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Fundamentals of Mental Health Nursing
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TABLE OF CONTENTS
TOC o 1-3 h z u HYPERLINK l _Toc18033801 How mental health nurses establish relationship with depressed patients PAGEREF _Toc18033801 h 3
HYPERLINK l _Toc18033802 Genuineness PAGEREF _Toc18033802 h 4
HYPERLINK l _Toc18033803 Empathy PAGEREF _Toc18033803 h 4
HYPERLINK l _Toc18033804 Positive Regard PAGEREF _Toc18033804 h 5
HYPERLINK l _Toc18033805 Why mental health nurses create a therapeutic relationship with depressed patients PAGEREF _Toc18033805 h 5
HYPERLINK l _Toc18033806 References PAGEREF _Toc18033806 h 7
Fundamentals of Mental Health Nursing
How mental health nurses establish relationship with depressed patients
No matter what the aim of the treatment may be, the therapeutic relationship of the nurse with their clients serves as the basis of the psychiatric nursing approaches (Martin and Street, 2003). The Foremost activity that takes place in the establishment of the therapeutic relationship between the nurse and the patients is to make the patient feel that the relationship would be safe, reliable and confidential (Perraud et.al, 2006). Certainly, mental disorders may not be treated only by establishing a therapeutic relationship between a nurse and a patient suffering from depression (Shattell, Starr and Thomas, 2007). However, the accompanying effects of depression can be improved to a great extent through a robust relationship between and nurse and a depression patient. Many pieces of research aimed at investigating the impacts of the relationship between a nurse and patient suffering from depression have concluded that nurses having a positive relationship with depression patients can improve and help the patients significantly (OBrien, 2001). Establishing a relationship between a nurse and the patient is time taking. Once it has been established, it can be referred to as the best relationship in the medical domain. The nurses require a specific skill set to establish a relationship with patients suffering from depression (OBrien, 2001). The skills of the nurses are equally important as compliance and acceptance from the patients. If the patient is not compliant or show acceptance towards the nurse, then any program aimed to cure the depression would be pointless (Ltzn, 1990). Discussed below are few ways demonstrating how nurses establish a healthy therapeutic relationship with patients suffering from depression. According to Rogers and Traux, three ways describe how nurses establish a healthy therapeutic relationship with the patients suffering from depression (Rogers et.al, 1967). These are genuineness, empathy and positive regards.
Genuineness
Probably the most important way in which the nurses establish a relationship with patients suffering from depression is genuineness (Rogers et.al, 1967). It is a key ingredient in fostering a relationship. Nurses develop a relationship through genuineness in a way that they meet each patient personally. They show that they genuinely care about them. This display of affection is displayed by actions not by hiding behind the title of the nurse. The nurses show genuineness in developing a relationship with depressed patients in a way that nurses use the quality of being genuine as a tool of therapeutic communication.
Empathy
Empathy can be termed as understanding and respecting the ideas and beliefs expressed by someone as they are (Rogers et.al, 1967). There exists a lot of difference between empathy and sympathy when it comes to developing a relationship between nurses and depressed patients. Following example would clarify any confusion between sympathy and empathy. Consider a patient that has lurched into depression when he came to know about her mother being involved in a car crash tells his story to a nurse. An inexperienced nurse would reply something like Certainly, I can understand your feelings. It was last autumn when my mother was involved in a car crash. I too was depressed. This reply is sympathetic as it projects the feelings of the nurse onto the patient. However, an experienced and seasoned nurse would reply in an empathetic way. The reply would be something like How troubling this might be for you. I faced something similar last year. I had a feeling of mixed emotions. Tell me how you are feeling This example shows the nurse is trying to develop trust and confidence with the patient (Rogers et.al, 1967).
Positive Regard
The last way through which nurses develop a relationship with patients suffering from depression is of positive regard (Rogers et.al, 1967). In simple words positive regards mean respect. This is a way of showing that the nurses care about the patient. Positive regard is communicated by actions rather than lip service.
Why mental health nurses create a therapeutic relationship with depressed patients
The relationship between a mental health nurse and a patient suffering from depression is, more often than not, loosely coupled but having all the fundamental elements of mental health nursing (Carper, 1999). There are certain goals of the therapeutic relationship between the mental health nurse and patient suffering from depression (Scanlon, 2006). These goals are described ahead. The first goal in developing a therapeutic relationship between a nurse and a patient suffering from depression is to facilitate the patients (Stickley and Freshwater, 2002). This goal is achieved when nurses effectively communicate with the patients. The mental health nurses must understand and respect the thoughts and feelings of the depressed patient. The second goal behind establishing a therapeutic relationship is assisting. This goal is achieved when a depressed patient having trouble with daily living is helped by the nurse. The nurse helps and assists the patient in building their capacity so that they can perform everyday tasks unimpeded. The following example illustrates how a nurse can encourage a depressed patient to become active and perform their everyday activity with ease. Consider a person suffering from depression after incurring a loss in the business that ran in millions. This person tends to think about the business every passing moment. This makes the everyday working of this person difficult. Now consider an instance when the patient took medicine and felt dryness in the mouth. The patient asked the nurse to get him something to drink. A mental health nurse looking to assist the depressed patient in response might say the following things. For example, the nurse might reply that there is a bottle of juice in the refrigerator. I am waiting here while you go and get it. Another example of the reply could be like I will walk beside you while you grab the bottle of juice. The replies from the nurse suggest that the nurse is consistently the individual to employ his strengths to abate the feelings of hopelessness and helplessness. The third goal that underlies the relationship between the mental health nurse and the depressed patient is to help the patient. This goal can be achieved when the nurse identifies behaviours of self-defeat among the depressed patient and help the patient in overcoming those behaviours. The last goal of establishing a healthy therapeutic relationship between mental health nurse and the depressed patient is to promote self-care and independence. This goal is achieved in a way that the nurse helps the depressed patient to become more independent. The nurse urges the patient to practice more self-care. The centre of this motivation is only the patient. By urging the patient to practise more self-care, the nurse motivates them to become independent.
The positive therapeutic alliance between the mental health nurse and the depressed patient is very different from any social and intimate relationship (Morse et.al, 1992). In the therapeutic relationship aimed to improve the life of a depressed patient, the nurse employs different skills to help the patient. The nurse uses their communication skills, personal strengths, and understanding of human behaviours to help the depressed person (Browne, Cashin and Graham, 2012). It is really important that the therapeutic relationship is only patient-centric and focuses on the suffering of the patient.
References
Browne, G., Cashin, A. and Graham, I.W., 2012. The therapeutic relationship and the mental health nurse it is time to articulate what we do.Journal of psychiatric and mental health nursing,19(9), p.839.
Carper, B.A., 1999. Fundamental patterns of knowing in nursing.Perspectives on philosophy of science in nursing an historical and contemporary anthology. Philadelphia Lippincott, pp.12-20.
Ltzn, K., 1990. Moral sensing and ideological conflict aspects of the therapeutic relationship in psychiatric nursing.Scandinavian Journal of Caring Sciences,4(2), pp.69-76.
Martin, T. and Street, A.F., 2003. Exploring evidence of the therapeutic relationship in forensic psychiatric nursing.Journal of Psychiatric and Mental Health Nursing,10(5), pp.543-551.
Morse, J.M., Anderson, G., Bottorff, J.L., Yonge, O., OBrien, B., Solberg, S.M. and McIlveen, K.H., 1992. Exploring empathy a conceptual fit for nursing practice.Image The journal of nursing scholarship,24(4), pp.273-280.
OBrien, A.J., 2001. The therapeutic relationship historical development and contemporary significance.Journal of Psychiatric and Mental Health Nursing,8(2), pp.129-137.
Perraud, S., Delaney, K.R., Carlson Sabelli, L., Johnson, M.E., Shephard, R. and Paun, O., 2006. Advanced practice psychiatric mental health nursing, finding our core The therapeutic relationship in 21st century.Perspectives in Psychiatric Care,42(4), pp.215-226.
Rogers, C., R., Gendlin, ET, Kiesler, DJ, Traux, CB (Eds.).(1967).The therapeutic relationship and its impact A study of psychotherapy with schizophrenics.
Scanlon, A., 2006. Psychiatric nurses perceptions of the constituents of the therapeutic relationship a grounded theory study.Journal of Psychiatric and Mental Health Nursing,13(3), pp.319-329.
Shattell, M.M., Starr, S.S. and Thomas, S.P., 2007. Take my hand, help me out Mental health service recipients experience of the therapeutic relationship.DEzjjF2h Oh O0J6OJQJmHnHu/jh Oh O0J6OJQJUmHnHuh Ohx6OJQJ jh Ohx6OJQJUhjh5CJOJQJaJhx5CJOJQJaJhjhi5CJOJQJaJhjhx5CJOJQJaJhQCJOJQJaJhjh CJOJQJaJhjhxCJOJQJaJhQhQCJOJQJaJhjhxCJOJQJaJEZtuvwxyz/
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