Importance Of Establishing Therapeutic Relationship In Nursing Practice

The Significance of Reflection in Nursing Practice

Write a Reflection on NCAS clinical tool.

Understanding the strength and weakness of individual is important in nursing in order to improve the skill of the nursing professionals. Thus, the capacity to become reflective is an important part of nursing practice. Inclusion of reflection in the daily process of learning helps to understand the potentiality of a nursing professional and improve their ability to provide service in an effective manner (Lauren, 2013). It is important for the nursing professionals to recognize their mistakes in the practice and introduce effective intervention that could help them to develop their practice skill (Blais et al., 2015). It is important for the nursing professional to gather knowledge regarding the practice and use them in their fields in order to achieve desired outcomes (Abbott, Mc Sherry & Simmons, 2013). In the following assignment I have reflect on one of my experience that I have gained and script down it with the help of Gribb’s reflective model. The paper will provide idea about the positive and negative aspects of the experience and its contribution in improving my nursing skill.

Description:

The assignment is about understanding the process of establishing therapeutic and professional relationship and reflects on such experience. The event is about vital sign assessment of a patient by a nursing professional. The event has shown the effective way of maintaining the standard 2 of NMBA code of conduct and has provided knowledge about establishing therapeutic relationship with the patient. The nursing professional has maintained a polite and respectful behaviour towards the patient throughout the video. He has sustained a positive attitude and confidence in his body posture. The nursing professional has started the session through a light conversation with the patient that has helped the patient to adjust in the situation. Throughout the session, the nursing professional has maintained his polite and calm nature in order to communicate with the patient. It has made easy to gain the trust of the patient and the patient has seen to give his consent regarding the vital sign assessment. The event has shown the patient’s participation and gradually he has started liking the entire process. It was found in the event that, the nursing professional has effectively build therapeutic relationship with the patient based on respect, bonding and reliance for each other.

Feelings:

I was excited to encounter such an experience that has helped me to learn many things about establishing therapeutic relationship with the patient. The way of sustaining positive attitude and confidence of the nursing professional has surprised me. I was excited to see the way of approaching of the nursing professional. His strategy of involving the patient in a light conversation has made me understand the way of starting conversation with a patient for the first time. It was interesting to know about the importance of allowing the patient to speak for him or her. It was a delight to see the effort of the nursing professional in order to provide service in an effective manner. The event has encouraged me to ensure the patient safety and provide proper care in order to meet the satisfaction level of the patient. I was happy to learn the way of providing respect to the patient’s dignity and rights. I was excited after watching the video as it would help me to improve my communication skill and establish effective therapeutic relationship with the patient. I have decided to include such interventions in my practice in order to achieve expected outcomes.

Understanding the Process of Establishing Therapeutic and Professional Relationship

Evaluation:

The best part of the assignment is the video provided by the professor. It has provided a practical example of establishing therapeutic relationship with a patient. The nursing professional has started a light conversation with the patient in order to make him comfortable during the vital sign assessment. It has helped the patient to reduce the nervousness in presence of the nursing professional during the session. The nurse has used a polite and calm way of communication throughout the video. He has allowed the patient to share his experience in the health care centre. Such concern for the patient has helped the friendly behaviour of the nursing professional has helped him to gain the faith of the patient.  Due to the effort of the nursing professional, the patient was seen to be included in the vital sign assessment. It has helped the nursing professional to carry out the assessment without any difficulties. However, there is a negative part in the video, which is not acceptable. The patient was allowed to speak for him by the nursing professional and the patient has stated the issue regarding the stay in the hospital, but the nurse just replied “ok” and did not show any concern in order to resolve the issue. He should have been tried to understand the problem in depth and make an approach to the higher management to counter the issue (Arnold & Boggs, 2015). Otherwise, he has successfully established an effective therapeutic relation with the patient and it has a positive impact in understanding the way of develop rapport with the patient.

Analysis:

The standard 2 of NMBA provides the effective strategies of engaging in the therapeutic and professional relationship, as it is an important feature of nursing practice. It helps to understand the importance of establishing therapeutic relationship with the patient and nursing competency assessment or NCAS is the part of  nursing practice that provide the standard of ability to carry out vital assessment in nursing (Daly,  Speedy & Jackson, 2017). According to the Standard 2 of NMBA code of conduct, the nurses should effective therapeutic relationship helps to gain the trust of the patient (Registered nurse standards for practice, 2016). It helps the patient to ensure that, his dignity and rights are respected by the nursing professionals. Thus, the patient contributes in the assessment in an effective manner. The standard 2 has indicated that, the nurses should ensure the patient safety and engage with other health professionals in order to gather knowledge about the practice and provide effective person centred care (Ellis, 2016). According to the standard 2, the nurses should advocate behalf of the patient in an effective manner considering the autonomy and the legal capacity of the patient. The communication skill of the nurses should provide respect to the dignity, culture, beliefs and rights of the patient (Arnold & Boggs, 2015). In order to achieve expected outcomes, the nurses should use delegation, collaboration, referrals, supervision and coordination in their practice (LoBiondo-Wood & Haber, 2017). Such factors would help the nurses to establish therapeutic and professional relationship in an effective manner. It could help them to get the consent of the patient without any difficulties and could influence the patient in a positive manner.

The Positive and Negative Aspects of the Event

Conclusion:

It can be concluded from the above analysis that, standard 2 of NMBA code of conduct helps to understand the importance of the establishing therapeutic relationship with the patient and the nursing professional in the event has maintained all the effective way provided by standard 2. He has communicated with the patient in an respectful manner that has helped him to get the consent of the patient regarding the assessment. His effort in making the patient comfortable during the session is commendable and it has helped him to gain the faith of the patient. The experience has provided important information about developing rapport with the patient. It has helped me to understand the way of starting conversation with a patient. It has inspired me to engage in an effective therapeutic relation in order to achieve my target.

In order to improve my skill, I would gather more information about standard 2 of NMBA code of conduct in order to establish effective therapeutic relationship with the patient. I would involve in the workshop of improving communication skill. That could help me to understand the way of effective conversation (Alligood, Wood & Alligood, 2013). I would collect evidenced based articles to gather knowledge about the therapeutic relationship in nursing profession (Wood, 2013). It is desired that, the above actions would help me to establish myself as a successful nursing professional in future.

Reference:

Abbott, P., Mc Sherry, R., & Simmons, M. (Eds.). (2013). Evidence-informed nursing: A guide for clinical nurses. Routledge. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=Ta4PpT5uLL8C&oi=fnd&pg=PR3&dq=Abbott,+P.,+Mc+Sherry,+R.,+%26+Simmons,+M.+(Eds.).+(2013).+Evidence-informed+nursing:+A+guide+for+clinical+nurses.+Routledge.&ots=J2IX1F_PZp&sig=cbTUWPY38hqMap2sGtec-Y1nFpY&redir_esc=y#v=onepage&q&f=false

Alligood, M. R., Wood, A. F., & Alligood, A. R. (2013). The nature of knowledge needed for nursing practice. Nursing Theory-E-Book: Utilization & Application, 1. Retrieved from https://s3.amazonaws.com/academia.edu.documents/45051297/Nursing_Theory_Utilization___Application-2014_-_CD.pdf?AWSAccessKeyId=AKIAIWOWYYGZ2Y53UL3A&Expires=1527852059&Signature=ykmKDU95MsHSijO67m7T0N%2BNMdM%3D&response-content-disposition=inline%3B%20filename%3DNursing_Theory_Utilization_and_Applicati.pdf

Arnold, E. C., & Boggs, K. U. (2015). Interpersonal Relationships-E-Book: Professional Communication Skills for Nurses. Elsevier Health Sciences. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=7DAxBgAAQBAJ&oi=fnd&pg=PP1&dq=Arnold,+E.+C.,+%26+Boggs,+K.+U.+(2015).+Interpersonal+Relationships-E-Book:+Professional+Communication+Skills+for+Nurses.+Elsevier+Health+Sciences.&ots=uYtDR_uESs&sig=fPjMGPkkCO4HArnMZgX1Hk4Jh1A&redir_esc=y#v=onepage&q&f=false

Blais, K., Hayes, J. S., Kozier, B., & Erb, G. L. (2015). Professional nursing practice: Concepts and perspectives (p. 530). NJ: Prentice Hall. Retrieved from https://smrth1tyx01.storage.googleapis.com/MDEzMzgwMTMxNA==01.pdf

Daly, J., Speedy, S., & Jackson, D. (2017). Contexts of nursing: An introduction. Elsevier Health Sciences. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=xmclDwAAQBAJ&oi=fnd&pg=PP1&dq=nursing+and+midwifery+association&ots=_LKDI_tJSk&sig=_2f03-JpyLTwPasEdtashArLG9s&redir_esc=y#v=onepage&q=nursing%20and%20midwifery%20association&f=false

Ellis, P. (2016). Evidence-based practice in nursing. Learning Matters. Retrieved from https://books.google.co.in/books?hl=en&lr=&id=6BUFDAAAQBAJ&oi=fnd&pg=PP1&dq=Ellis,+P.+(2016).+Evidence-based+practice+in+nursing.+Learning+Matters.&ots=s1f09zpfjn&sig=1WzGpHp4qCZwXBMD84LlozgTLwY&redir_esc=y#v=onepage&q=Ellis%2C%20P.%20(2016).%20Evidence-based%20practice%20in%20nursing.%20Learning%20Matters.&f=false

Lauren Caldwell RN, B. S. N. (2013). The importance of reflective practice in nursing. International Journal of Caring Sciences, 6(3), 319. Retrieved from https://www.internationaljournalofcaringsciences.org/docs/4.%20us%20La.Caldwell.pdf

LoBiondo-Wood, G., & Haber, J. (2017). Nursing Research-E-Book: Methods and Critical Appraisal for Evidence-Based Practice. Elsevier Health Sciences. Retrieved from https://pdfs.semanticscholar.org/8ad8/974847fea448d2013120759523fd75311937.pdf

Wood, A. F. (2013). Nursing models: Normal science for nursing practice. Nursing Theory-E-Book: Utilization & Application, 13.