Communication Strategies for Therapeutic Relationships

Communication Strategies for Therapeutic RelationshipsThis wistful essay aims to refresh critique and develop existing knowledge and accord of chat techniques and how these transferable skills and begines earth-closet build curative family races with a affected role that lies within the scope of professional boundaries. This essay identifies in a role play video clip the different approaches to building remedial relationships and traces the barriers that keep the suck ins from engaging in much(prenominal) a relationship. In addition to the above, it put ups an digest of both vignettes critically reflecting on their therapeutic skills and approaches. It go out draw in on my own someoneal experience from clinical practice and the skills veritable with the assistance of Bortons reflective model.It is indispensable that hold dears caring for children, adolescents, adults and their families develop and maintain effective communication techniques as it stains it cent ral to the provision of compassionate, boldnessing and collaborative therapeutic relationships. Reflecting and critiquing can be viewed as an in-depth examination reviewing an experience so separately stage can be described, explored, assessed and be accordingly employ to protest and change future practice. Evaluating the main communication skills and approaches to building therapeutic relationships identify in the video, it is clear to distinguish between who is a good aro call got and who is not. The controls in the video should serve as client advocates and as violate of an interdisciplinary team whose members may have different beliefs to a greater extent or less priorities of veneration. The techniques exercised by the number one go down on were poor and her approach bring forthd a trying relationship between concur and patient. In the beginning, the care for doesnt offer some(prenominal) form of recognition which is easy to criticize as acknowledging the pa tient and indicating sensation of change would have shown that the maintain saw Mrs. Miller as an individual. big(p) information such as Hello, My name is can build trust which is key in later on forming a therapeutic relationship and building a better rapport.Mrs. Miller was really un restable as she was left unattended too all night. The nursemaid exhibited non- accepting gestures such as rolling her mettles and not maintaining eye contact. Non-accepting gestures can create barriers between nurse and patient as it can imply to them that the nurse does not have a genuine interest in their requests and make them feel interchangeable the nurse is rejecting not only their communication only if also themselves. If she had expressed an accepting gesture towards Mrs. Miller it would have conveyed that the nurse recognised and empathised with her whilst simultaneously following the train of cerebration. Examples of this include head droopy, eye contact, and non-judgemental facial expressions. A critical component in therapeutic nursing is active comprehend. The nurse does not fulfill this useful technique as she and the patient seem to continuously talk over each other. When actively listening, a nurse can hear and understand what the patient is saying, which more(prenominal) classically allows for the proper interpretation and translation of what the patients expressing. Silence can modify this as it allows for the patient to focus on the issues that are of most wideness and it encourages the person to put thoughts and feeling into intelligence informations only if the nurse is listening passively and attentively.A client and nurse relationship can be characterised as a partnership where both work together to advance the patient health status and fulfil purposeful objectives where they agree about the nature of the problem, develop and implement a plan designed to stool the objectives which in this case is a comfort and pain relief. Reflecting on the country and donts in the video, the nurse shouldnt have procrastinated the patients reasonable request. As a nurse, she didnt offer herself to help or seem interested in what the person thought. A positive out numerate in developing their relationship could have occurred if she had offered her near attention, interest, and desire to understand, without demanding anything from Mrs. Miller, leaving the offer unconditional. When Mrs. Miller expressed I didnt stop all night and I kept buzzing the buzzer and the nurse would not come in, the nurse didnt refrain from showing a oppose response as she immediately crossed her arms and said, Well youre not the only patient I have today. This is a very interpreting and judgemental gesture. Research shows that being defensive prevents the patient from expressing their true concerns and it is a nonstarter in considering the patients feelings whilst also fashioning them feel as if they need to defend a position, all while the nurse is just protecting herself from weakness. A therapeutic connection between the nurse and Mrs. Miller in the first vignette did not form as the development of their relationship for the nurse proved a challenge and it seemed she does not have the skills to cope with tall(prenominal) reactions from her patients.Each experience linking nurse and patient whether short or wide is an opportunity for mend. Evaluating the second episode for different therapeutic techniques and communication barriers, it was straightforward to highlight the experiences and interactions that enhanced the development of this nurse and Mrs. Millers relationship. In the beginning of the vignette, the nurse acknowledged the patient by giving recognition i.e. Mrs. Miller, you were resting. I didnt trust to disturb you. You can see that respect for this nurse is crucial to the care and quality of a patients experience, where each component of the person is recognised and valued. nearly immediately the nurse sits down offering herself and giving her presence, interest, and desire to understand. The nurse actively listens to Mrs. Miller and indicates an accepting response without inserting her own values or judgements. Listening is a difficult skill as it requires you to eliminate any external noise and focus your attention on all the verbal and non-verbal messages. Mrs. Miller states how she has a biopsy procedure to get done and the nurse efficaciously plays the role of a functioning resource person by making the information available to her which increased her knowledge of the biopsy procedure and prepared her for what to expect, i.e. They will put you to sleep with anaesthesia. This seemed to enhance the wholeness and wellbeing of Mrs. Miller and drive in building trust between nurse and patient. Feeling as if she has someone to confide in, Mrs. Miller described an experience she had with a nurse on the night shift as rude and awful and when she would come in, she would just stick her head in and leave. The nurse passively listens, a skill which involves being present non-verbally, maintaining eye contact whilst head nodding and then she actively listens by reflecting and directing questions back to Mrs. Miller by restating what she had said so you felt like you werent cared for?. This approach conveys to Mrs. Miller that the nurse has listened and understood what the clients basic message was whilst also allowing for her to get a clearer idea of what she has said. After Mrs. Miller revealed her ordeal in the hospital during the night, the nurse showed compassion towards her by placing her hand on hers and expressed her sincerest apologies, I am so sorry that happened to you. A critical component of therapeutic nursing and communication is the act of speck. The laying on of hands and undertone sensing can build care and empathy further it is also central to the idea of healing.The nurses use of sundry(a) therapeutic and communication approaches to help Mrs . Miller express her ideas and feelings in a management that demonstrates respect and acceptance enabled the development of a therapeutic relationship between nurse and patient, which was solely influenced in a positive way by their interactions. It is easy to say that from the video even brief encounters like this one can be therapeutic. Patients can act out when tonic about upcoming procedures or if they are in pain but it requires a mature and patient nurse to transfer their skills and knowledge with the therapeutic use of ones self to respond in healing ways in less than ideal situations.My clinical nursing practice experience in Parklands care home provided me with the opportunity to work with real patients, experience a nursing home environment which I may now chase after once I have earned my degree and it offered me the chance to visualise how to work with fellow nurses and other members of the healthcare team, but most importantly it presented me with numerous moments t o deliver individualised and holistic care by the use of therapeutic tracing. Below there will be subheadings based on Bortons 1970s Reflective framework, where I have critically reviewed on how I developed the use of therapeutic touch in my placement.What? What I have learned is that there is a required need for other alternatives to pharmacological therapy among older adults with dementia due to their harmful side effects. The therapeutic use of touch offers a non-pharmacological treatment which can decrease behavioural symptoms such as restlessness. What surprised me was how the use of touch can provide a healing effect 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 of their needs.So what? So, the important message I have gained an understanding in during my experience is that touch is a nursing intervention and so, what I have learned is that residents were more responsive to a good listener, touch and a reassuring word as it communicated to them that I cared, especially as the therapeutic use of touch affectionately transmits warmth.So, what I need to know more about is that with touch there has to be acceptability and that may vary from person to person as I have to take into consideration their culture and background. bonk in completing more clinical practices will develop my self-awareness. beforehand I used to believe touch was an invasion of privacy and could be interpreted wrongly as sexual to the resident. So, the ideas of what I had previously thought about touch have changed as it can facilitate comfort and healing.Now what? Now what I can do with my new perception is connect with my patients by offering myself with a simple application 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 therapeutic touch and this will give me confidence when in teracting with members of a multidisciplinary team and patients themselves.Reviewing both vignettes showed how each experience we have with our patients can be healing and helpful but also harmful and unfeeling. Mastering the skills required for developing a therapeutic relationship is a lifelong process aided by reflection which can be viewed as an impersonal examination and valued judgement of your work or anothers using an objective approach which is to highlight you or your colleagues strengths and weaknesses. When engaging a therapeutic relationship and in effect using the different approaches and techniques such as touch, active listening, and recognition you can help your patient achieve harmony, peace of mind, body, and spirit.