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, o Gaining Self-Awareness
RN needs self-awareness: know own biases
Values Clarification
Beliefs: an idea that one holds to be true
Rational beliefs: objective evidence exists
Irrational beliefs: delusions, no objective evidence exists
Faith: an ideal held true even though no objective evidence exists
Stereotypes: a socially shared belief that describes a concept in an oversimplified matter
Attitudes: a frame of reference around which an individual organizes knowledge about their world
Values: abstract standards, + or -, that represent an individual’s ideal mode of conduct & ideal goals
Action oriented or action producing (different from beliefs &
attitudes)
The Johari Window(PG 138)
o A representation of self & a tool that can be used to self-awareness
o The goal of using this window is to increase the size of the open or public
self
o Divided into four quadrants:
Open or Public Self: aspects of self that are known to the individual and others
Unknowing Self: blind self: known to others but remains hidden from the awareness of the individual
Private Self: hidden self: known to individual but is deliberately & consciously concealed from others
Unknown Self: part of self that is unknown both to the individual and to others
Characteristics that Enhance the Achievement of a Therapeutic Relationship
o Rapport:
Primary task in relationship development
, Implies special feelings based on acceptance, warmth, friendliness, common interest, a sense of trust &
nonjudgmental attitude
May be accomplished by discussing non-health related topics
o Trust:
Basis of a therapeutic relationship
Feeling of confidence in a person’s presence, reliability, integrity, veracity
RN interventions that promote trust: providing a blanket when cold, keeping promises, being honest
o Respect:
To show respect is to believe in the dignity and worth of an individual regardless of their unacceptable
behavior
Unconditional positive regard – the attitude is non-judgmental
RN conveys respect by: calling pt by name, spending time with pt, always being open & honest
o Genuineness:
RNs ability to be open, honest & “real” in interactions with pt
There is congruence between what is felt and what is being expressed
o Empathy:
Ability to see beyond outward behavior & to understand the situation from the pts point of view
RN accurately perceives or understands pts feelings & encourages of exploration of feelings
Not sympathy (sharing the pts feelings and feels need to alleviate distress)
Phases of a Therapeutic Nurse-Patient Relationship(PG 141)
o Preinteraction: explore self-perceptions
Involves preparation for the 1st encounter with the pt
Tasks include:
Obtain information about pt, family, other health team members
Initial assessment is begun
Examine personal response to knowledge about pt feelings, fears, anxieties
, o Gaining Self-Awareness
RN needs self-awareness: know own biases
Values Clarification
Beliefs: an idea that one holds to be true
Rational beliefs: objective evidence exists
Irrational beliefs: delusions, no objective evidence exists
Faith: an ideal held true even though no objective evidence exists
Stereotypes: a socially shared belief that describes a concept in an oversimplified matter
Attitudes: a frame of reference around which an individual organizes knowledge about their world
Values: abstract standards, + or -, that represent an individual’s ideal mode of conduct & ideal goals
Action oriented or action producing (different from beliefs &
attitudes)
The Johari Window(PG 138)
o A representation of self & a tool that can be used to self-awareness
o The goal of using this window is to increase the size of the open or public
self
o Divided into four quadrants:
Open or Public Self: aspects of self that are known to the individual and others
Unknowing Self: blind self: known to others but remains hidden from the awareness of the individual
Private Self: hidden self: known to individual but is deliberately & consciously concealed from others
Unknown Self: part of self that is unknown both to the individual and to others
Characteristics that Enhance the Achievement of a Therapeutic Relationship
o Rapport:
Primary task in relationship development
, Implies special feelings based on acceptance, warmth, friendliness, common interest, a sense of trust &
nonjudgmental attitude
May be accomplished by discussing non-health related topics
o Trust:
Basis of a therapeutic relationship
Feeling of confidence in a person’s presence, reliability, integrity, veracity
RN interventions that promote trust: providing a blanket when cold, keeping promises, being honest
o Respect:
To show respect is to believe in the dignity and worth of an individual regardless of their unacceptable
behavior
Unconditional positive regard – the attitude is non-judgmental
RN conveys respect by: calling pt by name, spending time with pt, always being open & honest
o Genuineness:
RNs ability to be open, honest & “real” in interactions with pt
There is congruence between what is felt and what is being expressed
o Empathy:
Ability to see beyond outward behavior & to understand the situation from the pts point of view
RN accurately perceives or understands pts feelings & encourages of exploration of feelings
Not sympathy (sharing the pts feelings and feels need to alleviate distress)
Phases of a Therapeutic Nurse-Patient Relationship(PG 141)
o Preinteraction: explore self-perceptions
Involves preparation for the 1st encounter with the pt
Tasks include:
Obtain information about pt, family, other health team members
Initial assessment is begun
Examine personal response to knowledge about pt feelings, fears, anxieties
