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    PATIENT SAFETY AND A HEALTHY WORKPLACE

    Therapeutic communication in health care

    1.1 Introduction 

    Therapeutic communication is a face to face communication process that helps in conducting interaction with patients. It is seen that it helps in developing and maintaining physical and emotional well being to a patient. Therapeutic communication is said to be one of the most effective communication strategies that get used for conducting communication advancement. It is also seemed to be used by the nurses to manage the situation along with analysing critical areas. The purpose of doing this study is to generate help to the patients, along with exploring the necessity of integrating this to the health care organizations.   

    1.2 Discussing the significance of the topic 

    In the case of developing interrelation between nurses and patients, Therapeutic communication seemed to be highly beneficial. Mostly, no communication support seems to be generated to the patients, and thus, it is turning out to be a significant problem. It is turning out to be a global problem as patients do feel lonely and cannot find out the exact problem.

    Therapeutic communication is seemed to be effective in this part, and thus, most of the nursing and healthcare organizations are going to stay integrated with this to develop interconnection. It also helps in managing emotional well being along with providing support and sharing necessary information with the patients (Arnold & Boggs, 2019). It is essential for nurses to understand the patients, along with encouraging them to make their environment positive. Thus, in the case of discussing its significance, Therapeutic communication seems to be helpful in managing the patient’s mental ability, which affects in dealing with critical parts. 

    As per my view is concerned, I feel that it comes under the responsibility of nurses to understand patient’s needs by conducting effective communication. Verbal and non-verbal communication is said to be effective in this case as it helps in analyzing the issues faced by the patients. On the basis of these problems, steps need to get developed by the doctors, which the nurses need to follow on a daily basis.  

    2. Objectives

    The objectives of the study are;

    a To demonstrate the effectiveness of Therapeutic communication in the nursing industry

    b To analyse the characteristics and affectivity of therapeutic communication

    In the study, the techniques, strategies and importance’s are going to be shared that stays integrated with this communication technique. In the case of making people aware of this, I am going to conduct research over analyzing the importance of therapeutic communication in nursing. In the case of demonstrating the objectives, I am going to share details of healthcare organizations where Therapeutic communication has turned out to be an active part. 

    3. Outline of the topic
    3.1 Discuss the Therapeutic communication techniques and strategies 

    Therapeutic communication is said to be a collection that looks after prioritizing the physical, mental and emotional well being. It is noted that nurses need to generate support along with providing necessary information along with maintaining a level of professional and objectivity. As stated by Martin & Chanda (2016), it is seen that Therapeutic communication helps in developing open-ended questions to allow patients to share their thoughts on the basis of questions. There have been a variety of therapeutic communication that stay integrated   nursing practices, and those are; Using time and sequence in case of describing events: It is not always necessary to ask the patient about their condition. Moreover, the nurses need to look after the patient's reports and physical well being to understand their issues. As opined by Martin & Chanda (2016), it is also necessary for the patients to look after the particular event, such as asking them about the symptoms. For example, languages are said to be used for encouraging patients to recall the sequence of time. It is said to be useful for managing better understanding, which is seemed to be helpful for developing stimulation

    Build trust: It is necessary for a nurse to accept and recognize the areas that get looked after by the patients. This method of communication is seemed to be useful for managing areas which are said to be helpful in managing trust margin. Apart from this, another important part is related to managing the areas to develop regions of communication.  

    Giving patients the change to direct communication- It is a fundamental part that leads to the way of managing the flow of conversation (Yong-Shian et al. 2016). Such as, the nurses can ask for if they are feeling good or facing issues to the areas. It turns out to be more comfortable for the patients to manage the situations along with developing thoughts.  

    Asking relevant questions- It is necessary for the nurses to ask the patients so that areas can be explored where they are facing problems. It is also required to provide the essential information so that areas can be analyzed in a better way.  

    Focusing and clarifying- Care is another important thing that is a part of Therapeutic communication, which is supposed to be a useful technique for managing personal opinion. Felicetti et al. (2016) stated that it is also necessary for the nurses to ask for information so that a clear picture gets developed to the issues. 

    The nurses also need to have a clear idea over the questioning part, which seemed to get conducted in Therapeutic communication. Those are;

    Open-ended questions- In this type of question, the patients had the opportunity to discuss the health problems that they are facing. The assumptions are seemed to be stated in this type of question. The nurses need to keep asking this type of questions to gather more information about the issue.

    Close-ended questions- In this type of questions the patients have to be answering in Yes or No. this type of question gets asked by the nurses to get to know about any particular issue if patients are facing or not. It has been stated by Arnold and Boggs (2019) that answers are needed to get collected on to the point by the nurses in this type of questions.

    Focused questions- It is another type of question that also gets asked by the nurses in managing responses to the business by managing patience. MacLean et al. (2017) stated that it is said to be a comparatively lengthy process where professionalism is said to be an essential part and which is also said to be a vital part that stays integrated with managing issues to the business. 

    Basically, the nurses needed to have a clear idea over asking questions which are said to be impacting over managing business factors so that issues can be handled and identified. It looks after generating a cure to the problems along with managing critical areas.

    3.2 State the purpose and importance of therapeutic communication in nursing 

    Quality of a therapeutic relationship depends upon the ability of the healthcare provider who the knowledge of effective communication. Thus, on that basis, training is also required to be generated to the nurses so that communication efficiency gets improved. It seemed to be one of the useful parts that nurses need to integrate so that issues can be managed along with developing issues. Shaw et al. (2017) stated that Therapeutic ideal communication is also said to be an essential fact that might stay integrated with generating confidence. Thus, the integration of therapeutic communication is turning out to be extremely important to manage the issues and to develop effectively in the service margin of nurses. In case of discussing its importance, those are;

    Facilitates Client Autonomy- in Therapeutic communication, issues get managed along with developing necessary support. Instead of making random assumptions, it stays integrated with analysing the exact problem by generating open, close or focused questions. Hall et al. (2018) commented that it also makes the patients or the clients more comfortable who seemed to be helpful in analysing their symptoms and issues. 

    Creates a non-judgmental environment- It is stated to be one of the essential characteristics that stay integrated with Therapeutic communication. It is said to be encouraging confidence margin along with developing a non-judgmental mind.

    Reduction of risk- It is said to be affecting the decision that gets influenced by the integration of the professions (Muddle et al. 2019). It is said to be affecting the maintenance that manages awareness so that areas of confusion can be controlled in an effective way

    Providing Holistic view of the client- It is also said to be an essential part that gets looked after to manage areas of communication (Moral et al. 2015). After developing Therapeutic relationship, it also looks at developing communication that stays integrated with improving the useful link.

    In case of discussing the purpose of Therapeutic communication in nursing, it is seen to be people along with managing their personal work in a proper way. The people who are seriously ill are needed to be given this type of service so that healing can be generated to the issues. 

    3.3 State the therapeutic communication in nursing perspective along with mentioning its components

    Therapeutic communication is a process that stays integrated with developing a better relationship between nurses and patients. It is also seemed to be generating a friendly environment. It is also appeared to be developing a trust level, which impacts over trust level (Hall et al. 2018). It is also necessary for patients to share important things that are seemed to be affecting the areas of unaccountability. Thus, components that appeared to stay integrated with Therapeutic communication are;

    Trust- It seemed to get developed when actions and words are looked to get conducted with the areas of interest. A caring therapeutic nurse-client relation is seemed to stay integrated with managing assistance by analyzing the issues. Moral et al. (2015) stated that trust is something that allows the patients to share all kind of information. The nurses also seemed to be developing a non-judgmental mind, which helps in developing a bond.  

    Congruence- It seemed to occur when words and actions seem to match, and it is said that nurses need to exhibit congruent behavior to develop trust margin. According to the view of Kruijsen-Terpstra et al. (2016), it is seen that many patients have a mental disorder and in those cases, it seemed to be useful for managing and understanding their needs. 

    Empathy- It is stated to be the ability that stays integrated with generating skills which necessary for managing and the needs of clients. Thus, it is said to be one of the essential expertise that nurses need to integrate to extract experience can be generated to the clients. It is also necessary for the nurses to have active listening ability along with patience so that patients can share their feelings. 

    Acceptance- Developing acceptance stays integrated with avoiding judgment so that client’s outbursts can be met along with analysing behavioral margin. Hall et al. (2018) commented that it is also seen acceptance is also a necessary part which stays integrated with managing and removing issues. 

    Positive regard- It is necessary for the nurses to manage a positive environment while having communication over analysing their issues. Thus, it is essential for the burses to have a clear view of verbal and non-verbal communication so that affectivity can be managed along with developing communication. 

    3.4 State the characteristics of therapeutic communication along withdefining stages of achieving therapeutic communication

    Therapeutic communication is seemed to be affecting verbal and non-verbal communication. In practical terms, it stays integrated with changing feeling and ideas of the patients. In the case of considering this from a subjective view, it is said to be establishing a relationship to develop trust and cooperation between nurses and patients. Hall et al. (2018) commented that taking patient feedback is considered to be one of the essential things in Therapeutic communication. It is said to be useful in conducting the evaluation by making an opinion about the values which seemed to be affecting the statement of the interviewee.

    It is necessary for analysing the message which is looked to be changing the impact along with analyzing positive impact over healthcare organizations. Thus, in case of discussing its characteristics, these are; trust, respect, genuineness and rapport. Rapport is seemed to stay integrated with implying a special feeling by looking after all the details that get by managing emotions. Therapeutic communication is also said to stay combined with different types of communication which get used by healthcare professionals in the treatment process. The stages are going to be developed in a table format, and it is; 

    3.5 Discuss the responsibilities of a newly graduated nurse along with discussing the scope of practice

    In case of discussing the responsibilities of newly graduated nurses, they have the responsibility to conduct effective communication with the patients. After conducting communication, they have the responsibility to analyze the areas where patient is needed to generate care. The newly graduated nurses also have the responsibility to prove themselves worthy of the job by conducting effective effort and performance. The nurses also have to handle clinical situation along with facilitating patient care service (Russell, 2018). They also have to maintain and promote healthcare, along with gaining practical experience. The newly graduated students are seen to be in developing a challenging experience so that several duties can be managed in an effective way. The scope of nursing practice is said to be the role that has successfully completed to manage the qualifications along with demonstrating and maintaining competencies to the practice of nursing. 

    Nurses use the scope of practice to manage themselves in varying work environments for practicing and providing care within the confines of the law. Newly graduated nurses need to be versed in modern technologies so that necessary care can be generated along with managing better work (Russell, 2018). Apart from these, in case of discussing the scope of nursing practices, care is needed to be generated along with gaining a patient’s consent. Charting patient’s information’s are also seemed to stay integrated to manage the medical record inflow. Thus, the scope of nursing is said to be an important aspect which stays integrated with developing procedures and actions so that performance management can be conducted in an effective manner. Moreover, the law Health Practitioner Regulation National Law Act 2009 is needed to be maintained by the new graduate nurses for providing health safety. Managing legal assistance is necessary for the nurse along with managing code of ethics. 

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