Therapeutic Approach Communications in Nursing - Assignment Example

? Therapeutic relationship In normal life circumstances, people usually engage inday to day conversations with each other in their places of work and many other places. In our above essay we shall major in discussing the therapeutic relationships in health content’s which is almost similar to a normal conversation between two individuals but has one of the unique differences. Some of these unique differences are that therapeutic communication in health center has a set purpose rather than it being an informal conversational Therapeutic relationship is defined as a relationship the exists between a client and in particular a patient and a health care attendant such as doctors and nurses. The therapeutic relationship was established so as to create a means by which the health professions and the respective patient come get into a one on one conversation so as to archive effective beneficial changes to the respective patient (Bowie 1996). Therapeutic approach communications are mostly applicable in mental health centers and it is conducted by mental professionals who have a common purpose of solving emotional conflicts that that happen through the mind of the respective patients. Therapeutic relationship assurers the patients at hand of enough security in the information they give to the healthcare professionals. This enhances them to open up and give the accurate information about what is making them to have the emotional conflicts and thus getting the appropriate treatment. Therapeutic relationship was established after some major researches were conducted and it was scientifically proved that it really aided the health care professionals to foresee the appropriate diagnosis and treatment that the patient required to cure the particular disease that he or she was suffering from (Gel so 1998). Rogers developed a therapeutic relationship model that was aimed at providing the respective patients with a chance of them understanding how their particular attitudes and feelings are being affected by their emotional conflicts and the appropriate treatment required to solve these problems is that the patients should achieve their full positive potential. Rogers discovered a number of conditions that that was essential to enhance effective changes to the client's personality. Some of these conditions include genuine of both the heath care therapist and the respective patient, professionalism of the health care therapist in his work, the patient openness to the healthcare therapist and many others. Rogers was focused on developing a therapeutic relationship model that will ensure that both the patients and the health care therapist were both involved in solving the patient’s emotional conflicts (Gel so 1998). A health care professional is one who is able to put himself or herself in the shoes of the respective patient that they are attending and avoid any circumstances of being judgmental. The health care professionals should have a sympathetic and empathetic attitude towards their particular patients and this will enhance them to get familiar with the personality, feelings and so many other factors that relate to their patients. The health care professionals who conduct the therapeutic relationship posse’s very good communication skills which one of them is listening. An effective communication process occurs between two individuals. It is a two process and hence the two involved parties should give each other time to speak and listen (Forchuk, Westwel, and Hux 2000). The therapeutic health care professional has understood this communication skill and they are employing it professionally their day to day work. Every individual desires to be heard as they speak in all circumstances and if by any chance the therapeutic health care professionals lack this special communicating skill then they end up not meeting the expectations of their patients (Steve 2000). Effective therapeutic communication also involves use nonverbal communication such as use of gestures, facial expressions and many others. This non verbal communication motivates the patients to outflow their information to the health care professional as they perceive them to be attentive and understanding what they are sharing with them. Some of these gestures and body postures include nodding sitting in an upright position and so on (Hepcey, Penrod, and Mitcham 2001). Therapeutically professionals also have their part of speaking and not only are they involved in listening. They speak when they are inquiring given information from the respective patient and when they are finally giving their piece of advice and treatment to their patients. They use a tone that demonstrates professionalism in their work as health care professionals. Yelling and screaming does not archive good communication skills, instead a calm tone can really help solve major problems. From our transcript assessment, it is evident that the nurse who is helping Mary to solve her emotional problem posses the skills that we have discussed above. It is evident that the nurse is a good listener (Kunyk, and Olson 2001). The nurse is taking time to listen to Mary before he speaks. For instance from the transcript, it is clearly noted that the nurse is giving Mary time even to think even before she answers any question. The nurse state in the transcript that Mary seems to be very upset of what she is thinking. This proves that the nurse had given Mary a chance to think. It is evident that the nurse is using a very calm, understanding voice when talking to Mary and not yelling nor screaming at her. When Mary tells the nurse what she had done and was making her have the emotional conflicts, the nurse took it easy and continued with his core purpose of seeking how to help Mary rather than starting to judge her. At the beginning of the transcript, the nurse states that she knows that Mary has shared her problem of how he is feeling to various people but she would also want to hear from her. This statement demonstrates how the nurse applies his profession as a healthcare therapist to make Mary feel comfortable to share her experience with him. These are a few of the many professional skills that the nurse in our given transcript posses and it is highly recommendable that all the healthcare professionals in different clinics and health centers worldwide to possess such skills so that to achieve their core purpose in their profession (Leininger 1996). Clinical supervision has a variety of definitions from various proponents’. One of this definitions’ of clinical supervision is the intervention that a senior member of a given field of profession is given to the member under him or her to ensure that the junior member does what is required professionally. In a clinical circumstance, the clinical supervisor is there to intervene fully in the entire life of his respective patient so as to understand the factors that the patient under care relate to and assess how they cause the patient to experience the emotional conflicts. The clinical supervisor does this by asking relevant questions related to the patient‘s problem in order to acquire information to come up with an effective solution for the particular problem. (Gel so 1998). Good clinical supervision has a variety of significances that accrue to it. For instance, nurses do intervene in other matters that relate to their respective patients and in so doing they come to understand other factors that make the life of their patients' complex thus leading to the emotional conflicts that they are suffering from. These factors that the nurses intervene in when conducting clinical supervision may be the family of the patient or even friends that the patent relates to. The behavior of human beings is greatly influenced by the environment in which they are operating in. Some of the factors in this environment are constant and cannot be changed even though they affect the attitudes and behaviors’ of the respective patient (Peterneij, and Yonge 2003). The clinical supervision is of great importance to this factor as the professional health therapist will take time to intervene even with the environment of his patient and recommend to the patient on new ways how he or she can respond to this unchanging factor and situations to remain positive and emotionally settled. Clinical supervision is also of vital importance to the professional health care therapist because as they intervene with other factors that their patients relate to then their anxiety to solving their patient's problem sheds off because they become creative enough and start seeing the possibility of them curing the emotional conflict of their patients with confidence. (Steve 2000) The proctor’s model was developed by John heron’s six and it entails of six categories that are applicable in intervention analysis. These six categories include the clinical supervision which we have discussed in detail above, mental health nursing, theoretical frameworks, therapeutic and lastly the interpersonal relations. The major purpose of this proctors model is to bring out an understanding of the interpersonal skills required by the respective clinical supervisors to deliver effective mental health treatment in the United Kingdom. The proctor’s models also demonstrate how the professional health care therapist can acquire and maintain therapeutic integrity in their work profession. Most importantly, the protocol model is used in the investigation of the interpersonal skills that the nurses in the health centers and clinics in the United Kingdom are familiar with. If by any chance they are investigated and found to be inadequate with the interpersonal skills, then they are taken to training since they can never be able to meet the expectations of the mental health patients unless they develop the interpersonal skills. In general the protocol model is used as an analytical tool in mental health clinics to enhance the competence of nurses so as to be effective when they conducting the clinical supervision to the patients in their care. (Gel so 1998). Risk management is a very vital component in mental health centers that are concerned with the emotional conflicts that do arise in individuals thus exposing them to dangers such as suicide, violence to those around them and so many others. Risk management in health centers is mainly used to equip the respective health care professionals of with the relevant competencies that they can employ to control any risks that patients under care may cause to themselves or to others around them. Risk management is an essential tool in clinical supervision as it enables the health practitioners to be able to intervene to any circumstances or situations that may lead to risking the life of their patient or that of others (Milton 2005). The nurse in the transcript is taking the relevant risk management measures when he expresses a shock to the answer of Mary that she does not take any breakfast. The nurse does this to communicate with Mary that what she is doing by not taking breakfast is not normal and appropriate and hence she should change. The nurse expresses a shock when Mary states that she deserves to die. Likewise the nurse does this to show Mary that he is shocked that she feels she does not deserve to live. These two instances here the nurse expresses shock is to prevent the risk of Mary committing suicide and developing health problems. It is also evident that the proctor’s model has been greatly used in the transcript as the nurse uses effective interpersonal skills to assure Mary that she deserves to live and not to die when the nurse states to Mary that it will not have been better if she died. Also the nurse uses interpersonal skills to tell Mary that she is not a burden to him when Mary feels so. This makes Mary feel like she has at least someone she can lean on and thus preventing the risks that may accrue to Mary as a result of lacking an understanding person to share her problem with. (Steve 2000). Cognitive behavioral therapy is one of the therapies that are conducted in the health center and they are a form of psychotherapy and their major role is to determine the relationship that exists between how individuals feel and what they do as an aftermath. Cognitive behavioral therapy strongly suggests that the thoughts of human beings greatly influence how they feel and the behaviors that they adopt. It argues that the environment and situations affecting an individual do not necessarily determine his or her behavior but rather how they think. The cognitive behavioral therapy suggests that an individual can control their respective thoughts and hence not be affected by the situation that they are undergoing but rather be better. Cognitive behavioral therapy involves both the efforts of the patient and the health professional. The health professional is mostly there to inquire the plans, goals and objectives of their patients and then input a positive attitude in them to achieve those goals and objectives. Cognitive behavioral therapy is founded on an educational model that scientifically assume that it is possible to learn most of the emotions and behaviors’ and thus the individuals who have learned that they are experiencing emotional conflicts should unlearn their negative responses to those emotional conflicts and develop a new way of responding to the emotional conflicts. In general, the cognitive behavioral therapy stress that individuals should control their thoughts which in turn determines how they feel and behave. According to Steve (2000), the clinical risk management, cognitive behavioral therapy plays a very major role in intervening to problems caused by emotional conflicts. He advocates for the health care professional learning the variety of risks that may be caused by emotional conflicts such as self harm, suicide and many others and use a cognitive behavioral approach to prevent these risks from occurring. The health care professionals can advise the patients under care to change their thinking which greatly determines how they are responding to their situations. If the patients are on the verge of committing suicide then they should use the cognitive behavioral therapy to prove to that patient that they do not have to commit suicide but rather they can just change their thoughts to be positive of living and in turn their behavior will change and start to feel worthwhile to live. From our given transcript, the situation of Mary can be addressed using the cognitive behavioral therapy. Mary is a situation that she prone to some of the risks that we have mentioned above such as neglect, self harm and suicide. In that transcript she tells the nurse that she deserves to die and this is a risk that has to be managed by the respective nurse because with time if not control she can decide of committing suicide. Mary is also facing self harm as we have learnt in the transcript that she does not eat since she feels that she does not deserve to eat. This is another risk that needs to be controlled by the nurse since in the long run it will have negative implications for the health of Mary. Lastly we learn from the transcript that Mary is facing neglect as she answers the nurse that she no longer visits her friends house they will observe her problems. This is a risk that needs to be managed by the nurse as it would lead to lowliness and later resulting low self esteem .The cognitive behavioral therapy is the best of Mary’s situation as the nurse shall use it to transform the thoughts of Mary and she starts to think positively and hence change here behaviors’ and even feelings. (Gel so 1998) References Bowie, I. (1996). “Terms of address: Implications for nursing”. Journal of Advanced Nursing, 23(1), pp. 113-119. Forchuk, C., Westwell, J., & Hux, M. (2000). “The developing nurse-client relationship: Nurses’ perspectives”. Nurse Scientist, 6(1), pp. 3-10. Gel so, C.J., and Hayes, J. A, (1998). “The Psychotherapy Relationship: Theory, Research and Practice”. John Wiley & Sons, New York, pp22-46 Hupcey, J.E., Penrod, J., & Mitcham, C. (2001). “An exploration and advancement of the concept of trust”. Journal of Advanced Nursing, 36(2), pp. 282-293. Kunyk, D. & Olson, J.K. (2001). “Clarification of the conceptualizations of empathy”. Journal of Advanced Nursing, 35(3), pp. 317-325. Leininger, M. (1996). “Culture care theory, research and practice”. Nursing Science Quarterly, 9(2), pp. 71-78. Peterneij, C.A. & Yonge, O. (2003). “Exploring boundaries in the nurse client relationship: Professional roles and responsibilities”. Perspectives in Psychiatric Care, 39(2), pp. 55-66. Steve, M. (2000). “Clinical risk management tool”. Sainsbury Centre for Mental Health, London. Milton, C.L. (2005). “The ethics of respect in nursing”. Nursing Science Quarterly, 18 (1), pp. 20-23. Read More