What are the 4 phases of therapeutic nurse-patient relationship?
What are the 4 phases of therapeutic nurse-patient relationship?
Hildegarde Peplau describes four sequential phases of a nurse-client relationship, each characterized by specific tasks and interpersonal skills: preinteraction; orientation; working; and termination.
What are the therapeutic impasses?
The term therapeutic impasse may be used to describe a number of situations that can arise in psychotherapy. Impasses can occur as a result of disagreement between the therapist and client, unacknowledged issues within therapy, or stagnation in therapy. When an impasse first occurs, therapy stops making progress.
What are the implications for the nurse-patient therapeutic relationship?
A therapeutic relationship with the patient, which includes effective communication and information-sharing, will assist the nurse in understanding the patient’s preferences regarding their environment, enabling them to feel safe and to trust in the care being provided.
What are the factors that hinder good nurse-patient relationship?
Results: According to data analysis, facilitative factors between nurses and families’ communication consisted of spiritual care, emotional support, Participation, notification and consultation and barriers that were misunderstandings regarding treatment, job and patient difficulties.
What are barriers to therapeutic communication?
Barriers to therapeutic communication include challenging, probing, changing the subject, defensiveness, false reassurances, disagreeing, judgments, rejection and minimization, and stereotyping.
What are 3 important characteristics of the nurse-patient relationship?
The five key components of the therapeutic nurse-client relationship are professional intimacy, power, empathy, respect and trust. Regardless of the context, length of interaction and whether the nurse is the primary or secondary care provider, these components are always present.
What is transference and countertransference?
Countertransference, which occurs when a therapist transfers emotions to a person in therapy, is often a reaction to transference, a phenomenon in which the person in treatment redirects feelings for others onto the therapist.
What is a therapeutic conversation?
Therapeutic communication is an in-person communication technique that provides exceptional physical and emotional care to a patient. Professionals can use therapeutic communication to establish trust and rapport with patients.
How can conflict impact on therapeutic relationships nursing?
It contributes to both the patients’ well-being and their health. Conflict can impede these collaborative relationships by not allowing the nurse to fully support the patient in attaining his or her health goals (CNO, 2006). Good communication or conflict resolution skills can decrease the risk of conflict.
Why is the therapeutic relationship so important in nursing?
The Therapeutic Relationship (TR) is one of the most important tools at nurses’ disposal, especially in mental health nursing. Adequate establishment of the therapeutic relationship increases the efficacy of any nursing intervention in the acute mental health setting [3].
Which is most important factor in therapeutic nurse patient relationship?
Empathy is another component that is essential to a therapeutic nurse-patient relationship. When a nurse shows empathy, she demonstrates that she understands a patient’s feelings. To effectively show empathy, a nurse must be able to pick up on verbal and non-verbal cues shared by the patient.
What factors influence communication in nursing?
Factors influencing communication
- Perceptions.
- Values.
- Emotions.
- Socio-cultural background.
- Knowledge.
- Role and relationships.
- Environment.
- Space and territoriality.
How vulnerable is the nurse to the patient?
Conclusion: The patient’s need for help from the nurse opens the patient to engage in supportive and/or harmful encounters. Thus, dependency adds to the vulnerability related to health issues. The nurse’s vulnerability lies in her engagement in caring for the patient.
What are the challenges of therapeutic nurse-patient relationships?
The termination of a therapeutic nurse-patient relationship can also be challenging. The patient may feel a level of anxiety as they move away from the supportive relationship. A nurse must be aware of the patient’s emotions, yet firm in her communication.
How can nurses ensure a patient-centered relationship with patients?
The difference in personal information the nurse knows about the patient versus personal information the patient knows about the nurse creates an imbalance in the nurse–patient relationship. Nurses should make every effort to respect the power imbalance and ensure a patient-centered relationship.
What is the core of vulnerability in nursing?
If failing to provide proper care, the nurse’s existence as ‘a good nurse’ is threatened. This is exacerbated if the patient turns against the nurse. Therefore, the core of vulnerability seems to lie in the fact that the patient and the nurse are both striving to be the persons they want to be, and the persons they have not yet become.
