Therapuetic Relationships

Values

qualities, principles, attitudes, beliefs about worth

Values are usually imbedded in a _____ context

culture-family/social

Two types of values

active and cognitive

Active values

Values a person physically acts out

Cognitive values

Are values that are verbal and intellectually expressed

Values evolve, which are affected by _________ and ___________

life events and social processes

Steps in self awareness

Listening to oneself, listening and learning from others, self disclosure, and practical reflection

Listening to oneself

• Attention to emotions, thoughts, memories, and reactions

• Self-reflection

Listening to and learning from others

• Feedback: reflection is important and controls and accommodates responses to behavior

• Intergration of feedback can alter ineffective behavior

Self disclosure

• Appropriating sharing of self enhances self-knowledge

• Promotes reciprocal interaction (patterning of similar activities within the same interval by two people); mutual exchange

Practical reflection

Enhances understanding events and corrective action

Therapeutic Relationship is the setting in which

nursing care occurs

In therapeutic relationships, caregivers focus on the needs of ______

individuals

Key components of therapeutic relationships include

• Knowing each other

• Reciprocity 

• Respect, confidence

• Most important: Establish open communication

Reciprocity

The patterning of similar activities within the same interval by two people can facilitate communication.

Therapeutic relationship characteristics

• One person promotes well-being of another

• Purposeful communication is goal directed

• Rapport and trust based

Rapport

Is the harmony and affinity between people

How is rapport faciliated?

By being genuine, open, and concerned

Trust

Reliance on another based sense of safety, honesty, and reliability.

How is trust facilitated?

Facilitated by clear relationship definitions; being consistent

Therapeutic Techniques include

• Focusing on the individual: person, not nurse, is the focus of interaction

• Help person clarify and content/meaning

• Reflection

Barriers to communication

anxiety, attitudes/gaps between nurse and patient, resistance, transferance or distorting, sensory barriers (deaf, blind, language barriers), failure to address concerns

Anxiety is a barrier of communication that can

Come from nurse or patient

Attitude and Gaps between nurse/patients are usually

biases or stereotypes

Resistance usually arises from _____; getting in the way of therapeutic goals

anxiety

Transference or distortion is the barrier of

Reacting to someone as they are from the past

Sensory barriers include

Being deaf, blind, or having language barriers

Failure to address concerns is the most serious barrier which typically arises from?

Inadequant assessment, lack of knowledge, and confusion between friendship and helping relationship

The orientation/introductory phase is

• Establishing connection

• Consistency, active listening, concern, warmth

Working phase is

Nurse and person partners in promoting health, goals are set

Termination phase

Is the end of therapeutic contract, anxiety usually arises