Discussion About Patient Centered-care & Safety

Title page

Patient care and safety

Nursing Theory of Human Relatedness (THR) is a practical theory that aims at improving patients' outcomes. It is critical for the recovery of patients who are victims of substance abuse. The focus of the theory is an individual's involvement because it leads to an increased likelihood of recovery. Specific mechanisms of actions are adopted keeping in view the conditions of alcohol addicts and formulate a 12-step plan for dealing with the problem. This is an effective theoretical framework used for directing patient care and educating them for overcoming their problem of substance abuse. THR relies on the ideology of mutuality that means building a strong bond of clients with nurses.

THR relies on the principles of patient-centred care for providing maximum benefits to the clients. Strobbe et al., (2019) revealed that “THR addresses a pervasive human concern: establishing and maintaining relatedness to others, objects, environments, society and self”. By engaging the patient in the process of treatment, the nurse manages to limit impairment and preclude healthy adaptive relatedness. Nurses having knowledge about the patients and environment are capable of taking the right decisions by formulating a practical plan of recovery. The theory leads to positive health outcomes because it stresses on principles of connectedness and parallelism. Patients who feel disconnected from the nurse are unable to follow the recovery plan due to a lack of moral support. This suggests strengthening the relationship between nurse and patients that increase the convincing power of nurses in advocating recovery.

Hagerty et al., (1993) explored that the theory viewed “relatedness as a functional, behavioural system rooted in early attachment behaviours. Individuals move through different states of relatedness including connectedness, disconnectedness, parallelism and enmeshment”. This reflects that the emphasis of the theory is on building a connection between nurse and the patients. The nurse is able to perform better when they determine the need of patients and act inappropriate manner that proves to be more effective for the patients. Establishing relatedness with the patients allow nurses to gain trust that increases the possibilities of their recovery. This is because patients are convinced to follow the instructions and guidelines shared by the nurse in the recovery plan. Another benefit of the theory is enhanced communications between nurses and patients. Interrelatedness stresses on removing the gap between healthcare provider and client that improves the comfort level and satisfaction of the patient. When the patient received the message clearly he is able to understand instructions CITATION Bon93 \l 1033 (Hagerty, Lynch-Sauer, Patusky, & Bouwsema, 1993).

The factors related to THR include the sense of belonging, synchrony, mutuality and reciprocity. These factors work to improve the patient's temperament and scope of learning. The nurse identifies ways of removing enmeshment and disconnectedness. This is because these factors have negative impacts on the patient and discourage them to accept change. high level of comfort and sense of well-being are attained through establishing connectedness and parallelism. The twelve steps method is focused on identifying the reasons that encourage individuals towards alcohol such as their powerless state, feelings of helplessness, fears and remorse. The nurse adopts this procedure for determining the insecurities and causes of increased dependence on alcohol CITATION SIS19 \l 1033 (Strobbe, Hagerty, & Boyd, 2019).

Establishing mutuality allow nurses to build a positive relationship with patients. this allows them to encourage patients to achieve sobriety and adopting a healthy lifestyle. Continuous support and guidance encourage them to quit substance and transform to better persons. They have suggested ways for finding self-help such by practising religion and considering God as a higher power. Feelings of hope and engagement in healthy social activities also provide opportunities for recovering.

References

BIBLIOGRAPHY Hagerty, B. M., Lynch-Sauer, J. M., Patusky, K. L., & Bouwsema, M. (1993). An Emerging Theory of Human Relatedness. journal of nursing scholarship, 25 (4), 291-6.

Strobbe, S. I., Hagerty, B., & Boyd, C. (2019). Applying the nursing theory of human relatedness to alcoholism and recovery in alcoholics anonymous. Journal of Addict Nurs, 23, 241-7.