Therapeutic Relationship – NUR 606 Health Promotion & Disease Prevention
Module 1 Assignment – Therapeutic Relationship
Therapeutic Relationship Case 1
J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques. Many of his clients have altered sensory perception such as blindness and deafness. Because of these conditions, He has to be extremely patient with his clients. J.J. also finds that the use of respect and humor help him bond more readily with his clients.
Question for the case
For better results with his clients, J.J must secure trust with his patients. Discuss strategies that promote trust between patients and health care providers.
Therapeutic Relationship Case 2
T.D. enjoys caring for the children and young people in the schools where she works, but sometimes she is faced with tough situations such as suspected child abuse and neglect, teen pregnancy, and alcohol and drug use among teenagers. She works hard to ensure that the children in her schools receive the best care possible.
Question for the case
Several third graders reports having received no breakfast at home for more than a week. T.D. is exercising Advocacy for the students under her care. What type of actions she might be doing to exercise advocacy for the students?
Choose one of the cases above and answer its respective question(s). And then, compose the items below for your case:
- Moral distress is a frequent situation where health care providers should face. Please define and articulate a personal experience where you have faced Moral distress in your practice.
- Explain how health promotion relates to morality.
- Describe your insights about your own communication strengths and weaknesses. Identify situations in which it may be difficult for you to establish or terminate a therapeutic relationship.
Therapeutic Relationship Submission Instructions:
The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be formatted per current APA, be clear, concise and students will lose points for improper grammar, punctuation and misspelling.
The paper is to be 3-4 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Journal articles and books should be referenced according to current APA style.
Complete and submit the assignment by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
SAMPLE THERAPEUTIC RELATIONSHIP ASSIGNMENT
Therapeutic Relationship
The therapeutic relationship is vital in caring for patients. A good therapeutic relationship with patients promotes high-quality care. Patients who relate with their healthcare professionals are more likely to comply with treatment instructions (Moreno‐Poyato et al., 2021). They will also be free to ask any questions regarding their care. As such, healthcare professionals should ensure a good relationship with their patients. In this assignment, I have discussed strategies to promote trust, my experience with moral distress, the link between morality and health promotion, and my strengths and weaknesses in communication skills. I selected case study 1 to answer the assignment questions.
Strategies that Promote Trust Between Patients and Health Care Providers
Healthcare professionals need patients to trust them for the patients to freely share with them their confidential information without worry (Drossman & Ruddy, 2020). Healthcare providers can promote trust with their patients through various strategies. One of the strategies is being honest. As with other human beings, patients love honest people. To gain patients’ trust, healthcare professionals must conduct themselves honestly and honestly (Moreno‐Poyato et al., 2021). Patients must always feel their healthcare professionals are working in their best interests and have faith in their abilities to provide suitable advice. Patients will likely stop respecting and believing in healthcare professionals if they perceive them as dishonest.
The second strategy is remaining confidential. Healthcare professionals must assure patients that their information will remain confidential for the patients to trust them (Drossman & Ruddy, 2020). The third strategy is showing the patients care and respect. Respect is a crucial component of a long-lasting working partnership. Drossman and Ruddy (2020) noted that protecting patients’ freedom to practice their values and beliefs and cultural diversity is important. Healthcare providers must put their patients’ needs first, not letting personal prejudices get in the way. Lastly, healthcare professionals can gain patients’ trust by actively listening to them and showing them sympathy when needed.
A Personal Experience Where I Faced Moral Distress
Moral distress occurs when an individual faces barriers or challenges when they want to take an ethically correct action. As a Nurse Practitioner, I have faced several situations that made me experience moral distress. One that I cannot forget is when I was caring for a patient with cancer. Two years ago, I was caring for a patient with stage four cancer. I was invested on the patient to ensure that she regain her health. However, she decided that she does not want to be treated. She told me that she was tired of endless treatments with no positive outcome. She just requested that she be provided pain medications as she waits for her final days. I was so heart broken but had to comply with her request. Even her husband was not happy with her decision. He together with her sister tried to convince her but she refused to yield. I provided her with pain medications. The patient eventually stopped her medications and died four days later. I will not forget the moral distress I experienced that day.
Relationship Between Health Promotion and Morality
Health promotion and morality are closely linked in various ways. One of the ways is to prevent harm. Health promotion activities such as those that aim to reduce the rate of smoking and drug abuse and prevent the high rate of suicide in society. Such health promotion activities promote ethical principles such as Nonmaleficence. The healthcare professional must prevent a patient from being harmed (Ventura et al., 2021). The preventive promotional activities are designed to prevent communities from being harmed by high rates of suicide or smoking.
The second way is reducing health disparities. Some health promotion programs are designed to reduce disparities by educating populations about health issues (Berwick, 2020). For instance, a health promotion program designed to educate patients on strategies to prevent obesity, heart disease, and diabetes reduces health disparity by improving the population’s health literacy. These promotional activities promote equality and equity in society, thus improving social morality. Overall, the goal of health promotion programs is to promote healthy lifestyles and preventive care and reduce health disparities, which are linked to society’s moral values.
My Insights About My Communication Strengths and Weaknesses and Development of Therapeutic Relationships
I have many communication strengths. One of the strengths is empathy. During communication, I avoid judging others and just listen. I also can listen actively and even take notes when necessary. Active listening has helped collect a lot of information from patients. Some patients love to talk without being interrupted. I am also good at building rapport with other people. I easily develop relationships with other people. My other skills include respecting other people’s cultures and emotions, providing feedback as fast as possible, and being confident when communicating. However, my weakness is emotional intelligence. I find it hard to control my emotions when discussing emotional issues. My emotions often overcome me when discussing themes that are sensitive to me.
Developing a therapeutic relationship can be hard for me when I am working with a patient who does not understand English. Communicating with the patient might be hard and can prevent developing a therapeutic relationship with the patient. Terminating a therapeutic relationship can be hard for me, especially when I have invested my emotions and feelings in helping a patient recover. I often want the patient to gain healthy status before we terminate the relationship.
Conclusion
Trust between patients and healthcare professionals can be promoted through honesty, confidentiality, care and respect, and active listening. I experienced moral distress when a patient with stage four cancer stopped her treatment and died four days later. I want to invest greatly in the patient. Health promotion is associated with morality by preventing harm, improving access to care, reducing health disparities, and promoting equality and equity. Their communication strengths include building rapport, active listening, empathy, respect for other people’s cultures and emotions, providing feedback as fast as possible, and being confident when communicating. My weakness is emotional intelligence. Developing a therapeutic relationship can be hard when there is a language barrier, and terminating it is hard when I am emotionally invested.
References
Berwick, D. M. (2020). The moral determinants of health. Jama, 324(3), 225-226. https://jamanetwork.com/journals/jama/article-abstract/2767353
Drossman, D. A., & Ruddy, J. (2020). Improving patient-provider relationships to improve health care. Clinical Gastroenterology and Hepatology, 18(7), 1417-1426. https://www.sciencedirect.com/science/article/pii/S1542356519314326
Moreno‐Poyato, A. R., Rodríguez‐Nogueira, Ó., & MiRTCIME. CAT Working Group. (2021). The association between empathy and the nurse–patient therapeutic relationship in mental health units: a cross‐sectional study. Journal of Psychiatric and Mental Health Nursing, 28(3), 335-343. https://onlinelibrary.wiley.com/doi/abs/10.1111/jpm.12675
Ventura, C. A. A., Austin, W., Carrara, B. S., & de Brito, E. S. (2021). Nursing care in mental health: Human rights and ethical issues. Nursing Ethics, 28(4), 463-480. https://journals.sagepub.com/doi/abs/10.1177/0969733020952102
OVER
RATING
YEARS
