The Dynamic Nurse-Patient Relationship – Essay Example
This essay discusses Orlando’s nursing model, the dynamic nurse-patient relationship, and analyzes how this theory can be applied to nursing practice at the individual, family/group, and community/population levels. Introduction Ida Jean Orlando formulated her theoretical models of nursing in relation to her theory of dynamic nurse-patient relationship, and expanded them to involve the distinctive role of nursing in patient care. She examined the aspects that reinforced or hampered the incorporation of mental health doctrine in the curriculum of basic nursing. She developed the dynamic nurse-patient relationship model to provide nursing practitioners a model of efficient nursing practice. She investigated nursing patient care on medical-surgical settings, not individuals with psychiatric disorders in psychiatric facilities (Orlando, 1961). She recognized three aspects of nursing practice: the uniqueness and creation of nursing knowledge, the professional role of nurses, and the relationship between nurse and patient. The Dynamic Nurse-Patient Relationship – Essay Example. A nursing context comprises the patient’s behavior, the nurse’s response, and all that does not alleviate the patient’s suffering. Patient distress is associated with the failure of the person to satisfy or express his/her needs. Orlando’s Nursing Model The dynamic nurse-patient relationship is derived from the assumption that the relationship between the nurse and patient is mutual, which means that the behavior or decision of one influence the other. Orlando (1961) argues that the nursing role is different from the medical role and that the response of nurses is based on the urgent needs, demands, and experience of the patient. Basically speaking, the theory claims that nursing is one-of-a-kind and autonomous because it focuses on the need of an individual for help or support, actual or probable, in an urgent condition. The manner by which nurses relieve this vulnerability is reciprocal and is performed in a closely controlled or profession way that requires education and expertise. Orlando (1961) argues that one’s behavior or response must be derived from reason, not set of rules. The Dynamic Nurse-Patient Relationship – Essay Example. Her theory is regarded to be an interactive model for it suggests a particular practice of planned, purposeful one-to-one nurse-patient relationship to reinforce the best nursing care intended to take care of a patient’s needs. The nursing process is activated by the behavior of the patient. The behavior of a patient, regardless how trivial, should be seen as a call for help. Patient behavior could be expressed verbally and nonverbally. When a patient needs something that cannot be met without the aid of another person, vulnerability or helplessness arises. If the behavior of a patient does not clearly express a precise description of the need, then setbacks in the relationship between the nurse and patient may occur and make it hard for the nurse to sufficiently deal with the need of the patient. A better understanding, appreciation, or resolution of incapable patient behavior becomes a main concern for the nurse for the condition will probably deteriorate sooner or later and make sufficient care, or the delivery of required assistance or support, more and more problematic. The response, decision, and behavior of the nurse are aimed at alleviating unproductive patient behavior and satisfy urgent needs as well. Patient behavior triggers a nurse response, which is the beginning of the nursing process. Proper or correct nurse response is composed
Watson defined therapeutic nurse-patient relationship as “a helping relationship that’s based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient’s physical, emotional, and spiritual needs through your knowledge and skill” ( as quoted in Pullen, 2010, p.4). The Dynamic Nurse-Patient Relationship – Essay Example. Nurse’s are expected to portray and act professionally, legally and ethically in order to established an effective nurse-client relationship. The Nursing and Midwifery Board of Australia (NMBA, 2012) is a regulating body for nurses and midwives specifically in Australia had set and approved codes and guidelines to follow and source of basis to guide nurses in their professional practice.
Interestingly, not only do successful encounters improve patient outcomes they have also been shown to improve professional satisfaction. These skills lead to professional respect among the nurse and healthcare system. Benefits for an effective nursing care are positive outcome of care. Promoting an environment of nurse-patient collaboration serves also as a gateway to facilitate cooperation and more appreciation of the patients condition (Nursing and Midwifery Board of Australia, 2006). Constructing an effective nurse-patient relationship are integral to the success of patient health condition. There are various ways and technique on how we can convey and form an effective nurse-patient relationship. Establishing rapport and developing trust and respect is the initial part of good relationship. The Dynamic Nurse-Patient Relationship – Essay Example. For instance, in your first meeting introduce yourself in a warm and polite manner. Calling your patient by her name is much comfortable than calling them in their last name. Smiling after introducing your name and giving handshake are also another way of conveying positive regard ( College of Nurses of Ontario, 2006). Good communication are another strategies to promote better understanding of the patients condition. Communication entails dynamic interaction between nurse and a patient. It comprises verbal and non-verbal cues that may contribute to the feelings, values and concerns of patient. In conversing with patient the nurse must be an active listener since it’s a
The aim of this assignment is to demonstrate how Peplau’s concept of the nurse-patient relationship can be used to influence an incident in practise. I have chosen to focus on the nurse-patient relationship, as I am in the early stages of my adult nurse training and I feel it would be beneficial to understand this relationship more accurately. The Dynamic Nurse-Patient Relationship – Essay Example.The first part of this assignment defines a concept and briefly outlines the nurse-patient relationship as a concept. The second part focusses and outlines Peplau’s theories. The final part relates Peplau’s theories to an incident in practise. It is important to recognise that one theory may not substantially apply to an individual situation or nurse-patient relationship. Therefore I will…
It develops around the patient wanting to learn and use the information that is provided for them. (Peplau, 1988). The incident in practise occurred during my first placement as a student nurse, in a private hospital on a surgical ward. I initially met Sarah post operatively and assisted in her care over the space of a week. My mentor was heavily involved in Sarah’s care as they had formed a bond. As I spent a lot of time working alongside my mentor, I too had the opportunity to become involved in her care. My mentor delegated specific tasks to me involving Sarah as she trusted me to look after her when she was required to perform ward sister duties. Sarah was in her mid thirties and a florist by trade. The Dynamic Nurse-Patient Relationship – Essay Example. One day she realised that something wasn’t right and discovered something (which on examination turned out to be her bowel) protruding from her vagina. Her consultant recommended a Vaginal Prolapse Repair and has Sarah had medical insurance she was able to get it carried out privately. She also had a bad back caused by her work and low blood pressure, which made her prone to fainting spells. The first time I met Sarah my mentor had asked me to assist her onto the commode. She had the commode placed adjacent to her bed as she had fainted earlier on that day attempting to use the toilet. I was advised by my mentor that Sarah was very anxious as post operatively she had not yet passed .
The Dynamic Nurse-Patient Relationship – Essay Example.