Therapeutic relationships Flashcards
What are the characteristics of a social relationship?
equal responsibility equal needs btwn parties may not have a goal entered spontaneously accompanied by feelings of likeness can last a lifetime or end abruptly self-disclosure is expected
What is a therapeutic relationship?
a therapeutic relationship is a professional alliance in which the nurse and patient join together for a defined period of time to achieve health-related treatment goals
What are the characteristics of a therapeutic relationship?
patient centered goal directed boundaries objective vs subjective time-limited
what is the purpose of a therapeutic relationship?
allows patients to: Freely discuss their needs Gain insight Learn and practice new skills Effect life changes Heal physically, mentally, and emotionally Promote growth
what is the role of the nurse in therapeutic relationships?
Self-awareness Set professional boundaries Level of involvement Therapeutic use of self Empathy Self-disclosure Empowerments
What does self-awareness mean in the role of the nurse?
being aware of own values so that you don’t let them seep in and cast judgement
What are the 4 phases of the therapeutic relationship?
PRE-INTERACTION PHASE
ORIENTATION PHASE
WORKING PHASE
TERMINATION PHASE
What is the pre-interaction phase of the therapeutic relationship?
occurs before nurse and patient meet
involves: Nurse gathering data Setting psychological and physical stage Self-awareness Choosing timing and setting
What is the orientation phase of the therapeutic relationship?
occurs when the nurse and patient first meet
clarifies purpose assess needs observation communication strategies define goals
What is the working phase of the therapeutic relationship?
begins when patient engages in care plan
define the problem timing/pacing developing realistic goals plan alternative solutions implement the plan challenge resistant behaviours
What is the termination phase of the therapeutic relationship?
when the relationship comes to a close
Goals are met and care is transferred Preparation for this phase begins in orientation phase Acknowledge the termination Assess emotions and understanding Review/summarize Referral if necessary
What is a bridge and what is a barrier in the therapeutic relationship?
bridge: enhances the communication
barriers: blocks/hinders the communication
What are some bridges?
respect caring empowerment of patient trust empathy mutuality ethics
What are some barriers?
anxiety stereotyping/bias over-involvement disengagement violation of space culture/language fear
What are some signs that boundaries are being violated?
gift giving, friendships, romance, joking, favoritism
spending time at home worrying/thinking about patient
blaming yourself for non-improvement of patient
