Patient and Person

Jane Stein-Parbury

Description

Patient & Person provides a practical guide to establishing and building relationships in nursing practice. It systematically addresses the theoretical, practical and personal dimensions of relating to patients and provides guidelines for determining when and how to act. It encourages meaningful nursing practice by focusing on patients as individuals.

Sujets

• Médecine
• Spécialités médicales
• Psychiatric
• Mental Health
• Medical
• Nursing

Informations

• Publié par: Churchill Livingstone Australia
• Date de parution: 05 janvier 2009
• Nombre de lectures: 0
• EAN13: 9780729578912
• Langue: English

Extrait

Table of Contents

Cover image
Dedication
Copyright
Preface
Acknowledgments
How to use this book
Activities
Part I Introduction
CHAPTER 1. Why interpersonal skills?
CHAPTER 2. The patient–nurse relationship
CHAPTER 3. Nurse as therapeutic agent
CHAPTER 4. Considering culture
Part II The skills
CHAPTER 5. Encouraging interaction: listening
CHAPTER 6. Building meaning: understanding
CHAPTER 7. Collecting information: exploring
CHAPTER 8. Intervening: comforting, supporting and enabling
Part III Skills in context
CHAPTER 9. Transitions through health and illness
CHAPTER 10. Challenging interpersonal encounters with patients
CHAPTER 11. Building a supportive workplace
APPENDIX. Notes on the use of activities
Index
Dedication
To Charles and the person you are
Copyright
Churchill Livingstone is an imprint of Elsevier
Elsevier Australia. ACN 001 002 357
(a division of Reed International Books Australia Pty Ltd)
Tower 1, 475 Victoria Avenue, Chatswood, NSW 2067
© 2009 Elsevier Australia. Reprinted 2009, 2010
Third edition © 2005
Second edition © 2000
First edition © 1993
This publication is copyright. Except as expressly provided in the Copyright Act 1968 and the Copyright Amendment (Digital Agenda) Act 2000, no part of this publication may be reproduced, stored in any retrieval system or transmitted by any means (including electronic, mechanical, microcopying, photocopying, recording or otherwise) without prior written permission from the publisher.
Every attempt has been made to trace and acknowledge copyright, but in some cases this may not have been possible. The publisher apologises for any accidental infringement and would welcome any information to redress the situation.
This publication has been carefully reviewed and checked to ensure that the content is as accurate and current as possible at time of publication. We would recommend, however, that the reader verify any procedures, treatments, drug dosages or legal content described in this book. Neither the author, the contributors, nor the publisher assume any liability for injury and/or damage to persons or property arising from any error in or omission from this publication.
National Library of Australia Cataloguing-in-Publication entry
Stein-Parbury, Jane.
Patient and person : interpersonal skills in nursing.
4th ed.
Includes index.
Bibliography.
ISBN: 9780729538916 (pbk.)
1. Nurse and patient. 2. Interpersonal relations
610.730699
Publisher : Libby Houston
Developmental Editor: Sabrina Chew
Publishing Services Manager: Helena Klijn
Editorial Coordinator: Andreea Heriseanu
Edited and project managed by Ruth Matheson
Proofread by Brenda Hamilton
Cover and internal design by Darben Design
Index by Forsyth Publishing Services
Typeset by TNQ
Printed by Ligare
Preface
This book is for nurses who want to learn about establishing interpersonal contact with patients, not as patients but as people whose unique experiences as patients are significant to their nursing care. In caring for patients, nurses need to understand patients’ experiences not simply on a theoretical level but also on a personal level. One way they can do this is through the effective use of the interpersonal skills described in this book. Through relating to and interacting with patients as people, nurses place themselves in a position to understand the experience of the person who is the patient. This understanding forms the basis of a therapeutic relationship that is central to good nursing.
Although the intended audience is undergraduate students of nursing and their educators, Patient and Person will also be useful to practising nurses, who will find the information beneficial in extending and refining their interpersonal skills, regardless of the extent of their nursing experience. In fact, many practising nurses have commented on the usefulness of the material. Although written from a nursing perspective, the material in this book is also applicable to any healthcare professional wanting to learn more about communicating effectively with patients.
The fourth edition of Patient and Person contains new, updated and restructured information. Chapter 2 now has a section about professional boundaries in relation to patient–nurse relationships. Chapter 3 has been renamed, as the skills in this book enable nurses to function as therapeutic agents when relating to patients. Its revision includes a full discussion of emotional intelligence and communication competence as necessary requisites for developing therapeutic agency in nursing. Also, this chapter introduces readers to the need for responsive and assertive interpersonal skills. Previous editions of the book emphasised the former, with little attention to the latter.
Chapter 4 contains information about culture that has been updated and moved to this earlier section of the book, as this material is essential from the outset. Also new to this edition is a complete revision of what was previously Chapter 8 , which is now Chapter 9 . Rather than focus on crisis, this chapter now uses the concept of transition to relate how people cope with illness.
Chapter 10 is completely revised and now includes a discussion of challenging contexts, including interpersonal conflicts and the need for assertive skills in their successful negotiation. Information regarding age-related factors, which was part of the original text, also is updated and contained within this chapter. The final chapter, previously Chapter 10 and now Chapter 11 , focuses on the need for effective relationships with nursing colleagues. As such an endeavour requires a whole-of-systems approach, this chapter has been renamed.
The basic structure of the text remains intact. The first four chapters include background material for the ‘skills’, which are dissected and explained in Chapter 5 , Chapter 6 , Chapter 7 and Chapter 8 . Experiential learning activities are incorporated throughout these chapters. These activities are designed to focus on the development of skills in a practical, workable manner. The ‘skills’ are then placed into particular contexts in Part III ( Chapter 9 , Chapter 10 and Chapter 11 ).
There are a few other changes to this edition. The research evidence has been updated and revised throughout the text. Selecting appropriate research findings for a book such as this proved somewhat challenging because of the type of evidence that is available on the topic of patient–nurse relationships. Much of the research evidence about patient–nurse relationships is descriptive and theoretical in nature. Those readers who are familiar with the evidence-based practice movement will appreciate that this is not the ‘strongest’ evidence possible, in the sense that cause–effect relationships between healthcare interventions and patient outcomes are not established. The type of evidence provided is appropriate because the material in this book is not concerned with the clinical interventions themselves. It is not a book about psychotherapy—that is, intervening in particular ways of talking to patients in order to alter their thoughts, feelings or behaviours. Rather, it is a book with information about how nurses can be therapeutic in their everyday interactions with patients.
Another challenging aspect of writing a book about interpersonal aspects of nursing is the tension between the need to capture the complexity of interpersonal connections and the need to present concrete guidelines and general rules for beginning nurses. Beginning nurses, like novices in any discipline, rely on guidelines and rules. In presenting rules and guidelines, there is an inherent danger of a ‘cookbook’ approach. Such an approach assumes that there is a rational, objective, ‘right’ way for nurses to interact with patients. Recipes such as ‘Combine three open-ended questions with two empathic statements, add 1 large tablespoon of support and reassurance, then mix well for 10 minutes during an interaction with a patient’ are simple to understand but inadequate in addressing the intricacy of patient–nurse interactions.
In meeting this challenge, I have tried to avoid an oversimplified approach to the use of interpersonal skills by including discussion of the contextual variables that need to be considered. I have done so in the hope that the guidelines and rules presented in this book will not be interpreted as prescriptions or recipes.
The use of the word patient is purposive. While I do not want to perpetuate the problems of treating patients as passive recipients of nursing care, this term is one that is most frequently recognised in nursing. The central point of the book, that patients should be treated as people, speaks for itself about the humanistic basis of my philosophical beliefs. The term nurse is used in the generic sense to refer to any level of nurse, from students of nursing to experienced registered nurses.
Finally, I want to emphasise that I realise that skills are not learnt simply by reading about them in a book. While this book offers guidelines and suggestions for the development of interpersonal skills in nursing, the best way to learn them is through interacting with patients. In listening to and understanding patients’ experiences of health and illness, nurses will come to appreciate that their real teachers are the people who happen to be patients.
JS-P, Sydney, 2008
The author and publisher wish to thank the following for reviewing this text:

Alison Anderson RN, RM, FETC, BAppSci(Nurs), MEd(Leadership); Lecturer, School of Nursing and Health Studies, Waiariki Institute of Technology, NZ

Tony Bush DPH, MPHC (Palliative Care), BAppSc, Dip App Sc, RN, RPN, FRCNA; Senior Lecturer, Nursing & Midwifery, RMIT University, VIC

Jenny Day RN, ADCHN(Occupational Health Nursing), BHSc(Nursing), MEd(Adult Ed); Lecturer, School of Nursing & Midwifery, The University of Newcastle, NSW

Nel G