Nurses and their Patients

Description

Research has shown that a patient s emotional state can definitely affect the physical processes of disease and recovery. For patients undergoing hospital treatment, their relationships with nursing staff may have a major influence on their emotions and thus affect their ability to cope with their condition. This book explores the importance of the nurse patient relationship in the light of psychoanalytic theory. Written by contributors from many different nursing backgrounds (ranging from mental health to paediatrics to palliative care), Nurses and Their Patients also includes a number of practical case studies and a section on research and clinical supervision. Anyone involved in caring for patients will find this book helpful, inspiring and thought-provoking. Contents include: Part I THEORY - The nature of the unconscious Developing relationships The experience of illness and loss Passing on the blame Part II CASE STUDIES - A personal experience Visiting time The bubble bath Sadie s baby Pre-operative anxiety: understanding why? Joe s story Thoughts on the impact of a suicide PART III THE WIDER CONTEXT: RESEARCH AND SUPERVISION - Reviewing the evidence base for psychodynamic principles in nursing Fevered love Using Winnicott (1960) to create a model for clinical supervisio

Sujets

• Sociologie, société et politique
• Nursing
• Clinical psychology

Informations

• Publié par: M&K Publishing
• Date de parution: 01 septembre 2009
• Nombre de lectures: 0
• EAN13: 9781907830310
• Langue: English

Extrait

Nurses and their patients
informing practice through psychodynamic insights

Edited by
Louise de Raeve Mic Rafferty Mary Paget
Nurses and Their Patients:
Informing practice through psychodynamic insights
Louise de Raeve
ISBN: 978-1-907830-31-0
First published 2009
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British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Notice
Clinical practice and medical knowledge constantly evolve. Standard safety precautions must be followed, but, as knowledge is broadened by research, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers must check the most current product information provided by the manufacturer of each drug to be administered and verify the dosages and correct administration, as well as contraindications. It is the responsibility of the practitioner, utilising the experience and knowledge of the patient, to determine dosages and the best treatment for each individual patient. Any brands mentioned in this book are as examples only and are not endorsed by the Publisher. Neither the publisher nor the authors assume any liability for any injury and/or damage to persons or property arising from this publication.
The Publisher
To contact M&K Publishing write to:
M&K Update Ltd · The Old Bakery · St. John’s Street
Keswick · Cumbria CA12 5AS
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[e-mail]
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Designed and typeset in 11pt Usherwood Book by Mary Blood
Printed in England by Ferguson Print, Keswick
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Contents
List of contributors
Foreword by Julia Fabricius
Introduction
Part I: Theory
1. The nature of the unconscious
Louise de Raeve
2. Developing relationships
Mary Paget
3. The experience of illness and loss
Mic Rafferty
4. Passing on the blame
Louise de Raeve
Part II: Case studies
5. A personal experience
Lois Jones
Commentary
Mary Paget
6. Visiting time
Mary Isaac
Commentary
Mary Paget
7. The bubble bath
Sally Williams
Commentary
Mary Paget
8. Sadie’s baby
Grace Sansom
Commentary
Mic Rafferty
9. Pre-operative anxiety: understanding why?
Wendy Kennedy
Commentary
Mic Rafferty
10. Joe’s story
Mary Paget
11. Thoughts on the impact of a suicide
Alyson Charnock
Commentary
Louise de Raeve
Part III: The wider context: research and supervision
12. Reviewing the evidence base for psychodynamic principles in nursing
Heather Davies
13. ‘Fevered love’
Alun Jones
Appendix 1
14. Using Winnicott (1960) to create a model for clinical supervision
Mic Rafferty
Tables
Table 12. 1 Hierarchy for assessing evidence
Index
List of contributors
Alyson Charnock RMN, Dip.PP, BSc (Hons), MSc.
Alyson began her nurse training in 1981, qualifying as an RMN in 1985. She has an extensive background in mental health nursing, working within all areas of mental health, especially acute psychiatry. She undertook a number of practice development, audit and quality assurance roles before gaining her current post as a Clinical Governance Manager in Abertawe and Bro Morgannwg NHS Trust. Her current role involves nursing specific clinical governance issues, having several articles published about the implications of governance in nursing. Alyson has a specialist practitioner degree in community psychiatric nursing (BSc Hons) and completed her Masters Degree in Nursing at Swansea University in 2007.
Heather Davies D. Nurs. Sci., MSc, DMS, PG Cert. (HEd), RGN, RM.
Heather has considerable experience in management, education, research and clinically in the field of cancer and palliative care. She has undertaken much development work in the field of clinical supervision and clinical effectiveness. Research interests include suffering, stress and coping, management and development of the nurse patient relationship.
Louise de Raeve PhD. Pg.Dip, Cassel Cert. in Psychological and Family Centred Nursing. RGN (previously)
Louise trained as a registered general nurse in the early 1970s, having first obtained a degree in philosophy. After a five-year period nursing at the Cassel Hospital, she moved into nurse education, becoming the Macmillan Lecturer in Nursing Ethics at Swansea University. Louise has now retired from teaching, in order to develop her private practice as a psychoanalytic psychotherapist.
Mary Isaac RGN, MSc.
Mary qualified as an RGN in 1977 in Neath General Hospital and then worked there initially as a Staff Nurse, then a Sister in Theatre Recovery and later in the Intensive Therapy Unit. In 1995, she moved to Prince Philip Hospital, Llanelli as a Senior Nurse. In 2004, she gained the position of Directorate Nurse for Surgery in the Carmarthenshire NHS Trust while at the same time studying successfully for the MSc in Nursing.
Alun Jones PhD, MSc.
Alun is an adult psychotherapist at the North Wales NHS Trust, Department of Psychological Therapies, Wrexham. Alun has published and presented research at conferences, both nationally and internationally. Alun has clinical experience developing liaison psychiatry services in the 1980s, including planning psychological nursing interventions for people with physical illness. Areas of specialist practice have included psychotherapy with the seriously ill, the dying and bereaved, working with people with cancer, HIV and AIDS and cystic fibrosis in different medical settings. Alun is currently a clinical supervisor to trainee psychotherapists of different disciplines, including medicine. Until recently, he was also a research supervisor to undergraduate and post-graduate programmes, including doctoral research studies. He has had experience working as an external and internal examiner to undergraduate, MA, MSc, MPhil and PhD research programmes. Together with a colleague, Alun is currently involved with the management of a qualitative research study in Wales, concerning mental health service users’ and health professionals’ experiences of shame. This study, which employs focus groups, has attracted a NHS Trust research and development grant.
Lois Jones RGN, Dip Nur., RHV.
Lois qualified as a RGN in 1984, working then at Morriston hospital till training as a Health Visitor in 1992. As a Health Visitor, Lois worked in a busy multiethnic city medical practice until struck down by encephalitis in 2000. Lois worked then as a training coordinator for health visitors and school nurses. Lois retired from health visiting in 2005, and now works as a nursing support worker with the children’s disability team in Swansea.
Wendy Kennedy MSc, BN (Hons), RN.
After qualifying as a Nurse in 1999, Wendy worked as an anaesthetic nurse for five years, acting in the last year as a practice development nurse. For the last four years, Wendy has been employed as the Transfusion Practitioner in ABMU NHS Trust, more recently undertaking a Divisional Clinical Governance role as well her Transfusion work. Wendy has had several publications in peer reviewed journals which reflects her interest in developing nursing knowledge and delivering quality patient care. She enjoys the challenges of working for the NHS and has an avid interest in how politics influence nursing.
Mary Paget RGN, Dip N (Wales), BSc Nursing (Wales), MSc, PGCtHE.
Mary qualified as a general nurse in 1981 and worked in a range of clinical areas before settling in Acute Medicine for Older people in 1984, working as both staff nurse and ward sister in this area. She moved into nurse education in 1998 and is now working as a Lecturer in Adult Nursing in the School of Health Science at Swansea University. Mary has a particular interest in the impact on older people of living with chronic conditions such as stroke and cardiac disease.
Mic Rafferty RGN, RMN, MN, Cassel Cert. in Psychological and Family Centred Nursing, PgDip (FE).
Mic has a clinical background primarily in mental health therapeutic communities for children, adolescents and families in the UK and USA. In nurse education since 1985, he developed educational programmes about dementia care, full reflective practice and clinical supervision, with a research and publication record in these areas. He has held management responsibilities for both clinical practice and staff development at the School of Health Science, Swansea University. Mic retired from ful