What nurses need to do as a part of the therapeutic relationship as a required minimum.

Part 2: [ Ссылка ]
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The purpose of this video is to briefly outline the importance and components of TRs in nursing.

A TR is an essential part of nursing. It is the foundation for nursing practice. Without a relationship you cannot find out important information about clients. Without this information, care will be ineffective.

TRs have been linked to better client outcomes.

When a TR is established, clients experience increased empowerment, which results in adherence and improved healing among many other benefits.

A TR can be difficult to define. It is important for nurses to know what a TR is and how to establish it since it is so crucial to quality client care.

The TR can be viewed from perspective of the profession, client and nurse. In this two part video a very brief overview of these perspectives will be provided.

From the perspective of the profession, a therapeutic relationship is an expectation of nurses. Governing bodies have standards that outline the minimum requirement of nurses within this relationship.

For example, the College if Nurses of Ontario indicates that regardless of where a nurse works these concepts must be present in nurse-client relationships. Trust and respect must be established and maintained with clients. Empathy, balanced with emotional distance, must be expressed. Nurses must also pay attention to unequal power and professional intimacy within these relationships in order to meet the client's needs.

Within the CNO document, several indicators of statements are outlined to help nurses meet the standards of practice. The CNO expects nurses to use communication and interpersonal skills to manage TRs. It is expected that nurses work with clients to meet the client's needs. While doing so, it is important to note that an essential component of a TR is establishing and managing the boundaries. It is the nurse's responsibility to ensure boundaries are maintained. Gift giving and receiving is an issue that nurses must be particularly aware of. Nurses must also prevent, stop and report the abuse of clients.

Further clarity within this practice standard is provided through more detailed indicators and tools such as a decision tree to guide nurses in their decision making. Practice guidelines are available free on the CNO website. As a nurse it is important to familiarize yourself with the practice standards of the governing body in your area.

In addition to meeting the minimum requirements of the profession, nurses should strive for excellence. For example, this RNAO BPG is designed to support EBP and should be evaluated and applied while appreciating context-specific needs of clients. Recommendations are made within this document for practice, education, organizations and policies. For the purpose of this video only a few of the elements within this document will be explored. The full document is available for free on the RNAO website.

Like the CNO, the RNAO supports the importance of the therapeutic relationship. They define it as an ... Interpersonal process

On page 17 a framework for the TR is provided. In order to engage in a TR nurses require knowledge from education, readings, experience, theory, and context-specific factors among other things.

The RNAO indicates that reflective practice is a prerequisite for a TR. In order to establish a TR it is important to know and be aware of oneself, demonstrate empathy and be aware of boundaries.

Recognizing the dynamic phases within the TR helps the nurse understand the process and meet client needs.

Critical components of the TR identified by the RNAO include
Listening
Trust
Respect
Genuineness
Empathy and
Responding to client concerns

These components are supported by literature from the perspective of the client and nurse, which will be explored in part two of this video.

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