Praxis Essay

1124 words - 4 pages

Therapeutic relationship is described as the core of nursing work (Chambers, 2005). The RNAO (2002) defined therapeutic relationships as grounded in an inter- personal process that occurs between the nurse and the client(s). The goal of achieving therapeutic relationship with the clients are as follows: introduction of supportive communication to have a better understanding of the needs of the person, empowerment of the person to learn or cope efficiently with their environment, and to have a resolution or reduction of their problems (Forchuk and Reynolds, 2001). The purpose of this paper is to critique the interaction with a client in a scripted role-play that was recorded, using Johns’ (2006) Model of Structured Reflection, be able to research other literatures that examines approaches that are suitable during a relational encounter, and lastly, this paper will evaluate the appropriateness of the learning activity to clinical nursing practice.
The scenario that was given to the student was: An obese patient that had developed bed sores as the result of difficulty of moving in and out of bed. In this scenario the patient was not feeling well due to the fact that she has not left bed for a long period of time. Also, she was feeling frustrated because nobody seems to take time to listen to her. Not one person has come to her room to change her position and she has not taken a bath for an extended period of time. From the patient’s perspective she perceives these actions from the nurses as uncaring and being detached to the patient. When the student nurse came into the room, she took the time to listen to her and even offered the patient to do things that she wanted to do but never had the chance in doing because the other nurses was not able to assist her.
During the role-play it was evident that when the student nurse talked to the patient and listened to her concerns, the patient’s mood had improved. In the video, when the student nurse offered to assist the patient into changing her position, she stated that it was good idea. From the article of J. Addis and C. Gamble (2004), it reported that nurses could show caring by doing practical activities with the client. By doing these activities with the client it shows that they are committed in developing therapeutic relationship with the client and also it demonstrates the desire in improving the quality of life for the patient (J. Addis and C. Gamble, 2004).
When patients are engaged they are more likely to listen to the information that is given to them by the nurse. When clients sense a lack of concern from nurses, it has been found that they are more likely to back out from treatment (Forchuk and Reynolds, 2001). This situation becomes problematic because their will be a decrease in therapeutic interventions such as, assisting the client in learning effective coping skills (Forchuk and Reynolds, 2001). In order to avoid this type of situation a...

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