The Therapeutic Relationship A therapeutic relationship is a relationship which focuses on a client’s needs and is goal specific, theory-based and open to supervision as stated by Fletcher and Fontaine (1995). It can often be referred to as the nurse-client relationship. They also state that within the therapeutic relationship there is a ‘conscious process of working together toward mutually established goals’ and that this is referred to as a therapeutic alliance. Stein-Parbury (2005) mentions that there is a ‘common distinction’ between therapeutic relationships and social relationships, and that the professional relationship is ‘goal directed’. From this we can understand that therapeutic relationships are professional relationships rather than friendships and their sole purpose is to exist until that goal has been achieved.
These core concepts lead nurses to actions that guide their practice. Nurses incorporate these concepts as they review, formulate, and deliver nursing care (Brilowski & Wendler, 2005). Nursing is a common core concept of nursing theories. Comparing and analyzing the definition of the concept of nursing among theories helps to distinguish the differences between them. It is also important to know where and how theories can best apply to current nursing practice.
The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
Critique of Virginia Henderson: Need Theory Many theorists have come up with conceptual models that tried to define and explain nursing, one of which is by Virginia Henderson (1966). In this model, she stated that “the unique function of the nurse is to assist the individual, sick or well, in performance of those activities contributing to health or its recovery (or peaceful death) that he/she would perform unaided if he/she had the necessary strength, will or knowledge. And to do this in such a way as to help him/her gain independence as rapidly as possible” (Henderson, 1966). This paper presents an analysis and evaluation of Henderson’s nursing theory using Fawcett`s framework of analysis and evaluation of conceptual models of nursing (2000). The person as defined in Henderson’s model is all encompassing; it applies to the sick, the well and the dying.
This paper will describe a core concept that can be found in two theories and describe their commonalities and how they can be applied to nursing practice. Dorothea Orem's theory used four related concepts: self care, self-care agency, therapeutic self-care demand and self-care deficit, and two nursing concepts: Nursing agency and nursing system. Her theory states that nursing has special concern for the person's need for self-care action and provision and maintenance of the action on a continual basis to sustain health, recover from disease, and cope with the effects of the disease. Orem's definition of nursing identifies the creativity and analysis of information that contributes to the development of nursing systems to assist the patient. The validation of the requirement of nursing is that the person cannot maintain health and be free from injury and disease, and have the quality of self-care (Green, 2011).
8. Autonomy. As a profession striving to demonstrate the above principles, it provides a credible example of the importance of documented theories from which to guide the profession. There is a trilogy of factors that are considered in the development of nursing theory: theory, research, and practice. While each may seem mutually exclusive to the others, theory development depends upon the relationship between each of these factors and can originate with any of the three.
Nursing in the Community: Community-Oriented Practice, 3rd Edition Chapter 1: Community-Oriented Nursing and Community-Based Nursing MULTIPLE CHOICE 1. Which of the following best describes community-based nursing? a. A philosophy that guides family-centered illness care b. Giving care with a focus on the group’s needs c. Giving care with a focus on the aggregate’s needs d. Having the goal of giving optimal care to all clients By definition, community-based nursing is nursing that focuses on family-centered illness care to individuals and families in the community.
Delegation Examples in a Healthcare Care Setting Presentation Delegation Examples in a Healthcare Care Setting Presentation Slide 2 What is Delegation? According to the American Nurses Association and National Council of State Boards of Nursing, Delegation is the act of directing and overseeing another a competent person who is executing a nursing task or activity. Speaker Note: Delegation is important in nursing to be able to free up time for tasks are complex and cannot be delegated. It is way to work effectively as a team to provide safe and better care for the clients. Slide 3 The delegation process Familiarize yourself with the practice and organization Identify you own barriers Identify your team's strength and weakness
In order for a nurse to deliver patient focused care, they must first develop an effective nurse-patient relationship with the service users that they care for. This is important in order to ensure that the highest quality of care is provided to the patient. As, according to Sheldon (2009), a nurse-patient relationship is based upon the commitment of a nurse to work alongside their patient’s, in order to deliver personal and effective care which meets the identified health needs. Patient focused care involves the patient and nurse working together as a partnership and places the patient and their relatives central to decision making in regards to the planning, implementation and assessment of care. An equal nurse-patient relationship is important in order to ensure that safe, effective and personal health care is delivered and that the patients’ needs are appropriately met (The Health Foundation, 2012).
Although many patients in the long-term care setting are dependent upon the nursing staff for the majority of their care, nurses are in an important position to encourage the retention of as much self-care ability as possible. Previous research has suggested that self-care ability is correlated with feelings of health and well-being, a lower incidence of depression, and increased feelings of self-worth (Blair, 1999; Faucett, Ellis, Underwood, Naqvi & Wilson, 1990; Sacco-Peterson & Borell, 2004). A commonly held behavior in healthcare is to label the passive patient as “good” or cooperative. If nurses perceive the residents as having a passive role in their care, and are therefore reluctant to allow residents to make their own decisions, dependence is inadvertently encouraged. Using Dorothea Orem’s Self-Care Deficit Nursing Theory (S-CDNT), this paper will outline an implementation plan in the long-term care setting that emphasizes self-care plans tailored