Posted at 04.10.2018
This reflective article aims to recharge critique and develop existing knowledge and knowledge of communication techniques and how these transferable skills and solutions can build therapeutic relationships with a patient that is within the scope of professional boundaries. This essay identifies in a job play online video the different methods to building therapeutic associations and traces the obstacles that avoid the nurses from engaging in such a romantic relationship. As well as the above, it provides an analysis of both vignettes critically reflecting on the therapeutic skills and solutions. It will attract on my own personal experience from professional medical practice and the skills developed with the assistance of Borton's reflective model.
It is indispensable that nurse's looking after children, adolescents, men and women and their families develop and keep maintaining effective communication techniques as it makes it central to the provision of compassionate, trusting and collaborative healing interactions. Reflecting and critiquing may very well be an in-depth examination reviewing an experience so each stage can be explained, explored, assessed and become accordingly used to inform and change future practice. Evaluating the primary communication skills and methods to building therapeutic associations determined in the video recording, it is clear to tell apart between who is a good nurse and who is not. The nurse's in the video tutorial should provide as client advocates and within an interdisciplinary team whose members may have different ideas about priorities of health care. The techniques utilized by the first nurse were poor and her approach created a nerve-racking romance between nurse and patient. In the beginning, the nurse doesn't offer any form of popularity which is easy to criticize as acknowledging the individual and indicating awareness of change could have shown that the nurse saw Mrs. Miller as an individual. Providing information such as "Hello, My name is. . . " can build trust which is type in later on building a therapeutic romantic relationship and building a better rapport.
Mrs. Miller was "really uncomfortable" as she was left unattended too forever. The nurse exhibited non- receiving gestures such as rolling her eyes and not maintaining eyesight contact. Non-accepting gestures can create barriers between nurse and patient as it could imply to them that the nurse doesn't have a genuine involvement in their requests and make them feel like the nurse is rejecting not only their communication but also themselves. If she got expressed an receiving gesture towards Mrs. Miller it would have conveyed that the nurse recognised and empathised with her whilst concurrently following the teach of thought. Examples of this include mind nodding, eyesight contact, and non-judgemental cosmetic expressions. A crucial component in healing nursing is dynamic being attentive. The nurse does not gratify this useful approach as she and the individual seem to constantly talk over one another. When actively hearing, a nurse can hear and understand what the patient is saying, which moreover allows for the proper interpretation and translation of the particular patients expressing. Silence can enable this as it permits the individual to concentrate on the issues that are of all importance and it stimulates the person to put thoughts and sensing into words only when the nurse is being attentive passively and attentively.
A consumer and nurse relationship can be characterised as a relationship where both interact to enhance the patient health position and fulfil purposeful targets where they agree about the nature of the situation, develop and execute a plan made to reach the targets which in this case is a comfort and pain relief. Reflecting on the dos and don'ts in the video tutorial, the nurse shouldn't have procrastinated the patient's fair request. Being a nurse, she didn't offer herself to help or appear thinking about what the individual thought. A confident outcome in developing their relationship may have occurred if she experienced offered her full attention, interest, and desire to understand, without challenging anything from Mrs. Miller, giving the offer unconditional. When Mrs. Miller expressed "I didn't sleep all night and I maintained humming the buzzer and the nurse would not come in", the nurse didn't refrain from showing a negative response as she immediately crossed her forearms and said, "Well you're not the one patient I've today". This is a very defensive and judgemental gesture. Research demonstrates being defensive prevents the individual from expressing their true concerns and it is a failure in considering the patient's thoughts whilst also making them feel as if they need to defend a position, all while the nurse is just safeguarding herself from weakness. A restorative connection between your nurse and Mrs. Miller in the first vignette did not form as the introduction of their romantic relationship for the nurse demonstrated a challenge and it felt she does not have the skills to cope with difficult reactions from her patients.
Each experience linking nurse and patient whether short or extended can be an opportunity for curing. Evaluating the next event for different healing techniques and communication barriers, it was uncomplicated to identify the activities and connections that enhanced the development of this nurse and Mrs. Miller's romantic relationship. In the beginning of the vignette, the nurse recognized the patient giving recognition i. e. "Mrs. Miller, you were relaxing. I didn't want to disturb you". You can view that respect for this nurse is vital to the health care and quality of any patient's experience, where each component of the individual is recognized and appreciated. Almost immediately the nurse sits down offering herself and offering her occurrence, interest, and desire to comprehend. The nurse positively listens to Mrs. Miller and indicates an agreeing to response without placing her own values or judgements. Being attentive is a hard skill as it requires you to eliminate any external noise and focus your attention on all the verbal and non-verbal information. Mrs. Miller claims how she's a biopsy technique to get done and the nurse effectively takes on the role of the functioning tool person by causing the information open to her which increased her understanding of the biopsy technique and ready her for what things to expect, i. e. "They will put you to rest with anaesthesia". This appeared to improve the wholeness and wellbeing of Mrs. Miller and facilitate in building trust between nurse and patient. Sense as if this wounderful woman has someone to confide in, Mrs. Miller detailed an experience she acquired with a nurse on the night move as "rude and terrible" so when she'd come in, "she would just keep her mind in" and leave. The nurse passively listens, a skill which involves being present non-verbally, retaining vision contact whilst brain nodding and then she positively listens by reflecting and directing questions back again to Mrs. Miller by restating what she possessed said "and that means you felt as if you weren't cared for?. This approach conveys to Mrs. Miller that the nurse has listened and comprehended the particular client's basic message was whilst also allowing for her to get a clearer idea of what she has said. After Mrs. Miller discovered her ordeal in the hospital during the night, the nurse demonstrated compassion towards her by placing her hands on hers and expressed her sincerest apologies, "I am so sorry that occurred for you". A critical component of therapeutic medical and communication is the function of touch. The laying on of hands and touch can display care and attention and empathy but it is also central to the thought of healing.
The nurses use of various healing and communication methods to help Mrs. Miller communicate her idea's and feelings in a manner that demonstrates value and acceptance allowed the development of a therapeutic relationship between nurse and patient, which was solely affected in a positive way by their connections. It is not hard to say that from the video even simple encounters such as this one can be healing. Patients can work out when pressured about upcoming techniques or if they're in pain but it needs an adult and patient nurse to copy their skills and knowledge with the healing use of your respective self to answer in healing ways in less than ideal situations.
My clinical nursing practice experience in Parklands good care home provided me with the chance to use real patients, experience a nursing home environment that i may now pursue once I've earned my level and it offered me the opportunity to learn how to utilize fellow nurses and other people of the medical team, but most importantly it provided me with numerous occasions to deliver individualised and all natural care through restorative touch. Below you will see subheadings predicated on Borton's 1970's Reflective construction, where I have critically reviewed how I developed the utilization of therapeutic touch in my own placement.
What? : What I have learned is that there surely is a required need for other alternatives to pharmacological therapy among older adults with dementia due to their harmful side effects. The healing use of touch offers a non-pharmacological treatment which can decrease behavioural symptoms such as restlessness. What astonished me was the way the use of touch can offer a healing impact and make the residents feel my "caring nature" and what I hoped for at Parklands was for the residents to believe that I took into consideration all their needs.
So what? : So, the key message I have gained a knowledge in within my experience is that touch is a medical intervention and so, what I have learned is the fact residents were more attentive to a good listener, touch and a reassuring expression as it communicated to them which i cared, especially as the therapeutic use of touch affectionately transmits heat.
So, what I have to know more about is that with touch there should be acceptability and this may vary from person to person as I must take into consideration their culture and background. Experience in completing more clinical procedures will develop my self-awareness.
Before I used to believe touch was an invasion of privateness and could be interpreted wrongly as 'intimate' to the resident. So, the ideas of what I possessed previously thought about touch have modified as it could help in comfort and therapeutic.
Now what? : Now what I can do with my new perception is connect with my patients by offering myself with a straightforward software of touch which portrays a genuine interest. Experience will be beneficial as I will be enhancing my self-awareness and knowledge base around the use of healing touch and this will give me self confidence when interacting with members of the multidisciplinary team and patients themselves.
Reviewing both vignettes revealed how each experience we have with this patients can be healing and helpful but also damaging and unfeeling. Mastering the skills necessary for developing a healing marriage is a lifelong process assisted by reflection which may be seen as an impersonal scrutiny and appreciated judgement of your work or another's using a target way which is to focus on you or your colleague's talents and weaknesses. When interesting a therapeutic relationship and effectively using the several solutions and techniques such as touch, active listening, and acceptance you can help your patient achieve tranquility, peace of mind, body, and spirit.