PPN 102 Weeks 1 to 3 With Complete Solution 2024-2025
What is Therapeutic Relationship?
-purposeful, goal directed, time limited and always with the intent of advancing best
interests and outcomes of patients
-core of nursing
How does nurse established and maintains the therapeutic relationship?
by using knowledge, skills, caring attitudes, and behaviours
Patient/Client centered care is based on.
The belief that each individual has within the capacity to heal if given support with
respect and unconditional regard in a caring authentic, therapeutic relationship
patient/client centered care focuses on.
Each persons's preferences, beliefs values and needs as fundamental consideration in
all nursing interactions and interventions
Patient/Client centered care active involvement of.
The patient and family regarding the decision-making of their care and treatment.
Patient-centered care relationship
-critical to healing and satisfaction
- classified as "therapeutic alliance" and associated with the assistance of individuals to
attain identifiable health objectives
- time bounded and regardless of how much time is spent together the relationship must
be significant
Elements of Patient-centered care relationships
- treats each patient as an individual with unique personally held values, beliefs, and life
goals
- denotes to a singular relational experience
- nurses promote peoples self-management skills and problem solving and assist in
developing confidence in their own ability to manage their health
- Caring forms one of the core underlying values of the relationship
,What is Social Relationship?
are formed and sustained based on mutual needs and friendship
What is Person-centered relationships?
- formed for a health-related purpose by a health professional for a specified period of
time
-its focus is always on the patient health concerns, and the actions needed to help them
identify and resolve issues related to their health
- are subject to ethical and legal standards
What are the communication strengths?
- authenticity
-acceptance
-presence
-positive regard
-empathy
-respect
-self-awareness
-competence
What is relational practice?
- a respectful and reflexive approach to inquire into patient's live experience and
healthcare needs.
- a skilled actions of respectful, compassionate, and authentically interested inquiry into
another's experiences
What are the significant relational practice implications for nursing clinical practice?
For instance,
1. look beyond the surface of the individual, situations, and relationship to gain an
understanding of the contextual factors that influence health
2. being responsible in naming the personal/societal biases and discrimination with an
aim of offering culturally safe care
, 3. relationally respect patients culture, age, sex, beliefs, and values, healthcare
decisions and preferences
4. follow nursing codes and standards and engage in reflective practice
5. develop policies, offer education and conduct research that investigates T/R between
nurses, patients and families
CNO Standards: Five key components
-professional intimacy
-power
-empathy
-respect
-trust
CNO: Four standard statements
-describes what a nurse is responsible for in T/R
1. therapeutic communication
2. patient centred care
3. boundary setting
4. client abuse protection
CNO Five Key components: What is professional intimacy?
-intrinsic in the nature of the care and services provided by nurses
It is the physical care activities, such as bathing that nurses provide to and with their
clients that create intimacy
can involve psychological, spiritual and social aspects
Familiarity with client's personal life also creates professional intimacy
CNO Five Key elements: What is Power?
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