Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 51

The key elements of a therapeutic relationship can be described as respect for the person, receptivity which involves good listening skills, empathy and self‐awareness of one’s own skills and limitations.

Figure 3.1 Aspects of the therapeutic relationship.

Once deemed to be a dangerous bond, therapeutic relationships between patients and nurses are now encouraged in order to provide the best support and care within the practice setting. Over the years, several nurse theorists have supported the idea of a nurse–patient relationship. As early as, Hildegard Peplau (1952) asserted that the nurse–patient relationship is the foundation of nursing practice. The experience of caring and being cared for creates a human dynamic where both parties encounter personal growth through that experience. She highlighted what she termed ‘character roles’ of the nurse, including the nurse as a resource, interpreting information and answering questions; the nurse as a technical expert, providing expert physical care through clinical skills and the nurse as a teacher, nurturing, understanding and providing instruction. Travellbee (1966) used the phrase ‘therapeutic use of self’ where the purpose of nursing is to establish human‐to‐human relationships. Watson (1979) asserted that therapeutic relationships are two‐way reciprocal relationships, where each grows and learns from the other.

Nursing associate proficiencies and platforms of NMC (2018a) state:

The ability to communicate effectively, with sensitivity and compassion, and to manage relationships with people is central to the provision of high‐quality person‐centred care. These competencies must be demonstrated in practice settings and adapted to meet the needs of people across their lifespan.

Annex A is an overarching proficiency necessary to be achieved in all six platforms of the proficiencies.