NUR350 Test one
compassion - ✔️✔️a deep awareness of the suffering of others coupled with the wish
to relieve it, involving a somatic, cognitive and embodied process of attempts to relieve
suffering.
CNO Therapeutic Nurse-Client relationship: four standard statements - ✔️✔️1.
therapeutic communication
2. client centred care
3. maintaining boundaries
4. protecting the pt from abuse.
Instrumental and relational aspects of nursing practice act ____________ in pursuit of
curing and/or healing - ✔️✔️synergistically
Underlying principles of the therapeutic relationship - ✔️✔️empathy, compassion,
caring
Relational work involves nurses therapeutically relating to their patients in ways that: -
✔️✔️1. Facilitate the patient or family members ability to cope with their circumstances
- being able to deal with the different aspects of what is going on (physical, emotional,
etc)
2. help them understand the meaning of this episode of illness or injury in their lives -
how is this going to impact their lives
3. Allowing them to take ownership for their own healing and recovery - what is this
going to look like for the pt?
Relational work fosters - ✔️✔️human relationships with patients
questions we can ask ourselves that help us relate to pt? - ✔️✔️who am I? what is
most important to me? what assumptions do I make about the world? what have I
struggled with in my life? what has shaped me into the person I am today? what has
brought me to nursing?
Marcus Engel - ✔️✔️- "I'm Here", nickname, common ground, privacy, don't say "I
know how you feel", instead acknowledge their situation and say you are there for them,
tell them if vitals were good
why would we ask questions about ourselves to better relate to patients? - ✔️✔️to
crack us open as individuals, help us understand out dynamics, and judgements, in
order to connect better with pt
,the therapeutic relationship focuses on ____________________ - ✔️✔️ministering to
the needs of the person receiving care
true or false: the therapeutic relationship is mutual in benefit between both parties? -
✔️✔️false - we do not get things back. the needs of the caregiver are met outside the
therapeutic relationship
empathy - ✔️✔️the experience of understanding another persons condition from their
perspective.
motto/saying for empathy - ✔️✔️putting yourself in someone else's shoes
Empathy vs. Sympathy - ✔️✔️In empathy, we understand the feelings of others.
In sympathy, we feel bad/pity the person.
what is more productive: empathy or sympathy? - ✔️✔️empathy
why should nurses be empathetic - ✔️✔️to help us better understand the pt needs and
experience, understand the impact to decrease suffering.
eg: pt gets hurt when bed is bumped, being more careful around the bed
recognition of suffering, empathetic engagement with suffering, and ACTION in
attempts to relive suffering
caring - ✔️✔️genuine kindness and authentic concern for others, evidenced by
qualities of gentleness, warmth, affection and concern
are empathy, compassion, and care all intrinsic attributes of people who want to be a
nurse - ✔️✔️principles are meant to be learned, its a skill. there are some natural
aspects, but it can be aquired.
therapeutic communication - ✔️✔️nurses will use a wide range of effective
communication strategies and interpersonal skills to establish, maintain, re-etablish, and
terminate the nurse-pt relationship
introducing yourself, adapting language, translator, etc
client centered care - ✔️✔️nurses work with the client to ensure that all professional
behaviours and actions meet the therapeutic needs of the client
treating the patient as a partner in care. doing things with them, not too them.
,maintaining boundaries - ✔️✔️nurses are responsible for effectively establishing and
maintaining limits or boundaries in the nurse pt relationship.
Protecting the pt from abuse - ✔️✔️nurses protect from harm by ensuring that abuse is
prevented, stopped, or reported.
maintaining boundaries: practice considerations - ✔️✔️care setting - acute care has
more defined roles than in the community
duration of the relationship
cultural values of the client
how we feel about the client
clients relationship with other team members.
maintaining boundaries : receiving gifts - ✔️✔️always consult team/manager before
accepting a personal gift, regardless on how big.
be prepared with that your going to say in the event someone tries to give you a gift
dont give personal gifts. sometimes team gifts are appropriate.
maintaining boundaries: self disclosure - ✔️✔️ask yourself why are you sharing this
information and what purpose does it serve?
the purpose of the therapeutic relationship is to... - ✔️✔️promote, guide, and support
the healing of another person through knowledgeable and authentic connection.
humanizes what may be inhumane. things done with them, not too them
heal vs cure - ✔️✔️healing: make sound or whole. emotional. not tied to physical.
cure: biomedical concept, clearly defined, only physical
we can always heal, we can't always cure. curing is contingent on many factors and
may not always be possible.
healing is ongoing, when will you be 100% healed? what does that mean for the pt?
Sidney Jourard - ✔️✔️recognizes objectification in therapeutic relationships
a person can attain health only if they can help themselves.
, decreased openness = alienation, conflict and sickness
rote (mechanical) care and inauthentic prescriptive interactions are about controlling the
patient and obscuring personhood.
bedside manner is used as a shield to protect health care provider from suffering.
why would a HCP want to control their patient - ✔️✔️establish dynamics, dominance,
avoid vulnerability, protect themselves.
Buber and Warner theory - ✔️✔️continue the theme of objectification within
interpersonal relationships. I -it vs - thou.
we need to desire to truly understand and be responsive of others. in hospitals, people
are stripped of individualities.
I-It vs. I-Thou - ✔️✔️I-It: we treat the other person as a thing to be used
I-Thou: we regard them as our partner
Kristen Swanson's Theory of Caring - ✔️✔️more tangible version of older models.
5 caring processes to inform therapeutic practice:
maintaining belief - believing in people
knowing - understanding lived realities
being with - emotionally present for increased human connection
doing for - do for others what they would do for themselves
enabling/informing - facilitating passage through life events
Racheal Naomi Ramen - ✔️✔️increased importance of the illness narritie
Loving connection in care. not romantic, but human love
what happens when pts dont feel cared for as people? - ✔️✔️fear, loneliness, isolation,
alienation, fear cascade, illness
emotional impacts of objectification - ✔️✔️fear, anxiety, emotional distrust, anger,
frustration, hopelessness, loneliness, increased vulnerability, increased pain, stress
Physical impacts of objectification - ✔️✔️muscle tension, increased bp, increased HR
and RR, increased pain, digestion issues, increased blood glucose, exhaustion,
impaired immune system
why would nurses participate in the objectification of their patients? dont they care -
✔️✔️current climate of health care
