Therapeutic Relationships In Specialist Palliative Care Nursing Practice

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Concept Analysis Article 1
PEER REVIEWED CONCEPT ANALYSIS ARTICLE

Peer Reviewed Concept Analysis Article

Concept Analysis Article 2
Introduction
In the article, “Therapeutic Relationships in Specialist Palliative Care Nursing Practice” by Deebs Canning, John Rosenberg, and Patsy Yates, the focus of the concept is on nursing care. Considered to be one of an essential focus of specialist nursing practice is the therapeutic relationships formed with those for whom the nurses care as well as their respective families. Such relationships allow the patient to improve as a result of the care. Another element to be considered is the respect for the illness experience that the patient has. This needs great sensitivity on the part of the specialist palliative care nurse during dialogs about factors of illness and the patient’s response to their expected death. Information shared must be honest and real, given in a timely and careful way that includes serious listening to the patient’s wants and choices within the bounds of their lives. As Canning et, al. (2007, 226) explain, specialist palliative care nurses must have the know-how that is usually enriched by actual experiences.
Response
The functions of the specialist palliative care nurse are frequently risky of becoming pressured by the demands and expectations of their profession. Nurses on a daily basis deal with dilemmas as they perform their duties as health care provider. They interact with people from different races, cultures, beliefs, attitudes and religion so it is no wonder that several studies were conducted to discuss how these Nurses can deal with such diversity. Nurses are closest and spend the most time with patients, have the tendency to face more challenges when caring for their patients. As the patient is put in a palliative environment, she can rest assured that everything is done to make her comfortable, as her desire. As However, there are factors that would affect the daily progress as her health caretakers have principles and values to keep. Concept Analysis Article 3 A therapeutic relationship between caregiver and patient is needed in order to succeed in treatment. Trained professional nurses are deemed to be the best persons to develop such relationships. However, there are illnesses where the establishment of therapeutic relationships is difficult like that of anorexia nervosa, being a chronic disease. There are certain factors that are needed in order to succeed in developing this kind of relationships with trust, commitment, empathy, honesty, support, confidentiality, consistency, and responsiveness. Moreover, nurses in the care of highly strung patients must possess effective communication, interpersonal skills, genuine rapport and trust with their respective patients. This serves as a revelation and a realization of the challenging roles of nurses in establishing therapeutic relationships with patients. Many studies reveal some insights on the prevailing dilemma on establishing such relationships as well as improving the hospital programs being used to treat these patients. According to Skilbeck and Payne (2005, 327), some themes are identified some dilemmas of establishing therapeutic relationships: struggling for Control, understanding and develop the therapeutic relationships. Some of the nurses who care for young patients are faced with the absence or lack of understanding of their illnesses. These misunderstanding and misinformation led to the nurses’ ill feelings of caring for these youths when there are sick and needed to be cared for. In addition, the participants feel they failed when a patient fails to recover. While this is an actual scenario, this result is something that could have been foreseen. Thus, a remedy could have been at hand. Formal training and education should be provided to these nurses before making them care for this complex disorder. One contributory factor
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