keep their caring need private. Riley (cited in Cutcliffe et al 2005, p304)suggests that therapeutic relationships are about patient’s disclosure of personal and occasionally painful feelings withthe nurse at a calculated emotional distance near enough to be involved but objective enough to be of help. Neal (citedin Hinchliffe et al 2003, p102) states that condentiality and trust are two sides to the same coin and trust is anotherimportant attribute to the therapeutic relationship as the patient will place their trust in the nurse. You can get expert help with your essays right now. Find out more...This element is important as in the nurse patient relationship the patient is in a vulnerable position. People become vulnerable whenever their health or usual function is compromised. This vulnerability increases when they enterunfamiliar surroundings, situations or relationships.Older patients and those with dementia are especially vulnerable. I felt on the placement the patient’s could put theirtrust in me as when taking personal information from patients I would ensure to the patient in the early stages of therelationship that information provided is treated as condential, but will be shared on a need to know basis, with othersinvolved in the delivery of their care.Even something as simple as when I put a patient on the commode and I inform them I will be back to check on them inve minutes I always return straight away as I told them and if I was tied up I would ask one of my colleagues to check on them this helps to maintain their trust in me.Chambers (cited in Cutcliffe et al 2005, p308) states that empathy is also an important feature to the therapeuticrelationship and suggests empathy is the ability to recognise and understand the patient’s feelings and point of view objectively. According to Riley (cited in Cutcliffe 2003, p93) empathy expressed verbally conveys caring, compassionand concern for patient’s but never implies that the nurse can fully experience patients feelings, also listening is animportant element as it is critical to hear what the patient is saying, verbally and non verbally. Smyth (cited in McQueen2000, p723-731) suggests that our personal experiences can make a contribution to their emotional work and ability toempathise and by reecting on personal experiences nurses may be better able to identify with patients. Whilst I was on placement and listening to the patients concerns and worries, using qualities mentioned by Hinchliff elat (1998, p225) of care, concern, compassion and respect I explained that it was a natural reaction to feel nervous andunsettled and this helped to lesson their underlying anxieties. In order to be genuine it was necessary to be honest andput some of my own feelings into the situation like getting into their shoes and trying to see things like emotions andexperiences from their perspective where possible.Chambers (cited in Cutcliffe 2005, p308) states that therapeutic relationship differs in terms of focus, length, depthand degree of closeness, regardless of this; they need to be grounded in respect for the patient. Getting the message of respect to the patient can be done in a number of ways as part of the therapeutic relationship like making sure that allconversations take place in private, whilst the doctors are doing ward rounds being present, listening and validating


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