Therapeutic relationships in nursing
In this reflective assignment I will provide information to establish how I have used and improved my interpersonal skills with patients and the staff I worked with. I will also show how I established a therapeutic relationship with a selected patient from my second placement. I will provide a brief description of my chosen patient and the importance of gaining informed consent and patient confidentiality will be discussed. I will utilise Roper, Logan and Tierney’s (2003, p.81) Model of Nursing, which places importance on the 12 activities of living (ALs) and focused on the most appropriate of the 12 activities. Gibbs’s reflective cycle was chosen to ...view middle of the document...
A neighbour and good friend of patient A had accompanied her to hospital.
I introduced myself to patient A and her friend. Once I had identified myself to the patient, I enquired with the patient whether she would allow me to use her information in my assignment and my decision making tool. I gained informed consent from patient A to carry out the assignment (Appendix. 1), which my tutor witnessed me obtain. My tutor then asked me if I would feel happy to admit patient A and take care of her for the rest of my shift. I was happy to do so. I explained to patient A that she could refuse, if she so wished, but she was happy to go ahead. According to the Nursing and Midwifery Council (2005) students of nursing and midwifery ‘must respect the wishes of patients and clients at all times. They have a right to refuse to allow you, as a student, to participate in caring for them and you should make this clear to them when they are first given information about the care they will receive from you. Patients also have the right to ask students to leave when asked to do so, because patients rights must be respected at all times and put above personal knowledge acquisition.’
I explained to patient A, that she had the right to withdraw her consent at any stage in the process and that any information she gives me would be treated as confidential and that her name would be changed to provide anonymity. The Department of Health’s Data Protection Act (1998) gives an individual the right to stop any processing of personal data with regards to themselves.
The NMC guide for students (2005) states that ‘any information provided by a patient must be treated as confidential and only used for the purpose for which it was originally given. If students wish to include details of patients in their written work they must do it in such a way in which the person participating cannot be identified from their work.’ Griffith and Tengnah (2008, p.81-82) write that ‘consent is a continues process and may be withdrawn at any time. Nurses must accept that if a patient changes their mind and refuses continue their treatment it must cease or trespass to the person occurs.’
I have chosen the Roper et al ( 2003,p.81-82) Model of Nursing, to write this reflection, which includes 12 activities of living (ALs) these are ; Maintaining a safe environment, breathing, communicating, mobilizing, eating and drinking, eliminating, personal cleansing and dressing, maintaining body temperature, working and playing, expressing sexuality, sleeping and dying. ‘The concept of each activity does not stand alone; it interacts with the other components of the model, and it is the interaction that results in individuality’. According to Walsh (1998, p.1) ‘Nursing models were first to emerge in the United States and became more prominent in Britain in the 1980s. To define models of nursing you have to see them as simplified ways of representing reality and therefore facilitate understanding.’