NURS 340 Week 5 Discussion A Therapeutic Alliance

NURS 340 Week 5 Discussion A Therapeutic Alliance?

NURS 340 Week 5 Discussion a therapeutic alliance?

You work as a nurse in a school.
When a student walks into your office, he or she is reluctant to open up to you. A therapeutic alliance can be formed in a variety of ways. How would you develop it with the student?

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When Freud described the therapeutic alliance in 1912, he introduced the concepts of transference and countertransference, which are the feelings or emotions that a patient feels toward their therapist and vice versa.

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A decade later, Rogers (1951) and Anderson (1962) developed a concept of the “therapeutic bond” that included both empathy and rapport as essential components.

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As a result of this effort, Hougaard (1994) developed two conceptual structures: one for personal relationships and one for collaborative relationships.

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While the personal relationship area focuses on the therapist-patient relationship’s socio-emotional aspects, such as goal setting and treatment planning, the collaborative relationship area is more task-oriented.
Therapeutic alliance is defined as “…the collaborative and affective bond between therapist and patient – is an essential component of the therapeutic process” by Martin, Garske, and Davis (2000).
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Parts of the Therapeutic Partnership

There are three factors that contribute to an effective therapeutic alliance, according to Bordin[12].

Consensus on objectives (Collaborative Goal Setting)

Interventions are agreed upon (Shared Decision Making)

The patient-therapist relationship is one that works (The Therapeutic Relationship)

Setting Joint Objectives

Setting a specific goal for rehabilitation is essential to achieving a desired outcome.
Goals can be more successful if they are SMART (Specific, Measurable, Attainable, Relevant, and Time-Limited).

Improved outcomes can be achieved when the patient and therapist agree on the goals for treatment.

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As a result, patient satisfaction and motivation increase.
The therapeutic alliance is positively impacted by each of these factors.
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A dissatisfied patient will have a negative impact on the therapeutic alliance if they are left out of the decision-making process.
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Decision Making in a Collaborative Environment

The therapeutic alliance benefits from shared decision-making.

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Informing patients and assisting them in making decisions is a part of this process.

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Elwyn et al[14] outline a three-step procedure for achieving shared decision making.

It’s time for a break.

Allow for a plethora of options.

Justify Your Decision – take into account your personal preferences.

Reaction to the Deferred Closing Option

Review the available options in the knowledge base.

Explore your preferences by describing your options.

Benefits and Consequences

Support the patient’s decision-making process

Summarize the Talking Points

Focus on what you like.

Preferences are elicited

Make a decision and move on.

Review of the offer

Relationships in a Therapeutic Setting

Therapist-patient relationships are defined as those between the two parties in a professional context.

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It is essential to a successful therapeutic relationship.

A strong therapeutic relationship is built on the following factors [13].

The ability to listen attentively is an important part of effective communication.

Empathy

FriendlinesssEncouragement

Confidence

Non-verbal communications

Expertise in the Real World

Clear and simple instructions for patients.

Patient-Centered Care is a therapist’s expertise and training

Treatments tailored to each patient’s needs

Taking into account the needs and preferences of patients in the context of the organization and the environment

Providing adequate time for patients to be thoroughly evaluated and managed

The ability to reschedule appointments and care for patients