Fostering therapeutic nurse-patient relationships

Pullen, Richard L.; Mathias, Tabatha

doi:10.1097/01.nme.0000371036.87494.11

Cited by 27 publications

(34 citation statements)

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“…At the hub of quality care is the therapeutic staff–older person relationship. A therapeutic relationship is a purposeful, goal‐oriented relationship that is based on trust, respect, empathy, professional intimacy and power; and directed at enhancing the health and well‐being of the older person .…”

Section: Introductionmentioning

confidence: 99%

Staff perspectives of relationships in aged care: A qualitative approach

Jones

Moyle

2016

Australas J Ageing

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Section: Introductionmentioning

confidence: 99%

Staff perspectives of relationships in aged care: A qualitative approach

Jones

Moyle

2016

Australas J Ageing

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“…There is also evidence that light/colour influences the function of the autonomic nervous system and hence that changes of colour perception have a biological basis (i.e. with genetic and phenotypic origins); and there is evidence that stress has pathological correlates [199].Such observations, supported by the existence of Grakov's Strannik technology (Strannik Virtual Scanning and Strannik Light Therapy) [167,200] illustrates that the brain employs frequency to regulate the body's function i.e. to modulate the function of the various physiological systems [201][202][203][204] e.g.…”

mentioning

confidence: 57%

“…Such observations, supported by the existence of Grakov's Strannik technology (Strannik Virtual Scanning and Strannik Light Therapy) [167,200] illustrates that the brain employs frequency to regulate the body's function i.e. to modulate the function of the various physiological systems [201][202][203][204] e.g.…”

Section: Summary/evidence Of a Mathematical Model Of The Autonomic Nementioning

confidence: 94%

“…This is further evidence that our ability to recover from a disease or medical condition can be influenced by the data flow from our environment e.g. (i) whether the attitude of the carer projects a positive or negative message to their patient, (ii) if the doctor gives a positive or negative message to the patient [165], (iii) if the nurse(s) have a caring demeanour [166][167][168][169][170][171], and (iv) if the environment in which the patient is being treated is able to stimulate their recovery [172][173][174][175][176][177][178][179][180][181][182] e.g. by light/colour, sound/noise, nutrition, smell, etc.…”

Section: Does One Person's Health Influence the Health And Function Omentioning

confidence: 99%

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The Framework of a Mathematical Model of the Autonomic Nervous System and Physiological Systems: Using the Neuroregulation of Blood Glucose as an Example

Ewing¹

2015

J Comput Sci Syst Biol

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IntroductionOur sense perception enables us to eat the correct amounts of food and, under normal circumstances, we cease eating when we have eaten sufficient food, and we drink sufficient to sati sfy the body 's need for liquid. We breathe at the normal expected rate, our heart pumps at the expected rate and maintain the normal level of blood pressure, our body maintains the normal levels of acidity and temperature, we sleep for 7-8 hours per night, etc. This suggests that the body is being regulated by a biological control mechanism of enormous sophistication and complexity, which has an enormous processing capacity; however as we age, and particularly as we age beyond 50 years, the mechanism which maintains our function become increasingly less able to sustain the levels of oxygen, blood glucose, blood cell content and a myriad of other biological components which the brain requires to function [1]. The i nnate g enetic c apacity o f key o rgans d eclines a nd r esults in shortages of proteins, hormones, etc. This h as a k nock-on e ffect affecting one biological sequence after another.The cumulative effect of our lifetime of experiences, due to environmental and biological factors, influences the function and/ or stability of the autonomic nervous system and ultimately the function of our DNA and genes [2]. The level of genetic expression of the proteins (genotype) which we require to sustain our function declines and the rate at which these expressed proteins subsequently react (phenotype) also declines i.e. the ability of the body to cope with extreme events declines.There are two fundamentally significant biological issues at play: (i) the genetic ability to express proteins (ii) the body's physiological demand i.e. the phenotype or influence of the environment. In the case of diabetes, in particular type 2 diabetes, this is the regulation of Blood Glucose. The greater the level of hyperglycaemia the greater is the associated demand for insulin. The development of a medical condition occurs when the environmental demand exceeds the body's innate capacity [3] i.e. the prevailing supply and/or level of insulin is insufficient to metabolise the excess of blood glucose. By contrast, the lower the level of hypoglycaemia, which occurs in type 1 diabetes, the lower is the demand/need for insulin. If there is insufficient blood glucose the excess of highly reactive insulin will seek an alternative substrate and ultimately results in damage to the peripheral blood vessels e.g. in particular to the brain, eyes, legs and feet.The evidence suggests that this regulatory process is performed by the brain via the process of neuroregulation [4][5][6]. This is a best-fit process which takes into account the prevailing state of development or physiological damage to a part of the brain, degeneration or damage to an organ (or limb), and the prevailing inter-cellular environment i.e. the feedback of biochemical signals from the viscera. AbstractDespite the immense advances of medical research there remains a fundamental theo...

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“…Establishing a trusting patient-carer relationship was expressed as the essence of HPs' support for the patient's burden of treatment in our study. A therapeutic supporting relationship is fostered through mutual trust, being sensitive to oneself and others, and meeting the patient's needs through skills and knowledge [44]. Although they faced challenges of a having tight timeframe for support provision and having to deal with emotionally stressful situations, it was important for the HPs to build trust throughout the patient journey, characterised by availability, honest information and reassurance, and care for both the patient and the family.…”

Section: Supportive Work To Ameliorate Treatment Burdenmentioning

confidence: 99%

Health professionals’ perceptions of colorectal cancer patients’ treatment burden and their supportive work to ameliorate the burden - a qualitative study

Husebø

Karlsen

Husebø

2019

Preprint

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Background Support is pivotal for patients in managing colorectal cancer treatment, as they might be overwhelmed by the burden of treatment. There is scarce knowledge regarding health professionals’ perceptions of colorectal cancer patients’ burden in the treatment trajectory during the hospital stay and their views on supportive factors that may ameliorate the burden. Aim The aim of the study was to describe how health professionals perceive aspects of the treatment burden among patients receiving curative surgical treatment for colorectal cancer during the hospital stay and how they support patients to ameliorate the burden. Methods This study has an explorative, qualitative design, using semi-structured interviews with nine health professionals recruited from a university hospital. Data were systematised and coded by systematic text condensation.Results: Data analysis identified the themes “capturing patients’ burdens of colorectal cancer treatment” and “health professionals’ support to ameliorate the burden”. Patients with colorectal cancer had to face burdens related to a challenging emotional situation, treatment complications and side effects, and an extensive need for information. A trusting patient-carer relationship was therefore perceived as the essence of health professionals’ support. Health professionals focused their support on safeguarding patients, motivating patients to self-manage, and involving family and peers as supporters. Patients’ journey characteristics and illness severity challenged health professionals’ supportive work. Conclusion Support from health professionals includes providing patients emotional support and relevant treatment-related information and motivating patients for early post-surgical mobilisation. Health professionals should thus be aware of identifying colorectal cancer patients’ information needs according to the specific treatment stages, which may ameliorate the burden of colorectal cancer treatment and enable patients to self-manage at home.

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Fostering therapeutic nurse-patient relationships

Cited by 27 publications

References 0 publications

Staff perspectives of relationships in aged care: A qualitative approach

Staff perspectives of relationships in aged care: A qualitative approach

The Framework of a Mathematical Model of the Autonomic Nervous System and Physiological Systems: Using the Neuroregulation of Blood Glucose as an Example

Health professionals’ perceptions of colorectal cancer patients’ treatment burden and their supportive work to ameliorate the burden - a qualitative study

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