Nursing Practice in Clinical Setting Flashcards
Florence Nightingale
Holistic view of patient
Linda Richards
First psychiatric nurse
Give humane care to psychiatric patients
Hildegard Peplau
“Mother of psychiatric nursing”
Gave standard template on how to interact with psychiatric patients.
Interpersonal interactions
Empathy
Genuinely aware of patient’s suffering
Sympathy
Nurse acts based on her personal feelings and emotions
Loses objectivity
Therapeutic Alliance
Professional relationship between patient and nurse that is guided by standards and objectives.
Keeps the focus on the patient.
What is the purpose of therapeutic alliance for patients?
Allows open communication to nurses and health care team.
Assist with insight to problems, expectations, abilities and support systems.
Heal mental and emotional wounds
Practice new skills in safe clinical setting
Promotes growth
What are the stages of nurse-patient relationship?
Preorientation
Orientation
Working
Termination
Preorientation stage
Occurs before meeting patient
Gathering all pertinent information about the patient
Autodiagnosis
Autodiagnosis
Evaluating your own biases, thoughts, feelings, attitudes and perception to each patient and surrounding circumstances.
Starts with preorientation stage but continually assess throughout all stages.
Orientation stage
Introduction to patient.
Developing trust and rapport.
Explaining purpose of meeting and setting up contracts with patients.
Ensuring dependability
Working stage
Patient is taking responsibility of their own care, actions and treatment.
Prioritize patient’s needs
Safety and health is still the main goal
Termination stage
Occurs once patient is healed or discharged.
Starts in the during orientation phase.
Principles of the Nurse-Patient relationship
Therapeutic, not social: establish boundaries.
Patient centered
Goal directed
Objective not subjective: empathy vs sympathy
Time-limited
Clinical Principles
Helping Altruism Satisfaction from helping patients Desire to protect others- do NOT overprotect patients Power and Control - do NOT take advantage of patients Promote and provide insight, not advice Set Priorities Avoid making secrets and promises Avoid evaluative responses Avoid heroics Avoid rescue fantasies Therapeutic communication Encourage patient independence as long as it is safe for them to do so.
