The mental health nurses and physicians in Anne’s case could have utilized their active listening skills and empathetic attitude with the core objective of evaluating and understanding Anne’s healthcare concerns and individualized challenges (Dziopa & Ahern, 2009). Active listening with appropriate attention not only improves the interpersonal relationship between the mental health nurse and the treated patient but also fosters patient’s trust and confidence on the recommended treatment approaches (Jahromi, Tabatabaee, Abdar, & Rajabi, 2016). The assessment of Anne’s emotional experiences and thoughts through comprehensive therapeutic communication could have substantially improved her diagnosis efficacy and satisfaction rate in the psychiatric setting (Santamaría-García, et al., 2017).
Being a registered nurse (RN) I could have utilized my beliefs, feelings, actions, knowledge, and experiences while empathetically evaluating Anne’s expectations across the healthcare environment. I could have assisted Anne to improve her orientation to the psychiatric care unit and assisted communication while anticipating her personal constraints and psychosocial complications (NMBA, 2016). I could have rationally evaluated Anne’s healthcare goals and utilized my individual values and professional attitude to develop a safe and effective treatment environment (Fukada, 2018). I could have safeguarded Anne’s dignity and self-esteem through supportive interpersonal interaction with the objective of improving her autonomy and control over the treatment choices (NMBA, 2010).
The therapeutic communication in Anne’s case could have been conducted in a manner to explore her quality of life and overall psycho-socio-somatic attributes. The assessment of the patient’s social and psychological needs through an effective therapeutic communication in an amicable environment is highly required to minimize the risk of re-traumatization (Dziopa & Ahern, 2009). The configuration of meaningful relational approaches across the healthcare environment is highly required with the objective of minimizing patient’s distress and social isolation in the psychiatric ward (Thibeault, 2016). The modification of the psychiatric hospital’s policies and conventions to an optimum and acceptable extent is required in the context of maintaining Anne’s individuality across the treatment environment (Dziopa & Ahern, 2009).
I could have protected Anne’s individual rights during my deployment at the psychiatric facility. Being a registered nurse, I could have accepted Anne irrespective of her mental/physical state, gender, age, religion, culture, and race while concomitantly barricading the imposition of external attitudes and values during the healthcare process. I could have utilized my healthcare knowledge and experience to effectively promote ethical decision-making while minimizing the risk of moral conflicts and healthcare biases (NMBA, 2010). I could have assisted Anne in improving her beliefs and perceptions regarding the level of inpatient with the objective of restoring her mental stability (Chow & Priebe, 2013).
The configuration of an effective therapeutic alliance is highly required under a supportive environment to effectively improve the pattern of patient’s comfort and safety in the psychiatric inpatient setting (Dziopa & Ahern, 2009). The provision of regular feedbacks, recommendations, and reassurance in Annie’s case could have improved her psychosocial strength and confidence during the treatment process. Undoubtedly, psychiatric management through health-promoting partnership not only improves patient support but also enhance the wellness outcomes to a considerable extent (Ward, Miller, Marconi, Kaslow, & Farber, 2016). Anne’s case could have been managed through these evidence-based supportive interventions to effectively promote her psychosocial well-being.
Being a registered nurse, I could have assured Anne for my consistent association with her in the context of minimizing her feelings of stratification and isolation in the treatment unit. I could have engaged Anne in her entire healthcare process and supported her in a manner to categorically resolve the healthcare-related clarifications. I could have directed Anne to the available healthcare resources in the context of streamlining her health-related decisions in the psychiatric setting (NMBA, 2016). I could have mitigated Anne’s distress through active communication and promoted her help-seeking and recognition behavior in the psychiatric ward (Srivastava, Chatterjee, & Bhat, 2016).
The therapeutic communication in Anne’s case could have been implemented while utilizing considerable time and confidence-building measures in the context of tracking the healthcare goals and treatment challenges (Dziopa & Ahern, 2009). Detailed discussion with the patient regarding her medication preference and beliefs is necessarily required to track, analyze, and understand the erroneous interpretations and perceptions warranting mitigation. The mental health nurse needs to reveal the entire available biological treatment options to the patient while explaining the benefits and risks associated with each therapeutic intervention. The mental health nurse must also remain accessible during her shift hours to effectively address and resolve patient complications and treatment clarifications. Undoubtedly, Anne’s psychoanalysis through periodic therapeutic sessions could have strengthened the patient-nurse contact and emotional/physical accessibility in the psychiatric ward (Leon, 2013).
Being an RN, I could have proved to be a role model for my fellow colleagues and other registered nurses while exhibiting increased availability for Anne in the treatment setting. Eventually, the replication of the same behavior by other team members could assist in improving Anne’s healthcare accessibility to a considerable extent. I believe that an effective mentorship, education sessions, and consistent assistance could substantially improve Anne’s emotional consistency and support feeling in the psychiatric setting (NMBA, 2010).
The mental health nurse in Anne’s scenario could have exhibited consistency in her beliefs and values while exhibiting an authentic healthcare behavior in the psychiatric setting. The nurse requires to inculcate honesty, openness, genuineness, credibility, and a straightforward attitude while developing a dynamic therapeutic alliance with the treated patient. The consistent display of genuine emotions is highly required to develop a trustful therapeutic environment in the psychiatric ward (Dziopa & Ahern, 2009). Indeed, the utilization of patient-centredness and holistic perspectives in Anne’s scenario could have substantially assisted in the configuration of a genuine nurse-patient encounter in the psychiatric facility (Andersson, Willman, Sjöström-Strand, & Sjöström-Strand, 2015).
Being an RN, I could have advocated on Anne’s behalf during ethical and moral conflicts to minimize the risk of adverse psychosocial outcomes (NMBA, 2016). Indeed, my genuineness and unbiased attitude could have improved Annie’s self-advocacy skills and mental health outcomes in the psychiatric setting. I could have assisted in the configuration of a friendly partnership with Anne while exhibiting loyalty and providing blunt feedback based on the healthcare requirements. I could have genuinely investigated the healthcare scenario acquired by another professional nurse in my absence in the psychiatric ward and acquired Anne’s feedback regarding the reported glitches in her healthcare management (Havig, Skogstad, Veenstra, & Romøren, 2013).
The nurse professional in the presented scenario could have benevolently utilized his/her power and authority to improve Anne’s medication compliance in the through an effective therapeutic relationship in the absence of coercion or enforcement (Dziopa & Ahern, 2009). The mental health nurse requires utilizing advanced practice skills to effectively shift the health care control to the treated patient. The mental health nurse in the presented scenario could have refrained from enforcing the healthcare norms and treatment administration requirements over Anne in a demoralizing pattern. The mental health nurse could have rather improved Anne’s healthcare experience while initiating a supportive recovery process through patient empowerment. The promotion of patient’s independence through constructive conversation is substantially required in the context of improving the healthcare outcomes. The mental health nurse could have initiated an informal conversation with the objective of mitigating Anne’s false beliefs and apprehensions regarding the psychiatric care process.
Being an RN, I could have minimized Anne’s sense of social inequality and issues related to unequal power via compassionate therapeutic relationship (NMBA, 2016). I could have manifested interactive sessions in a manner to provide a greater variety of healthcare opportunities to Anne while promotive her equitable access to the qualitative mental healthcare interventions (Muntean, Tomita, & Ungureanu, 2013).
The mental health nurse in Anne’s case could have exhibited consistency in follow-up sessions while promoting the process of shared decision-making in the psychiatric ward. The mental health nurse could have acknowledged Anne’s faults and facilitated their mitigation in a compassionate manner. The inculcation of Anne’s self-worth, self-respect and self-esteem attributes could have been done effectively while promoting an equal partnership safeguarded via well-defined boundaries (Dziopa & Ahern, 2009). The configuration of a caring and protective environment could substantially minimize Anne’s risk of psychosocial deterioration during the treatment process. The mental health nurse could have discouraged the autocratic attitude of the healthcare teams in the psychiatric facility and improved Anne’s self-awareness regarding her disease status and psychotherapeutic requirements (Lakdawala, 2015).
Being a registered nurse, I could have safeguarded Anne’s legal rights and preferences while respecting her autonomy to refuse treatment at any point in time during the health care process (NMBA, 2010). I could have exhibited respect for Anne’s culture, perceptions, religion, and experiences while radically engaging her positively in the configuration of comprehensive mental health care interventions (NMBA, 2016). Indeed, this respectful treatment could have substantially improved Anne’s treatment engagement and accessibility to the healthcare tools and techniques (Dixon, Holoshitz, & Nossel, 2016).
The mental health nurse could have practiced caution while disclosing her personality and identity to Anne in the psychiatric facility. The professional nurse could have initiated therapeutic communication in a manner to reveal her individual attributes and characteristics to an optimum extent in the context of minimizing the risk of interpersonal conflicts with Anne during the during psychiatric assessment and treatment (Dziopa & Ahern, 2009). This could have facilitated a greater level of understanding between the stakeholders while effectively reducing the scope of mistrust and personal instability. Indeed, consistent therapeutic boundaries not only improve patient trust but also sustain relationship integrity to a considerable extent (Aravind, Krishnaram, & Thasneem, 2012).
Being a professional nurse in Anne’s scenario, I could have delineated the precise boundaries between the personal and professional relationship pattern in the psychiatric facility. I could never attempt to overcome the professional boundaries while improving Anne’s healthcare experience in the treatment environment. I could have utilized professional relationship with Anne’s with the core objective of treatment optimization to improve the wellness outcomes (NMBA, 2016). However, my assessment and treatment boundaries could never separate me apart from Anne or minimize the interaction level throughout her stay in the psychiatric facility (Aravind, Krishnaram, & Thasneem, 2012).
The mental health nurse in the presented scenario could have evaluated her individual vulnerability in the context of overcoming the barriers to professional development and sustainability during Anne’s healthcare in the psychiatric facility. The mental health nurse could have re-evaluated her substantial knowledge gaps, humanistic attitude as well as core values in the context of developing appropriate responses to the patient care requirements (Dziopa & Ahern, 2009). Mental health nurse’s self-awareness assessment could have improved the scope of interpersonal skills’ development in the psychiatric setting. Undoubtedly, self-awareness elevation through an effective therapeutic relationship could have reduced the work stress of the mental health nurse while improving her learning process in the psychiatric setting (Pai, 2015).
Indeed, my self-care needs include the learning and professional development requirements that effectively fuel my therapeutic relationship with the treated patients. Furthermore, I also require receiving stress management interventions in the context of enhancing my working proficiency while minimizing the risk of adverse mental health outcomes during my deployment in the psychiatric facility. Being an RN in Anne’s scenario, I could have re-evaluated my mental health as well as professional development in the context of enhancing my nursing care proficiency and competence (NMBA, 2016).
References
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Aravind, V. K., Krishnaram, V. D., & Thasneem, Z. (2012). Boundary Crossings and Violations in Clinical Settings. Indian J Psychol Med, 34(1), 21-24. doi:10.4103/0253-7176.96151
Chow, W. S., & Priebe, S. (2013). Understanding psychiatric institutionalization: a conceptual review. BMC Psychiatry, 169. doi:10.1186/1471-244X-13-169
Dixon, L. B., Holoshitz, Y., & Nossel , I. (2016). Treatment engagement of individuals experiencing mental illness: review and update. World Psychiatry, 15(1), 13-20. doi:10.1002/wps.20306
Dziopa, F., & Ahern, K. (2009). What Makes a Quality Therapeutic Relationship in Psychiatric/Mental Health Nursing: A Review of the Research Literature. The Internet Journal of Advanced Nursing Practice, 10(1), 1-9. Retrieved from https://espace.library.uq.edu.au/data/UQ_177415/UQ177415_OA.pdf?Expires=1535092080&Signature=DgD~B8rAmwQbXqCAN6HCehLcJ~jMLAzmQpzkNBCLyj-1TX~NgK5fw1LRp54bQPFwpF6y-NWF9IkSz1-wlMpKYJcfbz34MTHRHX0Zho-ReLgpXqhH51C99~RfeI0KtdDTRVaqE5behAmK8QmlO5~LbWWB0d5dJl23zh
Fukada, M. (2018). Nursing Competency: Definition, Structure and Development. Yonago Acta Med. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871720/
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Jahromi, V. K., Tabatabaee, S. S., Abdar, Z. E., & Rajabi, M. (2016). Active listening: The key of successful communication in hospital managers. Electron Physician, 2123-2128. doi:10.19082/2123
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Muntean, A., Tomita, M., & Ungureanu, R. (2013). The Role of the Community Nurse in Promoting Health and Human Dignity-Narrative Review Article. Iran J Public Health, 42(10), 1077–1084. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4436534/
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