Preview

THERAPEUTIC RELATIONSHIP

Best Essays
Open Document
Open Document
2921 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
THERAPEUTIC RELATIONSHIP
A STRUCTURED REFLECTION ON THE DEVELOPMENT OF A THERAPEUTIC RELATIONSHIP WITH A CLIENT In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in practice as a platform for judging one’s progress, strengths and weaknesses and also as a tool for appraising what went well during an intervention and what needs to be improved upon. Reflective practice is an important factor for nurses when building a therapeutic relationship with clients. Though this is essential in all nursing practices, it cannot be over emphasised in Mental Health nursing as this is based on quite a lot of understanding and trust between nurses and client. It is also now a respected and required learning and assessment method in many nursing programmes worldwide. The Nursing and Midwifery Council (NMC, 2008) requires nurses to keep knowledge and skills up to date throughout their working life. Considering the importance of clinical competence in the nursing profession, then it will suffice to say that reflection is an important tool in the nurse’s range of skills which aids the achievement and maintenance of clinical competence and performance (Mattews, 2004).
I have chosen to use the Gibb’s, (1988) reflective cycle as a model of reflection to help me systematically analyse the experience better for the purpose of this essay and for future practice. This model is made up of six stages depicted as a cycle which



References: Arnold E., & Boggs K.U (2003) Interpersonal Relationships: Professional Communication Skills for Nurses. (4th ed.) Missouri: Saunders Elsevier. Boyd E. & Fales A. (1983) Reflective learning: key to learning from experience. Journal of Humanistic Psychology 23(2), 99–117. Carper B. (1978) Fundamental patterns of knowing in nursing. Advances in nursing science, 1(1), 13-24. Chambers M. (1998) Interpersonal mental health nursing: research issues and challenges. Journal of psychiatric and mental health nursing 5: 203-211. Gibbs G. (1998) Learning by Doing: A Guide to Teaching and Learning. London: FEU. Gould E. & Mitty E. (2010) Mediation adherence is a partnership, medication compliance is not. Geriatric nursing 31 (4): 290-298 Jasper M Johns C. (1995) Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Journal of Advance Nursing, 22(2): 226-234. Matthews G., Roberts R. D., & Zeidner M. (2004) " Seven Myths About Emotional Intelligence". Psychological Inquiry, 15(3), 179-196. McCabe C. (2004) Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing, 13: 41–49. McHugh S Mental Capacity Act (2005): Code of Practice. National Institute for Health and Clinical Excellence (2009). NICE Clinical Guideline 76: Medicines adherence. Available at : www.nice.org.uk/CG76FullGuideline. (Assessed: 20 November, 2012). Nursing and Midwifery Council (2002) An NMC guide for students of nursing and midwifery. London Nursing and Midwifery Council (2004a) The NMC code of professional conduct: standards for conduct, performance and ethics Nursing and Midwifery Council (2004b) The NMC code of professional conduct: standards for conduct, performance and ethics. London. Nursing and Midwifery Council (2008) Guidiance on professional conduct. Peplau H. (1952). Interpersonal relations in nursing. New York: Putnam. Peplau H. (1992). Interpersonal relations: A theoretical framework for application in nursing practice. Nursing Science Quarterly, 5(1): 13-18. Siviter B. (2004) The Student Nurse Handbook. USA: Baillere Tindall.

You May Also Find These Documents Helpful

  • Powerful Essays

    Peplau, H. (1998) Interpersonal relationships in nursing. New York: Putman. Cited in Hinchliff, S., Norman, S. and Shober, J. (eds.) (2003) Nursing practice and health care. 4th ed. London: Arnold.…

    • 2673 Words
    • 11 Pages
    Powerful Essays
  • Best Essays

    Holistic Practitioner 2

    • 3345 Words
    • 14 Pages

    Nursing and Midwifery Council (2004) The NMC Code of Professional Conduct: Standards of Conduct, Performance and Ethics: London: Nursing and Midwifery Council.…

    • 3345 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    Nurse Prescribing

    • 2137 Words
    • 9 Pages

    Ellis,R. Kenworthy,N. Gates,B. (2003) Interpersonal Communication in Nursing: theory and practice. 2nd Edition London, Churchill Livingstone.…

    • 2137 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    In this reflection, I have utilized Gibbs (1988) Reflective cycle. This cyclical model is a recognized framework to assist with a critical reflection on practice. I chose to use this cycle because it will improve my nursing practice continuously, and learning from the experience for better and improved practice. Gibbs (1988) reflective model consists of six stages. Boyd and Fales (1983) offer a useful definition of reflection, suggesting that it is “the process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, and which results in a changed conceptual perspective.” According to Siviter, 2004, p165) explains that reflection is about gaining self-confidence, identifying when to improve, learning from own mistakes and behaviours, looking at other people’s perspective, being self aware and improving the future by from the past. However, having knowledge about reflection does not necessarily mean that nurses are able to use reflection in a meaningful way during practice. Self reflection helps nurses to learn about the actual practice of nursing and helps them to evaluate their own practice and performance. Reflection may also be prompted by more positive states, for…

    • 2274 Words
    • 10 Pages
    Powerful Essays
  • Best Essays

    Untitleddocument9

    • 1890 Words
    • 6 Pages

    The Nursing and Midwifery Council, 2010. Standards of conduct, performance and ethics for nurses and midwives. Available at: <http://www.nmc-uk.org/Publications/Standards/The-code/Introduction/> [Accessed: March 2, 2015]…

    • 1890 Words
    • 6 Pages
    Best Essays
  • Good Essays

    Jarvis Peter. (1992) Reflective Practice and Nursing, in Nurse Education Today, Vol. 12, No 3.…

    • 1126 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Stein-Parbury, J., (2009). Patient & person: Interpersonal skills in nursing (4th ed.). Chatswood, N.S.W: Churchill Livingstone Elsevier.…

    • 1815 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Reflection-Leg Ulcers

    • 2209 Words
    • 9 Pages

    In my context with the patient, it is important for me to improve the nurse-patient relationship. In this relationship, there is a sense of trust and a mutual understanding exists between a nurse and a patient that build in a special link of the relationship (Harkreader and Hogan, 2004). (Peplau 1952, cited in Harkreader and Hogan 2004) note that a good contact in a relationship builds trust as well as would raise the patient’s self-esteem which could lead to new personal growth for the patient. Besides, (Ruesch 2007) mention the purpose of the therapeutic communication is to improve the patient’s ability to function. So in order to establish a nurse-patient interaction, a nurse must show up caring, sincerity, empathy and trustworthiness (Kathol, 2003). Those attitudes could be expressed by promoting the effective communication and relationships by the implementation of interpersonal skills. Johnson (2008) define the interpersonal skills is the total ability to communicate effectively with other people.…

    • 2209 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    Nursing and Midwifery Council (2004). Code of Professional Conduct: Nursing, Midwifery and Health Visiting. London: NMC.…

    • 2908 Words
    • 12 Pages
    Powerful Essays
  • Best Essays

    Nutrtional Assessment

    • 1470 Words
    • 6 Pages

    Nursing and midwifery Council (NMC). (2008) The Code: standards of conduct, performance and ethics for nurses and midwives. London: Nursing and Midwifery Council.…

    • 1470 Words
    • 6 Pages
    Best Essays
  • Best Essays

    Gibbs Reflection

    • 3124 Words
    • 13 Pages

    Williams, B. (2001). Developing critical reflection for professional practice through problem-based learning. Journal of Advanced Nursing. 34; 27–34.…

    • 3124 Words
    • 13 Pages
    Best Essays
  • Best Essays

    Assessment of Pain

    • 2159 Words
    • 9 Pages

    Nursing and Midwifery Council (2008) The Code; Standards of Conduct, Performance and Ethics for Nurses and Midwives. London: NMC.…

    • 2159 Words
    • 9 Pages
    Best Essays
  • Powerful Essays

    Nursing and Midwifery Council (NMC) (2008) The Code: Standards of Conduct, Performance and Ethics for Nurses and Midwives London: NMC…

    • 2943 Words
    • 12 Pages
    Powerful Essays
  • Powerful Essays

    What Is Communication

    • 3582 Words
    • 15 Pages

    Elizabeth C. Arnold PhD RN PMHCNS-BC, 2006. Interpersonal Relationships: Professional Communication Skills for Nurses (Interpersonal Relationships)(5thedition). 5 Edition. Saunders.…

    • 3582 Words
    • 15 Pages
    Powerful Essays
  • Powerful Essays

    Master of Arts in Nursing

    • 27993 Words
    • 112 Pages

    Peplau, H. E. 1986. Interpersonal Relations in Nursing, cited by Torres, G. In Theoretical Foundations of Nursing. Norwalk, Conn: Appleton-Century-Crofts.…

    • 27993 Words
    • 112 Pages
    Powerful Essays