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 RelationshipA 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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