In the current advent of innovation and globalization, the world of health care provision is also undergoing a paradigm shift with the current focus of heath care being on the provision of holistic care and adapting a transcultural approach to healthcare…
In the current advent of innovation and globalization, the world of health care provision is also undergoing a paradigm shift with the current focus of heath care being on the provision of holistic care and adapting a transcultural approach to healthcare. One of the integral factors achieving the aforementioned goals is the development of a strong and effective therapeutic relationship between the nurses and the patients. While working with Nora, there are several cultural and communication-related considerations that have to be kept in mind and overcome in order to develop a good therapeutic nurse-patient relationship. Firstly, since language differences can be a major impediment in the formation of a good nurse-patient rapport and in the flow of information between the two parties, as English might be the second or third language for Nora, the nurses should make arrangements for the presence of interpreters or aboriginal health workers to facilitate the flow of information between the two parties (Blackman, 2009, p. 211). Secondly, the use of necessary and appropriate communication skills during the nurse patient interaction is important. While interacting with the patients, the nurses should ask open ended questions instead of asking directed questions, giving the patients a chance to express their concerns and perceptions regarding the disease. Moreover, they should also take measures to ensure the involvement of the family during the interaction and should provide information regarding the patient’s condition to the family as well (Jackson, Brady, & Stein, 2003, p. 101). In addition, the nurses should also make use of culturally appropriate non-verbal gestures such as eye contact, facial expressions and touching while interacting with the patients. However, the nurses should be aware of the patient’s cultural norms before using such gestures since the same gestures might have different connotations for people belonging to culturally diverse backgrounds. For example, direct eye contact is considered to be disrespectful in certain cultures and thus should be avoided while interacting with patients from such backgrounds (McGrath, & Philips, 2008, p. 59). In the same way, the nurses should also be well aware of the patient’s spiritual beliefs as these beliefs play an important role in shaping the patient’s perceptions regarding their disease and the treatment process. Similarly, another important communication tool is active listening via remaining silent at timely intervals during the interaction. By making use of silence, the nurses give the patients a chance to organize their thoughts and feelings. Moreover, it also helps in making the patients more comfortable and reflects respect for the patient on the part of the nurses (Eckermann, Dowd, Chong, Nixon, Gray, & Johnson, 2006, p. 103). Using all these communication skills appropriately enables the nurses to establish a comfortable relationship with their patients, which is based on trust. Such a relationship is advantageous for the patients as it helps in alleviating their anxiety and enables them to voice their opinions and concerns freely and discuss them with the nurses (Eckermann et al., 2006, p. 105). During the nurse-patient encounter, environmental factors also play an important role. These factors include privacy, noise levels, and safety and measures should be taken to keep these factors under control so that they do not hinder effective nurse-patient interaction (Watts, & Carlson, 2002, p. 84). In addition to being aware of the patient’s social and cultural norms, the nurses should also understand and respect these values and refrain from being judgmental or stereotyping the patients based on their cultural background (Blackman, 2009, p. 212). In order to provide holistic care, it is important to consider the psychological, cultural and spiritual well being ...
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Thus, the goal of any nurse patient interaction should be to improve the patient’s quality of life by either enabling the patients to adapt to their current health status or to assist them in restoring their prior normal health status (Gamez, 2009). There are several determinants of the therapeutic relationship between a nurse and the patient.
In this study, the patients are abandoned elders waiting death due to old age or terminal ailment. The healthcare workers are the Sisters of Charity and their nursing staff, who assist the patients through the mission set up by Mother Teresa for alleviation of the abandoned sick and dying in many parts of the world.
CNO (2004) asserted that the “essence of professional nursing is the therapeutic relationship with the patient” (p. 12). Therapeutic nurse patient relationship is “a planned, time bound and goal oriented connection between a registered nurse and a patient, and sometimes the patient’s family for the purpose of meeting the healthcare needs of the client” (NANB, 2011).
Ida Jean Orlando is considered as one of the key thinkers who radically transformed the nursing profession. Her dynamic nurse-patient relationship has changed the way the nursing profession views the nature and impact of nurses’ response to patients’ needs on health and illness.
Assessment is the initial crucial stage in the nursing process which aims to solicit relevant information regarding the patients current health condition, through an overview of historical; data, including factors that could be contributory to the health status the patients are presently in.
This need not be the case always, though there are instances when a nurse comes in as a patient to a hospital, there could be unpleasantness and difficulties. Keeping this in mind, current study is conducted to find the truth and issues behind this assumption.
These multiple dimensions are what a nurse therapist is available to participate in but also to try to understand and heal with a patient. A patient and nurse are both "working" in some way or the other, though their respective jobs may be different. The nurse feels and ponders the relationships or patterns that are going on, usually ones that are modeled on family experiences or other blueprints from the past.
Ida Jean Orlando formulated her theoretical models of nursing in relation to her theory of dynamic nurse-patient relationship and expanded them to involve the distinctive role of nursing in patient care. She examined the aspects that reinforced or hampered the incorporation of mental health doctrine in the curriculum of basic nursing.
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