Therapeutic relationship: Is it still heart of nursing?

Abstract

Relationship was introduced as an essential element of care since the beginning of theorizing in nursing. However therapeutic relationship has been conceptualized by different theorists, an integrated approach is not provided. This study aimed to perform a systematic review to explain the therapeutic relationship in the contemporary nursing practice. Electronic databases were searched from conception to October 2015 using keywords including therapeutic, relationship, communication, nurse, and patient. We used PRISMA guideline to report data. Original studies relevant to the therapeutic relationship were included. Exclusion criteria include abstracts that were irrelevant to the concept of study, grey literature and review and commentary articles. Disagreements between researchers were solved by consensus. Twenty studies were finally included into the review process. Data were organized into three categories including composition of therapeutic relationship, context of therapeutic relationship and confirmation of therapeutic relationship. The therapeutic relationship is composed of significant knowing and meaningful connecting with patients. Few studies confirmed applicability of therapeutic relationship in nursing practice. Therapeutic relationship ensures humanity to be preserved during nursing care and patients' hospital stay; it faces with strong barriers such as nursing shortage. The nursing shortage seriously threatens the heart of nursing. Therapeutic relationship needs to be investigated further in order to be supported by evidence-based nursing in order to confirm the applicability of relationshipbased caring theories.

Professional Boundaries in The Relationship Between Nurses and Patients in Healthcare Settings: A Scoping Review

“…The nurse-patient relationship is carried out with boundaries known as professional boundaries to separate therapeutic and non-therapeutic behavior (Mirhaghi et al, 2017). Some boundaries are clearly defined and others are less clear and require the nurse's personal professional judgment.…”

The Turkish Validity and Reliability of the Therapeutic Relationship Rating Scale-Nurse Form: A Methodological Study

“…tanıtılmıştır. 2 Örneğin Peplau "kişilerarası ilişkiler", Travelbee "insan-insana ilişki" ve Orlando "hemşirelik süreci teorisi" ile terapötik ilişkiyi hemşirelik bakımının merkezine almıştır. [3][4][5] Terapötik ilişki genel birimlerin klinik uygulamalarında görevli hemşireler ve psikiyatri gibi özel birimlerin uygulamalarında görevli psikiyatri hemşireleri için en önemli bakım araçlardan biridir.…”

“…6,7 Özellikle psikiyatri birimlerinde psikoterapötik müdahalelerin temelini oluşturan terapötik ilişki hemşirelerin hemşirelik girişimlerini etkin bir şekilde uygulayabilmeleri ve hasta ile etkili bir bağ kurabilmeleri için kimliklerini bilinçli olarak kullanabilmeleridir. 2,[8][9][10][11] Etkili psikiyatri hemşireliği, hemşirelik bakım hizmeti almak isteyen bir bireyin yaşamış olduğu deneyimlerinin anlaşılması ile mümkündür. 2,12 Bu da bireylerin deneyimlerini paylaşmak için kendilerini rahat ve güvende hissettikleri bir süreç ile diğer bir deyişle terapötik ilişki ile mümkündür.…”

“…2,[8][9][10][11] Etkili psikiyatri hemşireliği, hemşirelik bakım hizmeti almak isteyen bir bireyin yaşamış olduğu deneyimlerinin anlaşılması ile mümkündür. 2,12 Bu da bireylerin deneyimlerini paylaşmak için kendilerini rahat ve güvende hissettikleri bir süreç ile diğer bir deyişle terapötik ilişki ile mümkündür. 12 Böylelikle terapötik ilişki yoluyla hemşireler, ruh sağlığı problemleri olan kişilerin sağlığı üzerinde olumlu bir etki ve güvenli bir ortam oluşturabilirler, onların duygusal direncin üstesinden gelmesine ve derin bir öz-bilgiye doğru ilerlemesine yardım ederek gelişimine katkı sunabilirler.…”

Building Relationships in a Youth Justice Residence in Aotearoa New Zealand: Experiences of a Music Therapy Student

“…Similarly, Asbrand (2012) states that, "the therapeutic relationship stands out as one of the most powerful predictors of psychotherapy outcome" (p.2). Regardless of the techniques used across different therapeutic traditions, the therapeutic alliance is positioned as central within nursing, psychology, pharmacotherapy, and counselling, as well as psychotherapeutic approaches and the arts therapies (Asbrand, 2012;Mirhaghi et al, 2017;Norcross, 2010;Rolvsjord, 2010).…”