Newman pointed out that, “nurse client relationships often begin during periods of disruption, uncertainty, and unpredictability in patient’s lives” (Smith & Parker, 2015, p. 288). Explore what she means by this statement. Then, reflect on a patient that you cared for that you could apply her theory to. Provide details of the interaction and outcomes. Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
In her statement, Newman is referring to the fact that nurse-client relationships typically commence during challenging and turbulent periods in patients’ lives, characterized by disruptions, uncertainty, and unpredictability. This observation highlights the critical role that nurses play in supporting and assisting individuals during times of crisis and vulnerability.
When patients face disruptions, uncertainties, and unpredictabilities in their lives, they often experience heightened stress and anxiety. This can be due to various factors such as illness, hospitalization, or the need for medical intervention. During these moments, patients are reliant on the support and care provided by healthcare professionals, particularly nurses who are at the forefront of patient care. Nurses have the unique opportunity to establish therapeutic relationships with patients, working collaboratively to address their physical, emotional, and psychological needs.
The theory developed by Newman places emphasis on the importance of the nurse-client relationship to promote health and well-being. According to Newman, the nurse-client relationship is founded on mutual respect, trust, and understanding. Nurses must actively listen to patients, empathize with their pain and struggles, and provide appropriate interventions and support. As the relationship progresses, nurses can assist patients in regaining a sense of control over their lives, providing them with empowerment, and helping them adapt to their current circumstances and challenges.
To illustrate the application of Newman’s theory, I would like to reflect on a patient I cared for during my clinical placement in an oncology ward. The patient, Mr. Smith, was a 65-year-old man diagnosed with stage IV lung cancer. At the time of his admission, he was experiencing significant disruptions, uncertainties, and unpredictabilities in his life. Mr. Smith had recently received his diagnosis and was grappling with the reality of his illness, its implications, and the treatment options available.
During my interactions with Mr. Smith, I followed Newman’s principles to establish a therapeutic nurse-client relationship. I approached him with empathy, actively listening to his concerns and fears. By acknowledging his emotions and providing a safe space for him to express himself, I helped Mr. Smith feel understood and supported. Through open communication, I encouraged him to actively participate in his care decisions, ensuring his preferences and values were respected.
As the relationship between myself and Mr. Smith developed over time, I noticed positive outcomes. He began to trust my expertise and rely on me for emotional support and guidance. I introduced him to support groups where he could find solace and share his experiences with others facing similar challenges. Through ongoing conversations and education, Mr. Smith gained a better understanding of his condition, its treatment options, and the potential side effects. This knowledge empowered him to actively engage in his care and make informed decisions.
Moreover, I provided Mr. Smith with the necessary tools and resources to cope with the disruptions in his life. This included teaching him relaxation techniques, connecting him with a social worker to address financial concerns, and arranging for home healthcare services to assist with his daily needs. By addressing his physical, emotional, and practical needs, Mr. Smith experienced a sense of control and regained some stability amidst the uncertainties he faced.
In conclusion, Newman’s assertion that nurse-client relationships often commence during periods of disruption, uncertainty, and unpredictability in patients’ lives carries significant meaning. Nurses have a pivotal role in supporting individuals through challenging times by establishing therapeutic relationships, actively listening, and providing appropriate interventions and support. Through the application of Newman’s theory, I was able to assist a patient in adapting to his diagnosis and its consequences, fostering a sense of empowerment and facilitating positive outcomes.