Nursing is a caring profession. It is also a profession that is more and more evidenced based in practice. In as much as the scientific aspects of nursing is increasing due to the involved technological advancement of rehabilitation and the machinery that is used at the patients bedside, the fact remains that the nurse is the first man that the client ordinarily comes in feel with in any accident or hospital setting.
Having said this, the term, "caring" is an vital emotion that all nurses, for that matter, all individuals in the health profession must possess. With caring comes the trained quality of the nurse to facilitate therapeutic communication. One might ask, what is therapeutic communication? To better rejoinder this question, the term transportation should first be defined.
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Communication can be defined as "The Process of transmitting messages and interpreting meaning." (Wilson and others, 1995) With therapeutic communication, the sender, or nurse seeks to illicit a response from the receiver, the outpatient that is beneficial to the patients mental and corporal health. Just as stress has been proven to adversely work on the health of individuals, the therapeutic approach to transportation can certainly help. In any given situation everybody uses communication.
Everyone has seen the individual that looks like they are either angry, stressed, feeling ill or maybe sad. These emotions are communicated to others not all the time by words, but by gestures and facial expressions. A nurse must all the time be aware of these expressions in clients, for these expressions may be the only way that the nurse can tell if there is something else going on that needs their attention. The term given to this type of non-verbal transportation is called, meta-communication. In meta-communication, the client may look at their amputated stump and say that it doesn't certainly look that bad, while at the same time tears are rolling down from their eyes.
In a case such as this the nurse should stay and added eye how the man certainly feels. There are many factors related with the healing and comforting aspects of therapeutic communication. Circumstances, surroundings, and timing all play a role in the corollary of therapeutic communication. If a client is being rushed down for an accident surgery there might not be time for a bedside conversation, but the retention of a hand could carry much more than words to the client at such a moment.
Ideally, for therapeutic transportation to be effective the nurse must be aware of how they appear to the client. If a nurse appears rushed, for example, they are speaking quickly, their countenance looks harried, and they are breathing heavily, their eyes not on the client but perhaps on an intravenous bag on the client in the next bed. In a case like this, there is nothing that this nurse could say to the client in a therapeutic manner that the client would believe. The helping association has not been established and therefore therapeutic transportation cannot be facilitated. Some of the emotions related with therapeutic transportation include but are not little to the following: Professionalism, Confidentiality, Courtesy, Trust, Availability, Empathy, and Sympathy. (Potter, Patricia A., Perry, Anne G., Co. 2003, Basic Nursing Essentials for Practice, pg. 123, Mosby)
All of these emotions go into the client nurse relationship, which must be established by the nurse as soon as inherent upon first meeting the client. To begin to organize this nurse client relationship, the nurse must collate the widespread message that the client is communicating to the nurse, such as fear, pain, sadness, anxiety or apathy. The nurse should be trained in keying into the message that the client is sending. Only then can the nurse decree the best therapeutic approach. Anyone that has to be thrust in to a hospital or accident room environment has level of anxiety.
This level can go up considerably when the client feels that they have been abandoned or that there is no one there that certainly cares about how they feel. When a client is the recipient of therapeutic transportation from a caring individual, a level of trust is achieved and more than, that the clients entire countenance can turn for the better. Their blood pressure, respirations and levels of stress can simultaneously decrease. When this takes place, the management of pain, if any is involved, can be resolved more quickly. The goal for a nurse is to come to be proficient in the medical
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Therapeutic transportation in the Nursing Profession
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