Tuesday, December 18, 2018
'Relational Skills Reflection Paper Essay\r'
'The purpose of this paper is to  kick me, the  adopter to analyze and reflect on a video created between an actor and themselves. Using my cognition obtained I was to  potently incorporate trust,  revere, honesty and  legal communication, as they  are key principles in establishing a  family relationship with a client (RNAO, 2002). During this  cause, I encountered an  core that I  swear is  momentous in my  cultivation as a  treasure. I was set(p) into a scenario involving a 47 year old  diligent named  pot, who was waiting to be discharged  after(prenominal)  pang his  startle  breast  eruption. Finding the  tolerant roles quietly  academic term in a chair  piqueting the  radical as I entered the room, I  felt the  pack to be in the moment with him. The issue that seemed signifi privyt to pay attention to in this scenario was my  uncomplainingââ¬â¢s  line upings of  world overwhelmed by his  checkup  occasion and the changes that  inf eachible to be make (Appendix A). Sitting     indoors  thoroughly distance and showing  celebrate up to(p) body  actors line showed him respect, while acknowledging he had my full attention was displayed to the  uncomplaining by making comments such(prenominal) as yes and I understand (Appendix A). Through the use of open-ended questions, I was  suit qualified to identify what was meaningful and concerning to john.\r\nJohn showed a lot of concern around his  strength to  take for himself so this doesnââ¬â¢t happen again, and  macrocosm able to support his family (Appendix A). Knowing his concerns, I was then able to acquire the necessary  friendship  involve to  get into effectively in our  foster-client relationship (RNAO). This  fuck off has allowed me to  unwrap further in my role as a  nanny. My  longanimouss comment on how our encounter gave him  much boost to face his challenges was proof that my communication methods were effective in  engendering a therapeutic relationship (Appendix A). The luck to set aside my own c   oncerns and focusing on the patients, allowed me to be in the moment with the patients. In those moments, the  grow  fostered me become a better nurse as my actions made me feel   more than than confident after each  lucky encounter. Watching his facial expressions and  lottery in his positive responses allowed me to watch him  conk out  presumption in my ability to care and in turn, allowed me to develop confidence in myself (Appendix A).\r\nThe signifi faecal mattert actors in this  inhabit were the individual playing the part of ââ¬Å"Johnââ¬Â and myself, the nurse attending to the patients needs. My role in the scenario was to identify the concerns of the patient and  protagonist them to obtain cognition. Providing resources for my patient gave him options that were specific to his concerns such as a well balanced  fast and proper exercise. The options of meeting with a nutritionist to help make healthy meal choices, and with a  physiotherapist to help develop custom exercis   es to take with him on the road encouraged John to change his routines (Appendix A).  victorious  none of my patientââ¬â¢s feelings of being overwhelmed by his  amount  tone-beginning, I was able to give him  somewhat comfort when offering to find an individual  retrieve from a heart attack that would be  impulsive to sit down and share their   look while stories and methods of  get by (Appendix A). The patientââ¬â¢s role in this experience was to help create a therapeutic relationship.\r\nI first observed my patient with her arms and legs  cover and staring down at the floor with  pertain look on his face (Appendix A). Comparing the first image to the end of the scenario showed an individual that was  interested in making a change, a smile on his face and as he stated, an ââ¬Å"encouragedââ¬Â  light of his health (Appendix A). The client was in need of  agency and help with making the appropriate changes to ensure a healthy lifestyle after having his heart attack. I was a   ble to provide her with resources such as a nutritionist, physiotherapist and social support to adjust to life changes (Appendix A). While meeting the needs of my patient, I was successful in completing my own personal needs.  attack into the experience with  friendship of possible resources available, the  dread  give birth upon introduction had disappeared after gaining acceptance from my patient  by effective communication. The development of a therapeutic relationship allowed both the patient and I to gain from the experience. The patient left feeling encouraged and satisfied, as I felt successful and confident in how I handled the situation (appendix A).\r\nBefore the taping of the scenario began, I was  severe to achieve the perfect scenario while  inserting a  nonrecreational image of a nurse. I acted the way I did due to the lack of experience in the  suck up and I allowed my nerves affect my thought process. This is  exhibit throughout the entire video as I kept returning t   o the same question ââ¬Å"are there any concerns you  take onââ¬Â, and  difficult to  unclutter the patients problem  kind of of helping them understand and  distinguish with the emotions that are attached to the experience (Appendix A). My feelings, thoughts and responses during this experience were  deflectd by my personal view and the presence of my preceptor placed me in a nervous state to which I became unsure of how to respond properly to my patientââ¬â¢s thoughts. This experience allowed me to feel capable of my skill levels and feel confident as a nurse. Overall this scenario showed  comprehension of my growth through the friendly gestures and facial expressions of the patient.\r\n disturbance and stress diminish communication, interpersonal effectiveness and empathy within a nurse-patient relationship (Beddoe and Murphy, 2004). Lack the  knowledge and  intellect of why I am feeling this anxiety,  until now with positive reflections on my experience, allowed me to eva   luate what I did wrong.  upcoming encounters  lead help me to reflect on the scenario and blindside my anxiety before it has an effect on my actions. Having a limited amount of empirical knowledge made it challenging to let the patient know  exactly what to expect after having a heart attack and what daily routines  bring on to be adjusted. Obtaining empirical knowledge from my education regarding the components of a nurse-client relationship reminded me that I needed to place the  originator into my patient and develop respect and trust within the relationship (CNO, 2004).\r\nPersonal knowledge was limited in this scenario as it was my first  metre being placed in the spotlight with a patient and I was unsure of how everything would unfold. Introducing my  aesthetic knowledge was shown when I offered to find John an individual  regain from a heart attack that he could  utter with (Appendix A). Throughout the experience, I became more aware of the patients feelings as I picked up on    Johns overwhelmed feelings and concerns around providing for his  wife and son (Appendix A).\r\nThis perception of the experience is seen as John believe that he should  work seen the heart attack coming before it occurred (Appendix A). He stated the he felt encouraged by this experience and felt he had more options to seek. The wife was more of a background actor, but was said to be a ââ¬Å"sweet womanââ¬Â, who has helped a lot throughout the experience (Appendix A). Valuing ones beliefs and concerns based on an experience is something all nurses should consider. Giving John  fivefold options and resources to consider instead of telling him what he has to do, have  presumptuousness him the power to make all the necessary changes within his life with the help of his wife and son (Appendix A).\r\nIf I was  habituated the opportunity to be placed in a similar situation in the  in store(predicate), I believe that my anxiety would still be present, but more control over the situati   on would be  noticeable due to the knowledge I have  unquestionable on therapeutic relationships. The relationship skills that I could have performed differently during this experience, was my self- cognizance of human emotions. My nerves had played a role in distracting my train of thought when  try to be in the moment with the patient. Repeatedly  ask the patient if he had any other concerns he would like to address whitethorn have given him the feeling of being rushed and that I was not interested in how he was feeling emotionally (Appendix A). On a few occasions, I would  land up my patients sentence for him as I felt he was stuck for words, this may have allowed the patient to know I was listening to what he was saying, but  excessively  competency have given him the idea that I was being rude (Appendix A).\r\nDuring the introduction stage of the experience, my patient told me he was in the hospital due to a heart attack. Empathy is the appreciation of the patientââ¬â¢s emot   ions and expression of  sensation of what they are presenting (Haslam, 2007). My nerves caused me to overlook his feelings and just  adjust into asking him about any concerns he  efficacy have with his state of health (Appendix A). It is possible to  splay into a task-and time-orientated way of thinking to get jobs done, thereby neglecting effective communication with patients (Cocker, 2008).\r\nConsequences that may have  demonstrable from overlooking the patients feelings was the challenge of developing a  approximate relationship with the client as I was interested in obtaining information to help me solve his problems.  speed my patient through the experience may have caused him to close himself off from the relationship as he may have felt that I was not listening to what he was truly feeling. This would leave the patient in the same state he had entered the experience with. The sources of knowledge that I could use to enhance my relational skills in these areas, is to take the    time to practice with a partner a variety of scenarios that would help me develop my communication skills and place more focus on the patients feelings.\r\nThe outcome of this experience was positive as my patient left feeling more encouraged and had obtained multiple resources to help him incorporate any changes that he may need to adjust within his daily routines (Appendix A).  feeling back at this experience I was able to reflect on all of the positive and  detrimental aspects of a therapeutic relationship. I feel that the  near time I am placed in a similar experience, I will be able to blindside my anxiety and personal thoughts and feelings. In turn, I would have the ability to be in the moment with my patients and address not only how I can help solve his problems, but also the feelings and thoughts being experienced. I have learnt that having self awareness identifies what skills I possess and those I need to learn and develop on. Self awareness provides nurses with knowledg   e of their thoughts, feelings and what they do to become awareness of issues that may affect their ability to intervene effectively (Parsons & White, 2008). There will always be room to learn and  rectify my skills, and with practice, I will get the chance to watch them become second nature to me.\r\nThis experience has taught me to  stave off all the barriers such as the presence of anxiety in new situations. With confidence in creating an effective therapeutic relationship, I can focus on being in the moment with the patient. I have learnt that my anxiety can affect my interactions with patients, and that it is more than trying to solve the patients problems, it is about showing you care and being there in the moment to listen. This experience has allowed me to  introduce how a nurseââ¬â¢s action can affect the development of a therapeutic relationship. My  honourable knowledge allowed me to recognize my patients overwhelmed feelings due to his health condition and by follo   wing my values and beliefs, I knew that he was in need of someone to care and help guide him in the right direction. Using my aesthetic knowledge, I was able to think of possible resources for my patient, and the  seminal idea of finding a  previous(prenominal) heart attack patient showed my patient that I was  unforced to take that extra step and comfort his feelings.\r\nThe knowledge gained from this experience can be incorporated into future situations and will allow for proper adjustments and better relationships to be developed. Lacking empirical knowledge before  unveiling the scenario was a barrier that challenged my patient care. Knowing more information on heart attacks would have allowed me to present the patient with more options and what he could expect in the future (RNAO, 2002). Acknowledging my personal knowledge gathered from previous experiences, I considered how I would like to be  treated and that anxiety would be present. Knowing this helped me to reduce my fidge   ting and respect my patient by actively listening and  retention eye contact (Appendix A). This experience will influence my future practice as a nurse because I have learnt that nursing is more than  work on fixing the patients physical needs, but is more of an ethical interaction where you can take the time to be there in the moment with them.  sounding at each experience as a stepping stone toward my success as a nurse and with each successful hurdle crossed, I can confidently await the next.\r\nÃ¢â¬Æ'Reference\r\nBeddoe, A., and Murphy, S. (2004). Does Mindfulness  subside Stress and Foster Empathy Among  nurse Students? Journal of  treat Education, 43(7), 305-12. Retrieved April 4, 2008, from ProQuest  nursing & Allied  health  stock database. (Document ID: 669281021).\r\nCarper, B.A. (1978) Fundamental Patterns of Knowing in Nursing. New York. Aspen Publishers, Inc.\r\nCocker, J. (2008).  tolerant dignity. Nursing Standard, 22(25), 59-60. Retrieved April 4, 2008, from Pro   Quest Nursing & Allied Health Source database. (Document ID: 1440306621).\r\nCollege of Nurses of Ontario (CNO), (2004, January). CNO Practice Standard: Therapeutic Nurse-Client Relationship. Retrieved February 15, 2008, from http://cno.org/docs/prac/41033_Therapeutic.pdfHaslam, N. (2007). Humanising medical practice: the role of empathy. Medical Journal of Australia, 187(7), 381-2. Retrieved April 4, 2008, from ProQuest Nursing & Allied Health Source database. (Document ID: 1374608891).\r\nParsons,A., and White, J. (2008).  eruditeness from reflection on intramuscular injections. Nursing Standard, 22(17), 35-40. Retrieved April 4, 2008, from ProQuest Nursing & Allied Health Source database. (Document ID: 1413949861).\r\nRegistered Nurses of Ontario (RNAO), (2002, Novemeber).  beat Practice Guidelines: Establishing Therapeutic Relationships. Retrieved January 15, 2008 from http://www.rnao.org/bestpractices/completed_guidelines/BPG_Guide_C2_TR.asp\r\n'  
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