This is why empowerment in health promotion is key to individuals with mental health problems (Morrissey et al, 2008). In order to empower service users, nurses should apply health promotion theories to their approach to care (Mutsatsa, 2015). Theories include the Health Belief Model (Becker et al, 1974) and the Self-Efficacy Theory (Bandura, 1977b). All these theories are based on actions by the nurse provide the service user with sufficient information that allows them to understand their health, triggers, their ability to improve and how they go about doing so. Nurses should also provide cognitive behavioural therapy in their approach to person-centred care when dealing with service users as it can have a positive impact on the way
The preferences of a patient should never be assumed. It is expected that a nurse takes the time to find out what the patients likes and dislikes are, to find out their preferences, their needs and to encourage them to take an active role in their own care by communicating with them, giving choices, finding out their values and respecting their decisions. Empowering the patient in this way, could have a positive effect on their mental state, thus speeding up recovery time. The N.H.S Institute for Innovation and Improvement states “ Do listen to your patients; always have them at the centre of your thinking, that’s what makes a big, big difference”. The Nursing Standard has set up ‘The Care Challenge Campaign’ with 4 initiatives to support the delivery of
Building trust is essential. The code of conduct states firstly to ‘Treat people as individuals’ this meaning that each person has different needs but also each person is equal to the next person. Each individual should be treated fairly and not discriminated against, proving the appropriate care and given sufficient support and advice whilst being sympathetic and understanding. ‘Confidentiality’ is vital. The patient’s information should only be disclosed where necessary, such as if there is reason to believe they are at risk of harm or somebody else in their care is at risk and then only should it be disclosed to the suitable professional.
“This article provides the reader with a framework in which to take a full and comprehensive history from a patient” as stated by (Lloyd & Craig, 2007, p. 42). Several skills the nurse needs to possess is good communication, not making the patient fell intimidated or hurried, proper environment, and performing the history process in a sequential order. The first thing the nurse must do is prepare the environment for the history taking process. This area needs to be a neutral place that the patient is comfortable, safe, and free of interruptions. (Lloyd & Craig, 2007, p. 42) stated, “It is essential to allow sufficient time to complete the history.
It is evident that she is aware of barriers to effective communication. Additionally, it is made apparent that communication skills are vitally and fundamentally important in clinical practice. When there is effective communication it creates positive health practices. The need for a therapeutic relationship (patient-centred) is to be the main focus of the student/nurse. The key success in this role is accurate assessment of the patient’s needs, abilities and commitment to meeting them with sensitivity.
(AONE, 2010) Leadership is not just managing but facilitating. For example a nurse can facilitate the safe discharge of a CHF patient by collaborating with the dietician, the physical therapist, the pharmacist, and the home health nurse. The nurse can pull together the resources to provide education on diet, exercise, and fluid and medication management. This example not only demonstrates a nurse’s core knowledge base but her ability to be patient and family centered. Integrating the contributions of all team members helps to facilitate the patient journey.
Effective communication is an important skill that the professional nurse needs to develop in order to interact effectively with patient and bring about a better resolution in patient’s health condition. Johnson (2010) emphasizes the importance of effective communication by nurse with patient and staff. He says, “ The communication process enhances the broadcasting of information needed to ensure patient safety and promote quality patient care”. When nurse clearly communicates the details of a patient’s condition or progress verbally or writing to other members of the healthcare team handling the case as well as nurses that deal with the patient on other shifts, the likelihood of mistakes that put a patient in jeopardy greatly decreased, so patient are safe. The consequences to the patient if nurses do not clearly communicate all important patient information may be greater pain, a worsening of the patient condition, permanent injury or even death.
The conversation with patients and families tells much about the way they feel. As a health care provider, treating patients and families with empathy, listening, and respect enhances clinician-patient relationship. The health care provider must communicate with patients and their significant others about medical conditions, needed tests, explaining their medication actions, and possible side effects. The nurse must communicate effectively by using clear terms and avoiding medical jargons that could
This model deals with issues pertaining to why people may or may not seek treatment or preventive measures looking at issues like perceived susceptibility, perceived severity, perceived barriers and perceived benefits. Overtime it has been modified to include elements such as social-psychological variables, demographic variables, cues to action and health motivation (Glanz, 2002). This model is important in healthcare education due to the fact that it engages use of common sense and easy constructs which healthcare practitioners who don’t have expertise in psychology can easily apply. Further, it can help a healthcare practitioner to evaluate a patient fully so as to know what barriers may stand between his/her client and good health. Self-efficacy is a term which roughly corresponds to an individual’s belief in their own capabilities and which is widely used in psychology (Bandura, 1976).
Running Head: A CENTRAL THEME OF NURSING: THE NURSE –PATIENT RELATIONSHIP A Central Theme of Nursing: The Nurse-Patient Relationship Melia B. Maketo Fall 2009 Melia B. Maketo, Clayton State School of Nursing, Nursing Student A Central Theme of Nursing: The Nurse-Patient Relationship The American Nurses’ Association defines nursing as the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human responses, and advocacy in the care of individuals, families, communities, and populations. It is a dynamic and flexible career; centered on the holistic well-being of the individual. With this in mind, nurses must have the ability to use their knowledge and skills to think critically in order to provide the best care possible. Perhaps the most important factor of providing quality care is fostering a cohesive nurse-patient relationship. While nurses strive to nurture this relationship, the foundation and concepts from which it is derived are evident in the CCSU Conceptual Model.