Therapeutic Communication And Relationships In Chronic, Complex Care And With Clients With Special Needs

Running head: THERAPEUTIC COMMUNICATION 1

Therapeutic Communication and relationships in chronic, complex care and with clients with

special needs

Student’s Name

Institutional Affiliation

THERAPEUTIC COMMUICATION 2

Therapeutic Communication

Therapeutic communication and relationships enable nurses to meet their patients’ healthcare

needs which could include encouragement, information or support. It plays an essential role in

promoting delivery of quality services especially in chronic and complex care. It is also

extremely beneficial when handling clients with special needs. This paper evaluates various

studies conducted on the effect of therapeutic communication and relationships in prolonged,

intricate caution or when dealing with patients who have special needs. Although quality patient-

nurse relationship is critical in improving health outcomes, it requires consistency to make it

effective.

Annotated bibliography

Brownie, S., Scott, R., & Rossiter, R. (2016). Therapeutic communication and relationships

in chronic and complex care. Nursing Standard, 31(6), 54-63.

doi:10.7748/ns.2016.e9847

Brownie, Scott and Rossiter conducted a research on the effect that therapeutic communication

and interactions have on prolonged and intricate care. The authors outline the increasing

challenge of chronic illnesses that nurses have to deal with in their line of duty. Their focus is on

the need for therapeutic communication and relationships in handling the challenge of chronic

and complex care. They argue that challenges in communication between nurses and patients

affect the relationship they have with each other and also the quality of care.

THERAPEUTIC COMMUICATION 3

National Council of State Boards of Nursing. (n.d.). A Nurse’s Guide to Professional

Boundaries. Retrieved from

https://www.ncsbn.org/ProfessionalBoundaries_Complete

The article outlines the kind of relationship that nurses need to have with their patients and how

they can establish and maintain a therapeutic relationship. Notably, the authors of this article also

acknowledge that nurses may sometimes encounter difficult patients but it is still possible to

have an effective relationship with them. The article also takes not of factors that may negatively

affect the relationship and communication between nurses and their patients. It also emphasizes

that nurses must take care of themselves even as they care for clients.

Robinson, C. A. (2016). Trust, Health Care Relationships, and Chronic Illness. Global

Qualitative Nursing Research, 3, 233339361666482. doi:10.1177/2333393616664823

The article states that healthy relationships between healthcare professionals and patients are

extremely essential for high quality care. Robinson, the author of this article notes that chronic

care presents a challenge to the healthcare relationships. He also adds that quality relationships

result in satisfaction of services delivered and it also contributes to health outcomes. In his view,

chronic conditions are more manageable where a quality relationship is established between care

providers and the patient.

THERAPEUTIC COMMUICATION 4

Rørtveit, K., Sætre Hansen, B., Leiknes, I., Joa, I., Testad, I., & Severinsson, E. (2015).

Patients’ Experiences of Trust in the Patient-Nurse Relationship—A Systematic

Review of Qualitative Studies. Open Journal of Nursing, 05(03), 195-209.

doi:10.4236/ojn.2015.53024

This article acknowledges that quality relationships between nurses and patients helps to build

trust. The authors note that trust build through therapeutic relationships promote adherence to

treatment which is beneficial especially for chronic illnesses. Additionally, this article states that

nurses need to not just communicate and build a relationship with the relationship but also do the

same with the patient’s support system such as relatives. Trust has to be established with the

patient suffering from a chronic condition and also those around them.

Kuluski, K., Ho, J. W., Hans, P. K., & Nelson, M. L. (2017). Community care for people

with complex care needs: Bridging the gap between health and social care.

International Journal of Integrated Care, 17(4). doi:10.5334/ijic.2944

The authors of this article are of the view that the quality of healthcare relationships is

determined by the ability to ensure that a patient lives a normal life as much as possible. A

patient’s interpersonal relationships offer the much needed support to help them live a

comfortable and normal life for as long as is possible. The article outlines that interpersonal

relationships between care providers and patients evolve through different stages as trust and

familiarity increases. This article also notes that one way of cultivating a healthy healthcare

relationship is to have open communication. Additionally, it adds that care providers need to be

emotionally involved when dealing with their patients.

THERAPEUTIC COMMUICATION 5

PharmD, A. G. (2015). The importance of good communication in treating patients' pain.

The AMA Journal of Ethic, 17(3), 265-267.

doi:10.1001/journalofethics.2015.17.03.sect1-1503

The author of this article, Pharmd, reveals that for a nurse to have a quality relationship with the

patient they have devote their time, skills, energy and emotions in serving the patient. For

instance, they have to be keen to note changes or concerns in the patient. The articles states that

nurses must also be able to develop a personalized care plan for the patient. They must be

intentional and deliberate about building a healthy relationship with their patients.

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