Chapter 8: Therapeutic Relationships Flashcards
nurse patient relationship is centered on
peplau
nurse patient relationships need set
boundaries
can we use our self and our personality as a tool
yes
is talk therapy a basic rn or advanced skill
advanced
what works best
meds
therapy
both
both
what goal do we have for our patients with independcacy
autonomy promotion
necessary behaviors for nurses
accountability
focus on patient needs
clinical competence
delaying judgement
supervision
3 types of relationships
social
intimate
therapeutic
what relationship do we want with patients
therapeutic
how are theraptic relationships one sided
only the patients needs need to be met
what is the purpose of social relationships
friendly
socialization
enjoyment
who’s needs are met through social
mutual
what is established in a therapeutic relationship
clear boundaries
what can occur if boundaries are not present
transference
cotransfernce
how to prevent transference and cotransference
boundaries
professional and ethical boundaries
maintaining a professional role helping meet patient goals and never personal goals of the nurse
legal boundaries
patients right to confidentiality
sexual misconduct
over involvement increases risk of
boundary crossings
boundary violations
professional sexual misconduct
blurring of roles
boundary crossing
therapeutic relationship into personal
nurses needs are met over patient
boundary violations
advantage of patients vulnerability
reversal of roles
nurses needs are also met rather than patient
professional sexual misconduct
physical or verbal breech
what comes with blurring of roles
transference
countertransference
when do you develop self awareness
preorientation
what is it important to reflect on during self awareness
values and beliefs
own culture
peplaus model of the nurse patient relationship
preorientation
orientation
working
termination
preorientation
KEY: self awareness development
prepping for assignment
happens before the first meeting
- gathering data
- planning for first interaction
orientation
establishing rapport
parameters of the relationship
confidentiality
what is discussed during orientation
termination
working phase
helping patient achieve whatever goals they have
maintain relationship
share information (collaboration and teaching)
facilitate change
promote patients
- problem solving skills
- self esteem
- use of language
termination phase
summarize goals and objectives achieved
review situations of relationship
factors that promote patient growth
genuineness
empathy
positive regard
- attitudes
- actions
- attending
empathy vs sympathy
empathy: recognizing the situation that someone is in is difficult and challenging
sympathy: feeling sorry for someone
attending
special kind of listening
intensity of presence or being with the patient
what are factors reflecting the degree of attending
posture
eye contact
body language
voal qualities
why do we not give advice
autonomy and confidence
