NSB305 Leading And Learning Building Professional Capacity

Question:

This article will use evidence to discuss the role of the nurse-patient therapeutic relationship when planning for discharge. Particular emphasis is placed on the development of trust.

Answer:

Therapeutic Relationship

The nurse and patient are in a close relationship. This is because the nurse focuses on the patient’s beliefs, feelings and values.

It is an interpersonal relationship.

It is a therapeutic relationship that is built from the following components: Empathy, Rapport, Genuineness, and Warmth

Therapeutic Relationships Are Important

Patients can communicate distressing feelings and thoughts to help them.

Secure patient’s trust

Assist patient in problem solving

Patients are encouraged to be independent and to take care of themselves.

Assist patient in identifying self-destructive behaviours (Farrelly & Lester (2014)

A therapeutic relationship in mental health setting

Mental setting is not complete without therapeutic relationship.

It is the basis of mental health nursing

Mental health care requires communication, understanding and observation

It helps patients to regain their inner resources to reach their full potential. (Fortinash & Worret (2014)

Mental setting is not complete without therapeutic relationship.

Respecting the autonomy, dignity and privacy of the patient

Patients’ vulnerability to social violence and privacy breaches, including omission of informed permission and non-ethical behaviours, may be increased by breaching confidentiality and privacy.

Integrated and collaborative working

Discharge planning is the process of releasing patients from hospital or intermediate care.

It is not a simple process.

Respond emotionally to client’s needs

Patient-centered care

Trust in your patient

Integrate consumer advocacy with research, education, and policy in clinical practice.

The evidence

Forchuk et. al.

It was used in the transitional discharge model to provide safety net for patients with mental illnesses.

It increased the rate of discharge and decreased the rate readmission.

Effective discharge planning is achieved when there is a therapeutic relationship among staff, peers and care providers, as well collaboration with stakeholders.

Therapeutic Relationships: Strategies to Establish One

Therapy relationship building requires professional communication skills.

These strategies can help with effective discharge planning in mental healthcare settings as it will increase patient’s functioning, decision making ability, and family support.

References

The therapeutic relationship between mental health services users with psychotic disorders (and their clinicians): A critical interpretive synthesis.

Health & Social Care in the Community, 22(5), 449–460.

The state of the art in transitional discharge based on therapeutic relations:

Archives of psychiatric nurses, 21(2), 80-86.

Psychiatric Mental Health Nursing – Ebook.

Discharge planning: from hospital to at-home.