Therapeutic relationship and what are barriers to therapeutic

Full Answer Section

       

Conversation Example:

  • Nurse: "Hello, I'm [Your Name], and I'll be your nurse today. How are you feeling?"
  • Resident: "I'm not feeling well. My stomach hurts a lot."
  • Nurse: "I'm sorry to hear that. Can you tell me more about the pain?"
  • Resident: "It's a sharp pain, and it keeps coming and going."
  • Nurse: "That sounds uncomfortable. I want to help you feel better."

Positive Techniques:

  • Active Listening: Paying full attention to the resident's concerns.
  • Empathy: Showing understanding and compassion.
  • Validation: Acknowledging the resident's feelings.
  • Open-Ended Questions: Encouraging the resident to share more information.

3. Barriers Encountered

  • Language Barrier: If the resident speaks a different language, communication may be challenging.
  • Cultural Differences: Understanding the resident's cultural beliefs and customs can be important.
  • Cognitive Impairment: If the resident has cognitive impairments, communication may be difficult.

4. Therapeutic Communication Examples

Example 1:

  • Nurse: "It sounds like you're feeling anxious about the surgery. Is that right?"
  • Patient: "Yes, I'm worried about what might happen."
  • Nurse: "It's understandable to feel nervous before a procedure. I can help you manage your anxiety."

Technique: Reflecting the patient's feelings to show understanding.

Example 2:

  • Nurse: "I'm hearing that you're feeling frustrated with your pain. Is that correct?"
  • Patient: "Yes, it's getting worse, and I don't know what to do."
  • Nurse: "It's important that we work together to find a solution that helps you manage your pain."

Technique: Paraphrasing the patient's words to ensure understanding.

5. Self-Assessment

What I did well:

  • Active Listening: I focused on understanding the resident's concerns.
  • Empathy: I showed compassion and understanding for the resident's feelings.
  • Open-Ended Questions: I encouraged the resident to share more information.

Areas for improvement:

  • Cultural Sensitivity: I could have been more aware of the resident's cultural background.
  • Time Management: I could have managed my time more effectively to spend more time with the resident.

References:

  • American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements.
  • Leininger, M. (1991). Caring in Nursing: A Human Science Approach.
  • Peplau, H. E. (1952). Interpersonal Relations in Nursing.

Note: Please replace "[Your Name]" with your actual name and adjust the examples to reflect your specific clinical experience.

Sample Solution

       

Therapeutic Relationships in Nursing

1. Important Concepts and Barriers

Important Concepts:

  • Empathy: Understanding and sharing the feelings of another person.
  • Respect: Valuing the individual and their perspective.
  • Trust: Confidence in the other person's reliability and integrity.
  • Authenticity: Being genuine and sincere in your interactions.
  • Active Listening: Paying full attention to the speaker and showing understanding.

Barriers:

  • Prejudices and Stereotypes: Preconceived notions that can hinder effective communication.
  • Cultural Differences: Variations in communication styles and beliefs.
  • Lack of Trust: A feeling of distrust or suspicion.
  • Defensiveness: A protective response that can impede open communication.
  • Countertransference: The nurse's emotional responses to the patient.

2. Establishing a Therapeutic Relationship

Establishing a Therapeutic Relationship:

  • Introduction: Introduce myself and my role.
  • Active Listening: Pay close attention to the resident's concerns and feelings.
  • Empathy: Show understanding and compassion for their situation.
  • Validation: Acknowledge their experiences and emotions.
  • Open-Ended Questions: Encourage the resident to share their thoughts and feelings.

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