I felt the need to develop therapeutic relationships with service users so they felt they could put their trust in me that I was there to listen and talk to them not just care for them. Forster (2001) stated that, “In mental health nursing, a therapeutic relationship is defined as the relationship developed by two people essentially based on trust”. There is also a need of good interpersonal skills, communication and care skills when forming a therapeutic relationship. In order to develop a therapeutic relationship with a client, it is essential to identify the client needs, wishes, feelings, fears, strength and weaknesses which can interfere with understanding and providing care to the client (College of Nurses of Ontario (CNO), 2004). Effective communication is an important skill in nursing practice as it is a tool to uncover service users’ needs and facilitate care.
Background. Nursing students’ clinical learning experiences are important components of their professional development. Oral shift reporting serves several purposes and provides an opportunity for professional communication that supports both educational and social functions for nursing students during clinical practice. Design. A qualitative study.
It is also a common model of reflection widely used within the health professions. The reason of its popularity is that it is clear and precise and allows to synthesise description, analysis and evaluation of the experience helping the reflective practitioner to make sense of experiences and examine their practice. Gibbs (1988) expresses that to reflect is not enough, it must be put into practice so that the learning and new understanding is gained. Gibbs model of reflection not only prompts the practitioner to formulate an action plan but at the same time empowers the reflective practitioner to look at their practice and see what they would change in the future, how they would develop/improve their practice. I have tried to incorporate the model in the essay to facilitate critical thinking and relating theory to practice in the essay.
Introduction Background - The history of communication, what is communication, which definition(s) I am I going to accept in this essay and why are they important to nursing. - What are the fundamental principles of communication in nursing. - What am I accepting as the nurse’s role in communicating with patients. - Team work: The dynamics partnership between service provider and patient and contribution of inter professional and interagency team working in achieving affective seamless care. - Barriers to effective team working In this essay I will be using the Gribbs reflective cycle (Reid, 1994: see appendix 1) to structure my reflection on a clinical incident that occurred during placement.
It is evident that she is aware of barriers to effective communication. Additionally, it is made apparent that communication skills are vitally and fundamentally important in clinical practice. When there is effective communication it creates positive health practices. The need for a therapeutic relationship (patient-centred) is to be the main focus of the student/nurse. The key success in this role is accurate assessment of the patient’s needs, abilities and commitment to meeting them with sensitivity.
This paper also includes discussion of findings, and employment of above mentioned models in physical therapy practise and how it is use full while teaching students in health profession. KEY WORDS: Clinical reasoning, Diagnostic reasoning, collaborative reasoning. PT, is Msc Student, Physiotherapy (Musculoskeletal), School of Health and Biosciences, University of East London, Romford road, Stratford, London E15 4LZ. Clinical reasoning can be defined as “the ability to select and use information effectively in solving problems…a teachable cognitive skill independent of specific clinical knowledge.” (Elstein et al, 1978). Barker-Schwartz,
1. Introduction Significance of effective clinical teaching, some strategies to motivate staff nurses in conducting quality clinical teaching, and the ways to evaluate the effectiveness of the strategies would be discussed in the paper so as to improve the quality of clinical teaching from the perspective of a ward manager. Significance of Effective Clinical Teaching Effective clinical learning is the core of nursing education. The quality of clinical teaching can greatly affect the students’ competency, their personal development and either facilitates or hinders the students’ decision on whether to regard nurses as their lifelong career. Clinical placement can function as a gap between theory and practice in basic nurse education (McKenna, n.d.).
This theory has been used to help the new generation of nurses to view the human being as a whole with a connection between body, mind, spirit and the environment, understand transpersonal relationship, and create caring moments in nursing practice to improve patient care to obtain positive outcomes. Watson’s theory focus in caring as it must to remain constant. The words “human care” in Watson original book, was later changed to “human caring” or “caring” to describe transpersonal interaction, caring moments, and carative factors, elements of Watson’s theory (Watson, 2012). Watson describes caring as an intentional act from the nurses. In her theory, Watson emphasis that the nurse has
I will be a nurse; I will be taking care of people and helping them with their physical and emotional need and I will make them feel as much comfortable as possible. For me nursing is life, nursing is education, nursing is caring for people and understanding what patient is in need for; that is how I would define nursing. My main goal in this point of life is to finish my nursing education and become a good nurse. I am highly inspired by the nurses and their beliefs and the way of communication with patient here. My values will always consider patient first, for me patient’s need and interest is always my first priority, therefor altruism is greatest value for me as a part of nursing.
The student nurse will reflect on health promotion issues as this stood out to me in several areas, The student nurse discovered that although we can nurse a patient back to health it is so important to make the patient aware of how necessary it is for them to participate in their care by adhering to what is recommended to them by various members of the Multidisciplinary Team and the devastating consequences that the patient can encounter if advice is ignored. The student nurse will use the Gibbs (1988) reflective cycle, this encouraged thinking systematically about all phases of an activity. Gibbs (1988) is descriptive with regards to feelings, evaluation, analysis, conclusions and action plans, therefore ideal for this assignment. Although I experienced many different aspects of care regarding health promotions this assignment will concentrate mainly on a single event that will stay with me throughout my nursing career. According to Scottish Government (2010) Healthcare Quality Strategy for NHS Scotland, nurse’s carers and people at the heart of the healthcare and care delivery services should improve conditions in NHS Scotland and the care provided, on reading this strategy I understand a nurses responsibility, but the importance of patient participation in their own care is invaluable and the cooperation and communication with the Multidisciplinary Team is essential to complete patient care package to the highest standard.