The relationship between nurse and patient

Modelling an environment in which the relationship between nurse and patient is expressed as trusting and supportive is an integral part of a nurse practitioners professional activities. The use of theoretical leadership concepts and care management models that constitute the importance of pre-designing the type of relationship plays an important role in such planning. Determining factors for the practical realisation of theoretical models regulating the choice of a particular model or the use of a particular concept are the patients current state, anamnesis, personal attitudes and behaviour patterns, and communication with family members (The GMCs expectations, 2020). Thus, by collecting all the data and carrying out analytical work, a qualified nurse will build a type of relationship in which leadership and delegation of responsibilities are balanced to speed up a patients recovery.

In order to unite the knowledge gained from the academic course, as well as to systematise and structure their skills, students were asked to investigate a patients case study in detail. It should be noted that such a task makes it possible to transfer theoretical models to clinical practice to determine the completeness of the authors knowledge and skills and gain the necessary medical experience for future work with patients. Thus, summarising what was said above, the purpose of this essay is to provide a professional assessment of the proposed case study and then determine the diagnosis, causes and nature of the treatment.

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The construction method of this work consisted of a study of the individual phases required to create an overall holistic picture of the scenario. Thus, the proposed case study was first discussed in detail, and some of the constraints that a nurse practitioner cannot meet during her professional duties were identified. This is followed by establishing ethical standards that cover the problem of communication with patients who demonstrate destructive behaviour. The author of this paper then turns to some known theoretical models of care and offers a description of them so that the reader gets a full picture of the possibilities potentially used to solve the cases problem. The next steps are to apply the concepts studied to the proposed scenario, and some of the consequences of negative attitudes on the part of patients.

Although theoretical models of care and the nature of relationships with problem patients are often more optimistic than their practical implementation, any qualified nurse must adhere to a professional code. Even when a patient demonstrates completely offensive and unacceptable behaviour, the clinical specialist must remain cool and steadfast (Yu et al., 2019). This idea was the basis for the scenario described in which a 62-year-old woman needed medical help from the London Clinics gastronomic department. Thus, there were two factors at once that argued that the patient would be problematic, namely verbal abuse of the host nurse and the words of colleagues that the woman, pretending to be sick, actually resided in the clinical wards for an indefinite period because she did not have her own home. Subsequently, during the clinical treatment, the homeless woman showed more outrageous behaviour episodes: according to the text of the script, some of her colleagues were unable to stand it. The main difficulty was making the older woman aware of the need to be transferred to an appropriate institution to provide her with real help and support. In other words, the woman would have a chance to have a free house, food and communication that would not be difficult for both parties (Barron and West, 2017). However, the patient stuck to her motives and refused to sign the papers. The conflict culminated when an injured employee openly disrespected the patient. On the other hand, the storyteller of the case was able to show the necessary tolerance and determination so that the patient was eventually transferred to a nursing home where she would be taken care of by highly specialised professionals.

There is no doubt that any health care worker will be offended and insulted after inappropriate behaviour towards them. Moreover, if these insults are justified by the ethnic or cultural characteristics of the individual, the wound from such aggression can be even deeper (Smith, 2018). However, the professionalism of an employee at a modern clinic calls for the absence of personal feelings and emotional worries and the ability to overcome such deviant behaviour (MacLean et al., 2017). However, it must be recognised that not all employees can tolerate this: and although episodes of intolerance and aggression are not acceptable for the healthcare institution, it is possible to understand the motives of medical workers. Personal grudges coming from a patient, combined with possible work stress or problems in relationships, can destroy persons well-being (Stephenson, 2018). This, in turn, will have an impact on employee productivity.

Based on the preceding, it seems advisable to develop an organisational action plan that will be used as a protocol in the event of repeated cases of destructive treatment by the clinics patience. The core principles of benevolence and tolerance should be the basis for such a plan (NHS Wales, 2016; Ridgway, Mason-Whitehead and McIntosh-Scott, 2018). The use of some of the theoretical foundations of nursing care is also a necessary step (Watkins, 2020). Moreover, the relationships built should guarantee compliance with the code of ethics and rules of friendliness.

There is no doubt that the roles of the modern nurse for advanced clinical practice have expanded noticeably. Although a modern nurses tasks still include technical duties, their importance has significantly increased (Leary and MacLaine, 2019; Thomas, 2016). For instance, a nurse can independently monitor and treat certain groups of patients and use a doctors services for accompanying consultations. While this works prestige is gradually growing, organisations are being established around the world to provide support for employees in this sector (Marangozov, Williams and Buchan, 2016). This is justified by the idea that nurses with the latest knowledge can do their work better and more efficiently, which will affect not only the well-being of patients but also nurses satisfaction with their work.

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