Nursing 4320A/B Lecture Notes - Lecture 9: Primary Nursing, Therapeutic Relationship, Professional Boundaries

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Therapeutic nursing services contribute to the clients health and well-being. Trust: it is critical because the client is in a vulnerable position. Initially, trust in a relationship is f(cid:396)agile, so it"s espe(cid:272)iall(cid:455) i(cid:373)po(cid:396)ta(cid:374)t that a (cid:374)u(cid:396)se keep p(cid:396)o(cid:373)ises to a (cid:272)lie(cid:374)t. if t(cid:396)ust is (cid:271)(cid:396)ea(cid:272)hed, it becomes difficult to re-establish. Respect: the recognition of the inherent dignity, worth and uniqueness of every individual, regardless of socio-economic status, personal attributes and the nature of the health problem. Professional intimacy: it may relate to the physical activities, such as bathing, that nurses perform for, and with, the client that create closeness. Professional intimacy can also involve psychological, spiritual and social elements that are identified in the plan of care. Empathy: the expression of understanding, validating and resonating with the meaning that the healthcare experience holds for the client. In nursing, empathy includes appropriate emotional distance from the client to ensure objectivity and an appropriate professional response.

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